International Journal of Nursing Studies Advances最新文献

{"title":"Anaesthetic emergence agitation in adults following general surgery: A scoping review","authors":"Meredith Heily ,&nbsp;Marie Gerdtz ,&nbsp;Rebecca Jarden ,&nbsp;Yen Yap ,&nbsp;Rinaldo Bellomo","doi":"10.1016/j.ijnsa.2025.100320","DOIUrl":"10.1016/j.ijnsa.2025.100320","url":null,"abstract":"<div><h3>Background</h3><div>Anaesthetic emergence is the patient's transition from general anaesthetic until they are alert and in full control of vital reflexes. It is during this transition that significant complications, including anaesthetic emergence agitation, may occur. A preliminary search did not identify any research investigating adults who undergo anaesthetic emergence in critical care settings.</div></div><div><h3>Objectives</h3><div>To map the post-anaesthetic literature reporting outcomes, risk factors, and management of adult patients admitted directly to a critical care unit, who develop emergence agitation, and to describe the implications for clinical practice.</div></div><div><h3>Methods</h3><div>The scoping review was registered at <span><span>https://osf.io/spwx5/</span><svg><path></path></svg></span> and conducted using the Joanna Briggs Institute methodology, with the framework of Population, Concept and Context. Search terms including agitation, anaesthetic, emergence, postoperative and surgery.</div></div><div><h3>Results</h3><div>Twenty-five articles were identified and were eligible for data extraction. Risk factors included co-morbid conditions, anaesthetic agents and the presence of in-situ invasive devices. Studies varied regarding design and patient assessment tools. Data were reported from one or more of eight observation timepoints along the emergence continuum, from end-anaesthetic until post anaesthetic care unit discharge. No studies investigated patients with direct postoperative admission to critical care settings.</div></div><div><h3>Conclusions</h3><div>This review has characterised the emergence continuum. The variations between studies has highlighted the necessity to reach future consensus regarding emergence definition and measurement. A critical gap was identified regarding recommendations for prevention and management of emergence agitation for patients admitted directly to a critical care unit.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100320"},"PeriodicalIF":3.1,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143696669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of patient- handling devices and coworker assistance in long-term care settings: A cross-sectional study","authors":"Minjung Kyung ,&nbsp;Soo-Jeong Lee ,&nbsp;Laura M. Wagner ,&nbsp;OiSaeng Hong","doi":"10.1016/j.ijnsa.2025.100317","DOIUrl":"10.1016/j.ijnsa.2025.100317","url":null,"abstract":"<div><h3>Background</h3><div>Although many patient handling activities require use of lifting devices and assistance from coworkers to ensure safety and efficiency, integrating these practices into the workplace remains challenging.</div></div><div><h3>Objective</h3><div>The objectives of this study were to examine the association of musculoskeletal symptoms with the use of patient -handling devices or coworker assistance and to identify factors associated with their adoption among direct care workers in long-term care facilities.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among 376 direct care workers recruited from 19 long-term care facilities in South Korea. Chi-square tests and analysis of variance with Tukey post-hoc analysis were used to assess differences in musculoskeletal symptom prevalence, frequency, and severity by patient handling methods. Multiple logistic regression was used to examine the relationship between the use of coworker assistance or patient -handling devices and demographic, job-related, physical, and psychosocial work factors and perception of management's safety priority.</div></div><div><h3>Results</h3><div>The majority of participants were female, married, and employed in non-permanent positions. Among the participants, 42.2% used both patient- handling devices and coworker assistance, 5.8 % used only patient- handling devices, 24.7 % used only coworker assistance, and 27.3 % used neither method. Workers who used both methods reported a significantly lower prevalence, frequency, and severity of musculoskeletal symptoms compared to those who relied on only one method or neither. Older and immigrant workers were less likely to use patient- handling devices. While workers perceiving management having a high priority for safety were more likely to use coworker assistance, immigrant, non-permanent, and overcommitted workers and those with longer years in long-term care showed lower tendencies to seek coworker assistance.</div></div><div><h3>Conclusion</h3><div>Despite the musculoskeletal benefits of using patient- handling devices and coworker assistance, their availability and adoption remain insufficient in long-term care facilities in Korea. These findings underscore the vital role that nursing leaders may play in promoting the adoption of combined patient handling methods, particularly among vulnerable worker groups. Empowerment strategies, such as fostering a supportive work environment and addressing barriers faced by overcommitted, long-tenured, and marginalized workers, may be essential to improving the safety and well-being of both patients and staff in long-term care settings.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100317"},"PeriodicalIF":3.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143704066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The interplay between home and job demands, resources, and the intention to stay in nursing: A cross-sectional study","authors":"Jasperina Brouwer ,&nbsp;Stéfanie André ,&nbsp;Nienke Renting","doi":"10.1016/j.ijnsa.2025.100318","DOIUrl":"10.1016/j.ijnsa.2025.100318","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Concerns about the global nursing shortage highlight that, while increasing graduates is considered as essential, addressing retention issues is equally critical to mitigate the shortage effectively. Nurses frequently struggle to harmonize family life with their demanding profession in this predominantly female field. Finding a balance between home and job demands and resources may be crucial for staying in the profession.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;We aimed to obtain a better understanding of the relationships among home and job demands (parenthood, working hours, work pressure), personal resources (experience, need for autonomy, self-efficacy), contextual resources (work-life balance), and the intention to stay in the nursing profession. More specifically, we investigated how work-life balance, as a contextual resource mediated the complex interplay among home and job demands, personal resources, and the intention to stay.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;We adopted a cross-sectional survey methodology.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting(s)&lt;/h3&gt;&lt;div&gt;We focused on nursing professionals employed in healthcare institutions, encompassing hospitals, elderly care facilities, and home care institutions in the Netherlands.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Survey respondents included 616 bedside nurses with either patient care responsibilities alone or combined with managerial responsibilities.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We distributed a survey among nursing professionals in 2021. Path modeling was conducted using Mplus version 8.0.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The comprehensive model revealed that parenthood and the fulfilment of the need for autonomy were associated with increased energy levels, while the need for autonomy was associated with lower work pressure and higher intention to stay. Work pressure was negatively associated with work-life balance, whereas a satisfactory work-life balance was positively associated with the intention to stay. Energy was directly related to intention to stay, as well as indirectly through work-life balance. Work experience was negatively associated with the intention to stay. Controlling for gender, nurses identifying as female or non-binary experienced lower energy compared to their male counterparts.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Work-life balance and the need for autonomy were positively associated with the intention to stay. Energy was positively associated with work-life balance and the intention to stay. Working experience was negatively associated with the intention to stay in the profession, suggesting that more experienced nurses may may see more alternatives after leaving the bedside profession.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Tweetable abstract&lt;/h3&gt;&lt;div&gt;Nurses may stay when they feel energized and experience more work-life balance. More autonomy is encouraging, whereas high work pressure discourages them. Let's support nursing needs. #Nursing","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100318"},"PeriodicalIF":3.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143767857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"International competencies of nurses with advanced practice in anesthesia nursing: An integrative review","authors":"Kathrin Julia Pann ,&nbsp;Verena-Katrin Buchner ,&nbsp;Roland Eßl-Maurer ,&nbsp;Tobias Bacher ,&nbsp;Manela Glarcher ,&nbsp;Andre Ewers","doi":"10.1016/j.ijnsa.2025.100319","DOIUrl":"10.1016/j.ijnsa.2025.100319","url":null,"abstract":"<div><h3>Background</h3><div>Internationally, nurse anesthetists play a pivotal role in the highly specialized field of anesthesia care, which requires advanced knowledge. In Austria, advanced nursing practice in anesthesia care lacks a model that allows for an expanded role. Thus, there is a need to explore the scope of practice, advanced competencies, and skills of nurse anesthetists to address the challenges in the provision of healthcare.</div></div><div><h3>Objective</h3><div>The aim of this review was to explore the competencies and skills of advanced practice nurses in anesthesia care at the international level.</div></div><div><h3>Design</h3><div>An integrative literature review was conducted using Whittemore and Knafl's five-step methodology.</div></div><div><h3>Methods</h3><div>A systematic literature search was performed in the databases PubMed, the Cumulative Index to Nursing and Allied Health Literature, the Cochrane Library, and Web of Science. Keywords such as ’nurse anesthetist’, ’nurse practitioner’, ’advanced nursing’, ’advanced practice’, ’professional competence’, ’role ’, ’clinical competence’ and related terms in American and British spelling were used. In addition, references in the included publications, databases for doctoral theses, and non-listed international journals on anesthesia care, as well as studies from websites of professional societies were searched. The quality of included publications was assessed using critical appraisal tools and a qualitative content analysis approach was used to synthesize the data.</div></div><div><h3>Results</h3><div>In total, 26 publications from 13 different countries were included. Eight qualitative, ten quantitative, and one mixed methods study, as well as seven scientific reports could be identified. The seven main themes - professional competencies, communication competencies, coordination and management competencies, scholarship competencies, advocacy competencies, collaboration competencies, and clinical competencies - could be extracted from the literature. These were supplemented by eleven inductive sub-themes.</div></div><div><h3>Conclusions</h3><div>Nurse anesthetists demonstrate a comprehensive set of competencies that encompass technical as well as non-technical skills, enabling them to provide high-quality and advanced anesthesia care. There are variations in the scope of practice, roles, and skills of nurse anesthetists across different countries. In some countries, nurse anesthetists practice within a broad scope, while in other countries, often due to policy considerations, their responsibilities and skills are limited.</div></div><div><h3>Registration</h3><div>PROSPERO CRD42022351430, registered 15/08/2022</div></div><div><h3>Social media abstract</h3><div>Nurse anesthetists' scope of practice varies internationally due to policies but covers a comprehensive range of competencies @GlarcherManela @KathrinPann</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100319"},"PeriodicalIF":3.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143696670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors on length of stay among pulmonary tuberculosis patients: A systematic review and meta-analysis","authors":"Dao Weiangkham ,&nbsp;Adinat Umnuaypornlert ,&nbsp;Surasak Saokaew ,&nbsp;Neeranuch Wongcharoen ,&nbsp;Samrerng Prommongkol ,&nbsp;Jutamas Ponmark","doi":"10.1016/j.ijnsa.2025.100316","DOIUrl":"10.1016/j.ijnsa.2025.100316","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Pulmonary Tuberculosis (PTB) remains a pressing public health concern. Long hospital stays for PTB patients can overburden both patients and healthcare systems.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To identify the key factors contributing to extended length of stay in PTB patients.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Information sources&lt;/h3&gt;&lt;div&gt;Four electronic databases (PubMed, Scopus, Embase, and CINAHL) were systematically searched from inception to January 1, 2023.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The articles were screened and performed according to Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). Inclusion criteria were PTB patients diagnosed by doctors and studies reporting factors affecting length of stay. Exclusion criteria were review articles, case study, conferences abstract, and proceedings. Study quality was assessed using the Newcastle-Ottawa Scale (NOS). A random-effects model was used to analyzed risk factors for length of stay. Heterogeneity was employed using I&lt;sup&gt;2&lt;/sup&gt; and Q statistics. Forest plots displayed effect sizes (ES) and 95 % confidence intervals. STATA 14.2 was used for meta-analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 1,190 studies were screened from reputable electronic databases, six studies comprised of 9,231 participants were included. Meta-analysis revealed that they are six risk factors associated with longer length of stay including; older age (OR 1.50, 95 % CI 1.07–2.09, &lt;em&gt;p&lt;/em&gt; = 0.019), comorbidity (OR 1.44, 95 % CI 1.17–1.78, &lt;em&gt;p&lt;/em&gt; = 0.001), HIV patient (OR 1.40, 95 % CI 1.16–1.69, &lt;em&gt;p&lt;/em&gt; = 0.001), patients with ADR (OR 2.19, 95 % CI 1.47–3.26, &lt;em&gt;p&lt;/em&gt; &lt; 0.001), MDR TB (OR 3.16, 95 % CI 2.31–4.32, &lt;em&gt;p&lt;/em&gt; &lt; 0.001), and miliary TB (OR 1.37, 95 % CI 1.10–1.70, &lt;em&gt;p&lt;/em&gt; = 0.004) with minimal heterogeneity [(I&lt;sup&gt;2&lt;/sup&gt; = 34.2 %, &lt;em&gt;p&lt;/em&gt; = 0.207), (I&lt;sup&gt;2&lt;/sup&gt; = 43.1 %, &lt;em&gt;p&lt;/em&gt; = 0.118), (I&lt;sup&gt;2&lt;/sup&gt; = 0.0 %, &lt;em&gt;p&lt;/em&gt; = 0.573), (I&lt;sup&gt;2&lt;/sup&gt; = 0.0 %, &lt;em&gt;p&lt;/em&gt; = 0.723), (I&lt;sup&gt;2&lt;/sup&gt; = 0.0 %, &lt;em&gt;p&lt;/em&gt; = 0.366), and (I&lt;sup&gt;2&lt;/sup&gt; = 0.0 %, &lt;em&gt;p&lt;/em&gt; = 0.753), respectively]. There was no evidence of publication bias according to Begg's and Egger's test.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;In conclusion, six risk factors were identified as significantly associated with longer hospital stays in PTB patients: older age, comorbidities, HIV infection, ADR, MDR-TB, and miliary TB. These findings highlight the importance of targeted interventions for these high-risk groups to reduce length of stay and alleviate the burden on healthcare systems. The results are based on a meta-analysis of six studies with minimal heterogeneity, and no evidence of publication bias was found. Future research should focus on exploring additional factors influencing length of stay, particularly in diverse populations, and evaluating the effectiveness of interventions to shorten hospital stays. Additionally, studies examining ","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100316"},"PeriodicalIF":3.1,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing factors associated with nurses leaving the profession: A secondary analysis of cross-sectional data","authors":"Björn Lantz ,&nbsp;Carina Fagefors","doi":"10.1016/j.ijnsa.2025.100315","DOIUrl":"10.1016/j.ijnsa.2025.100315","url":null,"abstract":"<div><h3>Background</h3><div>Nurse turnover is a global challenge affecting workforce stability, financial sustainability of healthcare systems, and the quality of care. Despite extensive research, a limited number of researchers have explored the actual reasons behind nurses leaving the profession as opposed to leaving their job, particularly in relation to demographic variables.</div></div><div><h3>Objective</h3><div>We aimed to explore how demographic factors—age, sex, and work area—influenced nurses' experiences of key turnover factors, providing insights to inform tailored retention strategies.</div></div><div><h3>Design</h3><div>Secondary cross-sectional analysis of national survey data.</div></div><div><h3>Setting(s)</h3><div>Data were collected by Statistics Sweden through a mail survey.</div></div><div><h3>Participants</h3><div>The sample consisted of 2,860 individuals with nursing qualifications who had left the profession between 2005 and 2013 and responded to a 2016 survey.</div></div><div><h3>Methods</h3><div>The analysis involved exploratory factor analysis and structural equation modeling to identify and examine five latent factors contributing to nurses leaving the profession. The researchers assessed the impact of demographic variables on these factors.</div></div><div><h3>Results</h3><div>Five primary factors were identified: compensation and fairness, psychosocial work environment, career development constraints, non-clinical workload, and support and safety. Younger nurses and those outside primary care reported greater dissatisfaction across multiple factors, while female nurses faced heightened psychosocial strain. Work area differences also influenced perceptions of support and workload.</div></div><div><h3>Conclusions</h3><div>We have underscored the significant role of demographic variables associated with leaving the nursing profession. Tailored interventions, such as structured mentorship for younger nurses, family-supportive policies for female nurses, and workload optimization in high-stress areas, may be helpful. The results are limited by the age of the data, which predates recent healthcare shifts, emphasizing the importance of regular workforce monitoring.</div></div><div><h3>Registration</h3><div>Not registered</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100315"},"PeriodicalIF":3.1,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing patient safety competence among Chinese vocational nursing students: A mixed-methods study using COM-B model and theoretical domains framework","authors":"Lu Zhou ,&nbsp;Yinsong Sun ,&nbsp;Mingzhao Xiao ,&nbsp;Runli Yang ,&nbsp;Shuang Zheng ,&nbsp;Jun Shen ,&nbsp;Qinghua Zhao","doi":"10.1016/j.ijnsa.2025.100307","DOIUrl":"10.1016/j.ijnsa.2025.100307","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Although patient safety education is receiving increased attention, nursing students' patient safety competency remains moderate. As an important source of future caregivers for many primary health hospitals, the level of patient safety competence of higher vocational nursing students directly affects the delivery of nursing care, which in turn affects patient safety, the patient's disease healing process, and their outcomes. There is a lack of evidence to support the factors that influence patient safety competence among nursing students.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;The aim of this research was to explore the factors that impact patient safety competency among Chinese higher vocational nursing students.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;An explanatory sequential mixed research design was used in this study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The quantitative part was a cross-sectional survey. Convenient sampling was used to conduct a questionnaire survey on 523 nursing students from a vocational college in Chongqing using the general information questionnaire, The metacognition ability scale, the general self-efficacy scale, the self-directed learning skill scale, patient safety nurse competency evaluation scale. Multiple linear regression and serial mediating effect test were used to analyze the impact factors. Qualitative research was then conducted to explain the initial quantitative research results. The qualitative research part used purposive sampling to conduct semi-structured interviews with 16 higher vocational nursing students, and the data was analyzed through content analysis. Quantitative and qualitative data are mapped to the Capability, Opportunity, Motivation, Behavior (COM-B) model.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The quantitative findings found that metacognition had a statistically significant indirect predictive effect on patient safety competence through general self-efficacy and self-directed learning, with an indirect effect value of 0.034 (95 % CI [0.017, -0.013]). Combining quantitative and qualitative results, The Capability, Opportunity, Motivation, Behavior (COM-B) model and theoretical domains framework captures a series of factors, including Competence (professional knowledge and skills); Opportunities (resources, public opinion); Motivation (metacognitive abilities, personality, roles, beliefs, goals).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;This study provides evidence for a serial mediating role of general self-efficacy and self-directed learning in the relationship between metacognition ability and patient safety competency, contributing to a psychological understanding of the underlying mechanisms of patient safety competency. Therefore, when developing interventions, consideration should be given to promoting positive behaviours in higher vocational nursing students concerning general self-efficacy and self-directed strategies to enhance metacognition, boost pa","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100307"},"PeriodicalIF":3.1,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143422654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The financial burden of chronic wounds in primary care: A real-world data analysis on cost and prevalence","authors":"Miguel Ángel Díaz-Herrera ,&nbsp;Mónica González-Durán ,&nbsp;Francisco Javier Rodríguez-Martínez ,&nbsp;Gema Tujillo-Flores ,&nbsp;Nuria Tuset-Mateu ,&nbsp;Jose Verdú-Soriano ,&nbsp;Vicente Gea-Caballero ,&nbsp;Albert Sanllorente-Melenchón ,&nbsp;Jesús Almeda-Ortega ,&nbsp;Oriol Cunillera-Puértolas ,&nbsp;Mateo Acedo-Anta ,&nbsp;José Ramón Martínez-Riera","doi":"10.1016/j.ijnsa.2025.100313","DOIUrl":"10.1016/j.ijnsa.2025.100313","url":null,"abstract":"<div><h3>Background</h3><div>Chronic wounds place a substantial clinical and economic burden on health systems and significantly reduce the quality of life of those affected. However, there are no large-scale economic evaluations to assess costs based on data in a real-world environment.</div></div><div><h3>Objective</h3><div>We aimed to analyse the costs of managing patients with chronic wounds (pressure injuries, ulcers of venous aetiology, ulcers of arterial aetiology, diabetes-related foot ulcers, and lower-limb ulcers of other aetiologies) in primary care in the southern area of Barcelona, Spain, through a 3-year real-world data analysis.</div></div><div><h3>Methods</h3><div>The direct costs associated with specific treatment materials and primary care consultations were analysed using the electronic clinical records and financial management data of 54 primary care centres managed by the Catalan Institute of Health, which served a population ranging from 890,152 in 2015 to 939,747 in 2017.</div></div><div><h3>Results</h3><div>Between 2015 and 2017, total expenditure was estimated at € 34,991,854 (Euros) (USD 39,548,000 -United States Dollars-). The cost of the specific treatment materials was € 8,455,787 (USD 9,555,885), with an annual average of € 2,818,596 (USD 3,185,295) and an increase of 18.5 % over the period. The cost of the consultations for chronic wound management was € 26,536,067 (USD 29,988,409). The cumulative annual prevalence of chronic wounds per 10,000 inhabitants was 86.70‱ in 2015, 88.03‱ in 2016 and 88.7‱ in 2017. Pressure injuries accounted for 46.39 % to 42.86 % of all chronic wounds. The direct extrapolation of chronic wounds costs to the total population of Spain was € 1,763,037,849 (USD 1,993,409,074) (mean annual average € 587,679,283 -USD 664,136,358-) during the study period, with a prevalence of 388,777 and an estimated peak of 413,897 in 2017.</div></div><div><h3>Conclusion</h3><div>We found that chronic wounds have a significant economic impact and should be considered in the planning and management of healthcare resources to ensure adequate and sustainable primary care services.</div></div><div><h3>Tweetable abstract</h3><div>Chronic wounds represent a significant clinical and economic burden in medical devices and consultations, costing 34.99 million euros over three years. Effective planning is essential for the sustainability of primary care services</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100313"},"PeriodicalIF":3.1,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intention to leave and missed nursing care: A scoping review","authors":"Gianluca Azzellino ,&nbsp;Angelo Dante ,&nbsp;Cristina Petrucci ,&nbsp;Valeria Caponnetto ,&nbsp;Ernesto Aitella ,&nbsp;Loreto Lancia ,&nbsp;Lia Ginaldi ,&nbsp;Massimo De Martinis","doi":"10.1016/j.ijnsa.2025.100312","DOIUrl":"10.1016/j.ijnsa.2025.100312","url":null,"abstract":"<div><h3>Introduction</h3><div>The nursing profession is fundamental to the functioning of healthcare systems but is often characterised by high turnover rates, considerable job dissatisfaction, and a significant intention to leave. A closely related phenomenon is \"missed nursing care,\" defined as essential nursing tasks that are omitted (partially or completely), delayed, or not performed. The relationship between missed nursing care and the intention to leave the profession represents a critical issue in modern healthcare.</div></div><div><h3>Aims</h3><div>This scoping review aims to synthesize evidence on the relationship between Missed Nursing Care (MNC) and Intention to Leave (ITL), highlighting the factors influencing both phenomena.</div></div><div><h3>Material and methods</h3><div>A scoping review was conducted to examine the relationship between \"missed nursing care\" and \"intention to leave\" among nurses. The search, conducted between May and June 2024, included PUBMED, SCOPUS, and EBSCO databases, focusing on English-language studies from the last 10 years. Zotero was used for study management, and quality assessment was performed using the \"JBI Critical Appraisal Tools.\" Two independent reviewers screened studies and resolved discrepancies through discussion and consensus.</div></div><div><h3>Results</h3><div>the electronic research strategies used produced 102 papers, of which 24 were relevant to the aims of the review. The results of this study show a clear correlation between missed nursing care and intention to leave among nurses in different healthcare settings.</div></div><div><h3>Discussion</h3><div>This literature review demonstrates a strong and consistent correlation between missed nursing care and nurses' intention to leave the profession. The findings indicate that missed nursing care is closely linked to heightened job dissatisfaction, which in turn significantly increases the likelihood of nurses considering leaving their roles.</div></div><div><h3>Conclusions</h3><div>The relationship between missed nursing care and intention to leave the profession is well documented in the literature and highlights the importance of addressing the factors that contribute to missed nursing care. Improving nurses' working conditions is essential to reduce their intention to leave the profession. To effectively tackle missed nursing care and mitigate the intention to leave, it is necessary to adopt targeted strategic and management approaches and to foster an organisational culture that prioritises the well-being of nurses.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100312"},"PeriodicalIF":3.1,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breastfeeding trajectory of mothers of preterm infants within 6 months postpartum: A longitudinal study","authors":"Na Wu ,&nbsp;Yijing Wang ,&nbsp;Lijing Ding ,&nbsp;Yiting Xu ,&nbsp;Xuyan Jia ,&nbsp;Keying Huo ,&nbsp;Xiao Yao ,&nbsp;Wenyan Zhang ,&nbsp;Yue Wan ,&nbsp;Peimin Xie ,&nbsp;Lin Ye ,&nbsp;Rong Huang","doi":"10.1016/j.ijnsa.2025.100311","DOIUrl":"10.1016/j.ijnsa.2025.100311","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Breast milk is the nutrient of choice for preterm infants. The World Health Organization has set a target of ensuring by 2030 that 70 % of infants younger than age 6 months are exclusively breastfed. The breastfeeding status of mothers of preterm infants is far below that target. Preterm infants are a special group, and there are many difficulties in and obstacles to adhering to breastfeeding. It is urgent to understand the current situation of breastfeeding among mothers of preterm infants, the change in their breastfeeding behaviors over time, and factors influencing breastfeeding in this population during different postpartum stages.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;We aimed to explore potential breastfeeding behavior trajectories and analyze modifiable influencing factors to provide a reference for health care staff to identify risk groups of breastfeeding attrition at an early stage and develop targeted intervention measures.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We conducted a prospective, single-center, longitudinal study involving a cohort of mothers of preterm infants from July 2023 to May 2024. We administered the Breastfeeding Behavior Questionnaire, Breastfeeding Intention Questionnaire, Breastfeeding Prediction Scale, Breastfeeding Knowledge Questionnaire, and Edinburgh Postnatal Depression Scale. Data were collected at four timepoints: before discharge (T0) and at 6 weeks (T1), 4 months (T2), and 6 months postpartum (T3). A mixed model of latent variable growth was used to fit the trajectory of maternal breastfeeding behavior, and multiple logistic regression analysis was used to detect factors influencing the trajectory of breastfeeding behavior.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Three types of heterogeneity tracks were found: a \"high-level rising\" group (36.5 %), \"medium-level declining\" group (26.0 %), and \"low-level declining\" group (37.5 %). Household income, spouse's educational background, smoking in the spouse, breastfeeding patterns before discharge (T0), perceived breastfeeding control and breastfeeding intention (T1), perceived breastfeeding control, breastfeeding intention, and breastfeeding knowledge (T2), and perceived breastfeeding control, breastfeeding positive attitude, and breastfeeding negative attitude (T3) were predictors of different profiles.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Breastfeeding is of great importance to promote the growth and development of preterm infants. However, the breastfeeding situation among mothers of preterm infants 6 months after delivery is not encouraging. The rate of exclusive breastfeeding is low and needs to be improved. Clarifying those variables related to the Theory of Planned Behavior, such as breastfeeding positive and negative attitudes, perceived breastfeeding control, breastfeeding knowledge, and postpartum depression score, can provide a theoretical basis for the early identification and screening of mothers at risk of exclusive b","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100311"},"PeriodicalIF":3.1,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}