International Journal of Nursing Studies Advances最新文献

{"title":"Promoting Well-being: A Scoping Review of Strategies Implemented During the COVID-19 Pandemic to Enhance the Well-being of the Nursing Workforce","authors":"Caroline Browne ,&nbsp;Ylona Chun Tie","doi":"10.1016/j.ijnsa.2024.100177","DOIUrl":"10.1016/j.ijnsa.2024.100177","url":null,"abstract":"<div><h3>Background</h3><p>The nursing workforce faces significant stressors every day that can lead to exhaustion and burnout. The unprecedented challenges that were faced during the Covid-19 pandemic, placed an added burden on nurses who were already under pressure. Nurses were at the frontline of care provision, and nursing leaders had to rapidly implement strategies to support and maintain staff safety, short and long-term well-being.</p></div><div><h3>Objective</h3><p>A scoping review of strategies nurse leaders and organisations initiated to enhance the well-being of their colleagues during the Covid-19 pandemic was undertaken. Experiences from around the globe have been collated to provide an insight into well-being initiatives that can inform future practice to sustain and retain the nursing workforce.</p></div><div><h3>Design</h3><p>A scoping review of strategies nurse leaders and organisations initiated to enhance the well-being of their colleagues during the Covid-19 pandemic was undertaken.</p></div><div><h3>Method</h3><p>A search of key electronic databases identified articles published between January 2020 and February 2023. 21 pieces of original research that met the inclusion criteria were reviewed.</p></div><div><h3>Results</h3><p>Well-being interventions evaluated in the literature included: dedicated well-being spaces, peer debriefing, psychological support, online resources and education, introduction of well-being strategies and resources, and meditations. There were six broad themes identified that enhanced the success of well-being strategies including: Education and Communication, Tailored or Adaptable Strategies, Support from Leadership, Sharing Experiences and Peer Support, and Feeling appreciated and heard. There were also barriers to accessing well-being interventions that have been identified.</p></div><div><h3>Conclusion</h3><p>The Covid 19 pandemic highlighted how imperative strong nursing leadership is for supporting nurses at every level. Practical strategies provided psychological support essential for maintaining the health and well-being of the nursing workforce. The strategies identified demonstrate the creativity and adaptability of nursing leadership to look after colleagues to maintain and sustain our nursing workforce.</p></div><div><h3>Tweetable</h3><p>Strategies implemented during the COVID-19 pandemic can be used to guide ongoing initiatives to enhance wellbeing for the nursing workforce.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100177"},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000043/pdfft?md5=3187a05749f7532cd4b8db5b81bdd9cd&pid=1-s2.0-S2666142X24000043-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139458027","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":"Clinical research nursing pathways: The development and evaluation of a nursing research internship program using the RE-AIM framework","authors":"Natasha A Roberts ,&nbsp;Elise Button ,&nbsp;Jed Duff ,&nbsp;Catherine Paterson ,&nbsp;Michael Smith ,&nbsp;Nicole Gavin","doi":"10.1016/j.ijnsa.2024.100176","DOIUrl":"10.1016/j.ijnsa.2024.100176","url":null,"abstract":"<div><h3>Background</h3><p>In 2018 a Nursing Research Internship program was started within a major referral and tertiary teaching centre in Australia.</p></div><div><h3>Aim</h3><p>We aimed to evaluate the first 12 months of the program using an implementation science framework.</p></div><div><h3>Methods</h3><p>This was a qualitative study. Following ethical approval <em>n</em> = 20 semi -structured interviews were recorded and transcribed verbatim. Participants included nurses with clinical, research and management roles who had engaged in or supported a Nursing Research Internship program. The Framework Method was conducted to analyse the findings.</p></div><div><h3>Results</h3><p>Key themes identified included ‘What is the impact of a Nursing Research Internship program?’; ‘Why do a Nursing Research Internship program?’; ‘How do we do a Nursing Research Internship program?’; ‘How do we sustain a Nursing Research Internship program?’. Positive impacts were identified for clinical nurses and their teams, for the hospital and health service, and for patients and families. Identified key components included protected research time, specialist support (including library, statistics, health economist, implementation scientist), regulatory support (ethics and governance procedures) and access to a computer and IT resources. The Nursing Research Internship program required support from nurse clinicians, nurse managers and nurse academics.</p></div><div><h3>Conclusion</h3><p>A structured Nursing Research Internship program supports clinical nurses to answer research questions identified directly from clinical practice.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100176"},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000031/pdfft?md5=1d95594be67961d1230e3984d63700a6&pid=1-s2.0-S2666142X24000031-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139456054","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":"Prioritizing chronic pain self-management amid coexisting chronic illnesses: An exploratory qualitative study","authors":"Charlotte Moore-Bouchard ,&nbsp;Marie-Eve Martel ,&nbsp;Elise Develay ,&nbsp;José Côté ,&nbsp;Madeleine Durand ,&nbsp;M Gabrielle Pagé","doi":"10.1016/j.ijnsa.2024.100175","DOIUrl":"10.1016/j.ijnsa.2024.100175","url":null,"abstract":"<div><h3>Background</h3><p>In Canada, one out of five people lives with chronic pain, a condition frequently co-occurring with other chronic illnesses. As with most chronic illnesses, successful engagement in symptom management is key. In the context of multiple illnesses, self-management involves daily prioritization of symptoms and conditions and decision-making, which can be challenging. Self-management of chronic illnesses can require more complex competence and tasks to address the different implications of each condition.</p></div><div><h3>Objective</h3><p>Our research objective was to explore types and processes of self-management symptom prioritization among adults living with chronic pain and other chronic illnesses.</p></div><div><h3>Design</h3><p>This research was carried out as part of a larger study that adopted an explanatory sequential mixed-methods design. This study focused more specifically on the qualitative part of the study.</p></div><div><h3>Setting(s)</h3><p>Participants recruited for the qualitative component took part in a semi-structured individual interview online or in-person at the center hospitalier de l'Université de Montréal.</p></div><div><h3>Participants</h3><p>In total, 25 participants were interviewed, including 18 women and 7 men.</p></div><div><h3>Methods</h3><p>To participate in the qualitative part of the study, participants were selected from the larger study and were eligible if they were 18 years old or older and experiencing pain for more than 3 months and had at least one other chronic illness for which they were receiving treatment or engaged in symptom management. Semi-structured interviews were conducted in-person or virtually and were transcribed verbatim. Reflexive thematic analysis was used to explore patients’ narratives, and an open and iterative approach was adopted to code interviews and generate themes.</p></div><div><h3>Findings</h3><p>The first theme, focus on symptom prioritization, showed different prioritization processes, including prioritizing a dominant illness, prioritizing multiple illnesses to avoid undesirable consequences, and finally absence of or automatic processes of prioritization. In the second theme, we identified several characteristics of an illness, in this case chronic pain that made it a self-management priority: uncontrollable and disabling nature, omnipresence, unpredictability, unpleasantness, and invisibility to others. In the last theme, we highlighted that some psychosocial factors influenced levels of engagement in self-management and prioritization processes, including social support and the patient-physician relationship.</p></div><div><h3>Conclusions</h3><p>Chronic pain was the medical condition most often prioritized by participants in their self-management tasks. Because of its characteristics, it was the medical condition that had the most negative impact on day-to-day functioning.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100175"},"PeriodicalIF":0.0,"publicationDate":"2024-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X2400002X/pdfft?md5=ad5641ec7928350c1288bd36b0d1ca39&pid=1-s2.0-S2666142X2400002X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139395204","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":"Saturation in qualitative research: An evolutionary concept analysis","authors":"Sara Rahimi ,&nbsp;Marzieh khatooni","doi":"10.1016/j.ijnsa.2024.100174","DOIUrl":"10.1016/j.ijnsa.2024.100174","url":null,"abstract":"<div><h3>Background and Aim</h3><p>Qualitative research plays an important role in improving nursing knowledge. Understanding the concept of saturation is essential to conducting rigorous qualitative research that contributes to evidence-based practice. The purpose of this study is to clarify the concept of saturation in qualitative research.</p></div><div><h3>Method</h3><p>Evolutionary concept analysis was performed. A literature search was conducted using a variety of online databases for the years 2005- 2023. In total, 33 articles and books were analyzed using thematic analysis to identify the attributes, antecedents and consequences of saturation. The validity of the data was obtained by examining the analysis process by two independent researchers.</p></div><div><h3>Results</h3><p>Saturation in qualitative research is a context-dependent, subjective process that requires detailed systematic analysis. Saturation is used in four ways in qualitative research: theoretical saturation, data saturation, code or thematic saturation, and meaning saturation. The antecedents of saturation were classified into two categories: study related factors and researcher related factors. The consequences of saturation were identified as: ensuring credibility and quality in qualitative research and time, energy and budget saving.</p></div><div><h3>Conclusion</h3><p>This concept analysis serves to enhance the understanding of the concept of saturation, thereby offering valuable resources for qualitative researchers. By gaining a profound comprehension of saturation and its various types, researchers can ensure the validity of their studies while also optimizing time and resource allocation by avoiding redundant data collection. Future investigation warranted to elucidate how factors associated with reaching saturation impact estimations sample size.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100174"},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X24000018/pdfft?md5=749c4ba8442e531a822cc0e1a36ae2df&pid=1-s2.0-S2666142X24000018-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139391973","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":"Psychometric evaluation of the United States-adapted perceived perioperative competence scale-revised: A national survey","authors":"Shannon Maio ,&nbsp;James X. Stobinski ,&nbsp;Brigid M. Gillespie","doi":"10.1016/j.ijnsa.2023.100173","DOIUrl":"10.1016/j.ijnsa.2023.100173","url":null,"abstract":"<div><h3>Background</h3><p>Nursing competence is integral to ensuring patient safety, especially in high-risk environments such as the operating room. Instruments which facilitate self-assessment of specialty specific nursing competence allow nurses to gain important insights into their practice to facilitate continuous growth in their professional practice. Currently, there are no psychometrically tested tools to assess perioperative competence applicable to the United States context.</p></div><div><h3>Objective</h3><p>Test the psychometric properties of the Perceived Perioperative Competence Scale-Revised in the United States context.</p></div><div><h3>Methods</h3><p>A cross-sectional survey design was used. Perioperative nurses were recruited via four professional associations and the survey was administered online. Construct validity of the six-dimensional Perceived Perioperative Competence Scale-Revised was tested using a multidimensional item response theory model known as the graded response model. Measurement invariance was assessed relative to years of perioperative experience. Internal consistency was estimated using McDonald's Omega and Cronbach's alpha reliability coefficients.</p></div><div><h3>Results</h3><p>Responses from a total of 1,581 participants were analyzed in the psychometric analysis. The six-dimensional graded response model of the Perceived Perioperative Competence Scale-Revised displayed satisfactory model fit for the sample (Chi-square(df) = 5,699.09(725); root mean square error of approximation = 0.066, 90% confidence interval: 0.064, 0.067; comparative fit index = 0.955; Tucker-Lewis index = 0.952; standardized root mean squared residual = 0.045). Scalar invariance was established when assessing the psychometric equivalence of the scale across years of perioperative experience (&lt;10 years, ≥ 10 years) (Chi-square(df) = 5,785.29(1,573); root mean square error of approximation = 0.058, 90% confidence interval: 0.057, 0.060; comparative fit index = 0.959; Tucker–Lewis index = 0.959). Reliability across the six subscales ranged from alpha = 0.87 - 0.94 and Omega = 0.93 - 0.97.</p></div><div><h3>Conclusions</h3><p>Results suggest that the Perceived Perioperative Competence Scale-Revised is suitable to use with perioperative nurses practicing in clinical settings in the United States. Measurement invariance testing indicates the scale is measuring the same construct and is being interpreted in a conceptually similar manner across groups based on years of perioperative experience.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100173"},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X23000577/pdfft?md5=18f275fceeea465c48e7ee56aa2f4ae3&pid=1-s2.0-S2666142X23000577-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139016652","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":"Patient-reported outcome measures for the assessment of stress in neurological patients: An integrative review","authors":"Ilkka Sairanen ,&nbsp;Heli Virtanen ,&nbsp;Päivi Hämäläinen ,&nbsp;Riitta Suhonen","doi":"10.1016/j.ijnsa.2023.100172","DOIUrl":"10.1016/j.ijnsa.2023.100172","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Patient stress is often overlooked in the care of patients with neurological problems. Nursing theorists have previously heralded stress assessment through conceptual clarification, while clinical nurses in the health care system hold an ideal position for implementation of assessment and coordination of support. Integrated with a hospital assessment and support scheme, recognition of stress as a target of systematic assessment can lead to improved clinical outcomes.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;p&gt;The aim of the study was to describe and compare patient-reported outcome measures suitable for assessment of the stress response as symptoms in neurological patients.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;p&gt;This study is an integrative review and concept development of patient stress based on qualitative and quantitative analysis of available self-reporting instruments.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;Instruments were retreived with a systematic search from PubMed, CINAHL, PsychINFO and Web of Science reference databases on August 2, 2021. Search terms associated with the concept of stress symptoms were used. Instrument inclusion was done with the guidance of authoritative symptom inventories, with partial confirmation by a second author to mitigate bias. In the analysis, the instruments included in the review were quantitatively described and compared. Insights from the instrument composition led to clarification of our concept of stress response to further refine the list of instruments suitable for self-assessment of the stress status. This study was not registered.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Based on the inclusion criteria, 23 patient-reported outcome measures extending over a variety of stress concepts were included. The similarity of items among the instruments implied a symptom cluster delineated by 59 common symptom subclasses that were grouped together in a re-classification of instrument items. A comparative quantitative analysis prompted us to distinguish the concept of stress response from antecedent, consequent, and related concepts as a manifestation of mental, somatic, and behavioral domains. Ten instruments with items covering the three domains, each with unique qualities regarding number of items, measured spread, and letter count were described.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;p&gt;Within an organizational framework, effective allotment among types of support can be founded on the patient's stress status and the stressors. The stress status manifests itself as a set of measurable symptoms. Optimal instruments for use in systematic clinical assessment of neurological patients’ stress status should satisfy the suggested specification of the stress response with a minimal number of items and concise wording. Finding and including the relevant instruments for analysis were the main limitation of the study.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Tweetable abstract&lt;/h3&gt;&lt;p&gt;Stress of neurological patients needs to be assessed and add","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100172"},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X23000565/pdfft?md5=b671db9d86cbc47c9503a96f2338acb6&pid=1-s2.0-S2666142X23000565-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138992764","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":"A bachelor's degree for entering the nursing profession: A scoping review for supporting informed health care policies","authors":"Angela Schnelli ,&nbsp;Laura Maria Steiner ,&nbsp;Loris Bonetti ,&nbsp;Sara Levati ,&nbsp;Mario Desmedt","doi":"10.1016/j.ijnsa.2023.100171","DOIUrl":"10.1016/j.ijnsa.2023.100171","url":null,"abstract":"<div><h3>Background</h3><p>Numerous studies have emphasized the relevance of work environment, staffing, and educational level in nursing as determinants of safe, timely, effective, equitable, and efficient patient-centered care. However, an overview of the evidence focusing on the nursing education level is still lacking.</p></div><div><h3>Objective</h3><p>To provide an overview of the existing evidence regarding bachelor's degree as an entry level for the nursing profession.</p></div><div><h3>Design</h3><p>This was a scoping review.</p></div><div><h3>Methods</h3><p>We conducted a systematic search of CINAHL, Medline via PubMed, Cochrane, and Web of Science Core Collection. Additionally, we conducted a free web search using Google and contacted international nursing associations via email. We summarized the evidence narratively. For reporting guidelines, we used the Preferred Reporting Items for Systematic Reviews and Meta-Analysis for Scoping Reviews.</p></div><div><h3>Results</h3><p>We included 10 studies, 12 response letters, 24 position papers, three books, and one webpage. The sources of evidence identified agreed that the inclusion of a higher number of nurses with a bachelor's degree would lead to a higher quality of care.</p></div><div><h3>Conclusions</h3><p>Using a bachelor's degree education as a minimum requirement to enter the nursing profession in the future is essential to generate a respected, competent, and satisfied nursing workforce that can impact the quality and safety of care; and positively influence outcome indicators for patients, nurses, healthcare organizations, and society.</p></div><div><h3>Tweetable abstract</h3><p>Policy makers and healthcare organizations should set bachelor's degrees as standards for registration and entry to nursing.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100171"},"PeriodicalIF":0.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X23000553/pdfft?md5=7a1d6f1ff8b962d9154828f02636a68d&pid=1-s2.0-S2666142X23000553-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138623326","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":"Enabling nurses’ engagement in the design of healthcare technology – Core competencies and requirements: A qualitative study","authors":"Thijs van Houwelingen ,&nbsp;Alexandra C.M. Meeuse ,&nbsp;Helianthe S.M. Kort","doi":"10.1016/j.ijnsa.2023.100170","DOIUrl":"10.1016/j.ijnsa.2023.100170","url":null,"abstract":"<div><h3>Background</h3><p>Due to the globally increasing demand for care, innovation is important to maintain quality, safety, effectiveness, patient sensitivity, and outcome orientation. Health care technologies could be a solution to innovate, maintain, or improve the quality of care and simultaneously decrease nurses’ workload. Currently, nurses are rarely involved in the design of health care technologies, mostly due to time constraints with clinical nursing responsibilities and limited exposure to technology and design disciplines. To ensure that health care technologies fit into nurses’ core and routine practice, nurses should be actively involved in the design process.</p></div><div><h3>Objective</h3><p>The aim of the present study was to explore the main requirements for nurses’ active participation in the design of health care technologies.</p></div><div><h3>Design</h3><p>An exploratory descriptive qualitative design was used which helps to both understand and describe a phenomenon.</p></div><div><h3>Participants</h3><p>Twelve nurses from three academic hospitals in the Netherlands participated in this study.</p></div><div><h3>Method</h3><p>Data were collected from semistructured interviews with hospital nurses experienced in design programs and thematically analysed.</p></div><div><h3>Results</h3><p>Four themes were identified concerning the main requirements for nurses to participate in the design of health care technologies: (1) nurses’ motivations to participate, (2) the process of technology development, (3) required competence to participate (such as assertiveness, creative thinking, problem solving skills), and (4) facilitating and organizing nurses’ participation.</p></div><div><h3>Conclusion</h3><p>Nurses experience their involvement in the design process as essential, distinctive, and meaningful but experience few possibilities to combine this work with their current workload, flows, routines, and requirements. To participate in the design of health care technologies nurses need motivation and specific competencies. Organizations should facilitate time for nurses to acquire the required competencies and to be intentionally involved in technology design and development activities.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100170"},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X23000541/pdfft?md5=878506ba63bf34a5083957d9ec9e5ca6&pid=1-s2.0-S2666142X23000541-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138617693","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":"Effectiveness of telehealth on the glycemic control of patients with type 2 diabetes mellitus during the COVID-19 pandemic: A systematic review and meta-analysis of randomised controlled trials","authors":"Chantira Chiaranai ,&nbsp;Saranya Chularee ,&nbsp;Surasak Saokaew ,&nbsp;Patraporn Bhatarasakoon ,&nbsp;Adinat Umnuaypornlert ,&nbsp;Natthaya Chaomuang ,&nbsp;Nudchaporn Doommai ,&nbsp;Porntip Nimkuntod","doi":"10.1016/j.ijnsa.2023.100169","DOIUrl":"https://doi.org/10.1016/j.ijnsa.2023.100169","url":null,"abstract":"<div><h3>Background</h3><p>During the COVID-19 pandemic, telehealth was employed to enhance clinical outcomes for patients with type 2 diabetes mellitus. However, the effectiveness of telehealth remains inconclusive.</p></div><div><h3>Objective</h3><p>This study aimed to examine the impact of telehealth on the glycemic control of individuals with type 2 diabetes mellitus during the pandemic.</p></div><div><h3>Design</h3><p>A systematic review and meta-analysis of randomized controlled trials.</p></div><div><h3>Setting</h3><p>N/A</p></div><div><h3>Participants</h3><p>A total of 669 studies was sourced from electronic databases, including EMBASE, PubMed, and Scopus. Among these, twelve randomized controlled trials, comprising 1498 participants, were included.</p></div><div><h3>Methods</h3><p>A comprehensive search was performed in electronic databases. The quality of the included studies was assessed using the Cochrane Risk of Bias tool, and statistical heterogeneity was assessed using <em>I</em>² and Cochran's Q tests. A random-effects model was utilized to combine the outcomes. Grading of Recommendations, Assessment, Development, and Evaluations was used to evaluate the certainty of the evidence.</p></div><div><h3>Results</h3><p>The meta-analysis showed that participants receiving a telehealth intervention achieved a greater reduction in the glycated haemoglobin (HbA1C) compared to those receiving usual care, with a weighted-mean difference of -0.59 (95 % CI -0.84 to -0.35, <em>p</em> &lt; .001, <em>I</em>² = 74.1 %, high certainty of evidence). Additionally, participants receiving telehealth interventions experienced better secondary outcomes, including a reduction in fasting blood sugar (16.06 %, 95 %CI -29.64 to -2.48, <em>p</em> = .02, high certainty of evidence), a decrease in body mass index (1.5 %, 95 %CI -1.98 to -1.02, <em>p</em> &lt; .001, high certainty of evidence), and a decrease in low-density lipoprotein (7.8 %, 95 %CI -14.69 to -0.88, <em>p</em> = .027, low certainty of evidence).</p></div><div><h3>Conclusions</h3><p>In our review, we showed telehealth's positive impact on glycaemic control in type 2 diabetes mellitus patients. Healthcare professionals can use telehealth in diabetes care. Caution is needed due to heterogeneity of the results. Further research should explore the long-term impacts of telehealth interventions.</p></div><div><h3>Registration</h3><p>The study was registered with PROSPERO, CRD42022381879.</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"6 ","pages":"Article 100169"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X2300053X/pdfft?md5=fe55a28627794ab5f2575316054c35c1&pid=1-s2.0-S2666142X2300053X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138501242","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":"Patients’ experiences and perspectives of post-hospital follow-up care to improve physical recovery for intensive care survivors: A systematic review of qualitative research","authors":"Nicola M.A. Rea ,&nbsp;Lis Neubeck ,&nbsp;Kalliopi Kydonaki ,&nbsp;Sheona McHale","doi":"10.1016/j.ijnsa.2023.100168","DOIUrl":"https://doi.org/10.1016/j.ijnsa.2023.100168","url":null,"abstract":"<div><h3>Background</h3><p>Intensive care units deliver care to a heterogeneous group of patients with pre-existing co-morbid disease. Focus has shifted to improving health related quality of life with more patients surviving beyond hospital discharge. Randomised controlled trials evaluating follow-up interventions, to improve physical recovery, have not demonstrated a health-related quality of life benefit. Qualitative research may provide the context to understand the experiences of intensive care survivors during follow-up care addressing physical limitations.</p></div><div><h3>Objective</h3><p>To synthesise qualitative studies and explore Intensive Care survivors’ experiences and perspectives of physical symptoms in the context of follow-up care.</p></div><div><h3>Setting(s)</h3><p>A systematic search of electronic databases (MEDLINE, Cumulative Index of Nursing and Allied Health Literature, Web of Science, Applied Social Sciences Index and Abstracts, Ovid Nursing and Ovid Emcare) was conducted to identify peer-reviewed primary qualitative studies. No date parameters were applied. Inclusion/exclusion criteria guided the screening process.</p></div><div><h3>Participants</h3><p>The data from eligible primary research studies was extracted into NVivo (v12).</p></div><div><h3>Methods</h3><p>Critical appraisal was completed using the Joanna Briggs Critical Appraisal Tool. Thematic analysis, guided by Braun and Clarke (2022), informed the data synthesis.</p></div><div><h3>Results</h3><p>From 2457 studies, ten relevant studies were included. Two main themes were identified: 1. Recovery as uncertain; which outlines the uncertainty experienced by intensive care unit survivors during recovery. This theme pertained to system-level factors (role of healthcare professional and information provision) which provides the context for delivering follow-up care. 2. Self-determination of recovery; outlines individual characteristics in determining recovery which is conceptualised by patient-level factors (motivation, support network and perception of health).</p></div><div><h3>Conclusions</h3><p>For intensive care survivors, the recovery trajectory is uncertain with a gap in information provision during the acute phase following hospital discharge. Patients’ self-determination of recovery is an important consideration to ensure follow-up care addresses the needs of individual patients. The impact of pre-existing co-morbid disease and subgroups of patients deriving benefit from follow-up care remains uncertain.</p></div><div><h3>Registration</h3><p>PROSPERO Registration no. CRD42022355711</p></div><div><h3>Tweetable abstract</h3><p>Patients’ experiences of post-hospital follow-up care to improve physical recovery for intensive care survivors: A Systematic Review of Qualitative Research</p></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"5 ","pages":"Article 100168"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666142X23000528/pdfft?md5=3c1746b182e7a83be398930098d1fae4&pid=1-s2.0-S2666142X23000528-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138472665","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}