International Journal of Nursing Studies Advances最新文献

{"title":"A tool for theory development in action research: a challenge and a resource for nursing research","authors":"Mary Casey ,&nbsp;David Coghlan ,&nbsp;Áine Carroll ,&nbsp;Diarmuid Stokes","doi":"10.1016/j.ijnsa.2025.100357","DOIUrl":"10.1016/j.ijnsa.2025.100357","url":null,"abstract":"<div><div>Action research is about action and research: both practice and theory. Theory development takes place throughout action research as the co-researchers strive to create meaning from their experiences of the change while the change is still occurring. Developing theory in action research may manifest in the creation of academic and practical knowledge. Failure to demonstrate the quality of action research reduces both its scientific value and practical application and so theory generation and development during the action research project maybe limited. Ensuring rigor in action research requires that the researcher is clear about the nature of the action or intervention, the ways in which data are collected and analysed and the processes through which the resulting theory is developed. Therefore, the activities and processes involved in using and generating theory in action research must be clearly reported through manifestation of the quality of the research.</div><div>This paper explores how a Quality Action Research Checklist (QuARC) tool provides a path to how ‘good theory’ may be generated through action research. It provides some background to the elements chosen for the QuARC and discusses key aspects established in the literature on the role of theory in action research. A second aim is to discuss the four areas in the QuARC tool and explore what action research projects should aspire to under these headings, and particularly how theory development may relate to these headings.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100357"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators influencing research utilization in clinical nursing and midwifery: an exploratory qualitative study","authors":"Lydia Boampong Owusu ,&nbsp;Nicholin Scheepers ,&nbsp;Immaculate Sabelile Tenza","doi":"10.1016/j.ijnsa.2025.100354","DOIUrl":"10.1016/j.ijnsa.2025.100354","url":null,"abstract":"<div><div><strong>Background:</strong> Research utilization is critical in evidence-based practice, enhancing patient outcomes and professionalism of service providers. Despite its importance, implementation in nursing and midwifery remains low due to various barriers. Understanding these barriers and identifying facilitators can inform strategies to enhance research utilization and promote evidence-based practice.</div><div><strong>Objective:</strong> To explore the barriers and facilitators influencing research utilization as well as strategies to promote it in clinical nursing and midwifery practice in Kumasi, Ghana.</div><div><strong>Design:</strong> A qualitative descriptive methodology was employed.</div><div><strong>Setting:</strong> Six hospitals in Ghana</div><div><strong>Participants:</strong> One hundred and twenty clinical nurses and midwives</div><div><strong>Methods:</strong> Purposive sampling with seventeen focus group discussions was held to collect data which were recorded and transcribed. Braun and Clarke’s thematic analysis was applied using the steps of research utilization: access, analysis, dissemination, and implementation as a guiding framework. Lincoln and Guba’s criteria of trustworthiness were applied in the study.</div><div><strong>Results:</strong> Three themes were identified: barriers, facilitators, and strategies. Barriers included lack of resources (physical, financial, and time) and inadequate research knowledge due to deficiencies in nursing and midwifery education. Facilitators comprised continuous professional development and higher education. Having designated research units in hospitals was part of the strategies to improve research utilization.</div><div><strong>Conclusion:</strong> The findings have significant implications for healthcare practice, suggesting the need for improved resources, education, and organizational support to promote research utilization. Further studies on the preparation of nurses and midwives for research utilization in their education should be conducted, and recommendations made for adequate research education in nursing and midwifery.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100354"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors that influence the preferences for telehealth among family caregivers of disabled elders: a qualitative study","authors":"Lina Guan ,&nbsp;Guijuan Zhang ,&nbsp;Yuyang Yi ,&nbsp;Yaqin Liang ,&nbsp;Xiaochun Zou ,&nbsp;Bingsheng Guan ,&nbsp;Yanya Chen ,&nbsp;Wai-kit Ming","doi":"10.1016/j.ijnsa.2025.100351","DOIUrl":"10.1016/j.ijnsa.2025.100351","url":null,"abstract":"<div><h3>Background</h3><div>Family caregivers of the disabled elderly lack adequate support in their caregiving process. Telehealth has significantly alleviated the burden on family caregivers, both subjectively and objectively. It is currently utilized in family care settings for various populations, including disabled elderly individuals and children. Nevertheless, the use of telehealth among family caregivers for disabled elderly people is limited, and the factors that affect this phenomenon are not yet fully understood.</div></div><div><h3>Objective</h3><div>The goal of this qualitative research was to explore the factors affecting family caregivers' preferences regarding telehealth services for disabled elderly individuals.</div></div><div><h3>Methods</h3><div>This qualitative research employed semi-structured interviews. Four focus group interviews were conducted with 20 family caregivers of disabled older people. Interviews were recorded and transcribed verbatim. The results were analyzed through thematic content analysis.</div></div><div><h3>Results</h3><div>The study found that there were two main factors influencing preferences: barriers of carergivers' use of telehealth, and facilitators of carergivers' use of telehealth. Barriers of carergivers' use of telehealth included learning capacity, acceptance of telehealth, differences in treatment modalities, health self-management capability, habituation to medical care, job, cost, limitations, operation experience, quality of care in nursing homes, convenience of medical treatment and popularisation. Facilitators of carergivers' use of telehealth included convenience and professionalism and authority of healthcare professionals.</div></div><div><h3>Conclusions</h3><div>This study identified a series of factors that appear to influence the preference of family caregivers of elderly individuals with disabilities for telehealth in the context of conducting home care. These factors should be considered when designing and developing telehealth for conducting home care.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100351"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144185117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Psychological distress and suicidal ideation in patients with depressive disorders: the chain mediation of psychological resilience and neuroticism” [International Journal of Nursing Studies 8 (2025) 100325]","authors":"Xueqing Wang ,&nbsp;Huafang Li","doi":"10.1016/j.ijnsa.2025.100332","DOIUrl":"10.1016/j.ijnsa.2025.100332","url":null,"abstract":"","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100332"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of the nursing workforce in health system resilience during disasters: a scoping review of empirical studies","authors":"Katherine Kruger ,&nbsp;Petra Brysiewicz ,&nbsp;Jody Lori ,&nbsp;Sue Anne Bell","doi":"10.1016/j.ijnsa.2025.100361","DOIUrl":"10.1016/j.ijnsa.2025.100361","url":null,"abstract":"<div><h3>Aim</h3><div>The aim of this study was to explore the extent to which the nursing workforce contributes to health system resilience globally through a scoping review of peerreviewed literature.</div></div><div><h3>Introduction</h3><div>The World Health Organization (WHO) has emphasized the need for the development of resilient health systems to meet current and future disaster readiness needs. The WHO has also emphasized mechanisms that will achieve this goal including a focus on strengthening the global nursing workforce to achieve the Sustainable Development Goals. However, there is limited synthesized research focusing on the contributions of the nursing workforce in developing and fostering health system resilience globally.</div></div><div><h3>Methods</h3><div>Using Joanna Briggs Institute methodology for scoping reviews, three key databases (PubMed, CINAHL, and Scopus) were searched for publications from 2006 until April 2024. English-language, research studies, and quality or process improvement projects were included. Systematic and scoping reviews, as well as studies focused on individual resilience, were excluded. Studies meeting search criteria were exported and screened first by title and abstract and subsequently underwent a full-text review using Covidence software. Quantitative and qualitative data from studies meeting inclusion criteria were extracted and analyzed according to study objectives to create a narrative synthesis. This study was registered in Open Science Framework on May 28, 2024.</div></div><div><h3>Results</h3><div>Eleven articles were included of the 795 total retrieved. Overall, there is limited discussion of the nursing workforce in health system resilience. Eight of the 11 articles (73 %) suggest that the nursing workforce is involved in operationalizing resilience during disasters, 10 articles (91 %) call for nurses to be leaders in policy and the development of resilient health systems, however, this review found zero reports in the literature of the nursing workforce’s role in the planning, development, and leadership of resilient systems.</div></div><div><h3>Implications</h3><div>Nurses are essential to resilient health systems, however, there is limited research examining the nursing workforce and its contributions to resilient health systems, particularly within disaster contexts. More targeted research on nursing workforce contributions to achieve resilient health systems is needed.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100361"},"PeriodicalIF":3.1,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144299037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tensions experienced by student and care professionals in a learning and innovation network: a responsive evaluation using storytelling","authors":"M.(Marjolein) Albers ,&nbsp;R.J.J.(Robbert) Gobbens ,&nbsp;M.(Margreet) Reitsma ,&nbsp;H.L.G.R.(Henk) Nies ,&nbsp;O.A.A.M.J.(Olaf) Timmermans","doi":"10.1016/j.ijnsa.2025.100360","DOIUrl":"10.1016/j.ijnsa.2025.100360","url":null,"abstract":"<div><h3>Background</h3><div>Learning and innovation networks are collaborative initiatives between educational and healthcare institutions aimed at integrating the learning of students and care professionals and improving the quality of care through shared practices.</div></div><div><h3>Aim</h3><div>This study aims to explore how care professionals and students experience learning and working within a learning and innovation network.</div></div><div><h3>Methods</h3><div>Using a responsive evaluation, we collected data in four iterative phases: (1) interviews with four students and two care professionals to identify themes; (2) development of four fictional stories illustrating tensions based on interview data and practical experience; (3) focus groups with students and care professionals to validate and refine the stories; and (4) a mixed stakeholder group discussion to reflect and start to formulate improvement actions. Thematic analysis was used across all phases.</div></div><div><h3>Results</h3><div>Participants experienced various tensions, and one of the primary challenges for both students and care professionals was to balance the time allocated between learning activities, care provision and innovation projects. Students faced role ambiguity when performing unsupervised care tasks, feeling part of the team but also vulnerable in their learner status. Care professionals struggled with time constraints and competing demands between patient care and student supervision, which sometimes led to them withdrawing from guiding students. Another tension emerged around engaging in quality improvement. While participants recognized the importance of improving care, engaging in this progress was hindered by a lack of shared understanding of optimal rehabilitation practices and unclear responsibilities regarding implementing innovation. The student-dense environment, though rich in learning potential, heightened these tensions due to differing expectations and unclear roles.</div></div><div><h3>Conclusion</h3><div>Although learning and innovation networks offer valuable opportunities for mutual learning and improving care, they also introduce tensions that need to be acknowledged and addressed. Managing these tensions, especially around time division, role clarity and a shared vision for improving care, is essential for creating sustainable learning and innovation climates in practice.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100360"},"PeriodicalIF":3.1,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144220971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical-epidemiological predictors of phlebitis associated with peripheral intravenous catheters in Spanish hospitals: results of a national cohort study","authors":"José Antonio Cernuda-Martínez ,&nbsp;José Luis Cobo-Sánchez ,&nbsp;Eva María Alarcón-Duque ,&nbsp;Esther Moreno-Rubio ,&nbsp;María Belén Suárez-Mier ,&nbsp;María del Camino del Río-Pisabarro ,&nbsp;Marta Ferraz-Torres ,&nbsp;Flebitis Zero Group","doi":"10.1016/j.ijnsa.2025.100355","DOIUrl":"10.1016/j.ijnsa.2025.100355","url":null,"abstract":"<div><h3>Background</h3><div>Peripheral intravenous catheters (PIVC) are essential medical devices, yet they frequently lead to complications such as phlebitis, infiltration, and occlusion. Identifying risk factors is key to reducing these complications.</div></div><div><h3>Objectives</h3><div>To estimate the incidence of PIVC‑associated phlebitis in Spanish hospitals and identify clinical and epidemiological risk factors.</div></div><div><h3>Methods</h3><div>We performed a prospective cohort study in 80 Spanish hospitals from 1 to 28 February 2023. Adult inpatients (≥18 years) receiving PIVCs in non‑ICU, non‑emergency, non‑pediatric wards were eligible. A total of 13,812 PIVCs in 9387 patients were followed daily by trained nurses until catheter removal, phlebitis onset (Maddox grade ≥ 2), or 15 days. We calculated cumulative incidence and incidence density per 100 catheter‑days. Multivariable Cox proportional hazards models estimated hazard ratios (HRs) for predictors—sex, age group, number of infused medications, hospital size, and dwell time.</div></div><div><h3>Results</h3><div>Phlebitis occurred in 1302 PIVCs (cumulative incidence 9.43 %; incidence density 0.14 per 100 person‑hours). Independent risk factors were female sex (HR 1.32, 95 % CI 1.21–1.45), age 65–79 years (HR 1.25, 95 % CI 1.12–1.40), administration of ≥ 2 medications (HR 1.50, 95 % CI 1.35–1.67), and hospital size ≥ 1000 beds (HR 1.30, 95 % CI 1.12–1.52). Phlebitis risk peaked 48–96 h post‑insertion.</div></div><div><h3>Conclusions</h3><div>Phlebitis incidence remains above recommended levels. Multivariable analysis identified female sex, a higher number of infused medications, older patient age, larger hospital size, and longer PIVC dwell time as the main independent predictors of phlebitis. <strong>Registration:</strong> Not registered.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100355"},"PeriodicalIF":3.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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

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

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