International Journal of Nursing Studies Advances最新文献

{"title":"Rehabilitation needs, preferences, barriers, and facilitators of individuals with sepsis: a qualitative study","authors":"Jenna Smith-Turchyn ,&nbsp;Melina Alborzi ,&nbsp;Julianne Hong ,&nbsp;Jordon L. Hvizd ,&nbsp;Shannon McKenney ,&nbsp;Anastasia N.L. Newman ,&nbsp;Bram Rochwerg ,&nbsp;Michelle E. Kho","doi":"10.1016/j.ijnsa.2025.100339","DOIUrl":"10.1016/j.ijnsa.2025.100339","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the rehabilitation needs, preferences, barriers, and facilitators of sepsis survivors.</div></div><div><h3>Methods</h3><div>We performed a qualitative descriptive study. We included English-speaking adults over 18 years old with a past diagnosis of sepsis <em>or</em> a caregiver of an individual with a past diagnosis of sepsis. We conducted semi-structured interviews on Zoom, guided by the COM-B Framework and transcribed interviews verbatim. Two reviewers conducted qualitative content analysis.</div></div><div><h3>Results</h3><div>We included 22 participants. Participants identified the need for early and continued rehabilitation, including support for physical and cognitive health. They described barriers related to social isolation, finances, and lack of information on and accessibility to rehabilitation services. Participants reported that they preferred to participate in rehabilitation that included peer support, education for themselves and caregivers, and personalized services. Interview findings underscore the need to increase the accessibility of rehabilitation resources and the knowledge of sepsis survivors and their caregivers on the condition and the benefits of rehabilitation.</div></div><div><h3>Conclusion</h3><div>We identified rehabilitation needs, preferences, barriers, and facilitators necessary to better support sepsis survivors in their recovery process. Future research should focus on tailoring strategies to improve the opportunity for rehabilitation for sepsis survivors and increasing the knowledge of sepsis in survivors and their caregivers to maximize participation in rehabilitation for individuals with sepsis.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100339"},"PeriodicalIF":3.1,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143922289","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 impact of a risk assessment tool on hospital pressure injury prevalence and prevention: a quantitative pre-post evaluation","authors":"Ragnar Seton ,&nbsp;Elisabeth Wetzer ,&nbsp;Lisa Hultin","doi":"10.1016/j.ijnsa.2025.100342","DOIUrl":"10.1016/j.ijnsa.2025.100342","url":null,"abstract":"<div><h3>Background</h3><div>Pressure injuries are preventable adverse events, and their prevalence is established as a quality indicator in healthcare. They are a notable healthcare problem worldwide, as they have a significant impact on the quality of life of affected individuals and are associated with high costs for healthcare systems. The use of an evidence-based risk assessment instrument is, therefore, crucial to enable efficient, effective, and reliable assessments.</div></div><div><h3>Objective</h3><div>The evidence-based pressure injury risk assessment instrument PURPOSE T was widely introduced at a university hospital in 2021, replacing another commonly used assessment tool, the Modified Norton Scale. In this study, we quantified the prevalence of pressure injuries before and after the introduction of PURPOSE T to measure the tool’s impact.</div></div><div><h3>Settings</h3><div>At a university hospital in Sweden with about 900 beds.</div></div><div><h3>Methods</h3><div>We adopted a cross-sectional research design and analysed records from point prevalence measurements carried out between September 2018 and 2023. The number of patients included in each point prevalence measurement varied between 474 and 633. Prevalence of all pressure injuries and prescribed prevention interventions over a 5-year period was calculated, compared, and analysed.</div></div><div><h3>Results</h3><div>We observed notable increases in the use of preventive interventions, particularly pressure-reducing chair cushions (+28.6 %) and position adjustments in chairs (+24.2 %). Additionally, we found an average increase of +23.0 % in the prevalence of category I pressure injuries after the introduction of PURPOSE T while observing a decrease in most severe pressure injury categories:35.5 % in category III and -35.3 % in category IV.</div></div><div><h3>Conclusions</h3><div>We found that the introduction of PURPOSE T contributed to the increased use of preventive interventions. This, in turn, was associated with a decrease or modification in the prevalence of pressure injuries, suggesting a positive impact on pressure injury within this facility.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100342"},"PeriodicalIF":3.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of nurse-led palliative care needs assessment on patients’ quality of life and symptom burden: a systematic review","authors":"Gursharan K. Singh ,&nbsp;Claudia Virdun ,&nbsp;Megan Rattray ,&nbsp;Roslyn Prichard ,&nbsp;Rochelle Wynne","doi":"10.1016/j.ijnsa.2025.100343","DOIUrl":"10.1016/j.ijnsa.2025.100343","url":null,"abstract":"<div><h3>Background</h3><div>Optimal palliative care requires a correct assessment of needs. Nurses are well-placed to undertake this task, but the effectiveness of nurse-led palliative care needs assessment remains uncertain.</div></div><div><h3>Aim</h3><div>To evaluate the evidence regarding the impact of nurse-led palliative care needs assessment on adult patients with oncological and non-oncological illnesses quality of life, symptom burden and hospitalisations.</div></div><div><h3>Design</h3><div>Systematic review. The review was registered on the international Prospective Register of Systematic Reviews (PROSPERO) (registration number CRD42023429259).</div></div><div><h3>Data sources</h3><div>Databases searched were CINAHL, PubMed, Embase, and MEDLINE from inception to April 2024.</div></div><div><h3>Methods</h3><div>A systematic review of English language, randomised controlled trials, conducted in May 2023, and updated in April 2024, on the impact of nurse-led palliative care needs assessment was undertaken. Two independent reviewers screened papers, and two reviewers independently conducted data extraction and risk of bias assessment using the Cochrane Risk of Bias 2 tool. The data were analysed using a narrative synthesis approach by combining studies according to the outcomes of interest.</div></div><div><h3>Results</h3><div>Six trials were included, involving oncological patients (<em>n</em> = 4), non-oncological patients (<em>n</em> = 1) and deceased aged-care residents (<em>n</em> = 1). Two studies had ‘low’ risk of bias, two had 'some concerns,' and two had 'high concerns.' There was heterogeneity in the needs assessment tools used and the outcome measures assessed. Researchers who conducted a nurse-led and social worker-led trial in non-oncological patients demonstrated statistically significant improvements in patient quality-of-life and symptom burden. Researchers in two trials found no difference, and two others reported statistically non-significant improvements in quality of life and symptom burden. One group of researchers found no difference in hospitalisations at 6 months. No studies evaluated the inpatient length of stay.</div></div><div><h3>Conclusion</h3><div>There is a paucity of high-quality evidence on the effectiveness of nurse-led palliative care needs assessments. Future researchers must identify what level of needs predicts poor quality of life, assess interventions tailored to local contexts, and determine how best to evaluate their impact using clinically relevant outcome measures.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100343"},"PeriodicalIF":3.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of operating room technology on intra-operative nurses' workload and job satisfaction: An observational study","authors":"Anne M. Schouten ,&nbsp;Rick M. Butler ,&nbsp;Carlijn E. Vrins ,&nbsp;Steven M. Flipse ,&nbsp;Frank Willem Jansen ,&nbsp;Anne C. van der Eijk ,&nbsp;John J. van den Dobbelsteen","doi":"10.1016/j.ijnsa.2025.100341","DOIUrl":"10.1016/j.ijnsa.2025.100341","url":null,"abstract":"<div><h3>Background</h3><div>The integration of medical technology in the operating room has revolutionized surgical workflows and team dynamics. However, this progress coincides with a critical global shortage of nurses and a high turnover rate within the existing nursing workforce, impacting patient care quality, nurses' well-being, and hospital finances</div></div><div><h3>Aim</h3><div>This study investigates the impact of technological complexity on the workload and job satisfaction of intra-operative nurses, focusing on open surgery, minimally invasive surgery, and robotic-assisted surgery within the gynecology department of a Dutch academic hospital.</div></div><div><h3>Method</h3><div>The study design follows a mixed-methods approach, combining qualitative and quantitative methods to assess nursing experiences across three surgical modalities. Specifically, we conducted 5 interviews, distributed 28 validated questionnaires, performed automated video analysis on 35 recorded surgeries, and analyzed hospital datasets encompassing 411 cases. Data collection took place in 2022 and 2023.</div></div><div><h3>Results</h3><div>Findings show that intra-operative nurses experience varying levels of workload and job satisfaction depending on the level of technology. Open procedures showed the highest job satisfaction, characterized by continuous engagement and manageable workloads. Minimally invasive surgery procedures, while less physically demanding, were associated with reduced involvement and lower satisfaction. Robotic-assisted procedures presented the most significant challenges, with increased workload, reduced involvement, and heightened stress stemming from surgery preparation, technological complexity, and altered team dynamics.</div></div><div><h3>Conclusions</h3><div>Advancements in medical technology improve outcomes and efficiency but often neglect their impact on intra-operative nurses. Communication issues, equipment challenges, and limited technical training contribute to burnout and turnover. This study underscores the need for supportive operating room environments that prioritize nurses’ well-being. By examining the link between technology, workload, and satisfaction, it offers strategies to retain and empower nursing staff. It also shows how automated video analysis can objectively assess nursing roles, highlighting the importance of balancing technology with human-centered care in the operating room.</div></div><div><h3>Study registration</h3><div>Not registered</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100341"},"PeriodicalIF":3.1,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Organizational interventions and strategies for COVID-19 pandemic management in acute care setting: A qualitative interview study with nurse leaders in German hospitals","authors":"Maria Zink ,&nbsp;Johannes Wendsche ,&nbsp;Steffi G. Riedel-Heller ,&nbsp;Franziska Jung ,&nbsp;Marlen Melzer","doi":"10.1016/j.ijnsa.2025.100336","DOIUrl":"10.1016/j.ijnsa.2025.100336","url":null,"abstract":"<div><h3>Background</h3><div>The rapid spread of SARS-CoV-2 in 2020 exposed unprepared healthcare systems worldwide. In Germany, acute care hospitals faced significant challenges, particularly in organizing adequate personal protective equipment, managing high mortality rates, and accommodating extended hospitalization of patients with COVID-19.</div></div><div><h3>Objective</h3><div>This study aimed to explore the perspectives of nurse leaders on organizational interventions and strategies implemented in hospitals to address pandemic-associated challenges and derive knowledge for future crises.</div></div><div><h3>Design</h3><div>A qualitative descriptive study was conducted between July 2022 and June 2023, utilizing semi-structured interviews with nurse leaders across different management levels (strategic, middle, and operative management) in hospitals in Saxony, Germany.</div></div><div><h3>Setting</h3><div>This study was conducted in hospitals across Saxony, Germany.</div></div><div><h3>Participants</h3><div>The study included 30 nurse leaders from nine different hospitals, representing a diverse sample in terms of hospital characteristics (ownership, hospital size, regional distribution, and level of care) and participant demographics.</div></div><div><h3>Methods</h3><div>Data were collected through semi-structured interviews, transcribed, and analyzed using qualitative content analysis in MAXQDA.</div></div><div><h3>Results</h3><div>Eight strategies were identified (four core and four secondary) with various corresponding interventions that hospitals used to manage the pandemic, including infection control, adaptation of hospital capacities, human resource management, direct patient care delivery, management of the provision of non-COVID-19 care, transparent organization of the flow of information and decision-making, cooperation and teamwork, and evaluation and flexible adaptation. This study highlights the importance of flexibility, creativity, internal and external support, leadership, crisis communication, participatory decision-making, evaluation, and error management in crisis management.</div></div><div><h3>Conclusion</h3><div>This study provides a comprehensive documentation of hospital pandemic management from the perspective of nurse leaders, offering a basis for future research and practice. Effective hospital pandemic management requires a flexible, context-specific approach supported by strong leadership, internal and external support, and participatory processes. These findings emphasize the need for ongoing evaluation during crises and for a culture that encourages reflection and learning from crises to improve future responses.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100336"},"PeriodicalIF":3.1,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing nurses’ communication about psychosocial needs and changes in intimacy and sexuality in patients with advanced cancer: a mixed-method study","authors":"Susanne A.M. Arends ,&nbsp;Corien M. Eeltink ,&nbsp;Floortje K. Ploos van Amstel ,&nbsp;Astrid W. Oosten ,&nbsp;Donna C. Ruijter ,&nbsp;Nelleke van der Loo ,&nbsp;Barbara Harterink-Poker ,&nbsp;Anneke L. Francke ,&nbsp;Irene P. Jongerden","doi":"10.1016/j.ijnsa.2025.100335","DOIUrl":"10.1016/j.ijnsa.2025.100335","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients with advanced cancer often experience psychosocial needs due to the diagnosis or treatment. Despite the importance of these needs, nurses often feel reluctant to address them, especially with regard to changes in intimacy and sexuality.</div></div><div><h3>Aim</h3><div>To evaluate whether hospital nurses’ competences and practices regarding communication about psychosocial needs, including changes in intimacy and sexuality, with patients with advanced cancer, improved after training.</div></div><div><h3>Methods</h3><div>Between 2022 and 2023, we conducted a mixed methods study in six hospitals in The Netherlands. Data were collected three months before and three months after the training course. Perceived competences and documentation regarding communication about psychosocial needs were determined using a survey questionnaire, patient record screening, and semi-structured interviews with nurses.</div></div><div><h3>Results</h3><div>In total 53 hospital nurses participated in the training. Of these participants, 50 nurses completed the survey before the training and 33 after the training. More nurses reported feeling competent in addressing psychosocial needs three months after the training as compared to before (78.8 % and 46.0 %, respectively; <em>p</em> &lt; 0.01), as well as in addressing intimacy (90.9 % and 64.0 %, respectively, <em>p</em> &lt; 0.02) and sexuality (84.8 % and 50.0 %, respectively, <em>p</em> &lt; 0.01). In addition, 83 electronic patient records were screened before the training and 102 after the training. This revealed that only limited notes were made regarding psychosocial needs, and especially regarding changes in intimacy or sexuality. In interviews, nurses mentioned that they felt reluctant to make notes about sensitive topics. Furthermore, they added that they still perceived a lack of time to discuss psychosocial needs, and felt discomfort in addressing intimacy and sexuality.</div></div><div><h3>Conclusion</h3><div>After the programme, more nurses felt competent in discussing psychosocial needs in patients with advanced cancer, especially with regard to changes in intimacy and sexual functioning. The training had little effect on nurses’ notes about psychosocial needs in patient records; the focus remained on physical aspects. Even when they discussed changes in intimacy or sexuality, nurses felt reluctant to document discussions about such sensitive topics.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100335"},"PeriodicalIF":3.1,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preparedness of nurses for climate change: questionnaire development and preliminary validation","authors":"Pui Hing Chau ,&nbsp;Tiffany L.T. Yu ,&nbsp;Yan Hu ,&nbsp;Yasna K. Palmeiro Silva ,&nbsp;Eileen Gilder ,&nbsp;Michelle Cole ,&nbsp;Roinah Ngunyulu ,&nbsp;Chia-Chin Lin","doi":"10.1016/j.ijnsa.2025.100337","DOIUrl":"10.1016/j.ijnsa.2025.100337","url":null,"abstract":"<div><h3>Background</h3><div>Nurses are well-positioned to lead climate action efforts. There are several tools currently available for measuring nurses’ awareness, attitudes and practices regarding climate change. While each of these existing tools provides valuable insights into nurses’ awareness, attitudes, and practices regarding climate change, none of them address preparedness in taking actions in the near future, which is important to inform strategies for motivating climate change actions targeting nurses.</div></div><div><h3>Objectives</h3><div>To describe the development and validation an instrument, provides a means to measure nurses internationally regarding their self-perceived engagement (achievement and preparedness), as well as their awareness and attitudes towards climate change.</div></div><div><h3>Methods</h3><div>A self-administered structured questionnaire for a cross-sectional multinational survey was developed. The 2018 International Council of Nursing (ICN)’s Position Statement on Nurses, Climate Change and Health was used to guide the achievement and preparedness of climate change actions. An expert panel of six nursing scholars rated the content validity. Scale-level and item-level Content Validity Index (S-CVI and I-CVI) were calculated. Based on the first 509 responses from the survey, internal consistency was assessed by Cronbach’s alpha, convergent validity by correlation analyses, and structural validity was assessed by exploratory factor analysis.</div></div><div><h3>Findings</h3><div>The I-CVI of the final version was above 0.83 for all items except one. The S-CVI was 0.96. The internal consistency assessed by Cronbach’s alpha was 0.943. All constructs were significantly positively associated with each other. Eight factors were identified by exploratory factor analysis, which structurally largely agree with the different parts of the questionnaire.</div></div><div><h3>Conclusion</h3><div>The instrument is valid and reliable for assessing nurses' preparedness for climate change.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100337"},"PeriodicalIF":3.1,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143922288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changing practices due to a shortage of nurses: A qualitative exploratory study","authors":"Mia Ingerslev Loft ,&nbsp;Stina Marlo Posborg ,&nbsp;Lone Lundbak Mathiesen ,&nbsp;Sidsel Goor Pedersen ,&nbsp;Maria Brudsø ,&nbsp;Rie Forsberg ,&nbsp;Thomas Sellberg Nielsen ,&nbsp;Christian Gybel Jensen","doi":"10.1016/j.ijnsa.2025.100334","DOIUrl":"10.1016/j.ijnsa.2025.100334","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Nurses have a vital role in the care and treatment of patients. According to the World Health Organization, there is a shortage of nurses. Low nurse recruitment has led to new forms of task shifting, where other professionals are hired to take over specific tasks traditionally performed by nurses, their purpose being to relieve nurses to deal with other essential tasks.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;The aim of this study was to explore the experiences and attitudes of nurses towards other professionals taking over traditional nursing tasks.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;This study utilised a qualitative explorative research design with a hermeneutic approach. We conducted semi-structured interviews.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;Nurses were recruited from a hospital over two locations in the Capital Region of Denmark. The nurses were from six different neurological units, representing acute neurological inpatient settings, inpatient rehabilitation, and an outpatient setting.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;The study included 27 participants; clinical nurses, nurse specialists and nurse managers.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Our study was based on a hermeneutic approach. We used an interview guide that drew on the existing literature, background knowledge and known gaps to explore. All interviews were audio-recorded and transcribed. The text was analysed using qualitative content analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The analysis provided insights into how nurses experience the trend of other professionals taking over traditional nursing tasks. This was described through 5 different categories and one overall theme; Becoming a nurse, To help and care for someone in need - what nursing is about, A necessity caused by the nurse shortage, Changes in workflows and tasks – support and uncertainty, Organising and implementing changes, Home of the nurses – a complex whole.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The nurses’ experiences and attitudes towards other professionals as they took over traditional nursing tasks were complex and multifaceted. The changes happening in the nursing practice, were seen by nurses as a forced but accepted helpful necessity to relieve them in their everyday work and contribute with specialised knowledge, to the field of nursing. Still, the effects of changes were limited by the complexity of tasks, workflows and structures within the practice, and by present ideals of what professional nursing is and should strive to be. Nurses are essential to include when deciding which professions to include, and how it can be done effectively, but it is just as important to include perspectives of new potential professionals both in research and when making decisions for the future.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Tweetable abstract&lt;/h3&gt;&lt;div&gt;Changing practices caused by the nursing shortage – Exploring new forms of task shifting from the perspective of nurses.&lt;/div&gt;&lt;","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100334"},"PeriodicalIF":3.1,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessments of unmet communication needs and quality of staff-family communication at geriatric facilities: Instruments development and psychometric testing","authors":"Rinat Cohen ,&nbsp;Gal Maydan ,&nbsp;Shai Brill ,&nbsp;Jiska Cohen-Mansfield","doi":"10.1016/j.ijnsa.2025.100333","DOIUrl":"10.1016/j.ijnsa.2025.100333","url":null,"abstract":"<div><h3>Background</h3><div>Despite an acknowledged need to improve communication between staff and family caregivers of non-communicative care recipients (i.e., care recipients who are unable to engage in discussions with the medical staff about their treatment and care at geriatric facilities), no tools exist to measure the quality of this communication nor the extent to which family caregivers’ communication needs are met.</div></div><div><h3>Objective</h3><div>To develop and test two assessment tools to evaluate the extent to which family caregivers' communication needs are met according to family caregivers and for evaluating the quality of communication with the staff member most often consulted.</div></div><div><h3>Design</h3><div>Instrument development, including reliability, validity, and construct testing.</div></div><div><h3>Settings</h3><div>Five geriatric facilities (two geriatric medical centers and three nursing homes) in Israel.</div></div><div><h3>Participants</h3><div>128 family caregivers of non-communicative care recipients at geriatric facilities.</div></div><div><h3>Methods</h3><div>Based on our previous findings, we developed the Family Caregiver’s Communication Needs Questionnaire, which assesses the extent to which family caregivers' communication needs are met according to them, and the Staff-Family Quality of Communication Questionnaire, which evaluates the quality of communication with the staff member most often consulted. We conducted personal interviews with the participants to explore both tools’ items and reliability and examined the reliability and convergent validity of the Family Caregiver’s Communication Needs Questionnaire in a different sub-sample. The Family Caregiver’s Communication Needs Questionnaire’s construct was tested using a factor analysis.</div></div><div><h3>Results</h3><div>Both tools’ internal consistency reliabilities were high (Family Caregiver’s Communication Needs Questionnaire, Cronbach’s α = 0.92, 23 items; Staff-Family Quality of Communication Questionnaire, α = 0.86, 8 items). Exploratory factor analysis for the Family Caregiver’s Communication Needs Questionnaire reinforced the four factors that emerged in a prior study (staff's availability and attitude, relating to family caregivers' caregiving experience, clarity and reliability of information, and language barriers), accounting together for 63.3 % of the variance. Both tools demonstrated good convergent validity.</div></div><div><h3>Conclusions</h3><div>The Family Caregiver’s Communication Needs Questionnaire and Staff-Family Quality of Communication Questionnaire are valid and reliable tools for assessing the quality of staff-family communication, assisting in identifying communication strengths and weaknesses, suggesting potential interventions for improved communication, and providing outcome measures for such interventions.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100333"},"PeriodicalIF":3.1,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of competencies for home-based nursing care: an e-Delphi study","authors":"Khairul Dzakirin Bin Rusli ,&nbsp;Ying Lau ,&nbsp;Siew Tiang Lau ,&nbsp;Laura Schmidt Tham ,&nbsp;Michelle Mong Nee Kee ,&nbsp;Qi Wen Ng ,&nbsp;Shu Fen Ong ,&nbsp;Strickland Karen ,&nbsp;Sok Ying Liaw","doi":"10.1016/j.ijnsa.2025.100330","DOIUrl":"10.1016/j.ijnsa.2025.100330","url":null,"abstract":"<div><h3>Background</h3><div>The expected competencies of nurses in home-based care remain unclear. A list of professional competencies that are agreed upon by a panel of content expert are needed to offer some form of standardized expectations among nurses and home-based care stakeholders.</div></div><div><h3>Objectives</h3><div>To evaluate the content validity of the professional competencies identified for home-based nursing care.</div></div><div><h3>Design</h3><div>An e-Delphi method was used.</div></div><div><h3>Settings</h3><div>A purposive sampling of local and international experts in home-based nursing care or community nursing.</div></div><div><h3>Methods</h3><div>Preliminary competency items were developed inductively from earlier studies and deductively by a steering committee. Sixteen experts performed two rounds of content validation. The Item-Content Validity Index, Scale-Content Validity Index/Average (S-CVI/Ave) and Fleiss’ kappa coefficient were evaluated.</div></div><div><h3>Results</h3><div>In Round One, the list was revised to 49 items. In Round Two, the list was revised to 45 items, categorized into eight domains of practice: (1) client assessment and care planning; (2) nursing care in a home-based setting; (3) management of clients with health conditions, (4) interpersonal relationships and communications; (5) collaboration and teamwork; (6) critical thinking and problem-solving skills; (7) professional development and leadership; and (8) innovation and research. The S-CVI/Ave was 0.95. The overall acceptable clarity was 94.1 %.</div></div><div><h3>Conclusions</h3><div>This study generated a list of competencies that have reached consensus among a panel of experts. The list offers insights into the expected competencies of home-based care nurses. Further validity and reliability testing is needed to determine the underlying structure of the competencies.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100330"},"PeriodicalIF":3.1,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}