International Journal of Nursing Studies Advances最新文献

{"title":"Improving delayed discharge in gastrointestinal surgery patients: An integrative review","authors":"Mathulada Chaimee , Jutharat Attawet , Yunjing Qiu , Thomas J Hugh , Pauline Murray-Parahi , Amanda Wilson","doi":"10.1016/j.ijnsa.2025.100417","DOIUrl":"10.1016/j.ijnsa.2025.100417","url":null,"abstract":"<div><h3>Background</h3><div>Delayed discharge is a global challenge that strains healthcare systems and affects patient outcomes. In gastrointestinal surgery patients, delays often result from a continuum, clinical complications prolong the acute stay and create additional care needs, such as rehabilitation and specialised homecare, which lead to further delays. However, existing literature provides limited insight into this patient group, as most studies generalise the issue. A focused integrative review is therefore needed to synthesise the causes, impacts, and strategies of delayed discharge and to inform more effective discharge planning.</div></div><div><h3>Objective</h3><div>This review aims to synthesise evidence related to delayed discharge in patients undergoing gastrointestinal surgery. Specifically, it seeks to: (1) identify multi-level contributing factors (patient, clinical, and healthcare system); (2) evaluate significant clinical and economic impacts on patients, family, healthcare staff and healthcare system; and (3) identify and describe effective interventions implemented to promote timely and safe discharge in this population.</div></div><div><h3>Method</h3><div>A literature search was conducted across CINAHL, Medline, Scopus, Cochrane, and PsycINFO databases for studies published from 2000 to January 2025. Keywords used included “delayed discharge,” “factors,” “impact,” “gastrointestinal surgery,” and “intervention.” Inclusion criteria focused on peer-reviewed studies involving adult gastrointestinal surgery patients in acute hospital settings. Two authors independently screened titles, abstracts, and full texts using the Joanna Briggs Institute SUMARI software. The methodological quality of studies was assessed using the Joanna Briggs Institute critical appraisal tools. Data extraction focused on study characteristics, factors, impacts, and interventions, followed by a deductive narrative analysis to identify patterns and relationships.</div></div><div><h3>Results</h3><div>Of the 572 articles identified, 20 met inclusion criteria: 17 cohort studies (12 retrospective, five prospective), one analytic cross-sectional study, and two clinical trials. The findings encompassed the length of stay and delayed discharge rate, contributing factors, impacts, and potential interventions. Delayed discharge stemmed from patient, surgical, and system-related factors, affecting patients and hospital efficiency. Targeted interventions, like nurse-led stoma education and streamlined discharge criteria, significantly reduced delays (<em>p</em> < 0.0001).</div></div><div><h3>Conclusion</h3><div>Delayed discharge in gastrointestinal surgery patients stems from a complex interplay of patient, surgical, and systemic factors, affecting both individual and healthcare system. Evidence supports nurse-led and multidisciplinary approaches in mitigating delays, improving outcomes and enhancing healthcare efficiency. Future research should employ qualit","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100417"},"PeriodicalIF":3.1,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104604","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":"Trajectories and influencing factors of self-care behaviors in Chinese older adults with chronic heart failure: A prospective observational study","authors":"Yu Chen ,&nbsp;Ying Lin ,&nbsp;Xinyue Dong ,&nbsp;Yan Xue ,&nbsp;Dong Wu","doi":"10.1016/j.ijnsa.2025.100418","DOIUrl":"10.1016/j.ijnsa.2025.100418","url":null,"abstract":"<div><h3>Background</h3><div>Self-care is crucial for improving the quality of life of patients with chronic heart failure. Self-care behaviors change over time, and the trajectories differ among patients with varying characteristics. However, the trajectories of self-care behaviors in older adults with chronic heart failure have not been fully studied.</div></div><div><h3>Objective</h3><div>This study aimed to identify the trajectory patterns of self-care behaviors over 3 months after hospital discharge in Chinese older adults with chronic heart failure, as well as the factors influencing these patterns.</div></div><div><h3>Methods</h3><div>A prospective observational study was conducted from October 2022 to July 2023, involving 255 older adults with chronic heart failure recruited from a tertiary hospital in Shanghai, China. Demographic and clinical information, self-care behaviors, self-care confidence, illness perception, self-efficacy, social support, and heart failure knowledge were investigated using a validated questionnaire and electronic health records at baseline, 2 weeks, 4 weeks, 2 months, and 3 months post-discharge. Growth mixture modeling was used to identify the trajectory patterns of self-care behaviors. Logistic regression was used to determine the influencing factors of different trajectory patterns.</div></div><div><h3>Results</h3><div>The best-fit growth mixture modeling revealed a 2-class model for self-care maintenance: “sustained good” group and “poor-gradually improving” group; a 3-class model for symptom perception: “gradually decreasing”, “persistently poor”, and “poor-gradually improving” groups; and a 3-class model for self-care management: “poor-gradually improving”, “sustained good”, and “early boost then decline” groups. Self-care confidence, heart failure knowledge, economic level, and the source of medical expenses were determinants of the different trajectory patterns in self-care behaviors.</div></div><div><h3>Conclusion</h3><div>This study enhances the understanding of the diverse behavioral trajectory patterns exhibited by Chinese older adults with chronic heart failure, as well as the factors that influence these patterns. Tailored interventions that focus on the unique needs of diverse groups should be developed to sustain satisfactory self-care behaviors.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100418"},"PeriodicalIF":3.1,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104553","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":"Family caregivers' needs at 6 months after pancreatic cancer surgery: A latent profile analysis","authors":"Linglong Liu ,&nbsp;Xiaoping Fang ,&nbsp;Xinbo Wang ,&nbsp;Xiaoyan Wang ,&nbsp;Yehua Xie ,&nbsp;Yaoyao Cai ,&nbsp;Lei Cui ,&nbsp;Tianying Yao ,&nbsp;Xiaoxuan Li ,&nbsp;Qian Li ,&nbsp;Mingxia Chen","doi":"10.1016/j.ijnsa.2025.100416","DOIUrl":"10.1016/j.ijnsa.2025.100416","url":null,"abstract":"<div><h3>Background</h3><div>Family caregivers ('carers') bear the highest care burden during the postoperative survivorship period of pancreatic cancer, given its poor prognosis. Most carers report unmet needs when taking on caregiving responsibilities during this period. Thoroughly investigating carers' needs is essential for helping families address practical care challenges. However, this important topic remains underexplored.</div></div><div><h3>Objective</h3><div>To assess the need levels and identify need subgroups among carers of patients with pancreatic cancer 6 months after surgery and demographic predictors contributing to heterogeneity.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting(s)</h3><div>Participants were recruited from the pancreas centres of four tertiary A-level comprehensive hospitals in Jiangsu Province, China.</div></div><div><h3>Participants</h3><div>240 patients with pancreatic cancer and their carers ('dyads') participated in the survey.</div></div><div><h3>Methods</h3><div>Carers completed the Comprehensive Needs Assessment Tool in Cancer for Carers, the Activities of Daily Living Scale for patients, and the General Demographic Information Questionnaire for dyads. Latent profile analysis (LPA) was used to categorise carers' needs. Non-parametric and chi-square tests were used to examine differences in need scores and sociodemographic characteristics among subgroups. Multiple logistic regression (MLR) was used to analyse sociodemographic impacts.</div></div><div><h3>Results</h3><div>Six months post-surgery, the total carers' need score was 41.83 ± 22.65 points, indicating a moderate level, with the highest needs reported for healthcare personnel, information and knowledge, and facilities and services. The LPA results revealed that carers were divided into five distinct subgroups based on differing levels of need across the domains assessed by the Comprehensive Needs Assessment Tool in Cancer for Carers, with proportions of 8.8 %, 22.5 %, 8.3 %, 55 %, and 5.4 %. Subgroup membership was predicted by four factors: carers' sex (odds ratio [OR]: 11.08, 95 % confidence interval [CI]: 1.64, 74.99, <em>p</em> = 0.01), carers' education levels (OR: 3.92, 95 % CI: 1.04, 14.72, <em>p</em> = 0.04), patients' treatment after surgery (OR: 0.10, 95 % CI: 0.01, 0.84, <em>p</em> = 0.04) and activities of daily living levels (OR: 14.63, 95 % CI: 1.97, 108.77, <em>p</em> &lt; 0.01).</div></div><div><h3>Conclusions</h3><div>We have highlighted the complex individualised needs of carers of patients with pancreatic cancer. Through LPA and MLR, we identified distinct need subgroups and their predictors. Healthcare professionals may be able to improve dyads’ health by tailoring support to each subgroup’s specific needs and issues.</div></div><div><h3>Registration</h3><div>Registration number: ChiCTR2400079415, registered 03/01/2024, first recruitment 04/02/2024.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100416"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145009964","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":"Signal detection for pediatric patient deterioration with nursing students: An explanatory sequential design mixed-methods study","authors":"Leslie T. Zimpelman","doi":"10.1016/j.ijnsa.2025.100415","DOIUrl":"10.1016/j.ijnsa.2025.100415","url":null,"abstract":"<div><h3>Objective</h3><div>Failure to rescue occurs when nurses fail to detect signals of clinically significant changes in the early stages of disease complication or patient deterioration. Pediatric patient deterioration detection poses a different challenge because pediatric patients physiologically respond differently from adults. Nursing students are especially challenged in detecting pediatric patient deterioration because adult illness is the primary focus of nursing education. The study aims to identify vital signs that nursing students categorize as signals of pediatric deterioration, determine influences on their response to signals, and how these influences affect their performance in signal detection trials.</div></div><div><h3>Methods</h3><div>To assess and understand nursing students’ pediatric deterioration detection performance, an explanatory sequential mixed-method design was conducted with second-semester senior baccalaureate nursing students. Students participated in signal detection trials, and then a subset was interviewed about their performance and thought processing. The quantitative data were analyzed for descriptive statistics, mean rate, sensitivity, and response bias. The qualitative data were analyzed with thematic analysis. The quantitative and qualitative results were compared to examine how performance and influences on response are related.</div></div><div><h3>Results</h3><div>Participants (n=21) had a low sensitivity <em>d’</em> = 1.19 (<em>SD</em> 0.85) to signals of pediatric deterioration and an increased tendency <em>c</em> = -0.03 (<em>SD</em> 0.66) to misclassify non-critical stimuli as indicators of deterioration. Respiratory rate changes were the most accurately identified among all signal types. Vital sign type did not significantly affect detection. Four major themes were identified as factors influencing student responses in the trials. Differences in detection performance corresponded with differences in influencing factors.</div></div><div><h3>Conclusion</h3><div>Students demonstrated low sensitivity in detecting early signs of patient deterioration. These findings highlight the need to enhance student knowledge and preparedness to detect signals of pediatric deterioration early and reduce failure to rescue. This study demonstrates the innovative use of signal detection to assess nursing students’ ability to recognize patient deterioration cues. By quantifying the sensitivity index and response bias, educators can identify knowledge gaps and tailor remediation to individual needs. Signal detection testing provides a unique framework to evaluate decision-making under uncertainty, advancing nursing education to better prepare students for clinical practice.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100415"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145044650","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 associated with nursing care rationing in Poland: A cross-sectional observational study","authors":"Daria Schneider-Matyka ,&nbsp;Kamila Rachubińska ,&nbsp;Anna Maria Cybulska ,&nbsp;Mariusz Panczyk ,&nbsp;Przemysław Ustianowski ,&nbsp;Ireneusz Walaszek ,&nbsp;Dorota Ćwiek ,&nbsp;Elżbieta Grochans ,&nbsp;Małgorzata Szkup","doi":"10.1016/j.ijnsa.2025.100413","DOIUrl":"10.1016/j.ijnsa.2025.100413","url":null,"abstract":"<div><h3>Background</h3><div><strong>:</strong> Nursing care rationing is a global issue, but its intensity may vary across countries depending on available resources and healthcare system characteristics.</div></div><div><h3>Objective</h3><div><strong>:</strong> This study aimed to examine factors associated with the severity of nursing care rationing among Polish nurses.</div></div><div><h3>Design</h3><div><strong>:</strong> Cross-sectional observational study.</div></div><div><h3>Setting(s)</h3><div><strong>:</strong> Two university clinical hospitals in Szczecin, Poland.</div></div><div><h3>Participants</h3><div>The study involved 411 nurses working in 40 wards and clinics across both institutions.</div></div><div><h3>Methods</h3><div><strong>:</strong> A self-designed questionnaire was used to collect socio-demographic and work-related information, alongside standardized instruments: the Emotional Intelligence Questionnaire (INTE), the Perceived Stress Scale (PSS-10), and the Perceived Implicit Rationing of Nursing Care (PIRNCA). Descriptive statistics and both univariate and multivariate linear regression analyses were performed.</div></div><div><h3>Results</h3><div><strong>:</strong> The severity of nursing care rationing was significantly associated with stress level (B = 0.039, p &lt; 0.001) and emotional intelligence (B = –0.006, p = 0.002). Nurses with secondary education and those working under civil law contracts reported significantly higher levels of care rationing. Additionally, care rationing was more prevalent among hospital nurses compared to those in other settings.</div></div><div><h3>Conclusions</h3><div><strong>:</strong> Low levels of emotional intelligence among Polish nurses coexist with high levels of stress and increased nursing care rationing. These findings indicate that emotional intelligence may serve as a protective factor that reduces the negative impact of stress on care provision.</div></div><div><h3>Trial Registration</h3><div><strong>:</strong> Not applicable.</div></div><div><h3>Social media abstract</h3><div><strong>:</strong> Rationing nursing care, in addition to the characteristics of the working environment, depends on the buffering role of emotional intelligence and the severity of stress experienced by nurses. #RationungNursingCare#QualityOfCare</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100413"},"PeriodicalIF":3.1,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007600","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":"Challenges to nursing leadership in research and academia in the UK: A systematic narrative review","authors":"Arun Vamadevan ,&nbsp;Vijesh Vijayan ,&nbsp;KasiReddy Jayasudha ,&nbsp;Styja Varghese ,&nbsp;Oghale Eboh ,&nbsp;Ajeesh Karthikeyan ,&nbsp;Christine Cole ,&nbsp;Lauren Walker","doi":"10.1016/j.ijnsa.2025.100411","DOIUrl":"10.1016/j.ijnsa.2025.100411","url":null,"abstract":"<div><h3>Background</h3><div>Nurses form the largest professional group in the United Kingdom (UK) healthcare system, yet they remain significantly underrepresented in research and academic leadership. While the medical profession has benefited from well-defined academic pathways, structured support for nurses in research remains inconsistent, limiting their influence in shaping evidence-based care and healthcare innovation.</div></div><div><h3>Aim</h3><div>This narrative Review explores the current landscape of nursing representation and progression in research and academic leadership in the UK. It identifies enabling factors, systemic and cultural barriers, and the implications for workforce development and policy.</div></div><div><h3>Methods</h3><div>A systematic narrative Review was conducted using literature published between 2006 and April 2025, sourced from PubMed, Scopus, and the Cochrane Library. Eighteen eligible studies focusing on clinical academic roles for nurses were included. Data extraction and synthesis followed narrative methods, and study quality was appraised using the GRADE framework and ROBINS-I risk of bias tool.</div></div><div><h3>Results</h3><div>Included studies highlighted a range of initiatives, particularly the HEE/NIHR Integrated Clinical Academic (ICA) Programme, that have supported early clinical academic development and contributed to strengthening professional identity. However, progression to senior research leadership remains constrained by multiple structural and organisational barriers. These include poor visibility of nursing leadership, lack of integrated career frameworks, limited access to research mentors, insufficient protected time for academic activity, and poor alignment between NHS and academic institutions. Cultural expectations, undervaluing of nursing research, and gendered norms around leadership roles further hinder advancement. Key enablers included early exposure to research, access to structured development schemes, inclusive institutional culture, and visible role models. While the overall quality of evidence ranged from low to moderate, the ROBINS-I assessment identified frequent concerns around study design and reporting clarity. Equity issues affecting nurses from global majority backgrounds were underexplored and represent an important area for future research.</div></div><div><h3>Conclusion</h3><div>Advancing nursing leadership in research requires a nationally coordinated, long-term strategy with sustained investment, equitable access to career development, and cultural transformation. Mentorship, funding, structural support, and inclusive leadership are essential to enabling nurses to fully contribute to healthcare research and innovation. Addressing underrepresentation and inequality is critical for a diverse and sustainable clinical academic workforce.</div></div><div><h3>Registration</h3><div>Not registered, as this is a systematic narrative Review.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100411"},"PeriodicalIF":3.1,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007602","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":"Using implementation science to promote evidence-based nutritional care in healthcare settings: A mixed-methods systematic review","authors":"Jerome Molle ,&nbsp;Joris Agnel ,&nbsp;Sebastien Colson ,&nbsp;Audrey Chays-Amania","doi":"10.1016/j.ijnsa.2025.100414","DOIUrl":"10.1016/j.ijnsa.2025.100414","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Up to half of hospital inpatients are malnourished, a condition that prolongs recovery, increases complications and raises healthcare costs. Although evidence-based nutritional care can mitigate these effects, its routine implementation remains inconsistent.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To synthesise and evaluate current evidence on the implementation and the clinical effectiveness of strategies designed to promote evidence-based nutritional care practices within healthcare settings.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A mixed-methods systematic review followed the Joanna Briggs Institute guidelines. Fifteen databases were searched for studies published between January 2015 and January 2025 that evaluated implementation strategies targeting evidence-based nutrition care for any patient or healthcare professional group. Two reviewers independently screened records extracted data and applied the Mixed-Methods Appraisal Tool. Because study designs, contexts and outcome metrics varied, findings were integrated narratively using the Consolidated Framework for Implementation Research, the Expert Recommendations for Implementing Change taxonomy and the Implementation Outcomes Framework.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Twenty-nine primary studies involving 1624 healthcare professionals and 13,523 patients were included. All interventions were multifaceted and tailored to the context. The most frequent components were staff education (97 %), audit with feedback (93 %), stakeholder engagement structures (62 %), and adaptations to electronic or physical workflows (28 %). Principal barriers experienced by healthcare professionals comprised scarce resources, fragmented communication, inadequate infrastructure, and knowledge deficits; key facilitators were visible leadership, standardised communication tools, iterative planning, and a strong evidence base. Fidelity of intervention delivery by healthcare professionals was consistently high (median ≥ 80 %); acceptability exceeded 70 % in all studies that assessed it, and feasibility was rated favourably. Where measured, penetration and sustainability were moderate but positive. Service outcomes improved across settings, including earlier initiation of nutrition therapy, greater dietary adequacy, and fewer treatment interruptions or nutrition-related complications. Patient-level benefits comprised reduced weight loss, improved nutritional status, better health-related quality of life, and higher satisfaction.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Context-sensitive, multifaceted implementation strategies, particularly those coupling education, audit-feedback, leadership engagement, and system redesign, can improve the uptake and impact of evidence-based nutritional care. Future studies should employ standardised frameworks, extended follow-up, and rigorous evaluation designs to assess sustainability and inform large-scale implementation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;PROSPERO r","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100414"},"PeriodicalIF":3.1,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157595","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":"Psychometric properties and content of instruments for assessing penile cancer patients’ quality of life: A systematic review","authors":"Anu Soikkeli-Jalonen ,&nbsp;Suvi Vierelä ,&nbsp;Antti Kaipia ,&nbsp;Eeva Harju ,&nbsp;Elina Haavisto","doi":"10.1016/j.ijnsa.2025.100412","DOIUrl":"10.1016/j.ijnsa.2025.100412","url":null,"abstract":"<div><h3>Aim</h3><div>To describe the psychometric properties and content of the instruments used for assessing penile cancer patients’ quality of life</div></div><div><h3>Design</h3><div>A systematic review</div></div><div><h3>Method</h3><div>A systematic literature search was conducted in October 2024 across four electronic databases: PubMed, CINAHL, PsycINFO, and the Cochrane Library. The systematic approach was adhered to when conducting the review, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed to ensure explicit reporting. The search across the four databases generated 135 articles, out of which 16 were included in the review.</div></div><div><h3>Results</h3><div>Eight instruments assessing the quality of life (QoL) among penile cancer patients were identified: four generic, two cancer-specific, and two penile cancer-specific. The content of these instruments fell into three main categories: physical functioning, psychosocial resilience, and overall life functions. However, none of the instruments covered all these aspects comprehensively. Additionally, no instrument was reported to be thoroughly valid or reliable.</div></div><div><h3>Conclusions</h3><div>A psychometrically tested and validated QoL instrument that covers all aspects of penile cancer patients' well-being was not found. There is a need for holistic instruments tailored to evaluate and improve the QoL for these patients. Such instruments would enable the identification and comparison of individual care needs and factors influencing their QoL.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100412"},"PeriodicalIF":3.1,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007601","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":"Nursing managers’ perspectives on factors contributing to abuse in psychiatric hospitals: A reflective thematic analysis","authors":"Kei Matoba,&nbsp;So Yayama,&nbsp;Taiki Teshima,&nbsp;Akiko Miki","doi":"10.1016/j.ijnsa.2025.100388","DOIUrl":"10.1016/j.ijnsa.2025.100388","url":null,"abstract":"<div><h3>Background</h3><div>Research has identified evidence of coercion and abuse in psychiatric hospitals. The psychiatric care system in Japan is characterized by a custodial approach and long-term inpatient care, potentially increasing the risk of abuse. However, few studies have examined the occurrence and dynamics of abuse in psychiatric institutions, and there is a major research gap regarding the roles of hospital culture and management in contributing to inpatient abuse.</div></div><div><h3>Objective</h3><div>To investigate the experiences of psychiatric nursing managers of the factors contributing to inpatient abuse in psychiatric hospitals.</div></div><div><h3>Design</h3><div>A multisite, phenomenological, qualitative, and descriptive study.</div></div><div><h3>Settings</h3><div>Four hospitals in Japan that were either psychiatric hospitals or general hospitals dominated by psychiatric wards.</div></div><div><h3>Participants</h3><div>Eighteen nurse managers (including directors of nursing, deputy directors of nursing, and head nurses) working in psychiatric hospitals or in general hospitals dominated by psychiatric wards.</div></div><div><h3>Methods</h3><div>From May 2023 to July 2023, individual semi-structured interviews were conducted with each participant to obtain data on factors contributing to abuse in psychiatric hospitals. Reflexive thematic analysis was used to analyze the data. The data were coded, and the codes organized into themes and subthemes.</div></div><div><h3>Results</h3><div>Six themes and 23 subthemes were extracted that described participants’ perspectives on systemic, personal, and environmental contributors to inpatient abuse. The themes were ‘Structural challenges embedded in psychiatric care systems’ (e.g., finances, staffing, working conditions); ‘Organizational cultures lacking self-correction’ (e.g., the insularity of psychiatric hospitals, use of outdated nursing practices); ‘Dysfunctional team dynamics that undermine professional competence’ (e.g., suppression of nurses’ opinions and autonomy); ‘Asymmetries in patient–nurse relationships’ (e.g., power imbalances); ‘Illness factors that complicate the detection of abuse’ (e.g., interpretation of abuse as symptoms); and ‘The fragility of psychiatric nurses’ professional identity’ (e.g., lack of skills, experience, confidence, and fulfillment).</div></div><div><h3>Conclusions</h3><div>The results show that nurse managers play a key role in identifying institutional, personal, and relationship-based factors that contribute to inpatient abuse in psychiatric wards. The findings indicate a need for more policies to support patient-centered care and develop the role of nurse managers to create safer psychiatric wards.</div></div><div><h3>Study registration</h3><div>Not registered.</div></div><div><h3>Tweetable abstract</h3><div>nurse managers’ perspectives on contributors to inpatient abuse in psychiatric hospitals</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100388"},"PeriodicalIF":3.1,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007603","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":"Assessment tools for the risk of pressure injury in children: A systematic review","authors":"Faustine Dessi ,&nbsp;Julien Valeille ,&nbsp;Pascale Beloni ,&nbsp;Jean Toniolo","doi":"10.1016/j.ijnsa.2025.100410","DOIUrl":"10.1016/j.ijnsa.2025.100410","url":null,"abstract":"<div><h3>Background</h3><div>Pressure injuries in pediatric patients are associated with increased morbidity, mortality, and prolonged hospital stays, making the identification of effective risk assessment tools critical in clinical practice. Accurate risk assessment is essential in clinical practice. Although several assessment tools exist, their applicability and effectiveness vary across pediatric populations.</div></div><div><h3>Objective</h3><div>To identify and evaluate tools designed to assess the risk of pressure injuries in children, focusing on their characteristics, validation populations, reliability, and applicability across different clinical contexts.</div></div><div><h3>Design</h3><div>A systematic review was conducted.</div></div><div><h3>Methods</h3><div>This systematic review (PROSPERO: CRD42024527687) was conducted in accordance with the Cochrane Handbook. Comprehensive searches were performed in five databases—PubMed, Google Scholar, CINAHL, Web of Science, and Embase—for studies published between January 2010 and March 2024. Eligible studies included those describing the development, use, or validation of pressure injury risk assessment tools in children. Two independent reviewers conducted the selection and appraisal process. Methodological quality was assessed using the QUADAS-2 and QAREL checklists, with general reference to COSMIN guidelines.</div></div><div><h3>Results</h3><div>Of 964 records screened, 28 studies met the inclusion criteria, encompassing research from 15 countries, with Brazil being the most represented. Studies focused on pediatric and neonatal intensive care units, general wards, and surgical units. Ten different risk assessment tools were identified, including the Braden Q, Braden QD, and Glamorgan scales. The Braden QD scale—an adaptation of the Braden Q including medical device-related risk—was the most frequently evaluated. Other tools, such as the Pediatric Pressure Ulcer Prediction and Evaluation Tool and the Braden Q+P, were specifically developed or adapted for pediatric and neonatal use.</div></div><div><h3>Conclusions</h3><div>All identified tools demonstrated acceptable validity and inter-rater reliability. However, no single tool proved universally applicable across all pediatric contexts. The Braden QD, Braden Q, and Glamorgan scales emerged as the most comprehensive, particularly in intensive care settings, aligning with National and European Pressure Ulcer Advisory Panel recommendations. Further research is warranted to enhance tool accuracy and contextual adaptability across pediatric care environments.</div></div><div><h3>Guidelines</h3><div>PRISMA.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100410"},"PeriodicalIF":3.1,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144879586","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}