International Journal of Nursing Studies Advances最新文献

{"title":"Translation, cross-cultural adaptation and psychometric evaluation of the Portuguese version of the self-care in chronic obstructive pulmonary disease inventory","authors":"Hélder Cunha ,&nbsp;Patrício Costa ,&nbsp;José Miguel Padilha","doi":"10.1016/j.ijnsa.2025.100469","DOIUrl":"10.1016/j.ijnsa.2025.100469","url":null,"abstract":"<div><h3>Background</h3><div>Chronic obstructive pulmonary disease is a major global cause of death, marked by frequent exacerbations, high healthcare use, and reduced quality of life. Its progressive nature requires continuous self-care and symptom management. Understanding how individuals make self-care decisions is key to developing patient-centered nursing interventions. This study validates a theory-based instrument designed to assess core self-care domains in individuals living with chronic obstructive pulmonary disease, addressing gaps in existing tools that insufficiently capture behavioral aspects of disease management.</div></div><div><h3>Objective</h3><div>To translate and adapt the Self-care in Chronic Obstructive Pulmonary Disease Inventory to the Portuguese context and to test its psychometric properties on a sample of patients with chronic obstructive pulmonary disease in Portugal.</div></div><div><h3>Design</h3><div>A methodological study focused on the validation of an instrument.</div></div><div><h3>Setting(s)</h3><div>A Local Health Unit and its aggregated primary care centers from a municipality in the north region of Portugal.</div></div><div><h3>Participants</h3><div>196 patients met the inclusion criteria and accepted to participate in the study.</div></div><div><h3>Methods</h3><div>Construct validity was assessed using confirmatory factor analysis and hypothesis testing, while internal consistency reliability was evaluated using Cronbach’s alpha and McDonald’s omega.</div></div><div><h3>Results</h3><div>A convenience sample of 196 chronic obstructive pulmonary disease patients was recruited from September 2023 to February 2024. The instrument consists of four scales: Self-Care Maintenance, Self-Care Monitoring, Self-Care Management and Self-Care Self-Efficacy. Confirmatory factor analysis was assessed on all four dimensions of the inventory producing acceptable model fit indices. The hypotheses presumed to evaluate the convergent and discriminant validity were confirmed. Internal consistency was adequate with Cronbach’s alpha values ranging from 0.673 to 0.893 across the four scales.</div></div><div><h3>Conclusions</h3><div>The Portuguese version of the Self-Care in Chronic Obstructive Pulmonary Disease Inventory demonstrated acceptable psychometric properties. Some differences were observed compared to the original instrument. Further validation studies are needed to confirm its psychometric characteristics in the Portuguese population.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100469"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145797381","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":"Women' and midwives' experiences of perinatal mental health care: A qualitative study","authors":"Raquel Navarro Maldonado ,&nbsp;Antonio R. Moreno-Poyato ,&nbsp;Nuria María Albacar Rioboó","doi":"10.1016/j.ijnsa.2025.100467","DOIUrl":"10.1016/j.ijnsa.2025.100467","url":null,"abstract":"<div><h3>Background</h3><div>Perinatal mental health problems affect one in five women during pregnancy and the first postpartum year, negatively impacting maternal and infant health. Despite its importance, healthcare remains focused on physical aspects, whereas mental health is neglected, highlighting the need for comprehensive and effective approaches.</div></div><div><h3>Aim</h3><div>To explore the current status of perinatal mental healthcare from the perspective of women and midwives, and to identify needs, challenges, and potential solutions to improve comprehensive care during pregnancy and the postpartum period.</div></div><div><h3>Methods</h3><div>An exploratory qualitative study in which 20 midwives from different care settings and 30 women at different stages of pregnancy and postpartum participated in individual semi-structured interviews. Reflexive thematic analysis assisted by Nvivo12 was used for data analysis.</div></div><div><h3>Results</h3><div>Four main themes emerged from the data analysis: (I) Challenges in Emotional Care: Cultural stigma identified as a significant barrier. Culturally sensitive care and strong therapeutic relationships highlighted as essential for emotional support. Need for dedicated time and safe spaces to facilitate emotional openness. (II) Significance of Perinatal Mental Health: Importance widely recognized but rarely addressed effectively. Mental health closely linked to emotional well-being, yet often neglected in daily practice. (III) Training-related challenges: Midwives report feeling unprepared. Need for ongoing, specific mental health training and standardized assessment tools. (IV) Challenges in Clinical Practice: Absence of clear protocols. High workloads hinder emotional care. Inconsistent approaches contribute to fragmented care.</div></div><div><h3>Conclusions</h3><div>This study highlights key priorities to improve perinatal mental healthcare: including culturally sensitive training, validated and standardised assessment tools, clear clinical protocols, and sufficient time for emotional support. Strengthening therapeutic relationships between midwives and pregnant and postpartum women emerged as essential for effective care. Findings support implementing structured support groups, multidisciplinary collaboration, and a more responsive, holistic care model.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100467"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938831","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 importance of self-care and contextual factors: A process evaluation of a recovery intervention for new nurses","authors":"Majken Epstein ,&nbsp;Marie Söderström ,&nbsp;Ann Rudman ,&nbsp;Philip Tucker ,&nbsp;Anna Dahlgren","doi":"10.1016/j.ijnsa.2026.100485","DOIUrl":"10.1016/j.ijnsa.2026.100485","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Newly graduated nurses often face demanding working conditions including high workload, stress, and irregular working hours. During the first years of practice, burnout symptoms are common. Recovery, including sleep, can be seen as a key protective factor in the associations between stress, shift work and negative health outcomes. Previously, a proactive, group-based intervention (recovery programme) for new nurses, promoting individual strategies for recovery, decreased burnout and fatigue symptoms post-intervention and showed preventive effects on somatic symptoms over time. To optimise the implementation and outcomes of an intervention, it is important to understand its mechanisms of impact (i.e., &lt;em&gt;how&lt;/em&gt; it produces change) as well as to identify contextual factors influencing its implementation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To deepen the understanding of the recovery programme’s mechanisms of impact and to explore how its implementation, including participants’ opportunities for recovery and the feasibility of recovery strategies, was influenced by the context.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Qualitative descriptive design.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants and setting&lt;/h3&gt;&lt;div&gt;Twelve nurses (nine women) who had participated in the intervention at four Swedish hospitals, between 12 and 25 months (&lt;em&gt;M&lt;/em&gt; = 19) after participation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Semi-structured individual telephone interviews were conducted and analysed using thematic analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The programme’s proposed mechanisms of impact, including increased knowledge about sleep, enhanced motivation for behavioural change, and the use of recovery strategies, were confirmed. Motivation to apply recovery strategies was supported by a shift in mind-set regarding the importance of self-care; to improve readability; and follow-up on the behavioural change process during sessions. Contextual factors influencing recovery opportunities and the feasibility of strategies were related to both the work context and the individual. These factors included demanding schedules, extended and disrupted working hours, workload, opportunities for recovery at work, social norms, the organisation of work procedures, private life circumstances, and the deprioritisation of personal recovery needs. Booster sessions and reminders were suggested to facilitate the continued use of recovery strategies after the programme.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;When supporting nurses in developing individual recovery strategies, it is important to provide opportunities to share experiences with other new nurses and to follow-up on their behavioural change process. Importantly, several organisational factors should also be considered. Organisations should work systematically with the planning and management of working hours that promote recovery, create opportunities for recovery during work shifts, organise wo","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100485"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976721","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":"Nurses’ scope of practice and fundamental care in relation to older people: An exploratory home-based study","authors":"Karin Sandberg ,&nbsp;Anna Josse Eklund ,&nbsp;Gunilla Borglin ,&nbsp;Edith Roth Gjevjon ,&nbsp;Cecilia Olsson","doi":"10.1016/j.ijnsa.2026.100492","DOIUrl":"10.1016/j.ijnsa.2026.100492","url":null,"abstract":"<div><h3>Background</h3><div>Fundamental care—encompassing relational, psychosocial, and physical needs as outlined in the Fundamentals of Care Framework—is a multifaceted yet essential component of nurses’ scope of practice. Despite its significance, fundamental care remains underrepresented in research within home-based care. Consequently, limited knowledge exists regarding how nurses address older people's fundamental care needs, the practical applicability of the Framework, and the influence of contextual modulators.</div></div><div><h3>Aim</h3><div>To explore nurses’ scope of practice, fundamental care, and contextual modulators in relation to older people with complex health care needs in home-based care.</div></div><div><h3>Design</h3><div>Exploratory design.</div></div><div><h3>Setting</h3><div>Four home-care sites in Western Sweden.</div></div><div><h3>Methods</h3><div>Structured direct observations were conducted using a protocol informed by the Fundamentals of Care Framework and concepts relevant to nurses’ scope of practice. Quantitative data were analysed using descriptive statistics and contextualised by qualitative field notes.</div></div><div><h3>Result</h3><div>A total of 3042 care activities were recorded across 230 observations involving 46 nurses (registered and non-registered). On average, participants performed 13.23 activities per observation, often addressing multiple dimensions of the Fundamentals of Care Framework. Physical needs typically served as the entry point for care, which frequently expanded to include relational and psychosocial aspects. Registered nurses’ involvement in clinical decision-making—structured around the five phases of the nursing process—was primarily concentrated on assessment and implementation. Non-registered nurses also engaged in decision-making and independently initiated activities. Nurses’ scope of practice appeared to be related to several contextual modulators, including interruptions and a lack of supportive work environments.</div></div><div><h3>Conclusion and implications</h3><div>We are among the first to explore nurses’ scope of practice in home-based care using the Fundamentals of Care Framework as a conceptual foundation. We have underscored the complexity and multifaceted nature of nurses’ scope of practice, including clinical decision-making, the activities’ functional and performance levels, and the presence of contextual modulators. Task-shifting from registered nurses to non-registered nurses was evident in clinical decision-making. We suggest that future Models of Care grounded in the Framework and tailored to the specific contextual conditions of home-based care may support nurses in delivering high-quality fundamental care.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100492"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187933","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 workforce challenges in gulf cooperation council countries: A systematic review of factors influencing shortage and retention","authors":"Amani N.Al. Ansari ,&nbsp;Alaa Ahmed Elshanbary ,&nbsp;Mohamed Sayed Zaazouee ,&nbsp;Kalpana Singh","doi":"10.1016/j.ijnsa.2026.100501","DOIUrl":"10.1016/j.ijnsa.2026.100501","url":null,"abstract":"<div><h3>Background/Aim</h3><div>The Gulf Cooperation Council countries are experiencing a significant nursing workforce shortage, compounded by rapid population growth, a rising burden of chronic diseases, and heavy dependence on expatriate nurses. With the World Health Organization forecasting a global shortfall of 4.5 million nurses by 2030, this review aims to systematically explore the key factors contributing to nursing workforce shortages in the Gulf Cooperation Council region and offer evidence-based recommendations for improving retention.</div></div><div><h3>Method</h3><div>A systematic review was conducted in accordance with PRISMA guidelines. A comprehensive literature search was performed across PubMed, Embase, Web of Science, and Scopus databases to identify relevant primary research published in English up to January 2025. Studies focused on nursing workforce issues in Gulf Cooperation Council countries were included. A total of eight eligible studies were critically appraised using the Newcastle-Ottawa Scale and the Critical Appraisal Skills tool.</div></div><div><h3>Results</h3><div>The findings highlight a complex interplay of factors influencing nurse shortages in the Gulf Cooperation. A poor work environment, lack of interprofessional collaboration, and inadequate leadership support were strongly associated with high turnover intention. Excessive workloads, reported by 59.4% of nurses, and emotional exhaustion, affecting over 60%, were key stressors. Additional barriers included cultural challenges, limited access to professional development, and weak organizational support systems. Leadership was identified as the most influential factor negatively correlated with nurse retention.</div></div><div><h3>Conclusion</h3><div>Addressing the nursing workforce crisis in the Gulf Cooperation Council requires multifaceted interventions. Priority areas include leadership development, structured career pathways, and improved cultural integration efforts. Further longitudinal and regionally inclusive research is recommended.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100501"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187935","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":"Living beyond survival: Experiences of self-management among long-term breast cancer survivors – A qualitative study","authors":"Xianliang Liu ,&nbsp;Mubei Yang ,&nbsp;Yuhua Ma","doi":"10.1016/j.ijnsa.2025.100462","DOIUrl":"10.1016/j.ijnsa.2025.100462","url":null,"abstract":"<div><h3>Background</h3><div>Over the long term, breast cancer is associated with multiple symptoms and comorbidities that often cluster and intensify one another. Long-term breast cancer survivors face the challenge of transitioning from treatment-focused care to a non-treatment-oriented life.</div></div><div><h3>Objective</h3><div>To explore long-term breast cancer survivors’ experiences of managing cancer-related symptoms and provide insights to inform survivorship care.</div></div><div><h3>Design</h3><div>A qualitative descriptive study.</div></div><div><h3>Methods</h3><div>A purposive sampling approach was used to recruit long-term breast cancer survivors from a tertiary hospital in Guangzhou, China. Semi-structured interviews were conducted between June and July 2025, audio-recorded and transcribed verbatim. Data were analyzed using thematic analysis, with NVivo 12 software employed for data management.</div></div><div><h3>Results</h3><div>Eighteen female breast cancer survivors participated. Three themes emerged: (1) The persistent shadow – manifestations and burden of long-term symptoms; (2) Navigating the new normal: self-management strategies and adaptations; and (3) Enablers and obstacles in the self-management journey.</div></div><div><h3>Conclusion</h3><div>Long-term breast cancer survivors face ongoing symptom burdens and employ diverse self-management strategies, yet their understanding of self-management varies, and effective self-management should address psychological well-being alongside physical health. Tailored education and technological tools may help overcome barriers, particularly among older survivors with lower health literacy.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100462"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145748041","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":"Stakeholders' interpretations and responses to research as a feature of advanced practice: A scoping review","authors":"Carley Moore,&nbsp;Olga Kozlowska,&nbsp;Marion Waite","doi":"10.1016/j.ijnsa.2026.100483","DOIUrl":"10.1016/j.ijnsa.2026.100483","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Although clinical practice has been prioritised and operationalised globally, research activities remain underdeveloped and inconsistently supported in advanced practice roles. A focus on clinical tasks limits the growth of advanced practitioners as research leaders, negatively impacting job satisfaction, retention, and progression into consultant-level practice. Stakeholder attitudes and actions are central to shaping advanced practitioners’ engagement with research and their professional development. However, the interpretation and response to research as a core component remain poorly understood. This knowledge gap risks ineffective efforts to strengthen the research pillar of advanced practice, highlighting the need to better understand stakeholder perspectives to integrate research more effectively into advanced practice.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This scoping review aims to map how stakeholders interpret and respond to research within advanced practice and identify gaps in the conceptual, methodological, and theoretical aspects of the literature.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Information Sources&lt;/h3&gt;&lt;div&gt;A systematic search was conducted in CINAHL, MEDLINE, and the British Nursing Database, focusing on English-language literature published between 2013 and 2025.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Following the Joanna Briggs Institute method for scoping reviews and informed by the Patterns, Advances, Gaps, Evidence for Practice, and Research Recommendations framework, data were extracted, analysed, and synthesised. Data were presented in tabular form and supplemented with a narrative synthesis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The findings were mapped into four categories: 1) Research as a Role Expectation, 2) Contextual Factors Shaping Research, 3) Educational Preparation for Research, and 4) Interventions Supporting Research. While research is an expected feature of advanced practice, its engagement is often hindered by time constraints, heavy clinical workloads, lack of leadership, insufficient education, and limited clinical-academic collaboration. Research activities are commonly assessed using traditional metrics, such as publications, while neglecting ‘soft’ outcomes, including increased confidence, skill development, and influence on team culture. Furthermore, many studies lacked theoretical frameworks, limiting their explanatory power.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Research appears underdeveloped but is narrowly defined in advanced practice, often measured by traditional outputs rather than processes and impacts on learning and development. This review highlights the need for a comprehensive, theory-informed approach to understanding research in advanced practice. Such insights are crucial for shaping educational curricula, professional development, and organisational strategies to better support advanced practitioners as leaders and contributors to healthcare innovation.&lt;/div&gt;&lt;div&gt;Th","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100483"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976724","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":"Effect of a multichannel psychoeducation program on caregiving burden among caregivers of persons with schizophrenia: Randomized controlled trial","authors":"Anassaya Chueachalad ,&nbsp;Chalinee Suvanayos ,&nbsp;Patraporn Bhatarasakoon","doi":"10.1016/j.ijnsa.2025.100474","DOIUrl":"10.1016/j.ijnsa.2025.100474","url":null,"abstract":"<div><h3>Background</h3><div>Long-term caregiving for individuals with schizophrenia, who typically present with cognitive deficits and reduced emotional expression, can result in significant caregiver burden when adaptation to caregiving roles proves challenging.</div></div><div><h3>Objective</h3><div>To evaluate the effectiveness of a novel multichannel psychoeducation program in reducing caregiving burden among caregivers of individuals with schizophrenia.</div></div><div><h3>Design</h3><div>A randomized controlled trial study employing a pretest-posttest design with intervention and control groups.</div></div><div><h3>Setting</h3><div>Psychiatric outpatient department of Thammasat University Hospital in Pathum Thani, Thailand.</div></div><div><h3>Participants</h3><div>Initially, 50 caregivers of individuals with schizophrenia with mild to moderate caregiving burden (scores ≥11) without comorbidities were recruited. Five participants withdrew due to inconvenience and loss of contact, resulting in 45 completers (23 intervention, 22 control).</div></div><div><h3>Methods</h3><div>Participants were purposively selected based on inclusion criteria and matched in pairs according to caregiving burden scores, Brief Psychiatric Rating Scale scores of care recipients, age, and gender before random allocation. The intervention consisted of a seven-session multichannel psychoeducation program delivered over 3–4 weeks: one initial 60-minute face-to-face session followed by six 40-minute video conference sessions via the Line application. The control group received only usual care. Caregiving burden was assessed at baseline and one month post-intervention.</div></div><div><h3>Results</h3><div>The intervention group demonstrated significantly reduced caregiving burden scores from pre-test to post-test (t=10.278, p&lt;0.001). Moreover, between-group comparison revealed significantly lower caregiving burden in the intervention group compared to the control group one month post-intervention (t=3.711, p=0.001). While both groups showed some reduction in burden, the intervention group achieved low burden levels, whereas the control group remained in the moderate range.</div></div><div><h3>Conclusions</h3><div>This innovative multichannel psychoeducation program shows promise in reducing caregiving burden among caregivers of people with schizophrenia. The integration of both face-to-face and digital delivery methods enhanced accessibility and appeared to support caregiver outcomes. While these findings are encouraging, the study design limits the strength of causal inferences. Further studies with more rigorous methodologies are recommended to confirm effectiveness and guide integration of this approach into standard care for caregivers in Thailand.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100474"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938984","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":"To sit or not to sit? A Danish mixed-methods study of a bedside sitting-intervention among cardiological patients","authors":"Tobias Carl Højmark Mathiassen ,&nbsp;Annette Mollerup","doi":"10.1016/j.ijnsa.2026.100499","DOIUrl":"10.1016/j.ijnsa.2026.100499","url":null,"abstract":"<div><h3>Background</h3><div>Effective nurse–patient communication is a cornerstone of patient-centred care. Research indicates that when nurses sit during interactions, patients perceive communication as more attentive and respectful. However, the effect of a structured sitting intervention within cardiology settings remains underexplored.</div></div><div><h3>Objective</h3><div>This study evaluated whether the presence of bedside stools influenced cardiology patients’ perception of nurse presence, communication quality, and time spent in conversation.</div></div><div><h3>Methods</h3><div>A mixed-methods quasi-experimental study was conducted in a Danish cardiology department. Two inpatient wards were assigned as experimental (n = 19) and control (n = 20) groups. Stools were placed in patient rooms in the experimental ward to facilitate seated communication, while the control ward followed usual care. Data was collected through patient interviews and a group interview with nurses. Quantitative data were analysed using the Mann–Whitney U test, and qualitative responses were thematically analysed.</div></div><div><h3>Results</h3><div>Patients in the experimental ward perceived nurses as sitting more (mean = 1.5 vs. 0.2 times, p &lt; 0.001) and spending longer time in conversation (mean = 9.32 vs. 5.15 minutes, p = 0.003). They also rated nurses as having more time to talk (mean = 3.42 vs. 2.25, p = 0.005). Although the intervention did not significantly affect satisfaction with communication (p = 0.771), qualitative findings revealed enhanced perceptions of presence, attentiveness, and calmness.</div></div><div><h3>Conclusion</h3><div>The bedside sitting intervention improved patients’ perception of time, presence, and nurse availability. The initiative was cost-effective, sustainable, and well received by staff, suggesting that seated communication may foster more meaningful and caring patient encounters.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100499"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187934","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":"Risk factors for delirium after hip arthroplasty: An umbrella meta-analysis","authors":"Xiaowen Jiang,&nbsp;Yao Feng","doi":"10.1016/j.ijnsa.2026.100494","DOIUrl":"10.1016/j.ijnsa.2026.100494","url":null,"abstract":"<div><h3>Objectives</h3><div>Postoperative delirium is a common complication in elderly patients after hip arthroplasty, which can lead to a prolonged hospital stay and decreased quality of life.The aim of this study was to evaluate the risk factors of delirium after hip arthroplasty in the elderly by umbrella meta-analysis and to provide reference value for the clinical development of effective prevention and intervention strategies.</div></div><div><h3>Methods</h3><div>A systematic search was conducted in PubMed, Web of Science, and the Cochrane Library to identify relevant meta-analyses on postoperative delirium. Umbrella meta-analysis was applied to analyze various risk factors and assess their association with the occurrence of postoperative delirium. Subgroup analyses were performed to examine the heterogeneity of these factors across different patient populations.</div></div><div><h3>Results</h3><div>We identified several significant risk factors for postoperative delirium, including older age, dementia, diabetes mellitus, type of anesthesia (general versus regional anesthesia), heart failure, stroke history, postoperative sedation medication, preoperative cognitive impairment, and surgery duration. Subgroup analyses indicated substantial variability in the effect sizes of these factors, suggesting differences in risk characteristics across various patient groups.</div></div><div><h3>Conclusions</h3><div>In this umbrella meta-analysis, we highlighted multiple independent risk factors for postoperative delirium following hip arthroplasty, such as advanced age, dementia, diabetes, anesthesia type, heart failure, stroke history, postoperative sedative medication use, preoperative cognitive impairment, and surgical duration. We emphasized the need for individualized prevention and intervention strategies.</div></div><div><h3>Implications for Clinical Practice</h3><div>This method to identify the risk factors of postoperative delirium in patients undergoing hip arthroplasty could effectively guide healthcare providers to formulate personalized prevention and intervention strategies, which might improve the prognosis of patients and reduce medical costs.</div></div><div><h3>Registration</h3><div>PROSPERO(CRD420251018204.)</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100494"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167123","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}