International Journal of Nursing Studies Advances最新文献

{"title":"Pre-pregnancy fertility guidance for women of childbearing age with epilepsy: A scoping review","authors":"Liu Siqin ,&nbsp;Song Jia ,&nbsp;Huang Shiming ,&nbsp;Yuan Xiaoli ,&nbsp;Peng Yan ,&nbsp;Gu Congcai ,&nbsp;Xu Zucai","doi":"10.1016/j.ijnsa.2024.100276","DOIUrl":"10.1016/j.ijnsa.2024.100276","url":null,"abstract":"<div><h3>Background</h3><div>Epilepsy is one of the most common neurological conditions affecting women of reproductive age. Epilepsy management during pregnancy is a clinical conundrum, requiring a balance between seizure control and risk minimization for women with epilepsy, as well as for their fetuses.</div></div><div><h3>Objective</h3><div>In this review, we aimed to systematically search, evaluate, and summarize relevant evidence on perinatal fertility guidance for women with epilepsy to provide a basis for medical staff to offer comprehensive fertility counseling.</div></div><div><h3>Methods</h3><div>Systematic searches were conducted for system evaluations, expert consensus, guidelines, and evidence summarizing best clinical practices and clinical decision-making in fertility guidance for women with epilepsy. The search encompassed resources from the National Institute of Health and Clinical Optimization in the United Kingdom, the National Guidelines Network in the United States, the International Guidelines Collaboration Network, Registered Nurses' Association of Ontario guidelines in Canada, the Scottish Interhospital Guidelines Network, the International Anti-Epilepsy Alliance, the Royal College of Obstetricians and Gynecologists in the United Kingdom, the American Association of Obstetricians and Gynecologists, Chinese Anti Epilepsy Association, PubMed, UpToDate, BMJ Best Clinical Practice, Web of Science, Embase, JBI Evidence Based Health Care Center, Cochrane Library Database, and China National Knowledge Infrastructure databases or websites from inception to July 31st 2023. Two researchers with evidence-based nursing backgrounds independently completed literature screening and quality evaluation while extracting and summarizing evidence based on themes.</div></div><div><h3>Results</h3><div>A total of 11 articles were ultimately included, comprising one clinical decision, six guidelines, two expert consensus statements, one meta-analysis, and one evidence summary. In these articles, authors collectively addressed five themes: pre-pregnancy consultation and preparation, pregnancy management, delivery management, postpartum and newborn care, and selection of contraceptive measures.</div></div><div><h3>Conclusion</h3><div>We have synthesized the most compelling evidence regarding reproductive counseling for women with epilepsy across the preconception, pregnancy, labor and delivery, and postpartum periods. This serves as a foundation for healthcare professionals to implement effective reproductive counseling practices. In clinical practice, medical personnel should consider the patient's clinical context, individual circumstances, and preferences when devising treatment and care plans. This will facilitate the implementation of scientifically-sound management strategies for women with epilepsy to enhance maternal and infant outcomes.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100276"},"PeriodicalIF":3.1,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and practice of catheter-related urinary tract infection prevention and its associated factors among nurses working at public hospitals, in the Oromia region of Ethiopia: Cross-sectional survey","authors":"Misra Nure ,&nbsp;Abebe Dechasa ,&nbsp;Meseret Ifa ,&nbsp;Jamel Bedane","doi":"10.1016/j.ijnsa.2024.100281","DOIUrl":"10.1016/j.ijnsa.2024.100281","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Catheter associated urinary tract infection is the most common nosocomial infection that is associated with serious systemic infections that imply prolonged hospital stay, financial costs for hospitalization, and increased morbidity, and mortality. There is a dearth of evidence related to nurse's knowledge and practice of catheter associated urinary tract infection prevention in Oromia, Ethiopia. Determining the nurse's knowledge and preventive practice of catheter associated urinary tract infections and their associated factors is important for developing strategies of its prevention.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To assess the knowledge and practice of catheter associated urinary tract infection prevention and its associated factors among nurses working at public hospitals in the Oromia region, Ethiopia.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Institution-based cross-sectional study was conducted among 422 nurses working at public hospitals in the Oromia, Ethiopia. The respondents were selected by a simple random sampling technique. A structured self-administered questionnaire was used to collect the data. Data analysis was done to describe the knowledge and practice of catheter associated urinary tract infection prevention and its associated factors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Result&lt;/h3&gt;&lt;div&gt;Of the 422 nurses surveyed, 408 (96.7 %) returned their questionnaire. The result shows that 63.5 % of nurses had adequate knowledge while 34.6 % of them had good practice of catheter associated urinary tract infection prevention. In-service training (adjusted odds ratio: 1.862, 95 % confidence interval (1.11–3.14)), working in an intensive care unit (adjusted odds ratio: 3.148, 95 % confidence interval (1.13–8.75)) perceived availability of library (adjusted odds ratio: 2.97, 95 % confidence interval (1.78–4.96)) and access to guideline (adjusted odds ratio: 2.78, 95 % confidence interval (1.49–5.16)) were factors found to be statistically significantly associated with the nurses’ knowledge. Years of experience (adjusted odds ratio: 3.63, 95 % confidence interval (1.55–8.47)), working unit (operating theatre room) (adjusted odds ratio: 2.37, 95 % confidence interval (1.08–5.19)), in-service training (adjusted odds ratio: 1.905, 95 % confidence interval (1.21–3.24)), internet access (adjusted odds ratio: 5.82, 95 % confidence interval (2.45–11.30)) and favourable attitude (adjusted odds ratio: 1.89, 95 % confidence interval (1.07–3.15) were statistically significantly associated with the nurses practice of catheter associated urinary tract infection prevention.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;More than one-third of the respondents have inadequate knowledge while less than two-thirds of the respondents have inadequate practices which suggests the presence of knowledge to practice gap in catheter associated urinary tract infection prevention. In-service training, nurse's current working unit, and the presence of a guidel","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100281"},"PeriodicalIF":3.1,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Daily routines, short-term priorities, and nurses’ role hamper self-management support in a hospital setting: A mixed methods study","authors":"Susanne van Hooft ,&nbsp;Elke Berger ,&nbsp;Cailey van Torenburg ,&nbsp;AnneLoes van Staa","doi":"10.1016/j.ijnsa.2024.100279","DOIUrl":"10.1016/j.ijnsa.2024.100279","url":null,"abstract":"<div><h3>Background</h3><div>Self-management support is widely considered a critical aspect of nursing. Still, many studies indicate that nurses frequently experience difficulties in daily practice.</div></div><div><h3>Objective</h3><div>To gain a deeper understanding of the factors perceived by nurses to impede or promote their support of patients’ self-management within the dynamic environment of the in-patient hospital setting.</div></div><div><h3>Design</h3><div>Mixed methods design.</div></div><div><h3>Participants</h3><div>Nurses (<em>n</em> = 269) working in a teaching hospital in the Netherlands completed a questionnaire. Subsequently, 38 nurses participated in interviews.</div></div><div><h3>Methods</h3><div>The SEPSS-36 questionnaire assessed nurses’ self-efficacy and performance in self-management support. Semi-structured interviews were conducted to address salient results from the questionnaire, focusing on factors influencing self-management support, goal setting, follow-up care, and the nurse's role in a hospital setting.</div></div><div><h3>Results</h3><div>the response rate for the questionnaire study was 62 %. A paired t-test revealed a significant mean difference of 6.30 95 % CI [5.91–6.69] <em>p</em> ≤ 0.001 between nurses’ perceived self-efficacy (mean = 18.34/24) and their actual performance (mean = 12.03/24) in self-management support. The interviews revealed that nurses typically focus on medical procedures and maintaining patients’ functional status. Spending time with patients to offer emotional support was viewed as ‘something extra’ rather than a core part of their job. High patient turnover hindered nurses from having meaningful conversations with patients.</div></div><div><h3>Conclusions</h3><div>Short-term priorities such as ‘getting the work done’ dominate nurses’ daily tasks in hospital wards, leading them to overlook often the benefits of supporting patient self-management. This narrow view of their responsibilities can hinder patient care, whereas adopting a broader perspective on the patient journey could be very beneficial.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100279"},"PeriodicalIF":3.1,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trust in nurses and its association with medication adherence of cardiovascular patients: A descriptive correlational study","authors":"Ebrahim Aliafsari Mamaghani,&nbsp;Ali Soleimani,&nbsp;Mohammad Zirak","doi":"10.1016/j.ijnsa.2024.100278","DOIUrl":"10.1016/j.ijnsa.2024.100278","url":null,"abstract":"<div><h3>Background</h3><div>Medication adherence plays an important role in managing cardiovascular diseases. Trust in nurses may be effective in enhancing medication adherence in patients with cardiovascular diseases.</div></div><div><h3>Aim</h3><div>This study aimed to investigate the correlation between trust in nurses among cardiac patients and their medication adherence and explore the predictors of medication adherence.</div></div><div><h3>Methods</h3><div>This descriptive correlational design was conducted among \"302″ cardiac patients hospitalized at Amir Al-momenin Teaching Hospital affiliated with Maragheh University of Medical Sciences. Data was gathered using a demographic characteristics questionnaire, Medication Adherence Scale, and Trust in Nurses’ Scale. Data was analyzed using descriptive (frequency, percentage, mean, standard deviation, median, and descriptive tables) and inferential (Kruskal-Wallis, Mann-Whitney, Spearman correlation coefficient, and quartile regression) statistics. Data was gathered from October 2023 to January 2024. The data was analyzed using SPSS software ver.21.</div></div><div><h3>Findings</h3><div>The mean and standard deviation of medication adherence and trust in nurses were 91.6 ± 6.9 and 10.5 ± 3.9, respectively. A significant positive correlation was found between trust in nurses and medication adherence(<em>r</em> = 0.61). There was a significant difference in medication adherence based on the type of disease. So that, the median medication adherence was the highest for coronary artery patients and the lowest for hypertensive patients. The results of quartile regression analysis showed that trust in nurses and type of disease are the main predictors of medication adherence (R² =20 %.)</div></div><div><h3>Discussion and conclusions</h3><div>The results indicated that medication adherence among cardiovascular patients was moderate and patients' trust in nurses was less than average. Considering the type of disease as an unmodifiable variable, trust in nurses was the main modifiable factor that plays an important role in increasing medication adherence of cardiovascular patients. Therefore, appropriate strategies such as teaching communication skills to nurses, and training and attracting interested individuals with high communication skills should be taken to enhance patients' trust in nurses.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100278"},"PeriodicalIF":3.1,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Risk for Violence Screening Tool: a psychometric validation and reliability study","authors":"Sheila Mallett-Smith,&nbsp;Alirio Olmedo,&nbsp;Catherine P. Canamar","doi":"10.1016/j.ijnsa.2024.100280","DOIUrl":"10.1016/j.ijnsa.2024.100280","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;There is a lack of high-quality evidence to support the recommendation of an instrument to screen emergency department patients for their risk for violence.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To demonstrate the content and predictive validity and reliability of the novel Risk for Violence Screening Tool to identify patients at risk for violence.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design and Setting&lt;/h3&gt;&lt;div&gt;This retrospective risk screening study was conducted at a 100-bed emergency department in an urban, academic, safety net trauma center in Southern California.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Nine subject matter expert employees and 22,583 non-critical adult emergency patients.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Subject matter experts rated the relevance of 30 risk items and 10 domains comprising the Risk for Violence Screening Tool. Content Validity Index/Average Content Validity and Universal Agreement analyses determined the tool's content validity. Predictive validity, analyzed with logistic regression, used data from a patient incidence of violence registry (an incident occurred or did not occur), compared with the Risk for Violence Screening Tool screening result (positive or negative). Response agreement among three nurses who independently utilized the Risk for Violence Screening Tool to assess the same patients upon their arrival at the emergency department determined inter-rater reliability.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The overall Content Validity Index was 0.84, and the item-level Content Validity Index and the universal agreement scores were 1.00, indicating perfect agreement on item relevance and a unanimous consensus among experts. Patients who screened positive on the Risk of Violence Screening Tool, indicating a high probability of violence, were 27.55 times more likely to commit an act of violence compared to those who screened negative (95 % CI = 24.73 to 30.70). The logistic regression model was statistically significant, (χ&lt;sup&gt;2&lt;/sup&gt;&lt;sub&gt;(1)&lt;/sub&gt; = 1140.29, &lt;em&gt;p&lt;/em&gt; &lt; 0.0001), explaining a range from 4.9 % (Cox &amp; Snell &lt;em&gt;R&lt;sup&gt;2&lt;/sup&gt;&lt;/em&gt;) to 37.3 % (Nagelkerke &lt;em&gt;R&lt;sup&gt;2&lt;/sup&gt;&lt;/em&gt;) of the variance and indicating that the Risk for Violence Screening Tool successfully predicted violent incidents. The calculated area under the curve of 0.843 (95 % confidence interval, 0.812–0.873, &lt;em&gt;p&lt;/em&gt; &lt; 0.001) affirmed the Risk for Violence Screening Tool's discriminatory ability to distinguish between individuals with and without a risk for violent behavior. Cohen's Kappa statistic yielded a value of 0.86 (&lt;em&gt;p&lt;/em&gt; &lt; 0.001).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The Risk for Violence Screening Tool is valid and reliable. This standardized tool can be used in emergency departments as part of a robust violence prevention program, creating a safer workplace for both staff and patients.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Tweetable abstract&lt;/h3&gt;&lt;div&gt;The Risk for Violence Screening Tool (R","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100280"},"PeriodicalIF":3.1,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11726790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telehealth use in the well-child health setting. A systematic review of acceptability and effectiveness for families and practitioners","authors":"Kim Howland ,&nbsp;Kristina Edvardsson ,&nbsp;Helen Lees ,&nbsp;Leesa Hooker","doi":"10.1016/j.ijnsa.2024.100277","DOIUrl":"10.1016/j.ijnsa.2024.100277","url":null,"abstract":"<div><h3>Background</h3><div>Universal well-child health nursing services in high-resource countries promote the health and well-being of children and families while preventing health inequities. The COVID-19 pandemic and technological advancements have led to the increased use of telehealth in this field. To enhance policies and practices, it's important to understand the acceptability and effectiveness of telehealth, as well as the barriers and enablers to its implementation, and to determine when its use is appropriate and safe.</div></div><div><h3>Objective</h3><div>To explore the global evidence on the use of telehealth in well-child health settings within high-income countries. Focussing on the effectiveness and acceptability of telehealth, along with the factors affecting its implementation and the considerations for safety from the perspectives of both providers and families.</div></div><div><h3>Design</h3><div>A mixed methods systematic review</div></div><div><h3>Methods</h3><div>A systematic review was conducted following PRISMA guidelines. The inclusion criteria for the review included: primary research papers written in English, conducted in high-income countries, focused on telehealth in the well-child health setting, and involving children under six years of age. The search, which was completed in July 2023, systematically explored the CINAHL, ProQuest Central, PubMed, and Web of Science bibliographic databases. Studies were critically appraised for quality, and relevant data extracted. A convergent segregated approach was employed to synthesise both quantitative and qualitative data, which is presented in a narrative format.</div></div><div><h3>Results</h3><div>A total of 4,354 records were identified and screened, and 169 full-text papers were assessed for eligibility, resulting in 20 papers for inclusion. Telehealth acceptability among families was reported in 13 of the 20 studies reviewed, with participants expressing high satisfaction regarding its use as a complement to standard care. Only three studies examined practitioners' acceptance, revealing mixed responses. Effectiveness was observed in 15 studies, with no significant differences found between the control and telehealth groups, suggesting that telehealth may achieve outcomes like those of standard care. Four studies identified both enablers and barriers to the implementation of telehealth, though none addressed concerns regarding safety and appropriateness.</div></div><div><h3>Conclusions</h3><div>Telehealth shows promise for well-child health services, but there is limited evidence of its effectiveness and safety. The COVID-19 pandemic increased its use, yet risks need further exploration. To validate telehealth in this field, we must identify effective applications, tackle implementation barriers, and ensure client safety. Additional research is essential for developing evidence-based policies for future practices.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100277"},"PeriodicalIF":3.1,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Protection Motivation Theory on clinical factors, behavior change, and cardiovascular disease: An integrative review","authors":"Maryam Ghasemiardekani ,&nbsp;Virginia Plummer ,&nbsp;Louisa Lam ,&nbsp;Biswajit Banik ,&nbsp;Wendy Cross","doi":"10.1016/j.ijnsa.2024.100267","DOIUrl":"10.1016/j.ijnsa.2024.100267","url":null,"abstract":"<div><h3>Objective</h3><div>To identify and synthesize the primary evidence on the effectiveness of Protection Motivation Theory on and cardiovascular disease and diseases that are risk factors for cardiovascular disease.</div></div><div><h3>Method</h3><div>An integrative review was conducted using the Whittemore and Knafl method (2005).</div></div><div><h3>Results</h3><div>Eleven articles met the inclusion and quality assessment criteria. The integration of evidence was abundant in three themes 1) Physical activity 2) Weight and Body Mass Index, and 3) Food consumption and each theme having the same six sub-themes of self-efficacy, response-efficacy, response cost, severity, vulnerability and reward. No studies have addressed all clinical factors and behavioral changes associated with cardiovascular disease.</div></div><div><h3>Conclusion</h3><div>Due to the limited literature on the effectiveness of Protection Motivation Theory on behavioral changes in patients with cardiovascular diseases, generalizations and practice recommendations are limited. Further research is required to evaluate the effectiveness of this theory in patient outcomes.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100267"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Understanding frailty and its opposites from community-dwelling older people's perspectives: A phenomenological qualitative study” [International Journal of Nursing Studies Advances 7 (2024) 100238]","authors":"Rianne D.J. Golbach ,&nbsp;Nanda Kleinenberg-Talsma ,&nbsp;Fons van der Lucht ,&nbsp;Johannes S.M. Hobbelen ,&nbsp;Harriët Jager-Wittenaar ,&nbsp;Evelyn J. Finnema","doi":"10.1016/j.ijnsa.2024.100250","DOIUrl":"10.1016/j.ijnsa.2024.100250","url":null,"abstract":"","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100250"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality care for children and young people with complex and integrated care needs: A discussion on nursing-sensitive indicators","authors":"Rosemarie Sheehan,&nbsp;Mary Ryder,&nbsp;Maria Brenner","doi":"10.1016/j.ijnsa.2024.100275","DOIUrl":"10.1016/j.ijnsa.2024.100275","url":null,"abstract":"<div><div>This paper highlights the need for nursing-sensitive indicators tailored to children and young people with complex and integrated care needs. While nursing plays a pivotal role in influencing care quality for this population, current measures predominantly focus on adult populations, creating gaps that hinder the evaluation of nursing contributions across diverse settings such as acute, community, and home care. We examine the importance of quality care measurement for children and young people with complex and integrated care needs and highlight deficiencies in international measurement systems. The discussion highlights the multidimensional care needs of this vulnerable population and advocates for nursing-sensitive indicators that capture broader outcomes including physical health, functional outcomes, family experience, and family well-being. Also highlighted is, the weak evidence linking process indicators to improved patient outcomes, a focus on negative outcomes, such as mortality, and the lack of theoretical foundations for nursing-sensitive indicators. There is a lack of consensus on what components to measure, definitions of indicators, and appropriate methodologies for the development of nursing sensitive indicators. Donabedian's (1988) structures, processes, and outcomes framework is discussed as well as an overview of adaptations used to improve the quality of indicator sets in a variety of settings. By situating the discussion within the context of children's and young people's nursing, this paper aims to direct future research towards the development of comprehensive indicators that capture the full contribution of nursing to the care of children and young people with complex and integrated care needs. Ultimately, this paper advocates for a standardised, holistic approach to nursing-sensitive indicators for this vulnerable population to improve care quality and overall health and wellbeing for children, young people, and their families.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100275"},"PeriodicalIF":3.1,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitators, barriers, and guidance to successful implementation of multidisciplinary transitional care interventions: A qualitative systematic review using the consolidated framework for implementation research","authors":"Romain Collet ,&nbsp;Juul van Grootel ,&nbsp;Marike van der Leeden ,&nbsp;Marike van der Schaaf ,&nbsp;Johanna van Dongen ,&nbsp;Suzanne Wiertsema ,&nbsp;Edwin Geleijn ,&nbsp;Mel Major ,&nbsp;Raymond Ostelo","doi":"10.1016/j.ijnsa.2024.100269","DOIUrl":"10.1016/j.ijnsa.2024.100269","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Multidisciplinary transitional care interventions aim to improve the coordination and continuity of healthcare during hospitalization and after discharge for patients with complex care needs related to physical, nutritional, or psychosocial status. Implementing such interventions is complex as they involve many stakeholders across multiple settings. Numerous studies have evaluated patients’, family members’, and healthcare professionals’ experiences with multidisciplinary transitional care interventions, which can provide insight into facilitators and barriers to their implementation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To provide an overview of facilitators and barriers to implementing multidisciplinary transitional care interventions, which could be considered before developing implementation strategies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A qualitative systematic review using the Consolidated Framework for Implementation Research.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting(s)&lt;/h3&gt;&lt;div&gt;Hospitals and primary care&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Adult patients admitted to a hospital, regardless of their diagnosis, as well as their family members and hospital and primary care healthcare professionals&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Embase, CINAHL, and Medline were searched for qualitative studies evaluating multidisciplinary transitional care interventions through patients', family members', and healthcare professionals' experiences and views from inception until June 2024. The methodological rigor was assessed with the Critical Appraisal Skills Program. We identified facilitators and barriers to the successful implementation of multidisciplinary transitional care interventions with the Consolidated Framework for Implementation Research. Facilitators and barriers were categorized into pre- or post-discharge or general factors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Twelve studies were included and appraised. We identified 79 factors, mostly linked to three domains of the Consolidated Framework for Implementation Research: Innovation, Inner setting, and Individuals involved. Facilitators included \"comprehensive follow-up care needs assessment\"(pre-discharge), \"immediate, tailored follow-up care\"(post-discharge), and \"improved communication between stakeholders\"(general). Barriers included \"shortage of hospital beds\" and \"lack of time\"(pre-discharge), \"lack of available primary care professionals\"(post-discharge), \"inconsistencies of stakeholders' schedules\" and \"intervention costs\"(general).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The factors identified could serve as a non-exhaustive inventory list to inspire readers who wish to implement a multidisciplinary transitional care intervention in their settings. Digital tools and alternative financing models might overcome cost and reimbursement issues, the increasing complexity of patient care, and shortcomings, such as the lack of available hospital beds or professional","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100269"},"PeriodicalIF":3.1,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}