International Journal of Nursing Studies Advances最新文献

{"title":"Translation, validation, predictive analysis of the Italian version of the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey and symptom cluster characterization in women","authors":"Vincenza Giordano ,&nbsp;Teresa Rea ,&nbsp;Andrea Chirico ,&nbsp;Gianluigi Comparone ,&nbsp;Luigi Chianese ,&nbsp;Plinio Cirillo ,&nbsp;Assunta Guillari","doi":"10.1016/j.ijnsa.2025.100473","DOIUrl":"10.1016/j.ijnsa.2025.100473","url":null,"abstract":"<div><h3>Background</h3><div>Nurses are the touch point for different aspects of patient care, particularly in identifying early prodromal symptoms of acute myocardial infarction in women. Although there is increasing awareness of women-specific symptoms like fatigue, anxiety, and sleep disturbances, acute myocardial infarction is frequently underdiagnosed or recognized too late in women. Instruments such as the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey have demonstrated effectiveness in identifying these prodromal symptoms. However, no validated Italian tool exists to assess prodromal symptoms and predict myocardial infarction; developing one would help nurses detect symptoms early and improve outcomes in women.</div></div><div><h3>Aim</h3><div>The study aims to validate an Italian version of the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey, and to evaluate the predictive ability of prodromal symptoms toward acute myocardial infarction in women, to secondarily test a potential cut-off score for easier implementation of the tool in screening contexts, and to identify prodromal symptom clusters in women with AMI.</div></div><div><h3>Materials</h3><div>A multicenter study was conducted from October 2023 to January 2025, including women with ischemic heart disease and healthy women. Both groups completed the McSweeney Acute and Prodromal Myocardial Infarction Symptom Survey<strong>,</strong> a structured questionnaire. Data analysis relied on test-re-test, regression models, and Receiver Operating Characteristic curve analysis to identify key prodromal symptoms of Acute Muocardial Infarction.</div></div><div><h3>Results</h3><div>The study involved 125 women with a mean age of 59.9 years. Women with acute myocardial infarction most commonly experienced chest pain, unusual fatigue, sleep disturbances, and anxiety. In contrast, healthy women reported fewer prodromal symptoms, with chest pain and unusual fatigue being less frequent. Reliability analysis showed excellent consistency in the tool (Cronbach’s α ≥0.90), with strong test-retest correlations (r = 0.973, p &lt; 0.001). Logistic regression identified significant chest symptoms and general ones associated with acute myocardial infarction. Receiver Operating Characteristic curve analysis indicated excellent discriminative ability, defining a cut-off score with high sensitivity and specificity.</div></div><div><h3>Conclusions</h3><div>Results showed different identifying symptoms such as chest, back, neck/throat, and left arm pain, fatigue, shortness of breath, loss of appetite, arm weakness, and headache. The results suggest that it can be used as an effective screening tool to identify women at risk of acute myocardial infarction.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100473"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938832","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 comparative efficacy of comprehensive self-care interventions in chronic illness: An updated meta-analysis of randomized controlled trials","authors":"Christopher S. Lee ,&nbsp;Marianna Antoniadou ,&nbsp;Tiny Jaarsma ,&nbsp;Barbara Riegel ,&nbsp;Heleen Westland","doi":"10.1016/j.ijnsa.2025.100476","DOIUrl":"10.1016/j.ijnsa.2025.100476","url":null,"abstract":"<div><h3>Background</h3><div>The efficacy of self-care interventions is not well understood in part because of variation in the domains of self-care being targeted as well as in modes of intervention delivery and behavioral change techniques used in trials.</div></div><div><h3>Objective</h3><div>The goal of this study was to synthesize the efficacy of comprehensive self-care interventions on relevant outcomes across six common chronic illnesses.</div></div><div><h3>Design</h3><div>Meta-analysis, meta-regression, and subgroup comparisons.</div></div><div><h3>Methods</h3><div>Data extraction focused on randomized controlled trials published between 2008 and 2022 designed to enhance comprehensive self-care interventions (i.e. those that focus on all three self-care domains of maintenance, monitoring, and management) in asthma, coronary artery disease, chronic obstructive pulmonary disease, type 2 diabetes mellitus, heart failure, and hypertension. Data were pooled using random-effects meta-analyses. Meta-regression and subgroup analyses were used to quantify the year of publication and both modes of delivery and behavioral change techniques on intervention efficacy, respectively.</div></div><div><h3>Results</h3><div>145 interventions tested in 140 trials involving 31,642 participants were included. The efficacy of comprehensive self-care interventions on improving outcomes was moderate in effect size and heterogeneous (<em>g</em> = 0.40 (95%CI=0.35–0.45), <em>p</em> &lt; 0.001; <em>χ²=</em>898.7, <em>p</em> &lt; 0.001, <em>I</em>²=83.9%). In meta-regression, the efficacy of interventions improved linearly between 2008 and 2022 (slope = 0.017 (95%CI=0.001–0.032); <em>z</em> = 2.08, <em>p</em> = 0.038). Interventions using individual face-to-face or telephone modes of delivery, and those employing behavioral feedback, social support or reminders were more efficacious compared with interventions that did not use these features (all <em>p</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Comprehensive self-care interventions have moderate efficacy in improving outcomes, especially those using certain modes of delivery and behavioral change techniques, and should be considered for adults with chronic illness.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100476"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938963","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":"Promoting and impeding factors for exercise in patients with osteopenia or osteoporosis: A systematic review","authors":"Yi Liu ,&nbsp;Chenxin Zhang ,&nbsp;Liping Zhang ,&nbsp;Xian Ma ,&nbsp;Zhenghui Dong","doi":"10.1016/j.ijnsa.2025.100456","DOIUrl":"10.1016/j.ijnsa.2025.100456","url":null,"abstract":"<div><h3>Background</h3><div>Osteopenia and osteoporosis are pressing public health issues associated with aging.</div></div><div><h3>Objective</h3><div>To systematically identify and synthesize the facilitators and barriers to exercise intervention adherence among individuals with osteopenia or osteoporosis.</div></div><div><h3>Design</h3><div>Systematic review</div></div><div><h3>Data Sources</h3><div>PubMed, Cochrane, EMBASE, Medline (Ovid), and Web of Science from inception to 31 March 2025.</div></div><div><h3>Methods</h3><div>Inclusion criteria: (1) Population: individuals with osteopenia/osteoporosis; (2) Intervention: exercise interventions targeting osteopenia/osteoporosis-related impairments; (3) Comparison: clear control group; (4) Outcomes: primary (adherence facilitators/barriers, e.g., pedometer/log data); secondary (dropout/adherence, adherence-promotion strategies, participant views); (5) Study type: randomized controlled trials. Exclusion criteria: (1) studies that were duplicates or had overlapping datasets; (2) incomplete publications/insufficient extractable data; (3) non-English literature. Two reviewers independently extracted data in duplicate and assessed bias risk.</div></div><div><h3>Results</h3><div>Thirty randomized controlled trials tested median 31-week programs (aerobic, balance, resistance, flexibility, impact, or functional training). Participants adhered to 83 % (59–100 %) of sessions; \"lack of time\" was the primary barrier (<em>n</em>=11/30) . Nine trials had low overall bias risk; allocation concealment or participant blinding was infrequently reported.</div></div><div><h3>Conclusion</h3><div>For individuals with osteopenia or osteoporosis, key barriers to activity were lack of time and existing health issues. Conversely, facilitators included expert coaching, engaging routines, group camaraderie, accessible facilities, and safety precautions. Future researchers should explore bone health-optimized exercises, identify activity facilitators/barriers, and develop tailored approaches to sustain patients’ fitness regimens.</div></div><div><h3>Registration</h3><div>The review protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO registration CRD420251013691).</div></div><div><h3>Tweetable Abstract</h3><div>Exercise boosts bone health but poor adherence limits efficacy. Our systematic review identifies top facilitators and barriers to optimize adherence.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100456"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938983","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 effect of digital health interventions in older adults with frailty: a systematic review and meta-analysis","authors":"Meng-Yao Liang ,&nbsp;Jin-Rui Cui ,&nbsp;Xin Fan ,&nbsp;Jun-Jie Zhang ,&nbsp;Xiao-Ling Liu ,&nbsp;Dong-Gui Liu","doi":"10.1016/j.ijnsa.2025.100470","DOIUrl":"10.1016/j.ijnsa.2025.100470","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Frailty is prevalent among the elderly population and can lead to multiple negative health consequences.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This study compares the effects of digital interventions versus either non-digital interventions with the same content or routine treatment/care alone (or both) on improving physical function and frailty status in older adults, and clarifies the formal advantages and comprehensive benefits of digital interventions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Systematic review and meta-analysis of randomized controlled trials.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Systematic searches of the PubMed, Embase, Web of Science, CINAHL, PsycINFO, the Cochrane Library, and CNKI for publications archived in the database between its launch and January 16, 2025. The meta-analysis was performed using stata 15.0 and 16.0. We used the 2019 Revised version of the Cochrane risk-of-bias tool (RoB 2.0) to evaluate the study’s quality.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;23 studies were conducted from 2007 to 2024 in 5 continents that investigated 3426 frail elderly participants were included in the review.The meta-analytic findings indicated superior efficacy in older adults with frailty for digital health interventions over control group on measures of the frailty scores (standardized mean difference (SMD)= -0.42, 95 % confidence intervals (CI) [-0.72, -0.12]; &lt;em&gt;P&lt;/em&gt; = 0.006), grip strength (weighted mean difference (WMD)= 1.11, 95 % CI [0.09, 2.14]; &lt;em&gt;P&lt;/em&gt; = 0.034), cognitive function (SMD= 0.12, 95 % CI [0.01, 0.24]; &lt;em&gt;P&lt;/em&gt; = 0.038), and quality of life (SMD= 0.30, 95 % CI [0.11, 0.50]; &lt;em&gt;P&lt;/em&gt; = 0.003). Subgroup analysis stratified by control group type revealed that the digital intervention combined with exercise group significantly improved frailty status (SMD= -0.52, 95 % CI[-0.96, -0.08]; &lt;em&gt;P&lt;/em&gt; = 0.020), grip strength (WMD= 1.82, 95 % CI[0.53, 3.12]; &lt;em&gt;P&lt;/em&gt; = 0.006), and cognitive function (SMD= 0.20, 95 % CI[0.04, 0.37]; &lt;em&gt;P&lt;/em&gt; = 0.015) in elderly patients to a greater extent compared with the usual care group. There were no significant differences between digital health interventions and control groups on any of the remaining 5 comparisons: Timed Up and Go Test (WMD= -0.73, 95 % CI [-1.52, 0.06]; &lt;em&gt;P&lt;/em&gt; = 0.07), gait speed (WMD= 0.02, 95 % CI [-0.05, 0.09]; &lt;em&gt;P&lt;/em&gt; = 0.55), Short Physical Performance Battery (WMD = -0.17, 95 % CI [-1.14, 0.79]; &lt;em&gt;P&lt;/em&gt; = 0.724), Sit-to-Stand Test (WMD = 0.19, 95 % CI [-0.69, 1.07]; &lt;em&gt;P&lt;/em&gt; = 0.67), and depression (SMD = -0.21, 95 % CI [-0.47, 0.05]; &lt;em&gt;P&lt;/em&gt; = 0.107). Meta-regression analyses revealed that covariates including sex distribution, country of origin, care setting, intervention type, intervention duration, and assessment methodology exhibited no significant moderating effects on grip strength, cognitive function, or quality of life outcomes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The study results showed","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100470"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938982","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":"Indonesian immigrant nurses' stress, distress, and coping: A qualitative study","authors":"Mundakir Mundakir ,&nbsp;Ferry Efendi ,&nbsp;Hema Malini ,&nbsp;Reliani Reliani ,&nbsp;Diah Priyantini ,&nbsp;Chlara Yunita Prabawati ,&nbsp;Rifky Octavia Pradipta","doi":"10.1016/j.ijnsa.2025.100466","DOIUrl":"10.1016/j.ijnsa.2025.100466","url":null,"abstract":"<div><h3>Background</h3><div>The experience of nurses migrating abroad to work clinically can have a significant impact on their mental health. Stress factors can include adjusting to a new work system, language challenges, and adaptation.</div></div><div><h3>Purpose</h3><div>The aim was to analyse the stress, distress, and coping conditions of Indonesian nurses returning home after working abroad.</div></div><div><h3>Methods</h3><div>This was a qualitative descriptive and interpretative phenomenological approach with 30 nurses who returned home after working abroad, recruited using snowball sampling. Data collection was carried out in Indonesia through semi-structured interviews with the participants. Interviews were conducted in Indonesian and lasted approximately 60 minutes. The data were analysed using reflective thematic analysis.</div></div><div><h3>Results</h3><div>There were three themes. The first was feeling stressed with the work, consisting of sub-themes feeling a high mental burden, experiences that made one cry, difficulty in adapting, overwork in the field, and feeling alone in a foreign country. The second theme was mental health and its impact on life, with the sub-themes of feeling afraid, feeling traumatised, thinking about losing weight, inability to express feelings, and often being a victim of bullying. The third theme was coping mechanisms while working abroad, consisting of the sub-themes of coping was not good enough, feeling relieved to return to Indonesia, surrendering to the situation, being able to manage oneself and one’s mentality, always having to be ready to learn, relieving stress with entertainment, finding a place to express feelings, and strengthening commitment and planning.</div></div><div><h3>Conclusions</h3><div>Indonesian nurses working abroad faced a number of complex challenges as migrant nurses.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100466"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938981","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":"Patient outcomes of a post-anaesthesia fast-track pathway after outpatient surgery: A systematic review","authors":"Ella Hermie ,&nbsp;Nicky Van Der Vekens ,&nbsp;Hannelore Hofman ,&nbsp;Annelies Van Damme ,&nbsp;Alexander Verheggen ,&nbsp;Ann Van Hecke ,&nbsp;Dimitri Beeckman","doi":"10.1016/j.ijnsa.2025.100458","DOIUrl":"10.1016/j.ijnsa.2025.100458","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Advances in surgical and anaesthetic techniques have enabled some outpatients to meet the criteria for discharge from the Post-Anaesthetic Care Unit while still in the operating room. These patients may benefit from being transferred directly from the operating room to a dedicated recovery area designed to expedite discharge home—a concept known as fast-tracking. Although this innovative approach to postoperative nursing care has already been implemented in clinical practice, its impact on patient outcomes and patient safety remains uncertain.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This systematic review aims to evaluate the effectiveness of a fast-track pathway compared to the standard recovery pathway after outpatient surgery.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Information sources&lt;/h3&gt;&lt;div&gt;The databases MEDLINE, Embase, Web of Science, CINAHL, Cochrane and Scopus were searched until January 2025.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The review included randomised-controlled trials, case-control studies, prospective and retrospective cohort studies that reported on fast-tracking of adult patients undergoing outpatient surgical procedures. Two reviewers independently assessed the eligibility of the articles identified with the search strategy. The risk of bias was assessed with the Risk of Bias 2 tool for randomised-controlled trials and the Risk of Bias in Non-randomised studies of Interventions for non-randomised controlled trials. Due to the heterogeneity of the included studies, a narrative synthesis was conducted to systematically summarise and interpret the findings across studies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The literature search identified 5226 unique records, with 7 studies of low quality and high risk of bias included in this review. 5 of the 7 studies were published before 2005. Bypass rates varied from 30 % to 87 %. All included studies reported a shorter postoperative length of stay for the fast-track group compared to the standard recovery pathway. The studies indicated that fast-tracked patients had similar, or in some cases, even better outcomes regarding readmission rates and the incidence of postoperative adverse effects compared to the standard recovery pathway.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Not all patients require admission to the Post-Anaesthetic Care Unit after outpatient surgery. Fast-tracking certain patients may offer benefits, such as a shorter postoperative length of stay, without negatively impacting patient outcomes. By reducing length of stay, improving patient flow and optimising resource utilisation, fast-tracking has the potential to enhance the efficiency and organisation of care while maintaining the quality. However, high-quality studies are needed to evaluate the safety and effectiveness of fast-tracking. As fast-tracking combines the care environments of the Post-Anaesthetic Care Unit and phase II recovery units, tailored nursing care for fast-track patients may be necessary","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100458"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624854","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":"Identification of pre-frail/frail older adults using the Integrated Care for Older People WHO Step1 screening tool: a cross sectional study","authors":"Caroline Berbon ,&nbsp;Gabor Abellan Van Kan ,&nbsp;Yves Rolland ,&nbsp;Laurent Balardy ,&nbsp;Catherine TAKEDA ,&nbsp;Néda Tavassoli ,&nbsp;Véronique Bezombes ,&nbsp;Bruno Vellas ,&nbsp;Sandrine Andrieu ,&nbsp;Maria Eugenia Soto","doi":"10.1016/j.ijnsa.2025.100463","DOIUrl":"10.1016/j.ijnsa.2025.100463","url":null,"abstract":"<div><h3>Background</h3><div>The Integrated Care for Older People program is a recommendation from the World Health Organization (WHO) to prevent functional decline. It is carried out in four steps, including Step1 screener, Step2 comprehensive assessment in case of anomalies detected in Step1, Step3, which is a prevention plan and Step4, involving long-term follow-up of intrinsic capacity and the implementation of the care plan. In order to meet this evaluation, need and given the constraints of healthcare professional, it is important to specify which older people are most at risk of decline (pre-frail/frail people according to Linda Fried's score).</div></div><div><h3>Objective</h3><div>to assess if Integrated Care for Older People WHO Step1 can segregate pre-frail/frail older adults from robust in primary care setting.</div></div><div><h3>Method</h3><div>This cross-sectional study concerned participants registered on the ICOPE MONITOR platform of the Toulouse University Hospital. The results from Step1, which help identify participants most at risk of pre-frailty/frailty, were selected through regression analysis followed by a Classification and Regression Trees approach.</div></div><div><h3>Results</h3><div>Between January 1, 2020, and June 30, 2024, 3,118 participants were included in this study. Pre-frailty/frailty was associated with mobility alert alone (84.7 %), nutrition alert alone (88.9 %) and with the two associated (96.7 %). For the oldest participants (over 76 years), a psychology alert was also strongly associated with pre-frailty/frailty (63.9 %).</div></div><div><h3>Discussion</h3><div>This study allows healthcare professional to prioritize participants with impaired mobility and/or nutrition at Step1 for the next steps in Integrated Care for Older People program. This approach addresses the needs of participants by providing the appropriate response to the right clinical profile and facilitates the interpretation of Integrated Care for Older People Step1 in the community.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100463"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145748016","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 association of leadership with nurses' turnover intention: A two-wave cross-sectional study","authors":"Shahbaz Masih ,&nbsp;Mohammad Nisar Khattak ,&nbsp;Tariq Iqbal Khan","doi":"10.1016/j.ijnsa.2025.100459","DOIUrl":"10.1016/j.ijnsa.2025.100459","url":null,"abstract":"<div><h3>Background</h3><div>Destructive leadership, particularly exploitative leadership (leaders benefiting themselves at the expense of followers), has received limited attention in nursing research. Moreover, the fundamental mechanisms and boundary conditions associated with exploitative leadership that trigger turnover intention have also been neglected.</div></div><div><h3>Aim</h3><div>Based on the conservation of resources theory, we explored how exploitative leadership was associated with nurses’ turnover intention through emotional exhaustion and further looked into the moderating effect of emotional intelligence on the relationship between emotional exhaustion and turnover intention.</div></div><div><h3>Methods</h3><div>This was a cross-sectional study, with a survey carried out between January and March 2024.</div></div><div><h3>Setting(s)</h3><div>Data were gathered at two intervals from nurses (<em>N</em> = 361) across 10 hospitals, both public and private, in five cities (four provincial capitals and one federal capital) in Pakistan. Structural equation modeling was carried out to evaluate the proposed mediation and moderation effects.</div></div><div><h3>Results</h3><div>We identified a statistically-significant positive association between exploitative leadership and both turnover intention and emotional exhaustion among nurses. Furthermore, emotional exhaustion partially mediated the relationship between exploitative leadership and turnover intention, and emotional intelligence weakened the relationship between emotional exhaustion and turnover intention.</div></div><div><h3>Conclusions</h3><div>Exploitative leadership was associated with adverse effects among nurses, manifested as emotional exhaustion and turnover intention; nevertheless, these detrimental events may be mitigated through nurses’ emotional intelligence.</div></div><div><h3>Implications for Nursing Management</h3><div>Training programs might be considered, arranged for nursing leaders with a focus on cultivating leadership abilities, and for nurses with a focus on emotional intelligence and stress management to equip them to combat emotional exhaustion.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100459"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145691862","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":"Predictors of adolescent psychiatric rehospitalization: A multi-level framework","authors":"Lia G. Pinkus,&nbsp;Jodi L. Ford","doi":"10.1016/j.ijnsa.2026.100481","DOIUrl":"10.1016/j.ijnsa.2026.100481","url":null,"abstract":"<div><h3>Background</h3><div>Adolescent psychiatric rehospitalization is a growing public health concern, with estimated readmission rates ranging from 12–38% worldwide. Despite its significant impact on youth development and long-term outcomes, limited research addresses the multifactorial determinants underlying readmission risk. The multilevel framework draws from ecological models to contextualize risk across the lifespan.</div></div><div><h3>Objectives</h3><div>This paper aims to provide (1) an overview of the scope of psychiatric rehospitalization during adolescence and into adulthood (2) a multilevel theoretical foundation of predictors for psychiatric rehospitalization and (3) potential avenues for future research and clinical practice.</div></div><div><h3>Methods</h3><div>Guided by a multilevel theoretical perspective, a descriptive analysis was conducted to identify potential individual, interpersonal, institutional and societal factors that may influence adolescent and future adult rehospitalization to inpatient psychiatric units.</div></div><div><h3>Results</h3><div>Key predictors of rehospitalization include severe psychiatric diagnoses, prior hospitalizations, family dysfunction, placement in out-of-home care, and inadequate aftercare services. Biological influences such as intergenerational trauma and epigenetic changes may further predispose adolescents to poor outcomes. Life transitions during sensitive developmental periods, socioeconomic disadvantage and minority status, although understudied, also contribute to disparities in mental health outcomes and rehospitalization.</div></div><div><h3>Conclusions</h3><div>Applying a multilevel theoretical perspective reveals that adolescent psychiatric rehospitalization is shaped by the intersection of biological, psychological, social, and structural factors. A comprehensive multilevel framework can inform future research, policy, and clinical interventions to promote long-term recovery and reduce psychiatric rehospitalization.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100481"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976725","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":"Mechanically ventilated patients' Experiences of communication using eye-tracking technology: A qualitative descriptive study","authors":"Hanghang Jin ,&nbsp;Mengjuan Jing ,&nbsp;Yuhao Zhao ,&nbsp;Xiaoyu Nie ,&nbsp;Xiaojing Wei ,&nbsp;Liming Li","doi":"10.1016/j.ijnsa.2026.100488","DOIUrl":"10.1016/j.ijnsa.2026.100488","url":null,"abstract":"<div><h3>Background</h3><div>Effective communication with mechanically ventilated awake patients in the intensive care unit (ICU) is a major challenge. Invasive mechanical ventilation deprives patients of their ability to communicate and hinders nurse-patient communication. Effective communication is an important step in building the nurse-patient relationship. Communication tools such as eye-tracking devices have the potential to improve communication between ICU nurses and patients.</div></div><div><h3>Objective</h3><div>The aim of this paper was to explore the use of eye-tracking technology for nurse-patient communication with mechanically ventilated patients in the ICU, and to inform its improved implementation in this setting.</div></div><div><h3>Methods</h3><div>Using a descriptive qualitative design and following the Consolidated Criteria for Reporting Qualitative Research (COREQ). Semi-structured interviews were conducted from February to May 2025 with 16 mechanically ventilated patients who communicated using eye-tracking devices at least three times during their hospitalization at a hospital in Henan Province. Thematic analysis was employed, guided by the framework developed by Braun and Clarke.</div></div><div><h3>Results</h3><div>Three themes were identified: Technical interaction experience, Psychological experience, and the Barriers to using the device. This paper found that eye-tracking devices were feasible in communicating basic needs and provided psycho-emotional benefits. Patients were able to regain a sense of engagement, engage in emotionally supportive interactions, and feel psychologically safe. However, factors such as physiologic fatigue and environmental conditions created barriers to optimal use of the devices.</div></div><div><h3>Conclusion</h3><div>Eye-tracking technology can serve as a valuable supportive tool for nurse-patient communication in the ICU. It empowers patients to participate in their daily care and facilitates emotionally supportive interactions. However, barriers to implementation must be addressed to optimize its effectiveness. Future efforts should focus on refining these communication tools based on these findings to ensure that critically ill patients can fully benefit from them.</div></div><div><h3>Implications for clinical practice</h3><div>Eye-tracking devices are used as communication aids to help intubated or tracheostomy patients express basic needs and participate in their own care. To ensure communication effectiveness, clinical practice needs to be optimized in various ways, such as optimizing device performance and providing systematic training and support for caregivers to deal with barriers to device use.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100488"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976723","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}