International Journal of Nursing Studies Advances最新文献

{"title":"Health perspectives after intensive care unit-discharge: Insights from patient and family interviews","authors":"Marisa Onrust ,&nbsp;Ingeborg van der Meulen ,&nbsp;Marie Louise Luttik ,&nbsp;Wolter Paans ,&nbsp;Peter H.J. van der Voort ,&nbsp;Fredrike Blokzijl","doi":"10.1016/j.ijnsa.2025.100457","DOIUrl":"10.1016/j.ijnsa.2025.100457","url":null,"abstract":"<div><h3>Background</h3><div>The long-term consequences after an intensive care unit (ICU) hospitalization can be significant for both ICU survivors and their family members. Research in the past decades has shown that patients may develop new onset or worsened impairments in the physical, mental and cognitive domain and family members are known to experience psychological problems following ICU discharge. Furthermore, these impairments may affect daily functioning as well as family functioning.</div></div><div><h3>Aim</h3><div>To gain insight into the way ICU survivors and their family members experience their health, three months after ICU discharge and to what extend this affects their roles and relationships within the family system.</div></div><div><h3>Design</h3><div>An exploratory, qualitative study with in-depth interviewing.</div></div><div><h3>Setting(s)</h3><div>A large 38-bed ICU in a University Hospital in the Netherlands.</div></div><div><h3>Participants</h3><div>Ten ICU-survivors and ten family members.</div></div><div><h3>Methods</h3><div>ICU nurses performed in-depth interviews with ICU-survivors and family members, three months following discharge. Interviews were audio recorded and transcribed verbatim. Analysis was performed iteratively in accordance with the steps of inductive content analysis.</div></div><div><h3>Findings</h3><div>Ten ICU-survivors and ten family members participated. We found four main themes: <strong>personal autonomy, narrative reconstruction, relationship dynamics and empathetic concern,</strong> which manifest different for ICU-survivors and family members, highlighting the distinct nature of their experiences. Physical recovery was a primary concern for ICU-survivors as well as family members, in order to regain personal autonomy. The different ICU-narratives of survivors and family members was hindering emotional recovery. Relationship dynamics occurred due to feelings of connection and disconnection intertwining, and empathetic concern was shaped by feelings of guilt and ambivalence.</div></div><div><h3>Conclusions</h3><div>This study provides a deeper understanding of health perceptions of ICU-survivors and their family members, highlighting their contrasting experiences and the relational dynamics this can trigger. The findings of our study can be used to enhance the current approach of care after ICU discharge in any way, by actively involving the family system. Diagnostic, intervention, and outcome classification systems for nurses can be helpful in incorporating family-related aspects into the ICU context and aligning them with established family interventions, such as ‘the family health conversation’ and the ICU-diary.</div></div><div><h3>Registration</h3><div>Not registered.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100457"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145584588","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 mediating role of self-esteem in the link between attachment relationships and stress among Vietnamese nursing students: a cross-sectional survey","authors":"Quynh Brooke Ho ,&nbsp;Huong Thi Lan Tran ,&nbsp;Dung Thi Thuy Nguyen ,&nbsp;Thuan Thi Tran ,&nbsp;Linh Thuy Khanh Tran","doi":"10.1016/j.ijnsa.2026.100500","DOIUrl":"10.1016/j.ijnsa.2026.100500","url":null,"abstract":"<div><h3>Objectives</h3><div>Managing stress is crucial for the success and well-being of undergraduate nursing students, yet little is known about how interpersonal relationships influence their stress levels. This study explores the impact of parent and peer attachments on stress, focusing on the mediating role of self-esteem. Understanding these dynamics can help educators and counselors develop targeted strategies to support students’ mental health and academic performance.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted from August to November 2023 at three medical institutions in Ho Chi Minh City, Vietnam. Using a structured self-reported questionnaire, we collected data from 612 nursing students on sociodemographic characteristics, attachments to parents and peers (Inventory of Parent and Peer Attachment), self-esteem (Rosenberg Self-Esteem Scale), and stress levels (Student Nurse Stress Index). Descriptive statistics, correlation analyses, and mediation modeling were employed to examine relationships between these factors.</div></div><div><h3>Results</h3><div>Pearson’s correlation analyses showed significant associations between parental attachment, peer attachment, self-esteem, and stress, with stress negatively correlated with parental attachment (<em>r</em> = -0.42, <em>p</em> &lt; 0.001), peer attachment (<em>r</em> = -0.38, <em>p</em> &lt; 0.001), and self-esteem (<em>r</em> = -0.56, <em>p</em> &lt; 0.001). Mediation analysis indicated that self-esteem fully mediated the relationship between parental attachment and stress (Sobel test: <em>Z</em> = -2.36, <em>p</em> &lt; 0.05) and partially mediated the relationship between peer attachment and stress (Sobel test: <em>Z</em> = -3.41, <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Counselors and school officials could promote parental attachment, peer attachment, and self-esteem in nursing students to reduce stress and improve students’ psychological well-being during their training. Educators should also identify students with insecure attachments to parents or peers to provide timely and appropriate interventions.</div><div>Fostering strong parent and peer attachments, along with promoting self-esteem, can serve as a protective factor against stress in nursing students. Educational institutions should implement interventions that enhance supportive relationships and self-worth among students. Identifying those with insecure attachments early on can enable timely psychological support, ultimately improving well-being and academic success in nursing education.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100500"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187327","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":"Instruments to measure nurses' intention-to-stay in the profession: A systematic literature review","authors":"Myrthe van der Zanden ,&nbsp;Saba Hinrichs-Krapels ,&nbsp;Christa Niehot ,&nbsp;Anna Teeuw ,&nbsp;Swasti Madan ,&nbsp;Naomi van der Linden","doi":"10.1016/j.ijnsa.2026.100496","DOIUrl":"10.1016/j.ijnsa.2026.100496","url":null,"abstract":"<div><h3>Introduction</h3><div>There is a large and increasing shortage of nursing staff. To alleviate this problem, healthcare systems should prioritize healthcare interventions that improve nurse retention over healthcare interventions that reduce it or leave it unchanged. One way to do so is to evaluate interventions on their anticipated impact on nurse intention-to-stay, which is an important precursor of retention. An overview of available instruments to quantify nurse intention-to-stay is lacking, resulting in researchers re-inventing the wheel. This review aims to fill this gap.</div></div><div><h3>Methods</h3><div>A systematic literature search was performed in the databases Medline ALL via Ovid, Embase.com, Web of Science Core Collection, CINAHL Plus, PsycINFO, the Cochrane Central Register of Controlled Trials via Wiley, and Google Scholar (200 highest-ranked references only). The search string consisted of terms and associated synonyms for 1) nursing staff, 2) personnel intent to stay/leave, and 3) surveys. Articles were included when there was a quantitative method mentioned for measuring the intention of nurses to stay or quit nursing and/or their job/position/organization. Information was extracted on the year of publication, study design, study population, number of participants, instrument used for measuring intention-to-stay, and whether the instrument was focused on leaving the job, organization, or profession. In addition, we checked whether the instrument was used to evaluate the (expected or realized) impact of an intervention and if an association was determined between intention-to-stay (measured through the instrument) and retention. The protocol was not registered.</div></div><div><h3>Results</h3><div>967 articles fulfilled our inclusion criteria, most of which were published in recent years. A total of 485 instruments were found. Nine regularly used instruments were identified, differing in their respective popularity over time, their size, the population for which they were developed and the strength of their link to actual retention. Notably, compared with the large body of literature on nurse intention-to-stay generally, the number of studies specifically measuring the impact of an intervention on nurse intention-to-stay is limited (n=20). Most of these intervention studies focused on changes in nurse training/mentorship or mental health support.</div></div><div><h3>Discussion &amp; conclusion</h3><div>Many different instruments exist to measure nurses' intention-to-stay. To add to our identified instruments, a comparative study is needed to identify which instrument offers the strongest predictive value for nurse retention. The absence of studies specifically evaluating the impact of interventions on nurses' intention-to-stay creates a critical gap in understanding how health interventions influence retention.</div></div><div><h3>Funding</h3><div>Dutch Research Council, 406.XS.04.151.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100496"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing the development and implementation of a prehabilitation program for kidney transplant candidates: A mixed-methods contextual analysis.","authors":"Avril J Haanstra, Yvonne van der Veen, Heleen Maring, Evelien E Quint, Adelita V Ranchor, Stefan P Berger, Stephan J L Bakker, Evelyn J Finnema, Coby Annema","doi":"10.1016/j.ijnsa.2026.100558","DOIUrl":"10.1016/j.ijnsa.2026.100558","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Kidney transplantation is the preferred treatment for kidney failure. However, kidney transplant candidates often experience a decline in health while awaiting transplantation due to disease progression, comorbidities, and negatives effects of dialysis. Prehabilitation aims to optimize physical and psychological functioning prior to surgery, potentially improving overall health and outcomes. Despite its potential benefits, there are currently no official guidelines or standardized prehabilitation programs for kidney transplant candidates.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;To explore factors that influence the development and implementation of a prehabilitation program for kidney transplant candidates.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A mixed methods context analysis was conducted, guided by the Context and Implementation of Complex Interventions framework. Data collection included a survey, interviews, and focus groups. The survey was sent to kidney transplant candidates. It assessed current lifestyle-related practice patterns, health status including physical functioning, nutritional status, and psychological well-being, as well as needs, preferences, and perceived barriers and facilitators regarding prehabilitation. Qualitative data were collected from kidney transplant candidates and recipients, their significant others, and healthcare providers, addressing the same topics in greater depth. Quantitative data were analyzed using descriptive statistics and comparative analysis. Qualitative data were analyzed thematically.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Eighty-seven kidney transplant candidates completed the survey. Additionally, 22 interviews and five focus groups were conducted. Findings were that clinical consultations primarily focused on medical aspects, with less emphasis on lifestyle factors such as physical activity. Nearly all participants reported issues related to physical functioning, nutritional status, or psychological well-being, with 44% experiencing problems across all three domains. All groups expressed a strong need for prehabilitation, emphasizing that programs should be tailored to individual needs and preferences, implemented in a home-based setting, and guided by a professional. Key facilitators for engagement included peer support and professional guidance, ease of access and convenience, and high levels of intrinsic and extrinsic motivation. Identified barriers included geographical and logistical challenges, fatigue, perceived lack of need, and time constraints.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This study highlights the need for home-based, tailored, and professionally guided prehabilitation programs for kidney transplant candidates. Key facilitators and barriers to participation were identified, emphasizing the need to address logistical, physical and psychological challenges to enhance engagement in this vulnerable population. The use of a mixed-methods approach, guided by the Context a","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"100558"},"PeriodicalIF":5.2,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13202596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148043989","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":"Preoperative prehabilitation in adults: A concept analysis.","authors":"Gongjie Shi, Hongxia Xu, Xinye Tang, Qiulei Ding, Ying Tong, Yihong Xu, Hongying Pan","doi":"10.1016/j.ijnsa.2026.100565","DOIUrl":"10.1016/j.ijnsa.2026.100565","url":null,"abstract":"<p><strong>Background: </strong>Preoperative prehabilitation is increasingly adopted across clinical disciplines, yet it lacks a consensus on its definition and core components, which hinders standardization and implementation in clinical practice.</p><p><strong>Objective: </strong>To systematically analyze the concept of preoperative prehabilitation using Rodgers' evolutionary framework to clarify its definition, antecedents, attributes, and consequences.</p><p><strong>Information sources: </strong>A systematic literature search was conducted across five electronic databases including PubMed, CINAHL, Scopus, Web of Science, and Embase from database inception to September 2024.</p><p><strong>Methods: </strong>A concept analysis was performed using Rodgers' evolutionary framework.</p><p><strong>Results: </strong>A total of 65 articles were included for the analysis. The antecedents of preoperative prehabilitation included patient-related factors, healthcare system and organizational factors, social support, and time window. Attributes of preoperative prehabilitation included intervention timing and duration, provider-recipient dyad, intervention components, and goal-oriented. The consequences of preoperative prehabilitation included enhancing patient self-efficacy, optimizing perioperative outcomes, impact on healthcare economics, promoting sustained health behavior change, safety and potential adverse events.</p><p><strong>Conclusions: </strong>This concept analysis of preoperative prehabilitation helps elucidate its antecedents, attributes, and consequences to provide a foundational basis for a conceptual consensus and standardized practice. Our work also informs future research aimed at optimizing the implementation of the concept and improving patient outcomes, ultimately enhancing patient welfare.</p>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"100565"},"PeriodicalIF":5.2,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13213777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057215","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 decision-making process leading to the use of home physical restraints: A qualitative study.","authors":"Elisa Ambrosi, Virginia Poli, Michela Filippi, Federica Canzan, Anna Brugnolli","doi":"10.1016/j.ijnsa.2026.100564","DOIUrl":"10.1016/j.ijnsa.2026.100564","url":null,"abstract":"<p><strong>Background: </strong>Physical restraint is used in residential care despite not being recommended. Decision is influenced by patient characteristics, healthcare provider attitudes, with families often viewing it as a protective tool. Limited research on home care underscores the need for awareness and informed, collaborative decision-making to balance safety, autonomy, and quality of life.</p><p><strong>Methods: </strong>. A qualitative descriptive study was conducted in a primary care setting in northern Italy, to explore the use of physical restraint and the decision-making process that led to its use in home care. Twenty-five nurses employing in the involved department were recruited via convenience sampling. Data were gathered through face-to-face interviews using a semi-structured guide. Data were analysed using thematic analysis.</p><p><strong>Results: </strong>. Use of physical restraint in home care aims to ensure patient safety, autonomy, and support caregiver respite. Decision to use physical restraint are influenced by 1) meanings and purposes of restraint, (2) patient-related factors, (3) caregiver role and needs, (4) nurse-caregiver negotiation, and (5) balancing risks, benefits, and alternatives.</p><p><strong>Conclusion: </strong>. The study highlights the complexity of physical restraint use in home care, where professional responsibility must balance with family roles and patient well-being. Supporting nurses through training, guidelines, and communication is essential to ensure patient safety and family well-being.</p>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"100564"},"PeriodicalIF":5.2,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13213783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057246","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":"Older surgical patients’ preferences for follow-up care after hospital discharge: A multi-method qualitative study into their underlying needs","authors":"Aafke J de Groot ,&nbsp;Marike E de Boer ,&nbsp;Elizabeth M Wattel ,&nbsp;Cees MPM Hertogh ,&nbsp;Marja FIA Depla","doi":"10.1016/j.ijnsa.2025.100394","DOIUrl":"10.1016/j.ijnsa.2025.100394","url":null,"abstract":"<div><h3>Background</h3><div>Almost 30 % of older patients suffer from functional decline during hospital stay which often makes follow-up care decisions necessary. However, little is known about the topics that are relevant to these patients and their families to address in discharge conversations.</div></div><div><h3>Objective</h3><div>This study aims to provide insight into the perspective of older surgical patients on follow-up care by exploring their considerations expressed throughout the process of discharge planning.</div></div><div><h3>Design</h3><div>A multi-method qualitative study</div></div><div><h3>Participants</h3><div>Participants were older patients from a surgical ward who anticipated to require follow-up care after discharge.</div></div><div><h3>Methods</h3><div>Data collection included: 1) interviews with patients; 2) informal conversations with family members and professionals; 3) non-participant observations during medical rounds and bedside conversations; 4) extraction from medical records. In all data sources, the focus was on capturing the patients’ considerations with regard to follow-up care. We employed inductive thematic analysis to identify needs that underlie patients’ preferences for follow-up care.</div></div><div><h3>Results</h3><div>Twelve older surgical patients with complex or delayed discharge were followed. Their considerations with regard to follow-up care revealed five underlying needs: 1. Safety (adequate care), 2. Familiarity (trusted people and surrounding), 3. Independence (active and autonomous living), 4. Continuity (resume previous life) and 5. Relief (ending endurance). Most participants had more than one need.</div></div><div><h3>Conclusions</h3><div>Older surgical patients’ perspective on follow-up care can be captured by five underlying needs. Gaining insight into these needs contributes to a better understanding of patients’ preferences for follow-up care. We therefore recommend exploring these needs in older surgical patients, as well as identifying potential similar or additional needs for other subgroups of older hospital patients, as an important step toward personalized decision-making in transitional care.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100394"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757554","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":"Decision support strategies for bedside nursing clinical reasoning: A scoping review","authors":"Lara Daniela Matos Cunha ,&nbsp;Filipa Ventura ,&nbsp;Márcia Pestana-Santos ,&nbsp;Mauro Mota ,&nbsp;Lurdes Lomba ,&nbsp;Margarida Reis Santos","doi":"10.1016/j.ijnsa.2025.100393","DOIUrl":"10.1016/j.ijnsa.2025.100393","url":null,"abstract":"<div><h3>Background</h3><div>Proficiency in clinical reasoning is crucial for achieving positive patient outcomes in healthcare. Nurses should take an active role in fostering their clinical reasoning skills. Bedside support strategies aim to offer practical, invaluable, and easily applicable resources for restructuring cognitive processes in situations of complex clinical demands.</div></div><div><h3>Objective</h3><div>This review aimed to map evidence on bedside decision strategies applied by nurses to support clinical reasoning.</div></div><div><h3>Methods</h3><div>The review followed the Joanna Briggs Institute recommendations for scoping reviews.</div></div><div><h3>Information</h3><div>Sources Studies were retrieved from Medline (PubMed), CINAHL (EBSCOhost), Web of Science Core Collection, Scopus, Cochrane CENTRAL, RCAAP (Repositórios Científicos de Acesso Aberto de Portugal), and Google Scholar. Studies published in Portuguese, English, Spanish, or Swedish, without imposing geographical or cultural restrictions were considered. Qualitative and quantitative studies on bedside decision strategies that support nursing clinical reasoning were included, while studies exclusively focused on education, case-specific content, or Artificial Intelligence applications were excluded.</div></div><div><h3>Results</h3><div>Out of 1889 results, 14 studies met the inclusion criteria. The studies were conducted in countries such as China, New Zealand, Norway, Brazil, Indonesia, Canada, Ireland, the United Kingdom, United States, and Australia, involving nurses, patients, and healthcare teams, with study designs ranging from qualitative research and cohort studies to quasi-experimental and theoretical analyses.These studies identified two key strategies: normative (following guidelines) and reflective (based on critical self-reflection).</div></div><div><h3>Conclusions</h3><div>Reflective strategies are widely used at the bedside, emphasizing the importance of adaptability in uncertain clinical environments. Despite Artificial Intelligence’s role in clinical decision-making, fostering critical thinking and decision-making skills in nurses remains essential.</div></div><div><h3>Registration</h3><div>OSF <span><span>https://doi.org/10.17605/OSF.IO/H96VQ</span><svg><path></path></svg></span>.</div></div><div><h3>Tweetable abstract</h3><div>A scoping review identified normative and reflective bedside strategies used by nurses to support clinical reasoning, highlighting the value of adaptability and critical thinking in complex care settings. #ClinicalReasoning #Nursing #PatientCare.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100393"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144766488","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":"Knowledge mapping of burnout among nursing professionals: A bibliometric study","authors":"Simin Chi ,&nbsp;Weiyi Wang ,&nbsp;Mujun Wan ,&nbsp;Sijia Xu ,&nbsp;Fang He ,&nbsp;Linyuan Zhang ,&nbsp;Shanbo Hu ,&nbsp;Xiwen Liu","doi":"10.1016/j.ijnsa.2025.100427","DOIUrl":"10.1016/j.ijnsa.2025.100427","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Occupational burnout is defined as a state of physical and mental exhaustion resulting from prolonged exposure to work-related stress, which is particularly evident among healthcare workers. With the changing global health situation, nurses are experiencing increased work pressures, leading to a growing incidence of occupational burnout. This affects not only the physical and mental well-being of nurses but also the quality of nursing care provided. Therefore, research on occupational burnout among nurses is of great significance. Our objective was to review systematically the current research status, identify key hotspots, and analyze trends in this field through bibliometric analysis, thereby offering a reference for future research.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;In this study, literature related to occupational burnout among nurses published between January 2004 and April 2024 in the Web of Science database was retrieved. For trend comparisons, 2024 publication volume was annualized by multiplying Jan-Apr counts by 3. A total of 977 articles were included for analysis. Tools such as the \"bibliometrix\" package in R software, Citespace 6.3.R1, and VOSviewer were used to conduct statistical analyses on the publication year, authors, journals, keywords, etc. of the literature.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;From our results, we demonstrated that the number of studies in this field had risen steadily, with a marked surge following the COVID-19 pandemic in 2020. In terms of research output, the United States (US) (204 articles) China (185 articles), and Spain (77 articles) were in the leading positions. Meanwhile, strong collaborative relationships were found between the US and China, as well as between Spain and Chile. Leading institutions included Universidad de Granada (22 articles), the University of Pennsylvania (20 articles), and Shandong University (17 articles). We identified two authors as having made foundational contributions, while &lt;em&gt;Nursing&lt;/em&gt; and &lt;em&gt;Public Health&lt;/em&gt; were core journals. Keyword evolution revealed three research phases: early emphasis on mental health correlations (2004–2010), mid-phase focus on job satisfaction predictors (2013–2019), and post-2020 systemic analyses addressing COVID- 19′s impact on intensive care unit burnout. Protective factors, such as structural empowerment, gained prominence after 2015, signaling a shift toward research on preventive approaches.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Through bibliometric analysis, we have presented stress, job satisfaction, and caregiving as enduring focal themes in research on burnout among nursing professionals. Recent trends have highlighted an escalated focus on pandemic-amplified factors. We have presented comprehensively the research status and trends in the field of occupational burnout among nurses, providing a reference basis for in-depth research. However, the study has limitations, such as data sources and","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100427"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265287","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":"Co-designing interventions to improve emergency department discharge communication with youths, parents and healthcare providers: a process evaluation","authors":"Allyson J Gallant ,&nbsp;Janet A Curran ,&nbsp;Mari Somerville ,&nbsp;Lori Wozney ,&nbsp;Christine Cassidy ,&nbsp;Alannah Delahunty-Pike ,&nbsp;Rebecca Mackay ,&nbsp;Shannon MacPhee ,&nbsp;Emma Burns ,&nbsp;Helen Wong ,&nbsp;Melanie Doyle ,&nbsp;Amy Plint ,&nbsp;Roger Zemek","doi":"10.1016/j.ijnsa.2025.100362","DOIUrl":"10.1016/j.ijnsa.2025.100362","url":null,"abstract":"<div><h3>Background</h3><div>Emergency departments (ED) are imperfect environments for information exchange. Communication interventions at discharge can lower readmission rates and improve adherence to follow-up. However, these interventions are rarely designed in partnership with ED clinicians, youth and their parents.</div></div><div><h3>Objective</h3><div>To describe a theory-based co-design methodology and corresponding process evaluation to improve discharge communication for two common ED presentations: asthma and minor head injury.</div></div><div><h3>Methods</h3><div>Eligible participants were clinicians who worked in a pediatric ED and parents and youth (aged 12–17) with recent ED experience for either presentation. Co-design teams followed a structured meeting process guided by the Behaviour Change Wheel to facilitate priority setting and intervention design. Process data was captured through meeting recordings, surveys and exit interviews. Quantitative data was analyzed using descriptive statistics and qualitative data through thematic analysis.</div></div><div><h3>Results</h3><div>Each co-design team included eight members (<em>n</em> = 16) participating across eight co-design meetings (mean length: 82 min). The asthma team developed a symptom screening checklist, while the head injury team designed a concussion symptom management tool. Participants reported feeling confident in the co-design process, which increased with active engagement and seeing their decisions incorporated into intervention prototypes. Lengthy meetings and overall time commitment were issues identified by some participants across surveys and interviews.</div></div><div><h3>Conclusions</h3><div>A theory-based co-design approach provided a useful structure to partner with youth, parents and ED clinicians to develop discharge communication tools. Consideration is needed when scheduling the timing and length of the co-design meetings to account for the schedules of both service providers and users.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100362"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144307667","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}