International Journal of Nursing Studies Advances最新文献

{"title":"The role of nursing communication: A critical interpretive synthesis","authors":"Julie B. Grant ,&nbsp;Jacqueline Jones ,&nbsp;Carey Candrian ,&nbsp;Kathleen S. Oman ,&nbsp;Sean M. Reed","doi":"10.1016/j.ijnsa.2025.100373","DOIUrl":"10.1016/j.ijnsa.2025.100373","url":null,"abstract":"<div><h3>Aim</h3><div>The primary aim of this paper is to explore and interpret the <em>role of nursing communication in patient care</em>. The secondary aim is to identify conceptual inconsistencies in the existing literature and synthesize these insights with our previous interpretations to develop a conceptual framework that clarifies the role of nursing communication, thereby providing a nursing-specific foundation for developing communication skills.</div></div><div><h3>Background</h3><div>The need for <em>effective nursing communication</em> is widely emphasized within the discipline of nursing, and despite the widespread use of that phrase, its role in patient care and the nursing profession remains nebulous. Nursing communication's meaning and value have become more equated with financial indicators than the nurse-patient relationships central to the phenomenon.</div></div><div><h3>Methods</h3><div>A Critical Interpretive Synthesis approach was used to interpret the role of nursing communication in patient care. Electronic searches of <em>PubMed, EBSCOhost, Cochrane Library, PsycINFO, Communication &amp; Mass Media Complete, Web of Science, Embase,</em> and <em>Google Scholar</em> were conducted between January 2024 and March 2024. A CIS seven-phase process guided the literature synthesis and formation of a conceptual framework.</div></div><div><h3>Results</h3><div>Five synthetic constructs clarify the role of nursing communication and contribute to the final conceptual framework: 1) ongoing holistic engagement, 2) humble guide supporting the patient's itinerary, 3) effective information exchange, 4) maintaining nursing individuality within an existing system, and 5) nursing presence.</div></div><div><h3>Conclusion</h3><div>The role of nursing communication emphasizes maintaining a nursing presence that communicates high-quality physical care and ongoing holistic engagement centered around the patient's values, needs, and wishes. This conceptual framework prioritizes the unique nurse-patient communicatory relationship and gives nurse researchers, policymakers, and educators a new way of thinking about and prioritizing the role of nursing communication.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100373"},"PeriodicalIF":3.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144571037","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":"Assessing current status and exploring influencing factors and mechanisms of mothers’ discharge readiness for premature infants: A cross-sectional analysis using structural equation modeling","authors":"Lingping Zhang ,&nbsp;Junjie He ,&nbsp;Yue Zhou ,&nbsp;Jialin Li ,&nbsp;Jialin Qiu ,&nbsp;Xiaomei Li","doi":"10.1016/j.ijnsa.2025.100372","DOIUrl":"10.1016/j.ijnsa.2025.100372","url":null,"abstract":"<div><h3>Background</h3><div>Prematurity remains a global health challenge, with preterm infants’ immaturity placing significant caregiving demands on mothers.</div></div><div><h3>Objectives</h3><div>This study aimed to assess mothers’ discharge readiness for preterm infants and explore influencing factors using structural equation modeling to inform discharge preparation plans.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Settings</h3><div>Three Level Ⅲ hospitals in western China.</div></div><div><h3>Participants</h3><div>From July, 2023, to February 2024, 258 mothers of preterm infants were included in the study.</div></div><div><h3>Methods</h3><div>The Readiness for Hospital Discharge Scale assessed mothers’ discharge readiness. Relevant factors were evaluated using General Information Questionnaire, Self-Rating Anxiety Scale, and Quality of Discharge Teaching Scale. Data were analyzed using SPSS; hypotheses were tested with AMOS.</div></div><div><h3>Results</h3><div>Mean discharge readiness score was 198.70±29.60. Significant direct effects included gestational age (β=0.31), household income (β=0.13), online learning (β=0.18), bedside learning (β=0.20), anxiety (β=−0.24), and perception of discharge teaching quality (β=0.36). A chain mediation effect was observed among bedside learning, discharge teaching quality, anxiety, and discharge readiness. Gestational age cutoff of 224.5 days (≈32 weeks) was identified for targeting interventions.</div></div><div><h3>Conclusion</h3><div>Mothers’ discharge readiness for preterm infants was inadequate. Discharge teaching emerges as the most significant target intervention. In clinical practice, emphasis should be placed on guiding mothers of preterm infants with gestational ages &lt;32 weeks. This can be achieved by integrating online study with bedside learning to enhance discharge teaching quality, thereby reducing anxiety levels, promoting mothers’ discharge readiness for preterm infants, and facilitating a smooth transition to home care.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100372"},"PeriodicalIF":3.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144662952","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":"Workers' satisfaction with health surveillance: Development and validation of a new scale","authors":"Adrián Fernández-del-Peral ,&nbsp;Javier González-Caballero ,&nbsp;Ángel Pérez-Navarro ,&nbsp;María-Antonia Ruiz-Olmedo ,&nbsp;Juan-Pedro Castillo-Córdoba ,&nbsp;María-del-Carmen Gallego-Peragón ,&nbsp;Manuel Romero-Saldaña","doi":"10.1016/j.ijnsa.2025.100368","DOIUrl":"10.1016/j.ijnsa.2025.100368","url":null,"abstract":"<div><h3>Background</h3><div>Health surveillance in the workplace involves conducting occupational health examinations of workers based on the risks to which they are exposed. The objective is to protect their health and proactively identify potential harm resulting from occupational activities. However, there is no assessment tool which focuses on workers' satisfaction with this activity. Therefore, having a validated instrument for measuring workers' satisfaction with health surveillance would enable the optimization of the care provided in occupational health services through a continuous improvement process.</div></div><div><h3>Objective</h3><div>To develop and validate a questionnaire to assess the satisfaction of the working population with health surveillance.</div></div><div><h3>Design</h3><div>A cross-sectional psychometric validation study.</div></div><div><h3>Setting</h3><div>Data were collected from an occupational health service in Spain.</div></div><div><h3>Participants</h3><div>A total of 600 participants were included, selected by convenience sampling.</div></div><div><h3>Methods:</h3><div>The research was carried out in four phases: i) Design review and selection of the questionnaire items. ii) Content validation: participation of a group of 12 experts, using Delphi methodology. iii) Pilot study: running a pilot study (n = 30 workers). iv) Construct validation: with a sample of 600 workers, performing an exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), both on sample of 300 workers.</div></div><div><h3>Results</h3><div>The final version of the scale comprised 17 items distributed in 4 factors, explaining 63.4 % of the total variance. Content validity (Aiken's V coefficient = 0.904, Lawshe's content validity index = 0.868) and construct validity (Cronbach’s alpha = 0.870, McDonald's omega = 0.872, intraclass correlation coefficient = 0.861) were demonstrated. The factors obtained in the EFA with half of the sample were confirmed in the other half, with the CFA indices suggesting an acceptable model fit.</div></div><div><h3>Conclusions</h3><div>The psychometric properties showed a valid, reliable instrument to assess workers' satisfaction with health surveillance. It is therefore a useful tool for occupational health professionals and can improve the care provided to workers.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100368"},"PeriodicalIF":3.1,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144502366","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":"Translation and validation of the Chinese version of quality of physician-patient interaction scale","authors":"Jing Li ,&nbsp;Thitipong Tankumpuan ,&nbsp;Aurawamon Sriyuktasuth ,&nbsp;Patricia M. Davidson","doi":"10.1016/j.ijnsa.2025.100369","DOIUrl":"10.1016/j.ijnsa.2025.100369","url":null,"abstract":"<div><h3>Background</h3><div>While the importance of outpatient physician-patient interaction is increasingly recognized, there remains a lack of effective tools to assess these interactions in mainland China. This gap limits our understanding of the nuances in outpatient physician-patient interactions.</div></div><div><h3>Objective</h3><div>This study aimed to translate the Questionnaire on the Quality of Physician-Patient Interaction (QQPPI) into Chinese and validate its effectiveness in assessing the quality of outpatient physician-patient interactions.</div></div><div><h3>Methods</h3><div>This study recruited 466 outpatients using convenience sampling and was conducted in four phases: (1) translation and back-translation to develop the Chinese version of the QQPPI (QQPPI-C); (2) expert review for cultural and contextual relevance; (3) psychometric validation, including exploratory factor analysis on 140 participants and confirmatory factor analysis, measurement invariance, and convergent validity on the remaining 326; and (4) internal consistency assessment using Cronbach’s α and Guttman’s λ₄.</div></div><div><h3>Results</h3><div>Among the 466 participants (mean age 48.89 ± 14.93 years; 50.2 % male), 140 were randomly assigned for exploratory factor analysis, which supported a unidimensional scale structure explaining 52.12 % of the variance. The remaining 326 participants were used for confirmatory factor analysis and other validity assessments. confirmatory factor analysis indicated good model fit (χ²/df = 2.338, Root Mean Square Error of Approximation = 0.064, Incremental Fit Index = 0.937, Comparative Fit Index = 0.963, Tucker-Lewis Index = 0.955, and Root Mean Square Residual = 0.031). The QQPPI-C showed excellent internal consistency (Cronbach’s α = 0.939, Guttman’s λ₄= 0.940), high content validity (scale-level content validity index = 0.968), adequate convergent validity, and measurement invariance across genders.</div></div><div><h3>Conclusions</h3><div>The QQPPI-C is a reliable and valid tool for assessing outpatient physician-patient interaction quality in China. Its use can support clinical communication improvement and research on patient-centered care.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100369"},"PeriodicalIF":3.1,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491145","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":"Realigning identity: Nurse executives' experiences within a new socio-professional group – A classic grounded theory study","authors":"Cora Lunn ,&nbsp;Claire O’ Donnell ,&nbsp;Sarah MacCurtain ,&nbsp;Alice Coffey","doi":"10.1016/j.ijnsa.2025.100367","DOIUrl":"10.1016/j.ijnsa.2025.100367","url":null,"abstract":"<div><h3>Background</h3><div>Nurse executives play a crucial role in adapting to the evolving needs of healthcare communities. Existing research demonstrates the positive impact of nursing leadership practices on workforce retention, job satisfaction and overall well-being. The complexities surrounding role transitioning for nurse executives remains under explored.</div></div><div><h3>Objective</h3><div>This study aims to deepen the understanding of how nurse executive leaders navigate the intricate process of role transitioning, providing insights into their experiences and challenges.</div></div><div><h3>Design</h3><div>This study was conducted using Glaser's classic grounded theory.</div></div><div><h3>Setting</h3><div>This study was carried out in acute hospital settings at seven different sites in the Republic of Ireland.</div></div><div><h3>Participants</h3><div>Participants were 12 nurse executives who were working in the Republic of Ireland, with additional reflective diary notes gathered from conversations with six international nurse executives.</div></div><div><h3>Methods</h3><div>Data were collected through unstructured interviews conducted between January 2020 and September 2022. The process of data collection and analysis occurred simultaneously, with the data being analysed based on the principles of classic grounded theory.</div></div><div><h3>Results</h3><div>This study introduces the theory of Identity Realigning, which describes the leadership development of nurse executives through three stages: identity earning, role transitioning, and self-integrating. Identity Earning involves forming a new identity within a new socio-professional group. Role transitioning is the psychological process of moving from one role to another, encompassing various stages. Self-Integrating refers to the extent of assimilation into the new role and socio-professional group. Factors such as organisational design and resources were identified as contextual conditions that can either facilitate or impede success for nurse executives.</div></div><div><h3>Conclusion</h3><div>The theory of Identity Realigning provides significant insights for educators, leaders, and policymakers by explaining the intricate process of role transitioning for nurse executives. It establishes a clear link between shifts in professional identity and the processes of role transitioning and integration. This connection underscores the critical importance of developing executive skills and highlights the necessity for tailored professional development strategies for this cohort.</div><div>Identity realigning theory; Nurse executive; Identity earning; Role transition; Self-integration</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100367"},"PeriodicalIF":3.1,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144314356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses’ challenges and strategies for safeguarding care quality and safety: A qualitative study on situated resilience","authors":"Mariëlle Van Mersbergen-de Bruin ,&nbsp;Catharina Van Oostveen ,&nbsp;Anne Marie Weggelaar-Jansen","doi":"10.1016/j.ijnsa.2025.100365","DOIUrl":"10.1016/j.ijnsa.2025.100365","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Most healthcare delivery succeeds in safeguarding high-quality care and safety. This is largely due to the adaptive capacity and situated resilience work of healthcare professionals as nurses who keeps things on track&lt;em&gt;.&lt;/em&gt; However, much of their situated resilience work in complex everyday practice remains hidden or is done behind the scenes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To explore situated resilience in everyday nursing practice and shed light on the often invisible efforts of nurses as they manage immediate challenges and navigate complex processes to ensure care quality and safety.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A qualitative design.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting(s)&lt;/h3&gt;&lt;div&gt;The surgical and an ambulatory care team of an urban, 600-bed Dutch teaching hospital.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Nurses (&lt;em&gt;N&lt;/em&gt; = 37), nurse practitioners (&lt;em&gt;N&lt;/em&gt; = 2), managers (&lt;em&gt;N&lt;/em&gt; = 5),&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Data were collected through 80 hours of non-participant non-participant observations, three semi-structured interviews with nurses and one monodisciplinary (i.e. nurses) focus group. Thereafter, two multidisciplinary focus groups were conducted. Data were analysed using thematic analysis. The research protocol was approved by the ethical review board of Erasmus University Rotterdam under number ETH2122-0079.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Nurses are dedicated providing the high-quality care that ensures patient safety. In daily practice they face challenges that require them to make changes to system standards. We identified three key triggers for change and emerging strategies to handle these triggers: 1) when standard risk assessment does not fit nursing practice, nurses a) seem to comply with the system, b) adopt an investigative, attentive approach. 2) when protocols and guidelines do not align with daily practices, nurses a) proactively identify potential and actual changes, b) find the \"golden mean\" through relational negotiation and patient advocacy. 3) when nurses and other healthcare professionals hold differing values on care quality and safety, nurses a) find allies, and b) applied various indirect means.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Our study reveals that situated resilience in nursing is not only a television series of actions to fix misalignments or to deal with unexpected change. It unfolds as a relational process in which nurses adapt their behaviour intuitively according to a patient’s unique situation, values, and interests. By balancing the individual patient’s needs and values with organizational systemic demands nurses exhibit situated resilience. By recognizing and supporting situated resilience practices, organizations not only enhance the quality of daily practice but also structurally strengthen their adaptive and resilient capacities. Further research into the role of nurses in system-level resilience and the impact of experience o","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100365"},"PeriodicalIF":3.1,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144322585","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":"Experiences and perceptions of physical healthcare among adult autistic patients: A scoping review","authors":"Åsa Hedlund,&nbsp;Anna Andersson,&nbsp;Magnus Lindberg,&nbsp;Malin Jordal","doi":"10.1016/j.ijnsa.2025.100366","DOIUrl":"10.1016/j.ijnsa.2025.100366","url":null,"abstract":"<div><h3>Background and purpose</h3><div>The number of people diagnosed with autism is increasing globally, and autism is associated with poorer health outcomes. However, there is a lack of knowledge regarding how physical healthcare is experienced and perceived by adult autistic patients. The purpose of this scoping review is to provide an overview of the research on adult autistic patients’ experiences and perceptions of physical health care.</div></div><div><h3>Results</h3><div>Sixteen articles from four databases were included. They originated from the US, Europe, and Australia. Most of the articles were published between 2022 and 2024 and employed qualitative, quantitative, or mixed-methods approaches. Adult autistic patients’ experiences and perceptions of physical healthcare concerned various aspects, including the healthcare organization, rooms and spaces, healthcare staff, and physical examinations and treatments. The patients need opportunities to engage in written communication with healthcare staff, as well as waiting room environments that are low-sensory in nature.</div></div><div><h3>Conclusions</h3><div>Overall, the findings indicated that the healthcare needs of adult autistic patients were not being met, particularly concerning communication and sensory impressions. Additionally, there is a need for further research on inpatient hospital care as well as physical examinations and treatments.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100366"},"PeriodicalIF":3.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144279608","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":"Health educational interventions for adolescents living with HIV: A scoping review","authors":"Ndinohokwe Foibe Mukerenge ,&nbsp;Shelley Schmollgruber ,&nbsp;Ntombifikile Klaas","doi":"10.1016/j.ijnsa.2025.100359","DOIUrl":"10.1016/j.ijnsa.2025.100359","url":null,"abstract":"<div><h3>Background</h3><div>Adolescents living with HIV face unique challenges as they gain greater independence while transitioning into adulthood. They must adjust their self-management activities and take primary responsibility for their health, including adhering to medication regimens and attending clinic visits. These young individuals need to acquire knowledge about HIV and Antiretroviral treatment to manage their condition and improve their health outcomes effectively. This study aims to map existing interventions for adolescents with HIV, focusing on the types, content, and best practices that enhance their understanding of both HIV and Antiretroviral treatment.</div></div><div><h3>Methods</h3><div>The scoping review utilised a Joanna Briggs Institute (JBI) framework to map the relevant literature. We searched the CINAHL Complete, MEDLINE (via PubMed), ProQuest, Science Direct, and Scopus databases for studies published between January 1, 2000, and January 31, 2023. We selected studies using the inclusion criteria. Studies included health education programs as the intervention, which developed or implemented strategies to improve knowledge and skills related to HIV and self-management of antiretroviral treatment adherence among this population.</div></div><div><h3>Results</h3><div>Only five (5) studies met the eligibility criteria and were included in this review. Three (3) broad categories emerged from the analysis of the scoping review: the nature of interventions available for Adolescents living with HIV, the content of existing interventions, and best practices. The findings revealed limited evidence of programs aimed at adolescents in various settings. Most notable was the paucity of evidence on programs targeting Adolescents living with HIV, especially those that are designed to help them learn about their condition and associated treatment.</div></div><div><h3>Conclusion</h3><div>The review highlights the existence of limited evidence-based, context-specific, and consumer-tailored educational interventions for Adolescents living with HIV. More comprehensive, age-appropriate and personalised interventions are needed for adolescent self-management of HIV as a chronic health condition.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100359"},"PeriodicalIF":3.1,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338732","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":"2025-06-01","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}

{"title":"Cognitive biases and contextual factors explaining variability in nurses’ fall risk judgements: a multi-centre cross-sectional study","authors":"Miyuki Takase ,&nbsp;Naomi Kisanuki ,&nbsp;Yoko Sato ,&nbsp;Kazue Mitsunaka ,&nbsp;Masako Yamamoto","doi":"10.1016/j.ijnsa.2025.100356","DOIUrl":"10.1016/j.ijnsa.2025.100356","url":null,"abstract":"<div><h3>Background</h3><div>Assessing fall risk is a complex process requiring the integration of diverse information and cognitive strategies. Despite this complexity, few studies have explored how nurses make these judgements. Moreover, existing research suggests variability in nurses’ fall risk assessments, but the reasons for this variation and its appropriateness remain unclear.</div></div><div><h3>Objective</h3><div>This study aimed to investigate how nurses judge fall risk, and how cognitive biases and contextual factors are associated with their judgements.</div></div><div><h3>Methods</h3><div>Using purposive sampling, 335 nurses from six hospitals in western Japan participated in an online survey. The participants rated the likelihood of falls in 18 patient scenarios and completed measures of cognitive bias such as base-rate neglect, belief bias, and availability bias. A linear mixed-effects regression tree was used to identify factors related to their judgements, and a linear mixed-effects regression model examined associations between judgement variability, cognitive biases, and clinical speciality.</div></div><div><h3>Results</h3><div>Nurses’ fall risk assessments were primarily determined by whether patients called for assistance, followed by the use of sleeping pills, the presence of a tube or drain, and patient mobility status. Judgement variability was linked to nurses’ gender, education, clinical context/speciality, and susceptibility to availability bias.</div></div><div><h3>Conclusion</h3><div>Variability in clinical judgement may be justified when reflecting personalised, context-specific care. However, inconsistencies arising from cognitive biases are problematic. Healthcare organisations should offer targeted training to enhance contextual expertise and reduce the influence of cognitive biases on fall risk assessments.</div></div><div><h3>Study registration</h3><div>Not registered.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100356"},"PeriodicalIF":3.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213367","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}