International Journal of Nursing Studies Advances最新文献

{"title":"Assessment tools for the risk of pressure injury in children: A systematic review","authors":"Faustine Dessi ,&nbsp;Julien Valeille ,&nbsp;Pascale Beloni ,&nbsp;Jean Toniolo","doi":"10.1016/j.ijnsa.2025.100410","DOIUrl":"10.1016/j.ijnsa.2025.100410","url":null,"abstract":"<div><h3>Background</h3><div>Pressure injuries in pediatric patients are associated with increased morbidity, mortality, and prolonged hospital stays, making the identification of effective risk assessment tools critical in clinical practice. Accurate risk assessment is essential in clinical practice. Although several assessment tools exist, their applicability and effectiveness vary across pediatric populations.</div></div><div><h3>Objective</h3><div>To identify and evaluate tools designed to assess the risk of pressure injuries in children, focusing on their characteristics, validation populations, reliability, and applicability across different clinical contexts.</div></div><div><h3>Design</h3><div>A systematic review was conducted.</div></div><div><h3>Methods</h3><div>This systematic review (PROSPERO: CRD42024527687) was conducted in accordance with the Cochrane Handbook. Comprehensive searches were performed in five databases—PubMed, Google Scholar, CINAHL, Web of Science, and Embase—for studies published between January 2010 and March 2024. Eligible studies included those describing the development, use, or validation of pressure injury risk assessment tools in children. Two independent reviewers conducted the selection and appraisal process. Methodological quality was assessed using the QUADAS-2 and QAREL checklists, with general reference to COSMIN guidelines.</div></div><div><h3>Results</h3><div>Of 964 records screened, 28 studies met the inclusion criteria, encompassing research from 15 countries, with Brazil being the most represented. Studies focused on pediatric and neonatal intensive care units, general wards, and surgical units. Ten different risk assessment tools were identified, including the Braden Q, Braden QD, and Glamorgan scales. The Braden QD scale—an adaptation of the Braden Q including medical device-related risk—was the most frequently evaluated. Other tools, such as the Pediatric Pressure Ulcer Prediction and Evaluation Tool and the Braden Q+P, were specifically developed or adapted for pediatric and neonatal use.</div></div><div><h3>Conclusions</h3><div>All identified tools demonstrated acceptable validity and inter-rater reliability. However, no single tool proved universally applicable across all pediatric contexts. The Braden QD, Braden Q, and Glamorgan scales emerged as the most comprehensive, particularly in intensive care settings, aligning with National and European Pressure Ulcer Advisory Panel recommendations. Further research is warranted to enhance tool accuracy and contextual adaptability across pediatric care environments.</div></div><div><h3>Guidelines</h3><div>PRISMA.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100410"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144879586","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":"2025-12-01","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":"Acceptance and Commitment Therapy-based empowerment intervention for asthma management in parent-child dyads: A pilot randomised controlled trial","authors":"Xu Wang ,&nbsp;Wai Tong Chien ,&nbsp;Yuen Yu Chong","doi":"10.1016/j.ijnsa.2025.100381","DOIUrl":"10.1016/j.ijnsa.2025.100381","url":null,"abstract":"<div><h3>Background</h3><div>Asthma in school-age children adversely affects their daily lives and increases parental stress that may further compromise asthma management and worsen asthma control. Few interventions address both aspects simultaneously.</div></div><div><h3>Aim</h3><div>To evaluate the feasibility, acceptability, and preliminary efficacy of an Acceptance and Commitment Therapy-based empowerment intervention for asthma management in school-age children with asthma and their parents.</div></div><div><h3>Design</h3><div>A parallel, two-arm pilot randomised controlled trial.</div></div><div><h3>Setting</h3><div>Three paediatric respiratory clinics in Chengdu, China.</div></div><div><h3>Participants</h3><div>Children aged 6 to 12 years with asthma receiving daily controller medications and their parents.</div></div><div><h3>Methods</h3><div>Fifty-six parent-child dyads were randomised to either a 5-week intervention or usual asthma care. The intervention integrated Acceptance and Commitment Therapy, family empowerment strategies, and asthma education and self-management training, delivered weekly through three online parent sessions and two face-to-face parent-child sessions. Feasibility was assessed via recruitment, attrition, and intervention completion rates and acceptability through satisfaction questionnaires and focus group interviews. Preliminary efficacy was evaluated through asthma control and parental stress (primary outcomes); children’s asthma self-management ability; parental symptoms of anxiety and depression; psychological flexibility; asthma knowledge; and family empowerment in asthma management (secondary outcomes), measured at baseline and immediately post-intervention.</div></div><div><h3>Results</h3><div>We achieved 61.5 % recruitment, 71.4 % intervention completion rates, and low attrition (children 3.5 %, parents 10.7 %). High satisfaction (93–100 %) and positive qualitative feedback indicated good acceptability despite challenges, including disruptions from children during online sessions and barriers to attending face-to-face sessions. The intervention group demonstrated statistically-significant improvements in asthma control, parental stress, children's self-management ability, parental asthma knowledge, and family empowerment in asthma management, compared to controls. No statistically-significant between-group differences were observed for other outcomes.</div></div><div><h3>Conclusion</h3><div>We found that the intervention demonstrated feasibility, acceptability, and promising effects on asthma control, parental stress, and secondary outcomes related to asthma management. Future fully-powered trials should implement enhanced strategies to further improve intervention completion rates and optimise online learning environments to improve parental psychological outcomes and should include extended follow-up assessments to establish long-term efficacy.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100381"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144605087","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":"Corrigendum to “Factors associated with nursing care rationing in Poland: A cross-sectional observational study” [International Journal of Nursing Studies Advances, 9 (2025) 100413]","authors":"Daria Schneider-Matyka ,&nbsp;Kamila Rachubińska ,&nbsp;Anna Maria Cybulska ,&nbsp;Mariusz Panczyk ,&nbsp;Przemysław Ustianowski ,&nbsp;Ireneusz Walaszek ,&nbsp;Dorota Ćwiek ,&nbsp;Elżbieta Grochans ,&nbsp;Małgorzata Szkup","doi":"10.1016/j.ijnsa.2025.100419","DOIUrl":"10.1016/j.ijnsa.2025.100419","url":null,"abstract":"","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100419"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623102","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":"Person-centred care of people living with dementia and its regulation in German-speaking nursing homes: A qualitative focus group study","authors":"Anna Louisa Hoffmann-Hoffrichter ,&nbsp;Andreas Hohmann ,&nbsp;Bernhard Holle ,&nbsp;Rebecca Palm ,&nbsp;Martina Roes","doi":"10.1016/j.ijnsa.2025.100400","DOIUrl":"10.1016/j.ijnsa.2025.100400","url":null,"abstract":"<div><h3>Background &amp; aim</h3><div>Although nursing homes are aware of the relevance of person-centred care, the translation of this approach into practice remains difficult. This study aims to explore the meaning of person-centred dementia care and the role of internal regulations in German-speaking nursing homes in translating this concept into practice.</div></div><div><h3>Methods</h3><div>This study (a qualitative exploratory design) is part of an overall study of internal regulations about person-centred dementia care in nursing homes. In this substudy, we conducted nine virtual focus group discussions with experts from theory, practice, and regulatory authorities from Germany, Austria and Switzerland about person-centred dementia care. We analysed the data via qualitative content analysis using a deductive-inductive approach.</div></div><div><h3>Results</h3><div>For experts, the <em>leadership function</em> is crucial for the concept of person-centred dementia care in nursing homes. Leadership is inextricably linked to other elements, such as setting priorities, mindset, structural requirements, internal regulations and outcomes. Leadership therefore has a hinge function: it enables a limited and controlled rotation of connected elements to illustrate the dimensions of the individual elements from person-centred to non-person-centred. In addition to setting priorities and outcomes, mindset development and structural requirements are particularly relevant for the implementation of person-centred dementia care in nursing homes. The experts described differences between traditional internal regulations and regulations about person-centred dementia care in nursing homes. The development of internal regulations for person-centred dementia care and the content of these regulations are consequences of a circular, dialogical collective understanding process. It leads processually in a bottom-up manner to a common understanding of person-centred dementia care, which is then written down. Experts recommend formulating these regulations as concepts and options analogous to mindset development, which employees can use in the care of the resident while maintaining autonomy.</div></div><div><h3>Conclusions</h3><div>The study provides 1) insight into how person-centred dementia care and the role of internal regulation are understood in German-speaking nursing homes and 2) a precise description of the development of a mindset and regulations for person-centred dementia care in nursing homes that requires both top-down and bottom-up processes.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100400"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144827731","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":"Quality peer review","authors":"Jan Kottner ,&nbsp;Chiara Dall’Ora ,&nbsp;Peter Griffiths ,&nbsp;Ian Norman","doi":"10.1016/j.ijnsa.2025.100382","DOIUrl":"10.1016/j.ijnsa.2025.100382","url":null,"abstract":"","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100382"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145622921","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":"Adherence to peripheral venous catheters’ guidelines by emergency nurses: A systematic review","authors":"Joana Teixeira ,&nbsp;Celeste Bastos ,&nbsp;Maria do Rosário Pinto","doi":"10.1016/j.ijnsa.2025.100441","DOIUrl":"10.1016/j.ijnsa.2025.100441","url":null,"abstract":"<div><h3>Background</h3><div>Peripheral intravenous catheters are widely used in emergency departments for intravenous treatment. However, peripheral intravenous catheter practices supported by the latest evidence remain suboptimal, negatively affecting patient outcomes.</div></div><div><h3>Objective</h3><div>To identify the determinants influencing adherence to peripheral intravenous catheter guidelines in the emergency department (the insertion technique, maintenance protocols, and timely removal) and to analyse strategies for improving adherence.</div></div><div><h3>Methods</h3><div>A systematic review was conducted from August to September 2025, in the Cochrane Central Register of Controlled Trials, CINAHL Complete, MEDLINE Complete databases (via EBSCOhost), and SCOPUS and included eligible papers published from 2018, according to eligibility criteria: studies involving emergency department nurses or clinicians, focusing on peripheral intravenous catheter adherence determinants and related strategies. This approach followed the methodological guidelines of the Joanna Briggs Institute and the PRISMA Statement reporting guidelines for Systematic Reviews.</div></div><div><h3>Results</h3><div>The six studies included in this review identified individual, organisational, and clinical decision-making determinants that influence emergency nurses’ adherence to peripheral intravenous catheter infection prevention guidelines, including limited knowledge, training gaps, lack of institutional support, and inconsistent practices. Effective strategies included ongoing education, ultrasound-guided training, the involvement of vascular access teams, and quality improvement approaches like the Plan-Do-Study-Act cycle.</div></div><div><h3>Conclusions</h3><div>This review identified key determinants and strategies that influence and enhance emergency nurses’ adherence to infection prevention guidelines for peripheral intravenous catheter care. The importance of integrating technical training with supportive environments and effective clinical leadership is emphasised throughout multimodal intervention programs. Future interventions should prioritise team empowerment, alignment with institutional goals, and promoting nurses’ motivation and self-efficacy, ideally through participatory approaches.</div></div><div><h3>Registration</h3><div>PROSPERO Registration ID CRD42024506801, registered 03/09/2024.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100441"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623104","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":"Tensions experienced by student and care professionals in a learning and innovation network: a responsive evaluation using storytelling","authors":"M.(Marjolein) Albers ,&nbsp;R.J.J.(Robbert) Gobbens ,&nbsp;M.(Margreet) Reitsma ,&nbsp;H.L.G.R.(Henk) Nies ,&nbsp;O.A.A.M.J.(Olaf) Timmermans","doi":"10.1016/j.ijnsa.2025.100360","DOIUrl":"10.1016/j.ijnsa.2025.100360","url":null,"abstract":"<div><h3>Background</h3><div>Learning and innovation networks are collaborative initiatives between educational and healthcare institutions aimed at integrating the learning of students and care professionals and improving the quality of care through shared practices.</div></div><div><h3>Aim</h3><div>This study aims to explore how care professionals and students experience learning and working within a learning and innovation network.</div></div><div><h3>Methods</h3><div>Using a responsive evaluation, we collected data in four iterative phases: (1) interviews with four students and two care professionals to identify themes; (2) development of four fictional stories illustrating tensions based on interview data and practical experience; (3) focus groups with students and care professionals to validate and refine the stories; and (4) a mixed stakeholder group discussion to reflect and start to formulate improvement actions. Thematic analysis was used across all phases.</div></div><div><h3>Results</h3><div>Participants experienced various tensions, and one of the primary challenges for both students and care professionals was to balance the time allocated between learning activities, care provision and innovation projects. Students faced role ambiguity when performing unsupervised care tasks, feeling part of the team but also vulnerable in their learner status. Care professionals struggled with time constraints and competing demands between patient care and student supervision, which sometimes led to them withdrawing from guiding students. Another tension emerged around engaging in quality improvement. While participants recognized the importance of improving care, engaging in this progress was hindered by a lack of shared understanding of optimal rehabilitation practices and unclear responsibilities regarding implementing innovation. The student-dense environment, though rich in learning potential, heightened these tensions due to differing expectations and unclear roles.</div></div><div><h3>Conclusion</h3><div>Although learning and innovation networks offer valuable opportunities for mutual learning and improving care, they also introduce tensions that need to be acknowledged and addressed. Managing these tensions, especially around time division, role clarity and a shared vision for improving care, is essential for creating sustainable learning and innovation climates in practice.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100360"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144220971","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":"Effects of exercise therapy in patients with pancreatic cancer: A systematic review and meta-analysis","authors":"Mizuki Sekino ,&nbsp;Takuya Fukushima ,&nbsp;Katsuyoshi Suzuki ,&nbsp;Keiichi Osaki ,&nbsp;Ikumi Yokoyama ,&nbsp;Kazuko Katagiri ,&nbsp;Shinichiro Morishita ,&nbsp;Naoko Sato","doi":"10.1016/j.ijnsa.2025.100398","DOIUrl":"10.1016/j.ijnsa.2025.100398","url":null,"abstract":"<div><h3>Introduction</h3><div>The reported benefits of exercise therapy in patients with pancreatic cancer include maintaining and improving physical fitness and muscle strength, reducing treatment-related side effects, and enhancing quality of life. However, the evidence remains inconclusive, necessitating the integration of interventional studies to reach a consensus. This study aimed to elucidate the effects of exercise interventions for patients with pancreatic cancer through a meta-analysis of randomized controlled trials.</div></div><div><h3>Methods</h3><div>A literature search was conducted to identify articles published prior to May 2024, using the PubMed/MEDLINE, Scopus, CINAHL, and PEDro databases. Search terms included pancreatic cancer, exercise-related terminology, physical function, and quality of life. The primary outcome was quality of life, and the secondary outcome was physical function. All meta-analyses were conducted using a random-effects model.</div></div><div><h3>Results</h3><div>The final analysis included 6 studies, with sample sizes ranging from 40 to 172 patients. The intervention types were resistance training in 3 studies and a combination of aerobic exercise and resistance training in 3 studies. The timings of the interventions were after surgery or chemotherapy in 4 studies and during chemotherapy or chemoradiotherapy in 2 studies. Three randomized controlled trials used European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30 to assess quality of life. Physical function was evaluated using muscle strength measurements (isokinetic and isometric strength), the 5-chair stand test, and the 6-min walk test for exercise capacity. Exercise intervention was effective for improving physical quality of life (standardized mean difference = 0.41, 95 % confidence interval = 0.07–0.74, <em>p</em> = 0.02). In addition, improvements in both upper extremity muscle strength (standardized mean difference = 0.50, 95 % confidence interval = 0.21–0.80, <em>p</em> = 0.0008) and lower extremity muscle strength were observed (standardized mean difference = 0.35, 95 % confidence interval = 0.14–0.56, <em>p</em> = 0.0009). On the other hand, the 6-min walk test showed no significant difference in the effect of exercise therapy between the exercise and control groups.</div></div><div><h3>Conclusion</h3><div>The findings of this study indicate that exercise therapy for pancreatic cancer patients effectively increases muscle strength in the upper and lower limbs while improving their physical quality of life. However, because all the included studies were assessed as having a high risk of bias, the findings of this review should be interpreted with caution.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100398"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144781377","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":"Exploring the experience of patients who receive a telephone follow-up call from intensive care unit nurse specialists following hospital discharge: A descriptive survey","authors":"Sian Ingham ,&nbsp;Alasdair Jubb ,&nbsp;Monica Trivedi ,&nbsp;Milena Georgieva ,&nbsp;Catherine Yates ,&nbsp;Jill Hyde ,&nbsp;Joy McAdam ,&nbsp;Robyn Davies ,&nbsp;Petra Polgarova ,&nbsp;Lisa Enoch ,&nbsp;Olivia Bentham ,&nbsp;Eleanor Ruffle ,&nbsp;Joanne McPeake","doi":"10.1016/j.ijnsa.2025.100429","DOIUrl":"10.1016/j.ijnsa.2025.100429","url":null,"abstract":"<div><h3>Background</h3><div>Following hospital discharge from a critical care-related admission, patients can experience multiple problems. There is limited data about how patients can effectively be supported during recovery from critical illness. As such, different services have emerged internationally with the aim of improving outcomes.</div></div><div><h3>Objective</h3><div>The objective was to understand the experience of patients who received a telephone follow-up call from an Intensive Care Unit Recovery Nurse Specialist following a critical care-related hospitalisation. We sought to understand what patients valued about these calls, alongside any improvements which could be made.</div></div><div><h3>Methods</h3><div>Patients from a single centre in the UK, who received a telephone call by the Intensive Care Unit Recovery Nurse Specialist team approximately one month following hospital discharge, were asked to provide feedback on the call via a pre-specified survey. This study employed a descriptive design to report findings from the survey, integrating quantitative and qualitative data to comprehensively explore participant experiences. In this analysis, qualitative feedback was analysed using Framework Analysis and descriptive statistics were used to analyse quantitative data.</div></div><div><h3>Results</h3><div>We analysed survey data from 125 patients; this represented a response rate of 28.5%. In total, 98.2% (<em>n</em> = 123) of respondents found the call very useful or somewhat useful and 97.1% (<em>n</em> = 121) of respondents stated that the telephone call addressed or somewhat addressed physical health needs and 96.2 % (<em>n</em> = 120) of respondents stated that the telephone call addressed or somewhat addressed emotional health needs. From the qualitative data we derived five themes related to the experience of those receiving these telephone follow-up calls: reassurance and validation; personalised care planning and signposting; access to expertise; family support and scheduling and planning. Potential improvements included: the ability to schedule the call and the purposeful involvement of family members in the process.</div></div><div><h3>Conclusions</h3><div>This single centre analysis has explored the experience of those receiving a telephone follow-up call from an Intensive Care Unit Recovery Nurse Specialist following critical illness. In the respondents of this evaluation, the call provided reassurance, alongside supporting navigation to appropriate services following hospital discharge. Future research should explore the effectiveness of this intervention, including its impact across diverse groups.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100429"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265292","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}