JBI evidence synthesis最新文献

{"title":"Mapping evidence on kinesiophobia after anterior cruciate ligament reconstruction: a scoping review.","authors":"Vanessa Alpalhão, João R Vaz, Nuno Cordeiro, Pedro de Pezarat Correia","doi":"10.11124/JBIES-26-00001","DOIUrl":"https://doi.org/10.11124/JBIES-26-00001","url":null,"abstract":"<p><strong>Objective: </strong>This review identified, synthesized, and mapped the scientific evidence on kinesiophobia, as assessed by the Tampa Scale of Kinesiophobia (TSK), in individuals following anterior cruciate ligament reconstruction (ACLR), to provide clinicians with a comprehensive evidence map.</p><p><strong>Introduction: </strong>Kinesiophobia can negatively impact rehabilitation and return-to-sport outcomes after ACLR. Despite its clinical relevance, the available evidence is fragmented, making it challenging for clinicians to find clear answers to their clinical questions and apply findings consistently in practice.</p><p><strong>Eligibility criteria: </strong>We considered studies that assessed kinesiophobia using the TSK in individuals of any age or sex following ACLR, regardless of sport participation or geographical setting. Included sources comprised peer-reviewed primary and secondary research.</p><p><strong>Methods: </strong>A comprehensive search was conducted in the PubMed, Scopus, Academic Search Ultimate (EBSCOhost), SPORTDiscus (EBSCOhost), CINAHL Plus (EBSCOhost), and MEDLINE (EBSCOhost) databases up to September 2025. Research alerts were then maintained throughout the review process to identify newly published studies. A framework synthesis approach was adopted, whereby studies were systematically charted across 10 thematic domains, reflecting how kinesiophobia has been investigated in ACLR.</p><p><strong>Results: </strong>A total of 145 studies were included in this review. Most were cross-sectional and conducted in high-income countries, while longitudinal studies were limited. Adolescents and females were underrepresented, and the sample sizes and participant characteristics varied widely. Kinesiophobia was examined in relation to personal, clinical, functional, and neurophysiological variables. Intervention studies were scarce but explored cognitive-behavioral, educational, physical, and multimodal strategies for managing kinesiophobia. Only 2 studies adapted the TSK specifically for ACLR.</p><p><strong>Conclusions: </strong>Clinicians now have access to a structured map of the evidence on kinesiophobia post-ACLR, which may inform clinical reflection. Future research should address methodological limitations and expand investigations in underrepresented populations and contexts.</p><p><strong>Review registration: </strong>https://osf.io/dh4jk/JK.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184989","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":"Effectiveness of school-based sleep promotion programs for adolescents: a systematic review with meta-analysis.","authors":"Filipa Margarida Duque, Daniela Cardoso, Daniela Pinto, Diana Santos, Inês Franco Almeida, Telma Vidinha, Eduardo Santos, Ana Filipa Cardoso, Cristina Veríssimo, Rogério Rodrigues","doi":"10.11124/JBIES-24-00443","DOIUrl":"https://doi.org/10.11124/JBIES-24-00443","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The objective of this review is to assess the effectiveness of school-based sleep promotion programs for adolescents on sleep knowledge, sleep hygiene, sleep quality, sleep behavior, sleep efficiency, health-related quality of life, and depressive or anxiety symptoms.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Adolescence is a critical period for physical and mental development, during which, quality sleep is essential. However, many adolescents experience sleep deprivation due to factors such as excessive electronic device use, academic and peer pressures, stress, and anxiety. School-based sleep promotion programs have been proposed to address these issues, but their effectiveness remains unclear.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Eligibility criteria: &lt;/strong&gt;This review included studies published in English, Spanish, and Portuguese that assessed the effectiveness of school-based sleep promotion programs for adolescents aged 10 to 19 years on sleep knowledge, sleep hygiene, sleep quality, sleep efficiency, sleep behavior, health-related quality of life, and depressive or anxiety symptoms. Both randomized controlled trials and quasi-experimental studies, with or without a comparator, were eligible.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A comprehensive search strategy was used to identify relevant published and unpublished studies. Studies meeting the eligibility criteria were retrieved and their methodological quality was assessed by 2 independent reviewers using the JBI critical appraisal checklists for randomized controlled trials and quasi-experimental studies. Quantitative data were extracted using the standardized data extraction tool. Studies were pooled for statistical meta-analysis. Effect sizes were expressed as final post-intervention standardized mean differences, and their 95% CI were calculated. Heterogeneity was assessed statistically using the standard χ2 and I2 tests. Statistical analyses were performed using random-effects models and fixed-effect models. Where statistical pooling was not possible, the findings were presented in narrative format.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 34 studies met the inclusion criteria, with a total of 22,679 adolescents. Meta-analysis of randomized controlled trials showed statistically significant differences for sleep knowledge (SMD=0.99, 95% CI=0.48 to 1.50, P&lt;0.001), sleep hygiene (SMD=-0.20, 95% CI=-0.31 to -0.09, P=0.0003), and depressive symptoms (SMD=-0.70, 95% CI=-1.12 to -0.29, P&lt;0.001). No statistically significant differences were found for sleep quality (SMD=0.06, 95% CI=-0.16 to 0.27, P=0.62), sleep efficiency (SMD=0.12, 95% CI=-0.02 to 0.26, P=0.09), sleep behavior-total sleep time/sleep duration (SMD=0.69, 95% CI=-0.27 to 1.65, P=0.16), and sleep behavior-sleep onset latency (SMD=-0.88, 95% CI=-1.77 to 0.01, P=0.05). Large effect sizes were observed for sleep knowledge and sleep onset latency; moderate-to-large effects for depressive symptoms and total sleep time; and smal","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184994","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 service experiences of gender- and sexually diverse intended parents throughout the surrogacy journey: a scoping review protocol.","authors":"Clinton J Fildes, Jutharat Attawet, Jenny Fereday, Micah Dj Peters","doi":"10.11124/JBIES-26-00264","DOIUrl":"https://doi.org/10.11124/JBIES-26-00264","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review will identify and map health-related literature concerning gender- and sexually diverse individuals engaging with surrogacy in health care settings, including the stages of the surrogacy journey, and any reported barriers and facilitators.</p><p><strong>Introduction: </strong>Gestational surrogacy involves engagement with multiple health services and professionals across fertility, maternity, birth, and postnatal care, where cis-heteronormative assumptions about people's identities, family structure, and parenthood persist. Evidence indicates that gender- and sexually diverse individuals often report poorer experiences in health services, compared with cisgender heterosexual individuals. Bias, discrimination, and the absence of inclusive information are commonly reported issues. There is limited guidance on how health services should support this group, which may contribute to variability in practice and suboptimal outcomes.</p><p><strong>Eligibility criteria: </strong>This scoping review will include scholarly and gray health-related literature concerning gender- and sexually diverse individuals engaging in surrogacy within health services. Literature focused solely on legal or ethical issues without health application will be excluded. There will be no restrictions on location, language, or publication date.</p><p><strong>Methods: </strong>The review will be guided by the JBI methodology for scoping reviews and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Published literature will be located using CINAHL (EBSCOhost), Emcare (Ovid), Health Collection (Informit), and MEDLINE (Ovid). References of included studies will be hand-searched. Gray literature will include government and professional college documentation obtained from websites. Findings will use a combination of graphical, diagrammatic, and/or tabular formats accompanied by narrative explanations.</p><p><strong>Review registration: </strong>OSF https://osf.io/72n46/.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184984","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":"School staff experiences of responding to adolescent self-harm: a qualitative systematic review protocol.","authors":"Xubin He, XingHong Xu, Ping Yang, Bo Yang","doi":"10.11124/JBIES-26-00208","DOIUrl":"https://doi.org/10.11124/JBIES-26-00208","url":null,"abstract":"<p><strong>Objective: </strong>This review will aim to systematically identify, appraise, and synthesize qualitative evidence on the lived experiences of K-12 school staff responding to adolescent self-harm.</p><p><strong>Introduction: </strong>As adolescent self-harm increases globally, school staff often serve as frontline gatekeepers; however, staff may feel ill-equipped to deal with such situations and experience psychological distress, uncertainty, and role ambiguity. Synthesizing these experiences is important for informing targeted competency training and strengthening school-based response and referral systems.</p><p><strong>Eligibility criteria: </strong>This review will include primary empirical qualitative studies exploring the subjective experiences of K-12 school staff who have first-hand experience of recognizing, interpreting, or responding to adolescent self-harm, or supporting adolescents aged 10-19 years who engage in self-harm. The phenomenon of interest will include emotional responses, role negotiation, systemic challenges, referral pathways, and support and training needs. Purely quantitative studies and studies conducted exclusively in specialized clinical or non-school settings will be excluded.</p><p><strong>Methods: </strong>This review will follow the JBI methodology for systematic reviews of qualitative evidence. A comprehensive search without language restrictions will be conducted in PubMed, MEDLINE (Ovid), Embase (Ovid), CINAHL (EBSCOhost), PsycINFO (Ovid), Scopus, Web of Science Core Collection, relevant JBI evidence-based practice resources, CNKI, Wanfang Data, and CBM, from database inception to March 15, 2026. Gray literature, citation tracking, and expert consultation will supplement database searching. Two reviewers will independently screen studies, appraise methodological quality, and extract data, including qualitative findings, using standardized procedures. Qualitative findings will be synthesized using JBI meta-aggregation, and confidence in the synthesized findings will be assessed using the JBI ConQual approach.</p><p><strong>Review registration: </strong>PROSPERO CRD420261341227.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149460","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 of pregnant people affected by natural disasters: a qualitative systematic review.","authors":"Satoko Suzuki, Naho Sato","doi":"10.11124/JBIES-25-00428","DOIUrl":"https://doi.org/10.11124/JBIES-25-00428","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This qualitative systematic review identifies, appraises, and synthesizes existing qualitative evidence on the experiences of pregnant people during natural disasters to provide a deeper understanding of the complex factors shaping these experiences.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Support for pregnant people affected by natural disasters must address not only their physical and mental health needs but also the safety and well-being of the fetus. Such support requires consideration of pregnancy-specific risks and must address complex contextual factors, including family relationships, social support, and stress. However, evidence describing the experiences of pregnant people during natural disasters remains limited.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Eligibility criteria: &lt;/strong&gt;This review includes studies focusing on the experiences of pregnant people living in disaster-affected areas during natural disasters. Both published and unpublished qualitative studies were eligible for inclusion, including those with data collected through interviews and observations in English or Japanese.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The databases searched included MEDLINE, CINAHL, and PsycINFO, PsycArticles (for English-language studies) via EBSCOhost, as well as CiNii and Ichushi-Web (for Japanese-language studies). Reference lists of included studies were also screened to identify additional relevant studies. Gray literature was searched using Google Scholar and ProQuest Political Science. The JBI approach was followed for study selection, critical appraisal, data extraction, and data synthesis. The ConQual approach was used to grade the synthesized findings and assess the level of confidence in the evidence.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Twelve studies were included, yielding 138 findings that were grouped into 11 categories and synthesized into 3 synthesized findings: i) Overwhelming fear and uncertainty: experiencing a disaster during pregnancy is overwhelming and terrifying because it involves not knowing what is important in an unsafe and unstable situation, and uncertainties about the continuation of the pregnancy and the health of the child; ii) Decision-making and coping within the context of pregnancy: pregnant people analyze the problems and suffering caused by the disaster to decide how to deal with them, fight for fetal well-being in the chaotic situation they are experiencing, and consider their pregnancy when deciding how to escape and where to go during a disaster, iii) Survival constraints and social connectedness: facing disaster during pregnancy means surviving with food, water, and sanitation shortages, suffering setbacks in prenatal care, and relying on the support of friends and family, leading a person to recognize the crucial importance of human connections in a challenging life moment.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This systematic review highlights the multifaceted challenges faced by pregnant individuals during ","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128805","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":"Information needs and information-seeking behaviors of patients, carers, and families in acute care hospital settings: a protocol for a scoping review update.","authors":"Kathryn Kynoch, Rosie Glynn, Peter Sondergeld, Mary-Anne Ramis","doi":"10.11124/JBIES-26-00152","DOIUrl":"https://doi.org/10.11124/JBIES-26-00152","url":null,"abstract":"<p><strong>Objective: </strong>This review will map the updated literature on information needs and information-seeking behaviors of patients, carers, and families in acute care hospital settings.</p><p><strong>Introduction: </strong>Providing information to patients, carers, and families during hospital admission is essential for effective communication. Preferences regarding the mode, timing, and source of information vary widely, and expectations have evolved since the COVID‑19 pandemic. This updated scoping review will map contemporary approaches, trends, and concepts underpinning information delivery in acute hospital settings, contrasting the results with findings from our previous review. This review will form part of a collaboration between health professionals and academic library information specialists.</p><p><strong>Eligibility criteria: </strong>This review will consider sources of evidence on information needs and information-seeking behaviors of adult patients, carers, or family members within acute care hospital settings. It will consider the information content, timing of delivery, preference for who communicates, and mode of delivery. This review will consider qualitative and quantitative study designs, including research syntheses, published in any language over 2017-2026.</p><p><strong>Methods: </strong>This review will follow the JBI methodology for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. The databases to be searched include CINAHL, MEDLINE, PsycINFO, Web of Science, Embase, the Cochrane Central Register of Controlled Trials, Emcare, and Scopus. We will consider published and unpublished articles, and data will be extracted by 2 reviewers independently. We anticipate many included articles, so tables, figures, and infographics will be used to support the presentation of high-level narrative results.</p><p><strong>Review registration: </strong>OSF https://osf.io/9rd3n.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128834","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":"Challenges and enablers in health care commissioning using the epis implementation framework: a scoping review.","authors":"Lankika Dhanushi Jayathilaka, Candice Oster, Gillian Harvey, Belinda Lange","doi":"10.11124/JBIES-25-00466","DOIUrl":"https://doi.org/10.11124/JBIES-25-00466","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review synthesizes evidence on challenges and enablers influencing health care commissioning using the EPIS (exploration, preparation, implementation, sustainment) framework to examine contextual determinants across system-level (outer), organizational-level (inner), and bridging domains.</p><p><strong>Introduction: </strong>Health care commissioning is a strategic mechanism for aligning services with population needs through planning, contracting, and evaluation. Despite its critical role, implementation is often hindered by fragmented policies, unclear governance, and limited integration.</p><p><strong>Eligibility criteria: </strong>Peer-reviewed empirical studies examining health care commissioning processes across any setting were eligible for inclusion in the review.</p><p><strong>Methods: </strong>Following JBI methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR), a systematic search of Scopus, PsycINFO, MEDLINE, and Web of Science was conducted. Data were thematically analyzed and mapped to EPIS domains and commissioning cycle stages.</p><p><strong>Results: </strong>This review identified 82 eligible studies examining health care commissioning processes. Outer-context challenges included political influence, policy misalignment, and unstable funding. Inner-context barriers encompassed organizational fragmentation, leadership ambiguity, and resource constraints. Bridging challenges involved poor data sharing and weak inter-agency communication. Outer-context enablers identified included integrated governance; inner-context enablers included collaborative leadership and capacity-building; and bridging enablers included data interoperability and improved communication.</p><p><strong>Conclusion: </strong>Strengthening governance, embedding participatory practices, and investing in digital infrastructure are actionable strategies to enhance responsiveness, equity, and efficiency in commissioning. These findings provide a practical framework for improving implementation and will inform future research on adaptive, integrated models of care.</p><p><strong>Review registration: </strong>OSF https://osf.io/cmrf3/.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115845","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":"Systemic interventions used in family nursing: a scoping review protocol.","authors":"Leonor Pinto, Manuela Ferreira, Margarida Moreira da Silva, Rosa Silva, Maria Henriqueta Figueiredo","doi":"10.11124/JBIES-26-00013","DOIUrl":"https://doi.org/10.11124/JBIES-26-00013","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review will map and characterize the systemic interventions used in family nursing across different health care settings and family types.</p><p><strong>Introduction: </strong>The family is considered a dynamic and complex system, in which changes to a single element influence the whole. Nurses adopt systemic interventions to address families' needs, helping them adapt to the challenges arising from transitions throughout the life cycle, which may lead to improvements in family health and functioning. Despite the growing recognition of systemic interventions in family nursing, the literature remains fragmented and lacks a comprehensive synthesis.</p><p><strong>Eligibility criteria: </strong>This scoping review will consider sources of evidence on family nursing that explore and characterize systemic family interventions used across diverse health care contexts and among different family types.</p><p><strong>Methods: </strong>This review will follow the JBI methodology for scoping reviews. The databases to be searched include CINAHL Ultimate (EBSCOhost), the Psychology and Behavioral Sciences Collection (EBSCOhost), Scopus, Web of Science Core Collection, PubMed, and the Cochrane Central Register of Controlled Trials (CENTRAL). The search for unpublished sources of evidence will include Google Scholar and OpenAlex. Two reviewers will independently screen titles and abstracts and extract data from the included studies using a data extraction tool developed by the reviewers. The results will be summarized and presented in a tabular format, followed by a narrative summary.</p><p><strong>Review registration: </strong>OSF https://osf.io/qbj9n/.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115848","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 undergraduate nursing students' preparation to care for children and their families in Australia: a scoping review.","authors":"Melisa Jayne Young, Huaqiong Zhou, Yunia Eka Sari Kolikiana, Janie Alison Brown","doi":"10.11124/JBIES-25-00024","DOIUrl":"https://doi.org/10.11124/JBIES-25-00024","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This scoping review aimed to identify and map the breadth of evidence available that describes the preparation of preregistration nursing students to provide care to infants, children, young people, and their families in an Australian context.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Nursing graduates in Australia are expected to deliver safe and competent care to children and families across diverse health care settings. However, pediatric nursing education is commonly embedded within integrated lifespan curricula, with limited access to dedicated pediatric units or clinical placements. This lack of structured pediatric preparation has been associated with student anxiety, reduced confidence, challenges in age-appropriate communication, and reluctance to pursue pediatric nursing pathways following graduation, raising concerns about patient safety and workforce sustainability.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Eligibility criteria: &lt;/strong&gt;This scoping review included published and unpublished literature relevant to undergraduate preregistration nursing students in Australia. Evidence sources published from 2010 onward were eligible and included empirical studies, non-empirical literature, policy documents, professional standards, and gray literature related to the preparation of nursing students to care for children and their families across all health care settings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This review followed the JBI methodology for scoping reviews. A 3-step search strategy was used between December 2023 and February 2024 to identify relevant literature across the CINAHL (EBSCOhost), MEDLINE (Ovid), Scopus, and ERIC (ProQuest) electronic databases, advanced Google searches, and the websites of Australian professional organizations, government bodies, pediatric hospitals, and universities. Two reviewers independently screened citations, extracted data, and synthesized findings. Results were organized according to regulatory requirements and recommendations, educational preparation approaches, and student experiences.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In total, 10 peer-reviewed publications and 22 gray literature sources met the eligibility criteria. According to these sources, efforts to prepare nursing students to care for children commonly involved integrated curriculum approaches, simulation-based learning, and supported work-integrated learning experiences. High-fidelity simulation and alternative placement models to improve knowledge, confidence, communication skills, and clinical reasoning were identified. Immersive experiential learning to create interest in pediatric nursing pathways-particularly among students with limited prior exposure to children, including male students-was investigated. Publicly available information from universities and pediatric hospitals demonstrated variability in preparation requirements and limited transparency regarding pre-placement preparation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Despite cl","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149343","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":"Approaches used in Canadian academic institutions to keep nursing students safe during clinical placements: a systematic review protocol of policy and expert opinion.","authors":"Rose McCloskey, Patricia Morris, Alexis McGill, Richelle Witherspoon, Emily Gregg, Lisa Keeping-Burke, Elizabeth Pavlovic, Kim Lauzier, Julia Payne, Taylor Copeland, Martha Paynter","doi":"10.11124/JBIES-25-00568","DOIUrl":"https://doi.org/10.11124/JBIES-25-00568","url":null,"abstract":"<p><strong>Objective: </strong>This review will synthesize the available evidence on approaches used by Canadian academic institutions to keep nursing students safe during clinical placements.</p><p><strong>Introduction: </strong>The safety of health care workers is a global priority, with growing concern for pre-licensure students. Nursing students face heightened physical, psychological, and professional risks as they provide direct, sustained patient care within complex clinical environments. Academic institutions play a critical role in safeguarding students by creating protective learning environments.</p><p><strong>Eligibility criteria: </strong>The phenomenon of interest is approaches used by academic institutions to promote nursing student safety during clinical placements. The population is Canadian academic institutions delivering pre-licensure nursing programs leading to a registered nurse designation, across all provinces and territories. Eligible sources may include policies, directives, guidelines, curriculum documents, clinical requirements, and other text-based materials produced by accredited nursing programs, regulatory bodies, occupational health and safety organizations, and recognized experts in nursing education or student safety.</p><p><strong>Methods: </strong>This review will follow JBI methodology for systematic reviews of textual evidence: narrative, opinion, or policy. The review will evaluate the feasibility of using a large language model (Claude AI) to support gray literature retrieval by comparing its performance with the Google search strategy on a sample of nursing education programs. Two independent reviewers will screen records, extract data, and critically appraise eligible sources using JBI critical appraisal tools for text and opinion evidence. The findings will be synthesized using JBI meta-aggregation for textual evidence and the results will be presented in both tabular and diagrammatic formats.</p><p><strong>Review registration: </strong>PROSPERO CRD420251268176.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115854","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}