International Journal of Nursing Sciences最新文献

{"title":"Nurse-led inpatient education using a gamification approach for patients with mental illness: A quasi-experimental study","authors":"Anat Pinko Naor ,&nbsp;Ilana Dubovi","doi":"10.1016/j.ijnss.2025.02.007","DOIUrl":"10.1016/j.ijnss.2025.02.007","url":null,"abstract":"<div><h3>Objectives</h3><div>Patient education while hospitalized enhances patients’ ability to manage chronic diseases, including mental disorders, promoting adherence to treatment plans. This study aimed to evaluate the effectiveness of gamification as an instructional approach for nurse-led inpatient education.</div></div><div><h3>Methods</h3><div>A quasi-experimental study was conducted. A total of 112 participants were recruited from the Geha Mental Health Center, a tertiary mental health center in Israel, from September 2022 to June 2023 and randomly allocated to the intervention group or control group. Nurses provided health education to patients in the intervention group using gamification techniques based on traditional health education methods. Responsibilities, rights, and relevant information for hospitalized patients were written on different cards. Patients were divided into groups of 3–4, and health education was delivered through memory card games and quartet card games. Each type of game was played twice, each lasting 30 min, occurring once every two weeks. In the control group of patients, traditional health education methods were utilized. A self-developed questionnaire assessing knowledge, self-efficacy, and adherence was used to investigate the two patient groups before and after the intervention, allowing for a comparison of the results.</div></div><div><h3>Results</h3><div>Overall, 90 patients completed the study: 45 in the intervention group and 45 in the control group. Both groups improved knowledge, self-efficacy, and adherence after the intervention (<em>P</em> &lt; 0.01). Furthermore, health education based on gamification methods was more effective than conventional health education in enhancing all three aspects of patient outcomes (<em>P</em> &lt; 0.01).</div></div><div><h3>Conclusion</h3><div>Gamification is preferable to routine education for fostering patient engagement in therapeutic sessions by enhancing self-efficacy and knowledge. The findings may contribute to developing gamified educational interventions to improve the effectiveness of inpatient education.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 2","pages":"Pages 137-143"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of the hospital-community-family trinity cardiac rehabilitation on patients with acute myocardial infarction after percutaneous coronary intervention: A randomized trial","authors":"Ying Zhao,&nbsp;Yanzhen Yang,&nbsp;Lina Chen,&nbsp;Hongxia Sun,&nbsp;Jinjie Xia","doi":"10.1016/j.ijnss.2025.02.010","DOIUrl":"10.1016/j.ijnss.2025.02.010","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to develop a hospital-community-family trinity cardiac rehabilitation (CR) intervention program and assess its’ effects on patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI).</div></div><div><h3>Methods</h3><div>Between April 2022 and April 2023, patients who had experienced AMI after PCI were enrolled. These patients were randomly assigned to an intervention group (IG) or a control group (CG) in equal numbers. The CG received standard CR, while the IG participated in the advanced trinity CR program in addition to the standard CR. Key parameters measured included the anaerobic threshold (AT), maximum oxygen uptake (V̇O2max), maximum exercise load (MEL), metabolic equivalent (MET), left ventricular ejection fraction (LVEF), left ventricular end-systolic volume (LVESV), left ventricular end-diastolic volume (LVEDV), and quality of life (measured by the SF-36). These were assessed pre-intervention and at 3, 6, 9, and 12 months post-intervention. SPSS.26 was employed for data analysis, with statistical methods such as repeated measures analysis of variance (ANOVA), Chi-square tests, and independent sample <em>t</em>-tests.</div></div><div><h3>Results</h3><div>A total of 110 patients completed the intervention, 55 in each group. There was no significant difference in the scores of all indicators between the two groups before intervention (<em>P</em> &gt; 0.05). However, at 3, 6, 9 and 12 months after intervention, the scores of AT, VO2max, MEL, MET, LVEDV, LVESV, LVEF, and quality of life in the intervention group were higher than those in the control group, there was statistical significance at four-time points, group, time, and interaction effect (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>The hospital-community-family trinity CR intervention program developted in this study significantly improved exercise endurance, cardiac function, and quality of life in patients with AMI after PCI.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 2","pages":"Pages 161-168"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on Alhojairi et al. (2024) ‘Assessment of nurses’ workplace silence behavior motives: A cross-sectional study’","authors":"Tiina Vuohijoki","doi":"10.1016/j.ijnss.2025.02.003","DOIUrl":"10.1016/j.ijnss.2025.02.003","url":null,"abstract":"","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 2","pages":"Pages 200-201"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring core symptoms and symptom clusters among patients with neuromyelitis optica spectrum disorder: A network analysis","authors":"Hao Liang,&nbsp;Jiehan Chen,&nbsp;Lixin Wang,&nbsp;Zhuyun Liu,&nbsp;Haoyou Xu,&nbsp;Min Zhao,&nbsp;Xiaopei Zhang","doi":"10.1016/j.ijnss.2025.02.006","DOIUrl":"10.1016/j.ijnss.2025.02.006","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify core symptoms and symptom clusters in patients with neuromyelitis optica spectrum disorder (NMOSD) by network analysis.</div></div><div><h3>Methods</h3><div>From October 10 to 30, 2023, 140 patients with NMOSD were selected to participate in this online questionnaire survey. The survey tools included a general information questionnaire and a self-made NMOSD symptoms scale, which included the prevalence, severity, and distress of 29 symptoms. Cluster analysis was used to identify symptom clusters, and network analysis was used to analyze the symptom network and node characteristics and central indicators including strength centrality (<em>r</em>_s), closeness centrality (<em>r</em>_c) and betweeness centrality (<em>r</em>_b) were used to identify core symptoms and symptom clusters.</div></div><div><h3>Results</h3><div>The most common symptom was pain (65.7%), followed by paraesthesia (65.0%), fatigue (65.0%), easy awakening (63.6%). Regarding the burden level of symptoms, pain was the most burdensome symptom, followed by paraesthesia, easy awakening, fatigue, and difficulty falling asleep. Six clusters were identified: somatosensory, motor, visual, and memory symptom clusters, bladder and rectum symptom clusters, sleep symptoms clusters, and neuropsychological symptom clusters. Fatigue (<em>r</em>_s = 12.39, <em>r</em>_b = 68.00, <em>r</em>_c = 0.02) was the most central and prominent bridge symptom, and motor symptom cluster (<em>r</em>_s = 2.68, <em>r</em>_c = 0.10) was the most central symptom cluster among the six clusters.</div></div><div><h3>Conclusions</h3><div>Our study demonstrated the necessity of symptom management targeting fatigue, pain, and motor symptom cluster in patients with NMOSD.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 2","pages":"Pages 152-160"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the Russian version of the Copenhagen Burnout Inventory among nurses in Kazakhstan and Kyrgyzstan","authors":"Telman Seisembekov ,&nbsp;Nurlan Brimkulov ,&nbsp;Ainura Taalaikanova ,&nbsp;Galiya Smailova ,&nbsp;Aidos Bolatov","doi":"10.1016/j.ijnss.2025.02.004","DOIUrl":"10.1016/j.ijnss.2025.02.004","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to validate the Russian version of the Copenhagen Burnout Inventory (R-CBI) among nurses in Kazakhstan and Kyrgyzstan and explored factors contributing to burnout.</div></div><div><h3>Methods</h3><div>The original Copenhagen Burnout Inventory (CBI) was translated into the R-CBI using a rigorous forward-backward method and reviewed by experts. Between July and November 2022, 1,530 nurses were recruited through convenience sampling method from various nursing settings in Kazakhstan and Kyrgyzstan to test the scale’s reliability and validity, including confirmatory factor analysis (CFA), internal consistency reliability, and concurrent validity. A linear regression analysis was conducted to identify influencing factors of burnout.</div></div><div><h3>Results</h3><div>The content of the R-CBI is consistent with the original CBI, consisting of 19 items with three dimensions. The Cronbach’s <em>α</em> coefficient is 0.926 in Kazakhstan and 0.922 in Kyrgyzstan, ranging from 0.830 to 0.898 for three dimensions. The CFA results among nurses in Kazakhstan and Kyrgyzstan supported the three-factor structure of R-CBI with good fit indices. Concurrent validity was established through significant correlations (<em>P</em> &lt; 0.001) with job satisfaction questionnaire (<em>r</em> = −0.457), Depression Anxiety Stress Scales (<em>r</em> = 0.506 in depression, <em>r</em> = 0.485 in anxiety, <em>r</em> = 0.564 in stress), and WHO-5 Well-Being Index (<em>r</em> = −0.528). The overall burnout level was 36.1 ± 17.6 and 37.5 ± 17.4 in Kazakhstani and Kyrgyzstani nurses, respectively. Significant influencing factors of burnout included gender, age, educational level, and COVID-19 infection history.</div></div><div><h3>Conclusions</h3><div>The R-CBI was proved to be a reliable and valid tool for assessing nurses’ burnout in Kazakhstan and Kyrgyzstan.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 2","pages":"Pages 176-183"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of recovery from dysphagia after stroke: A systematic review and meta-analysis","authors":"Xiaoyan Jin ,&nbsp;Shaomei Shang ,&nbsp;HoiYee Tong ,&nbsp;Ming Liu ,&nbsp;Dan Li ,&nbsp;Ying Xiao","doi":"10.1016/j.ijnss.2025.02.002","DOIUrl":"10.1016/j.ijnss.2025.02.002","url":null,"abstract":"<div><h3>Objective</h3><div>This systematic review aimed to identify the predictors of recovery from dysphagia after stroke in the last ten years, thereby providing an evidence-based basis for nurses to identify high-risk patients and develop individualized rehabilitation plans to improve patient prognosis.</div></div><div><h3>Methods</h3><div>Databases including the China National Knowledge Infrastructure (CNKI), China Biology Medicine disc (CBMdisc), China Science and Technology Journal (VIP), WanFang, PubMed, Embase, CINAHL, Web of Science, the Cochrane Library, and Scopus were retrieved to search for literature on the predictors of recovery from dysphagia after stroke. The retrieval period was from January 2013 to December 2023. The quality of studies was assessed using the Newcastle-Ottawa Scale (NOS) and the Prediction model Risk of Bias Assessment Tool (PROBAST). Meta-analysis was performed using Revman5.3 and Stata15.1 software. The review protocol has been registered with PROSPERO (CRD42024605570).</div></div><div><h3>Results</h3><div>A total of 1,216 results were obtained, including 599 in English and 617 in Chinese. A total of 34 studies were included, involving 156,309 patients with post-stroke dysphagia, and the rate of dysphagia recovery increased from 13.53% at 1 week to 95% at 6 months after stroke. Meta-analysis results showed that older age [<em>OR</em> = 1.06, 95%<em>CI</em> (1.04, 1.08), <em>P</em> &lt; 0.001], lower BMI [<em>OR</em> = 1.28, 95%<em>CI</em> (1.17, 1.40), <em>P</em> &lt; 0.001], bilateral stroke [<em>OR</em> = 3.10, 95%<em>CI</em> (2.04, 4.72), <em>P</em> &lt; 0.001], higher National Institutes of Health Stroke Scale (NIHSS) score [<em>OR</em> = 1.19, 95%<em>CI</em> (1.01, 1.39), <em>P</em> = 0.030], tracheal intubation [<em>OR</em> = 5.08, 95%<em>CI</em> (1.57, 16.39), <em>P</em> = 0.007] and aspiration [<em>OR</em> = 4.70, 95%<em>CI</em> (3.06, 7.20), <em>P</em> &lt; 0.001] were unfavorable factors for the recovery of swallowing function in patients with post-stroke dysphagia.</div></div><div><h3>Conclusions</h3><div>The lack of standardized criteria for rehabilitation assessment of post-stroke dysphagia has resulted in reported recovery rates of swallowing function exhibiting wide variability. Nurses should take targeted preventive measures for patients aged ≥70 years, low BMI, bilateral stroke, high NIHSS score, tracheal intubation, and aspiration to promote the recovery of swallowing function in patients with post-stroke dysphagia.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 2","pages":"Pages 184-191"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological effects of virtual reality intervention on breast cancer patients with different personalities: A randomized controlled trial","authors":"Shanshan Wu ,&nbsp;Guodu Liu ,&nbsp;Jie Yang ,&nbsp;Xinxin Xie ,&nbsp;Mei-E Wu ,&nbsp;Lili Wang ,&nbsp;Yanhui Zhang ,&nbsp;Jinmei Chen ,&nbsp;Xiaowei Wang ,&nbsp;Wanjiao Li ,&nbsp;Yihong Qiu ,&nbsp;Jie Chen","doi":"10.1016/j.ijnss.2025.02.008","DOIUrl":"10.1016/j.ijnss.2025.02.008","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore the efficacy and safety of virtual reality (VR) in relieving negative emotions in patients with breast cancer with different personalities.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted. Between April 2023 and October 2023, we enrolled patients with breast cancer treated in the Department of Breast Cancer and Oncology at Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangdong Province. The patients were randomly divided into an intervention group (<em>n</em> = 118) and a control group (<em>n</em> = 119) using block randomization. The intervention group received the VR intervention 3 – 5 times over 5 ± 2 weeks using natural landscapes with music or relaxation guidance, and the duration of each VR intervention was 15 ± 3 min. The control group received routine nursing care, including disease education and psychological counseling. Patients were assessed using the Type D Scale, Positive and Negative Affect Scale, and Distress Thermometer, and adverse events during the intervention were recorded.</div></div><div><h3>Results</h3><div>Overall, 85 patients completed the study (44 in the intervention group and 41 in the control group). Patients with Type D personalities showed more negative emotions [25.0 (21.5, 27.5) vs. 19.0 (16.0, 24.0), <em>P</em> = 0.001] and distressed attitudes [4.0 (2.0, 5.0) vs. 3.0 (1.0, 4.0), <em>P</em> = 0.020] with fewer positive emotions (27.2 ± 5.6 vs. 31.0 ± 5.9, <em>P</em> = 0.014) than those with non-Type D personalities. Total population analysis revealed no significant differences between the groups. However, in the subgroup analysis, patients with Type D personalities in the intervention group showed greater relief from negative emotions than those in the control group [median difference, −5.0 (−9.0, −2.5) vs. −2.0 (−4.0, 2.0), <em>P</em> = 0.046]. No significant differences were found between groups of patients with non-Type D personality traits. The proportion of adverse events was not significantly different between groups (<em>P</em> = 0.110).</div></div><div><h3>Conclusions</h3><div>Breast cancer patients with Type D personalities suffer more severe negative emotions and distress, and more attention should be paid to them. VR intervention significantly and safely reduced negative emotions in patients with Type D personalities.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 2","pages":"Pages 107-114"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The development and application of the mobile frailty management platform for Chinese community-dwelling older adults","authors":"Jiayi Hou ,&nbsp;Xinrui Wan ,&nbsp;Mengjie Li ,&nbsp;Guijuan He","doi":"10.1016/j.ijnss.2025.02.005","DOIUrl":"10.1016/j.ijnss.2025.02.005","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to develop a mobile frailty management platform for Chinese community-dwelling older adults and evaluate its effectiveness, usability and safety.</div></div><div><h3>Methods</h3><div>Based on literature research, the research team combined the frailty cycle and integration models, self-determination theory, and technology acceptance models and determined the frailty interventions through expert discussion, then transformed it into multimedia resources, finally, engineers developed the mobile management platform. A cluster sampling, parallel, single-blind, controlled quasi-experimental trial was conducted. Sixty older adults from two community health service centers were recruited from March to August 2023. The control group received routine community care, while the intervention group used the mobile frailty management platform. The incidence of frailty, scores of quality of life, depression, sleep quality, and grip strength within 12 weeks were compared between the two groups, and the availability and safety of the platform were assessed.</div></div><div><h3>Results</h3><div>A total of 52 participants completed the study, 27 in the intervention group and 25 in the control group. At 12 weeks after the intervention, the frailty state of the intervention group was reversed to pre-frailty. There were no significant differences in the scores of quality of life, depression, sleep quality, and grip strength between the two groups before and 4 weeks after intervention. At 8 weeks and 12 weeks after the intervention, the quality of life, depression, and grip strength of the intervention group were improved with statistical significance (<em>P</em> &lt; 0.05). Sleep quality was statistically significant only 12 weeks after the intervention (<em>P</em> &lt; 0.05). System Usability Scale score for the platform was (87.96 ± 5.88), indicating a highly satisfactory user experience. Throughout the intervention, no adverse events were reported among the older adults.</div></div><div><h3>Conclusions</h3><div>The mobile frailty management platform effectively improved frailty status, depressive mood, sleep quality, grip strength, and quality of life for Chinese community-dwelling older adults. It holds clinical application value and is an effective tool for strengthening frailty management among Chinese community-dwelling older adults.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 2","pages":"Pages 115-122"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between proxy decision-making content and cues by families of patients with malignant brain tumor: A descriptive qualitative study","authors":"Runa Tokunaga ,&nbsp;Fumiyo Ishikawa","doi":"10.1016/j.ijnss.2025.02.001","DOIUrl":"10.1016/j.ijnss.2025.02.001","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to clarify the relationship between the content of proxy decision-making made by families of patients with malignant brain tumors regarding treatment policies and daily care and the cues leading to those decisions.</div></div><div><h3>Methods</h3><div>Semi-structured personal interviews were used to collect data. Seven family members of patients with malignant brain tumors were selected to participate in the study by purposive sampling method from June to August 2022 in the Patient Family Association of Japan. Responses were content analyzed to explore the relationship between the content of decisions regarding “treatment policies” and “daily care” and the cues influencing those decisions. Semi-structured interviews were analyzed by using thematic analysis.</div></div><div><h3>Results</h3><div>The contents of proxy decisions regarding “treatment policies” included implementation, interruption, and termination of initial treatments, free medical treatments, use of respirators, and end-of-life sedation and included six cues: treatment policies suggested by the primary physician, information and knowledge about the disease and treatment obtained by the family from limited resources, perceived life threat from symptom worsening, words and reactions from the patient regarding treatment, patient’s personality and way of life inferred from their treatment preferences, family’s thoughts and values hoping for better treatment for the patient. Decisions for “daily care” included meal content and methods, excretion, mobility, maintaining cleanliness, rehabilitation, continuation or resignation from work, treatment settings (outpatient or inpatient), and ways to spend time outside and included seven cues: words and thoughts from the patient about their way of life, patient’s reactions and life history inferred from their preferred way of living, things the patient can do to maintain daily life and roles, awareness of the increasing inability to do things in daily life, family’s underlying thoughts and values about how to spend the remaining time, approval from family members regarding the care setting, advice from medical professionals on living at home.</div></div><div><h3>Conclusions</h3><div>For “treatment policies,” guidelines from medical professionals were a key cue, while for “daily care,” the small signs from the patients in their daily lives served as cues for proxy decision-making. This may be due to the lack of information available to families and the limited time available for discussion with the patient. Families of patients with malignant brain tumors repeatedly use multiple cues to make proxy decision-making under high uncertainty. Therefore, nurses supporting proxy decision-making should assess the family’s situation and provide cues that facilitate informed and confident decisions.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 2","pages":"Pages 169-175"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public participation willingness in out-of-hospital cardiopulmonary resuscitation: A systematic review and meta-analysis","authors":"Yuqiu Cheng ,&nbsp;Chunzhi Zhang ,&nbsp;Li Chen ,&nbsp;Hongjun Liu ,&nbsp;Wanling He ,&nbsp;Zeya Shi","doi":"10.1016/j.ijnss.2025.02.012","DOIUrl":"10.1016/j.ijnss.2025.02.012","url":null,"abstract":"<div><h3>Objective</h3><div>This systematic review and meta-analysis aimed to identify the main factors influencing the public’s willingness to participate in out-of-hospital emergency care.</div></div><div><h3>Methods</h3><div>Studies were searched in online databases, including PubMed, Embase, Web of Science, and the Cochrane Library. The articles included in this review were published from inception to July 31, 2024. The Iain Crombie assessment tool was used to assess study quality. Meta-analysis was performed using RevMan (version 5.4) software. The review protocol has been registered with PROSPERO (CRD42024570491).</div></div><div><h3>Results</h3><div>A total of 1,434 research articles were initially identified, among which 18 were incorporated into this study, and all of the included studies were cross-sectional. Meta-analysis results demonstrated that gender (male; <em>OR</em> = 1.37, 95%<em>CI</em>: 1.28–1.47), profession (healthcare provider; <em>OR</em> = 0.17, 95%<em>CI:</em> 0.06–0.47), knowledge and skill level (<em>OR</em> = 1.63, 95%<em>CI:</em> 1.25–2.11), willingness to undergo training (<em>OR</em> = 2.68, 95%<em>CI:</em> 1.89–3.79), interest in first aid (<em>OR</em> = 2.08, 95%<em>CI:</em> 1.60–2.69), previous training (<em>OR</em> = 2.14, 95%<em>CI:</em> 1.49–3.08), and previous first-aid experience (<em>OR</em> = 1.70, 95%<em>CI:</em> 1.37–2.11) were the principal influencing factors of the public’s willingness to engage in out-of-hospital cardiopulmonary resuscitation.</div></div><div><h3>Conclusion</h3><div>Demographic factors, knowledge, belief, and behavior are crucial in influencing public emergency decision-making. Medical personnel could create specialized training programs based on relevant factors to enhance the public's willingness to engage in out-of-hospital CPR.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 2","pages":"Pages 192-199"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}