International Journal of Nursing Sciences最新文献

{"title":"Perceptions and recommendations of multiparas and health-related professionals on appropriate birth intervals: A descriptive qualitative study","authors":"Hongyan Liu ,&nbsp;Xinli Zhu ,&nbsp;Zhijing Xu ,&nbsp;Shuang Liang ,&nbsp;Ya Liu ,&nbsp;Xiaojiao Wang ,&nbsp;Xu Qian ,&nbsp;Chunyi Gu","doi":"10.1016/j.ijnss.2025.07.001","DOIUrl":"10.1016/j.ijnss.2025.07.001","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore the perceptions and recommendations of multiparas and health-related professionals regarding appropriate birth intervals (BIs) and key determinants.</div></div><div><h3>Methods</h3><div>In-depth semi-structured interviews were conducted between April 1 and June 30, 2022. Nine multiparas and thirteen health-related professionals were purposefully sampled until data saturation was reached. A thematic analysis approach was applied to the interview transcripts, utilizing dual independent coding and consensus validation in NVivo 12.0.</div></div><div><h3>Results</h3><div>The data generated two overarching categories: 1) balanced decision-making on the appropriate birth intervals and 2) internal and external determinants integrated with health and societal considerations. Four key themes emerged following the two categories: 1) consistency and discrepancy between the actual and recommended birth intervals of multiparas; 2) health- and development-oriented professional recommendations; 3) internal determinants related to individual-level factors; and 4) external determinants related to child-related factors, family support, and social security. Weighing women’s reproductive health and career development, multiparas and health-related professionals perceived a length between 18 and 36 months as the appropriate BI.</div></div><div><h3>Conclusion</h3><div>Multiparas and health-related professionals shaped their balanced recommendations on a relatively appropriate birth interval ranging from 18 to 36 months, which was influenced by women’s individual-level factors, child-related factors, family support, and social security. Targeted social and healthcare services should be offered to women and their families during the BIs.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 5","pages":"Pages 469-476"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Time series analysis of outpatient blood collection visits: Fluctuation patterns and nursing staff allocation optimization","authors":"Shuangshuang Xing ,&nbsp;Xiarong Du ,&nbsp;Yan Hu ,&nbsp;Yiqin Pu","doi":"10.1016/j.ijnss.2025.08.007","DOIUrl":"10.1016/j.ijnss.2025.08.007","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore the characteristics of outpatient blood collection center visit fluctuation and nursing workforce allocation based on a time series model, and the application effect was evaluated.</div></div><div><h3>Methods</h3><div>To enhance the efficiency of phlebotomy at the hospital outpatient window and improve patient satisfaction, the First Affiliated Hospital with Nanjing Medical University implemented a time series analysis model in 2024 to optimize nursing staff allocation. The management team was led by a head nurse of the outpatient blood collection department with extensive experience. It included one director of the nursing department, six senior clinical nurses, one informatics expert, and one nursing master’s degree holder. Retrospective time-series data from the hospital’s smart blood collection system (including hourly blood collection volumes and waiting times) were extracted between January 2020 and December 2023. Time series analysis was used to identify annual, seasonal, monthly, and hourly variation patterns in blood collection volumes. Seasonal decomposition and the Autoregressive Integrated Moving Average Model (ARIMA) were employed to forecast blood collection fluctuations for 2024 and facilitate dynamic scheduling. A comparison was conducted to evaluate differences in blood collection efficiency and patient satisfaction before (January–June 2023) and after (January–June 2024) implementing the dynamic scheduling model based on the time series analysis and forecasting.</div></div><div><h3>Results</h3><div>Visit volumes showed periodicity and slow growth, peaking every second and third quarter of the year and daily at 8:00–9:00 a.m. and 2:00–3:00 p.m. The ARIMA model demonstrated a good fit (<em>R</em>² = 0.692, mean absolute percentage error = 8.28 %). After adjusting the nursing staff allocation based on the fluctuation characteristics of the number of phlebotomy per hour in the time series analysis model, at the peak period of the blood collection window, at least three nurses, one mobile nurse and two volunteers were added. The number of phlebotomy per hour increased from 289.74 ± 54.55 to 327.53 ± 37.84 person-time (<em>t</em> = -10.041, <em>P</em> &lt; 0.01), waiting time decreased from 5.79 ± 2.68 to 4.01 ± 0.46 min (<em>t</em> = 11.531, <em>P</em> &lt; 0.01), and satisfaction rose from 92.7 % to 97.3 % (<em>χ</em>² = 6.877, <em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Based on the time series analysis method, it is helpful for nursing managers to accurately allocate human resources and optimize the efficiency of outpatient service resources by mining the special change rule of the outpatient blood collection window and predicting the future fluctuation trend.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 5","pages":"Pages 425-430"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advance care planning among stroke patients: A scoping review","authors":"Margareta Hesti Rahayu ,&nbsp;Sri Sutarni ,&nbsp;Heny Suseani Pangastuti ,&nbsp;Eva Marti","doi":"10.1016/j.ijnss.2025.08.009","DOIUrl":"10.1016/j.ijnss.2025.08.009","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to describe the implementation of advance care planning (ACP) in patients with stroke.</div></div><div><h3>Methods</h3><div>A scoping review was conducted according to the Arksey and O’Malley framework. Accordingly, we searched for articles published in ScienceDirect, PubMed, Scopus, ProQuest, and Medline. The inclusion criteria were original research on ACP among adult or elderly stroke patients, hospital- or community-based studies, and those published in English or Indonesian. Qualitative analysis was then used to identify keywords, categories, and themes.</div></div><div><h3>Results</h3><div>Among the 1,050 articles identified, only 8 satisfied the inclusion criteria, indicating that limited studies were available for ACP interventions among stroke patients. Four themes were ultimately identified: the strategy implementation of ACP, the challenges of ACP implementation, the benefits of ACP, and the factors influencing ACP. Strategy ACP implementation included the ACP method, the communication style, participation role, media used, and ACP documentation. Lack of information about ACP, facilities, incapacitated patients, and reluctance to implement have become challenges to implementation in stroke. The benefits of ACP, particularly the outcomes of the ACP program, included awareness of ACP engagement, patients can express their wishes, and increased advance directive (AD) documentation. The factors influencing ACP included patient condition, knowledge, and appropriate ACP methods.</div></div><div><h3>Conclusion</h3><div>ACP has not been widely used when providing interventions for stroke patients. The implementation of ACP in stroke patients is full of challenges due to various patient conditions. Effective strategies are needed to improve ACP in stroke patients. It is necessary to develop an ACP for stroke patients’ method that involves interprofessional collaboration, and studies on ACP in stroke patients need to be further conducted through interprofessional collaboration.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 5","pages":"Pages 501-508"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role and value of self-employed nurses in the allocation of nursing human resources: A scoping review","authors":"Nianqi Cui ,&nbsp;Wei Yang ,&nbsp;Yulin Lu ,&nbsp;Jingfen Jin","doi":"10.1016/j.ijnss.2025.08.005","DOIUrl":"10.1016/j.ijnss.2025.08.005","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to conduct a scoping review to determine the role and value of self-employed nurses in the allocation of nursing human resources.</div></div><div><h3>Methods</h3><div>Following the scoping review methodological framework proposed by Arksey and O’Malley, China National Knowledge Infrastructure (CNKI), WanFang, CINAHL, PubMed, Web of Science, and Scopus databases were searched from inception to February 2025 on self-employed nurses in the nursing field. Thematic content analysis was used to collate, summarize, and narratively report themes and subthemes on nursing data practices.</div></div><div><h3>Results</h3><div>A total of 60 articles were ultimately included. Four themes emerged from the scoping review. Among them, 14 articles focused on the qualification certification and competency requirements of self-employed nurses, 24 articles delved into the roles and responsibilities, 24 articles focused on the value, and the remaining four articles focused on the registration and legalization. Self-employed nurses must have a bachelor’s degree in nursing and pass relevant exams, while specialist nurses need even more skills. They offer personalized care through clinics or home visits, providing a flexible and autonomous career path, reducing healthcare costs, and encouraging interdisciplinary collaboration.</div></div><div><h3>Conclusions</h3><div>This study highlights the various roles and values of self-employed nurses. However, self-employed nurses face challenges, including nonuniform regulations, practice risks, a lack of medical insurance policies, shortages in remote areas, and inadequate educational support. Key strategies for enabling effective contributions to the healthcare system include the standardization of entry requirements, the strengthening of certification processes, the enhancement of safety measures, the development of medical insurance policies, the attraction of talent, and the reinforcement of educational frameworks.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 5","pages":"Pages 445-453"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression and related factors among public health nurses engaged in cases of child neglect-related abuse","authors":"Ayano Ogata ,&nbsp;Ayako Ide-Okochi","doi":"10.1016/j.ijnss.2025.08.006","DOIUrl":"10.1016/j.ijnss.2025.08.006","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the occurrence of depression and its related factors among public health nurses (PHNs) engaged in child neglect-related abuse cases.</div></div><div><h3>Methods</h3><div>A cross-sectional study of PHNs involved in maternal and child health or child and family welfare, and engaged in cases of child neglect-related abuse was conducted from January to March 2023 in all municipalities of 13 prefectures selected from Japan’s seven regions, considering geographic diversity and major urban areas. The Patient Health Questionnaire-2 was used to screen for depression. Statistical analyses included the Chi-square test, Mann–Whitney <em>U</em> test, and logistic regression analysis.</div></div><div><h3>Results</h3><div>A total of 359 provided valid responses. Among them, 11.4 % screened positive for depression. Significant individual factors related depression were management-stage nurses (<em>OR</em> = 6.27, 95 %<em>CI</em>: 1.63–24.18), no disability welfare experience (<em>OR</em> = 3.49, 95 %<em>CI</em>: 1.05–11.55), being assignment of high-risk cases within the past year (<em>OR</em> = 8.28, 95 %<em>CI</em>: 2.07–33.08), and lower work control (<em>OR</em> = 0.53, 95 %<em>CI</em>: 0.32–0.86). Workplace environment factors were lower perceptions and relationships within the workplace (<em>OR</em> = 0.43, 95 %<em>CI</em>: 0.29–0.65) and perceiving manpower as not secured (<em>OR</em> = 9.07, 95 %<em>CI</em>: 1.17–70.40).</div></div><div><h3>Conclusions</h3><div>Mental health measures for PHNs should include workload management and reduced burdens through workforce enhancement, attention to burdens on managerial PHNs, promoting communication and mutual support, and opportunities to engage in disability welfare work.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 5","pages":"Pages 454-461"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of ethical leadership in promoting internal whistleblowing among nurses: A dual-mediation model analysis of psychological safety and reporting attitudes","authors":"Ibrahim Abdullatif Ibrahim ,&nbsp;Indrajit Doddanavar ,&nbsp;Samah Mohamed Abdelrahim ,&nbsp;Mennat Allah G. Abou Zeid","doi":"10.1016/j.ijnss.2025.08.004","DOIUrl":"10.1016/j.ijnss.2025.08.004","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to investigate the dual mediating roles of psychological safety and reporting attitudes in the association between ethics-centered leadership and internal whistleblowing among nurses.</div></div><div><h3>Methods</h3><div>A multicenter, cross-sectional study design was employed, involving a convenience sample of 273 nurses among five university hospitals from August to October 2024. Data were collected using a demographic questionnaire, Ethical Leadership Scale, Psychological Safety Scale, Positive Attitudes Toward Whistleblowing Scale, and Internal Whistleblowing Scale. Pearson correlation and structural equation model were conducted to test the hypothesized dual mediation model.</div></div><div><h3>Results</h3><div>The average score of nurses for ethical leadership was 4.14 ± 0.57, psychological safety was 3.80 ± 0.64, reporting attitudes was 4.12 ± 0.67, internal whistleblowing was 3.93 ± 0.52. Ethical leadership had a significant effect on psychological safety (<em>β</em> = 0.38, <em>P</em> &lt; 0.001), reporting attitudes (<em>β</em> = 0.44, <em>P</em> &lt; 0.001), and internal whistleblowing (<em>β</em> = 0.21, <em>P</em> = 0.009). Furthermore, psychological safety (<em>β</em> = 0.26, <em>P</em> &lt; 0.001) and reporting attitudes (<em>β</em> = 0.27, <em>P</em> &lt; 0.001) significantly influenced internal whistleblowing among the nurses. The indirect effect of ethics-centered leadership on internal whistleblowing intermediated by psychological safety was significant (<em>β</em> = 0.10, <em>P</em> &lt; 0.001). Similarly, reporting attitudes demonstrated a significant mediating effect (<em>β</em> = 0.12, <em>P</em> = 0.003).</div></div><div><h3>Conclusions</h3><div>Ethical leadership encourages internal whistleblowing among nurses by fostering psychological safety and positive reporting attitudes. Therefore, healthcare managers should prioritize ethical leadership development, enhance psychological safety, and foster constructive reporting attitudes that enable nurses to report ethical violations confidently, without apprehension.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 5","pages":"Pages 431-437"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The learning expectations of undergraduate nursing students for the flipped Health Assessment course: A qualitative study","authors":"Yixin Luo,&nbsp;Jingjing You,&nbsp;Yimin Chen,&nbsp;Meijing Chen,&nbsp;Jiayuan Zhuang,&nbsp;Fangli Xu,&nbsp;Rong Hu","doi":"10.1016/j.ijnss.2025.08.001","DOIUrl":"10.1016/j.ijnss.2025.08.001","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the learning expectations of undergraduate nursing students regarding the flipped <em>Health Assessment</em> course.</div></div><div><h3>Methods</h3><div>This descriptive, qualitative study was conducted at a medical university in Fuzhou, Fujian Province, China. An interview outline was designed based on the core dimensions of Expectation Confirmation Theory (expectation sources, expectation content, and expectation importance). Thirty second-year undergraduate nursing students who had completed first-year basic medical courses and were about to take the flipped <em>Health Assessment</em> course were interviewed between June and July 2022. Interview data were analyzed using qualitative content analysis.</div></div><div><h3>Results</h3><div>Five major themes and thirteen subthemes were identified. Theme 1 was expectation sources—perceived learning difficulties from past experiences, which included four subthemes: insufficient autonomous learning ability, confusion regarding learning methods, insufficient engagement in learning, and low professional identity. Theme 2 included knowledge and information expectations, which comprised three subthemes: knowledge to improve professional competence, knowledge to enhance academic competitiveness, and knowledge to boost self-efficacy. Theme 3 comprised logical expectations and included two subthemes: flexible teaching methods and efficient instructional tools. Theme 4, pleasure expectations, included two subthemes: vivid teaching styles and diversified teaching evaluations. Theme 5 comprised professional value expectations and included two subthemes: teachers’ responsible professional attitudes and gentle emotional support.</div></div><div><h3>Conclusion</h3><div>Students’ learning expectations originate from perceived learning difficulties, such as insufficient learning autonomy and engagement, confusion about learning methods, and a lack of professional identity. They showed various learning expectations for the flipped <em>Health Assessment</em> course, including knowledge and information, logic, pleasure, and professional value expectations.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 5","pages":"Pages 485-492"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of workplace violence against nurses in Saudi Arabia: A systematic review and meta-analysis","authors":"Mohammed Abdelmalik ,&nbsp;Atallah Alenezi ,&nbsp;Mohamed Abdallah ,&nbsp;Ibrahim Ibrahim ,&nbsp;Mohammed Ahmed ,&nbsp;Mohammead O. Mohammead ,&nbsp;Almoez M. Mohammed ,&nbsp;Abdalrahman Saeed ,&nbsp;Fahad M. Alhowaymel ,&nbsp;Abdulaziz F. Abaoud ,&nbsp;Binyameen Sambu ,&nbsp;Ibraheem A. Alhowaymel","doi":"10.1016/j.ijnss.2025.08.002","DOIUrl":"10.1016/j.ijnss.2025.08.002","url":null,"abstract":"<div><h3>Objectives</h3><div>Workplace violence is a serious issue in healthcare settings. Nurses are particularly vulnerable, and such violence significantly impacts their professional lives, leading to decreased productivity and care quality. We aimed to estimate the pooled prevalence of workplace violence against nurses through systematic review and meta-analysis in Saudi Arabia.</div></div><div><h3>Methods</h3><div>Databases were searched for articles published in English from 2013 to 2023, including PubMed, Web of Science, Science Direct, Medline, Emerald, Wiley, and ProQuest. The quality of the included studies was rigorously assessed using the Joanna Briggs Institute (JBI) critical appraisal tools. Meta-analysis was conducted using Comprehensive Meta-Analysis software. Subgroup analysis, meta-regression, and publication bias tests were performed.</div></div><div><h3>Results</h3><div>The pooled prevalence of workplace violence among nurses in Saudi Arabia was 61.8 % (95 %<em>CI</em>: 45.8 %–75.6 %). Subgroup analysis showed the highest prevalence of workplace violence in studies conducted before 2020 at 69.7 % (95 %<em>CI</em>: 42.0 %–88.0 %) and 2020-2023 at 57.0% (95 %<em>CI</em>: 35.6 %–76.1 %); in the western region at 90.2 % (95 %<em>CI</em>: 70.2 %–97.3 %); among female nurses at 81.8 % (95 %<em>CI</em>: 66.9 %–90.9 %); with patient relatives as perpetrators at 70.8 % (95 %<em>CI</em>: 46.4 %–87.2 %); during afternoon shifts at 78.5 % (95 %<em>CI</em>: 64.4 %–88.1 %); for verbal abuse at 54.9 % (95 %<em>CI</em>: 31.3 %–76.6 %); and in the intensive care unit at 68.1 % (95 %<em>CI</em>: 28.1 %–92.1 %). Meta-regression analysis revealed that the night shift significantly contributed to heterogeneity. The funnel plot and Egger’s regression test (<em>P</em> = 0.647) indicated no significant publication bias.</div></div><div><h3>Conclusions</h3><div>This meta-analysis showed the estimate of workplace violence against nurses in Saudi Arabia is 61.8 %. Nursing managers and health policymakers should implement targeted interventions to prevent workplace violence, especially among female nurses, during afternoon shifts, in intensive care units, and in the western region of Saudi Arabia.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 5","pages":"Pages 438-444"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a peer support and precision matching mobile platform for health management for people living with HIV","authors":"Yangfeng Wu ,&nbsp;Shuyu Han ,&nbsp;Sikai Shan ,&nbsp;Xin Xie ,&nbsp;Dongmei Li ,&nbsp;Lili Zhang ,&nbsp;Zhiwen Wang","doi":"10.1016/j.ijnss.2025.08.011","DOIUrl":"10.1016/j.ijnss.2025.08.011","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to describe the development process of the peer precision-matching and health management mobile platform “Aspark” for people living with human immunodeficiency virus (HIV) (PLWH) and to evaluate its usability.</div></div><div><h3>Methods</h3><div>The study assembled a multidisciplinary research and development team comprising researchers, software engineers, art designers, clinical nursing specialists, HIV peer volunteers, and psychological counselors. The team employed an agile development model to iteratively build the platform. Using the social determinants of health framework and the interpersonal circumplex, we identified 14 matching variables for the mobile platform. A video production team was formed to create peer training videos on health management for PLWH. We integrated relevant tools to provide PLWH with various types of support, including informational, instrumental, emotional, affiliational, and appraisal assistance. From March to May 2024, the research team used convenience sampling to select 130 platform users. It administered an electronic questionnaire based on the System Usability Scale to evaluate the platform’s overall usability.</div></div><div><h3>Results</h3><div>The platform incorporates multiple functional modules, including “Precision Matching,” “Drug Interaction Query,” “Medication Reminder,” “Health Management,” “Mood Diary,” “Community Discussion,” and “Activity Center,” achieving comprehensive coverage across informational, emotional, instrumental, social, and appraisal support. The precision matching module facilitates intelligent pairing between patients and peer volunteers; the health management module allows for the entry of test results and trend analysis; medication reminders and check-in features enhance medication adherence; the mood diary supports emotional recording and expressive writing; while the community module offers functions such as topic discussions, appointment scheduling, and organization of offline activities. Among the 130 valid questionnaires, more than 83 % of users scored above 68 on the System Usability Scale, indicating that the platform demonstrates favourable usability.</div></div><div><h3>Conclusions</h3><div>The “Aspark” platform offers a feasible and promising digital solution for precision matching in HIV peer support and health management, enabling healthcare providers to deliver personalized and continuous health support to patients through its functions. Well-designed clinical trials should be conducted in the future to evaluate the effectiveness of this tool.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 5","pages":"Pages 462-468"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of standardized patient combined with narrative nursing teaching on experimental teaching of surgical nursing: A quasi-experimental study","authors":"Wenshuai Tang,&nbsp;Yan Gao","doi":"10.1016/j.ijnss.2025.06.011","DOIUrl":"10.1016/j.ijnss.2025.06.011","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore the effect of standardized patient (SP)-narrative nursing in the experimental teaching of surgical nursing.</div></div><div><h3>Methods</h3><div>A quasi-experimental study design was adopted. A total of 200 undergraduate nursing students were recruited from the Nursing College of Guilin Medical University in China from March 2023 to December 2024. The intervention group recruited students from the Class of 2022 (<em>n</em> = 100), and the control group recruited students from the Class of 2021 (<em>n</em> = 100). The intervention group adopted a teaching model combining standardized patients with narrative nursing based on traditional scenario-based simulation teaching, which was applied to the nursing of perioperative patients (4 class hours) and scenario-based case drills (4 class hours) in the experimental teaching of surgical nursing. The control group used traditional scenario-based simulation teaching. The Nurse Humanistic Care Quality Evaluation Scale, Clinical Thinking Ability Evaluation Index System Scale for Medical Students, and Nurse-Patient Communication Ability Evaluation Scale for Nursing Students were used to investigate and compare the teaching effects between the two groups of students.</div></div><div><h3>Results</h3><div>The total scores of the intervention group on humanistic care (91.39 ± 3.97), clinical thinking (79.64 ± 6.33), and nurse-patient communication (157.22 ± 7.95) abilities were significantly higher than those of the control group (82.29 ± 3.62, 65.11 ± 7.24, and 147.05 ± 7.84, respectively), with statistically significant differences (<em>P &lt;</em> 0.01).</div></div><div><h3>Conclusion</h3><div>This study confirms that integrating the dual teaching model of standardized patients and narrative nursing in experimental teaching of surgical nursing has significantly optimized the theoretical and practical structure of teaching strategies. This innovative teaching method provides a promotable paradigm for nursing humanities education and is of positive significance for improving the effectiveness of cultivating the core literacy of nursing talents.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 5","pages":"Pages 477-484"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}