International Journal of Nursing Sciences最新文献

{"title":"Using an aromatherapy intervention with Citrus bergamia (bergamot) essential oil in adults in treatment for substance use disorder: A randomized controlled trial","authors":"Marian Elaine Reven ,&nbsp;Roger Carpenter ,&nbsp;Mary Jane Smith ,&nbsp;Amanda Newhouse ,&nbsp;Kesheng Wang","doi":"10.1016/j.ijnss.2025.04.011","DOIUrl":"10.1016/j.ijnss.2025.04.011","url":null,"abstract":"<div><h3>Objectives</h3><div>This study had two aims. Aim one is to evaluate the feasibility and acceptability of using an aroma-based, self-managed intervention for adults in outpatient treatment for substance use disorder. Aim two is to examine the effects of a <em>Citrus bergamia</em> (Bergamot) essential oil intervention on the variables of comfort, ease, and stress.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted (NCT05660434). Adults in treatment for substance use disorder were randomized to either control group (standard care) (<em>n =</em> 55) or intervention group (standard care plus <em>Citrus bergamia</em> [Bergamot] essential oil intervention), three times a day for seven days (<em>n =</em> 45). All data were analyzed using an intention-to-treat method. Outcomes were measured using valid and reliable measures.</div></div><div><h3>Results</h3><div>One hundred participants were recruited over 11 months. Reasons for non or limited participation included feeling overwhelmed by the demands of treatment and everyday living. Data analysis showed psychological variable improvement with a significant increase in ease reported (<em>P =</em> 0.022) and DASS-21 subscales for depression (<em>P =</em> 0.007) and anxiety (<em>P =</em> 0.013) in the intervention group. Post-satisfaction survey results were positive, with overall enjoyment, perception of the aroma, and intention to continue to use the aroma inhaler post-trial, which was high.</div></div><div><h3>Conclusions</h3><div>Results from this study provide data to support the feasibility and acceptability of using essential oil via inhalation to help this population. Findings from this study will inform a more extensive study designed to examine effects within and between groups using a placebo.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 311-319"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723594","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":"Efficacy and safety of exercise rehabilitation in the vulnerable phase in patients with acute decompensated heart failure: A systematic review and meta-analysis","authors":"Lihua Zhao ,&nbsp;Jing Ye ,&nbsp;Zhuo Zhao ,&nbsp;Lei Yang ,&nbsp;Yimei Zheng","doi":"10.1016/j.ijnss.2025.06.006","DOIUrl":"10.1016/j.ijnss.2025.06.006","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to assess the impact of exercise rehabilitation during the vulnerable period on cardiac recovery (CR) outcomes in patients with acute decompensated heart failure (ADHF).</div></div><div><h3>Methods</h3><div>Multiple databases including PubMed, Web of Science, Embase, the Cochrane Library, CINAHL, China National Knowledge Infrastructure (CNKI), Chinese Science and Technology Periodical Database (VIP), Wanfang database, SinoMed, ClinicalTrials.gov, and American Heart Association (AHA) and European Society of Cardiology (ESC) were searched for RCTs on exercise rehabilitation in ADHF patients’ vulnerable period from inception to April 2, 2025. The risk of bias was assessed with Cochrane Risk of Bias 2.0, and data were analyzed in RevMan 5.3.</div></div><div><h3>Results</h3><div>A total of seven RCTs involving 946 patients were included. The results demonstrated that exercise rehabilitation training during the vulnerable period in patients with ADHF significantly increased the 6-min walk test distance (6-MWTD) (<em>SMD</em> = 0.37; 95 %<em>CI</em>: 0.09, 0.65; <em>P =</em> 0.01), short physical performance battery (SPPB) score (<em>MD</em> = 1.26; 95 %<em>CI:</em> 0.82, 1.70; <em>P</em> &lt; 0.001) and peak oxygen consumption (VO₂peak) (<em>SMD</em> = 1.43; 95 %<em>CI:</em> 0.53, 2.34; <em>P</em> = 0.002), improved quality of life (QoL) (<em>SMD</em> = 0.85; 95 %<em>CI:</em> 0.07, 1.64, <em>P</em> = 0.03), reduced depression score (<em>MD</em> = −0.73; 95 %<em>CI:</em> 1.27, −0.18; <em>P</em> = 0.009), frailty (<em>MD</em> = −0.22; 95 %<em>CI:</em> −0.48, 0.05; <em>P</em> = 0.11), and decreased 6-month all-cause readmission (<em>OR</em> = 0.67; 95 %<em>CI:</em> 0.49, 0.91; <em>P</em> = 0.01). However, no statistically significant differences were observed between the two groups in left ventricular ejection fraction (LVEF) (<em>MD</em> = 0.96; 95 %<em>CI:</em> −1.84, 3.77; <em>P</em> = 0.50), 6-month heart failure (HF)-related readmission (<em>OR</em> = 1.01; 95 %<em>CI:</em> 0.66, 1.53; <em>P</em> = 0.98), and all-cause mortality (<em>OR</em> = 0.63; 95 %<em>CI:</em> 0.18, 2.24; <em>P</em> = 0.47). There were no adverse events reported.</div></div><div><h3>Conclusions</h3><div>Exercise rehabilitation during the vulnerable phase improves exercise tolerance, QoL, and depressive symptoms while reducing 6-month all-cause readmissions in ADHF patients, with no reported adverse events. Although trends toward improved LVEF, HF-related readmissions, and all-cause mortality were observed. Large-scale, high-quality studies are warranted to explore individualized responses and long-term outcomes.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 408-414"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723610","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":"Social alienation in patients with inflammatory bowel diseases: A latent profile analysis","authors":"Qingyu Wang ,&nbsp;Junyi Gu ,&nbsp;Zheng Lin ,&nbsp;Sha Li ,&nbsp;Meijing Zhou ,&nbsp;Jiefeng Yang ,&nbsp;Hantian Cheng ,&nbsp;Jiali Chen ,&nbsp;Yang Lei","doi":"10.1016/j.ijnss.2025.06.007","DOIUrl":"10.1016/j.ijnss.2025.06.007","url":null,"abstract":"<div><h3>Objectives</h3><div>The study aimed to explore social alienation types in patients with inflammatory bowel diseases (IBD) and identify influencing factors.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted using purposive sampling among patients with IBD from July 2022 to July 2023. Patients were assessed using the Generalized Social Alienation Scale (GSAS), the Brief Illness Perception Questionnaire (B-IPQ), the Hospital Anxiety and Depression Scale (HADS), and the Medical Coping Modes Questionnaire (MCMQ). Demographic and disease-related characteristics were also collected. Latent profile analysis (LPA) was used to identify potential subgroups of social alienation. Univariate analysis and multicollinearity analysis were conducted to explore the influencing factors, followed by multiple regression analysis to evaluate the effect of influencing factors on social alienation.</div></div><div><h3>Results</h3><div>Three distinct profiles of social alienation were identified: integrated-low alienation group (<em>n</em> = 61, 20.20 %), accommodative-moderate alienation group (<em>n</em> = 195, 64.57 %), and maladaptive-high alienation group (<em>n</em> = 46, 15.23 %). Seven characteristics were associated with the profile’s membership: self-perceived financial stress, malnutrition risk, disease duration, illness comprehensibility, anxiety, depression, and acceptance-resignation coping mode.</div></div><div><h3>Conclusions</h3><div>Patients with IBD were categorized into three subgroups based on social alienation levels. Financial stress, malnutrition risk, disease duration, illness comprehensibility, anxiety, depression, and acceptance-resignation coping mode were key predictors of the subgroup membership. Targeted interventions should be developed to mitigate the negative effects of social alienation, with a focus on improving illness perception, alleviating anxiety and depression, and promoting effective coping strategies.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 335-343"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723606","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":"Effects of the “Internet +” nursing model based on user profiling on postoperative recovery in breast cancer: A prospective randomized controlled clinical trial","authors":"Xiuyuan Xie ,&nbsp;Yuanfang Ren ,&nbsp;Jia Yao ,&nbsp;Yujie Fei ,&nbsp;Fenghe Liu ,&nbsp;Qian Tong ,&nbsp;Juanjuan Huang ,&nbsp;Meihong Kou ,&nbsp;Cuifeng Jin ,&nbsp;Weijuan Yang ,&nbsp;Haiping Xu","doi":"10.1016/j.ijnss.2025.06.003","DOIUrl":"10.1016/j.ijnss.2025.06.003","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explore the effectiveness and advantages of an “Internet +” nursing model based on user profiling in the rehabilitation of postoperative breast cancer patients.</div></div><div><h3>Methods</h3><div>Breast cancer patients admitted to the hospital from July 2023 to September 2024 were enrolled. These patients were randomly assigned to a control group and an intervention group, with 52 patients in each group. The control group received routine nursing care, while the intervention group received an “Internet +” nursing intervention based on user profiling in addition to routine care. The intervention period lasted for one month following discharge. Before and one month after the intervention, the Fear of Progression Questionnaire-Short Form (FOP-Q-SF), the Fear of Cancer Recurrence Inventory-Short Form (FCRI-SF), Chinese Posttraumatic Growth Inventory (C-PTGI), and the Functional Assessment of Cancer Therapy-Breast (FACT-B) were applied to assess the effects of interventions.</div></div><div><h3>Results</h3><div>A total of 104 patients were analyzed. After the intervention, FOP-Q-SF and FCRI-SF scores were significantly lower in the intervention group compared to the control group, with statistical significance (<em>t</em> = 3.98, <em>P</em> &lt; 0.001; <em>t</em> = −7.59, <em>P</em> &lt; 0.001)<em>,</em> and Cohen’s <em>d</em> of 0.781 and 1.49, respectively. Additionally, C-PTGI and FACT-B scores in the intervention group were significantly higher than those in the control group (<em>t =</em> −6.534, <em>P &lt;</em> 0.001<em>; t =</em> −4.579, <em>P &lt;</em> 0.001), with Cohen’s <em>d</em> of 0.585 and 0.656.</div></div><div><h3>Conclusions</h3><div>An “Internet +” nursing model based on user profiling could reduce postoperative breast cancer patients fear of disease progression and cancer recurrence, also enhancing posttraumatic growth and overall quality of life.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 361-368"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724234","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":"Perceptions and experiences of generative artificial intelligence training to support research for Chinese nurses: A qualitative focus group study","authors":"Ling Tong,&nbsp;Yirou Niu,&nbsp;Lixue Zhou,&nbsp;Shuai Jin,&nbsp;Yanling Wang,&nbsp;Qian Xiao","doi":"10.1016/j.ijnss.2025.04.010","DOIUrl":"10.1016/j.ijnss.2025.04.010","url":null,"abstract":"<div><h3>Objectives</h3><div>Nurses’ clinical research activities have contributed to optimizing the care process and improving patient outcomes, and generative artificial intelligence (GAI) may help clinical nurses strengthen their research skills. To support research, this study aimed to explore the Chinese nurses’ perceptions and experiences of GAI training.</div></div><div><h3>Methods</h3><div>This study used a descriptive qualitative design. The China Nurses Network conducted a three-day training session on “GAI for Nursing Research” theme, we selected 23 nurses by a convenience sampling method among participating in the training. The researchers conducted three focus group interviews at the end of each day. All focus groups were interviewed face-to-face to facilitate interaction, data collection, and observation. The data were analyzed using conventional content analysis and coded manually.</div></div><div><h3>Results</h3><div>The results showed that nurses’ use of GAI to support scientific research was dynamic and characterized by evolving perceptions and practices. Four themes and 11 sub-themes emerged from the analysis: 1) utilization efficacy: cope with research ability, affected by many factors; 2) booster research: growth and challenges go hand in hand; 3) role reversal: from GAI-dominated to nurse-dominated; 4) beautiful dream: more features on research, more assistants on clinical care.</div></div><div><h3>Conclusions</h3><div>The effectiveness of GAI in supporting clinical nurses in conducting research is mainly limited by differences in personal research literacy, lack of ethical regulation, and information accuracy. In the future, it is necessary to improve nurses’ relevant skills through specialized training and promote the standardization of technical regulations to ensure the appropriate application of GAI in nursing research.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 210-217"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166857","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":"Efficacy and cost-effectiveness of digital health interventions in improving hypertensive outcomes among patients with uncontrolled hypertension: A systematic review","authors":"Saowaluck Sukpattanasrikul ,&nbsp;Naruemol Singha-Dong ,&nbsp;Yajai Sitthimongkol ,&nbsp;Kanlayawee Anonjarn","doi":"10.1016/j.ijnss.2025.04.001","DOIUrl":"10.1016/j.ijnss.2025.04.001","url":null,"abstract":"<div><h3>Objectives</h3><div>This systematic review aimed to identify effective and cost-effective digital health interventions to improve self-management behaviors, blood pressure control, and cardiovascular risk reduction.</div></div><div><h3>Methods</h3><div>A search for randomized and non-randomized control trials of digital health interventions among patients with uncontrolled hypertension was conducted from the databases of Embase, PubMed, Scopus, CINAHL, Web of Science, PsycINFO, Thai Journal Online (ThaiJO), the Faculty of Nursing Mahidol University (FON-MU) Nursing Research Database, and gray literature. After conducting the literature screening, the authors completed data extraction, and the risk of bias was assessed using the Joanna Briggs Institute randomized controlled trial checklist and the Joanna Briggs Institute critical appraisal checklist for quasi-experimental studies.</div></div><div><h3>Results</h3><div>The study included 22 articles, comprising 30 to 4,118 patients with uncontrolled hypertension. This review classified and summarized the components of digital health interventions and their effects on hypertensive outcomes. It was found that the key elements of digital health interventions include health education, reminders, self-monitoring, feedback and consultation, and instrumental support. Moreover, approximately 81.81 % (<em>n</em> = 18) of the digital health interventions involved healthcare providers participating in feedback and consultation. Additionally, digital health interventions effectively improve hypertensive outcomes such as self-management behaviors, blood pressure control, and cardiovascular risk reduction, providing cost-effectiveness.</div></div><div><h3>Conclusion</h3><div>Based on the available literature, digital health interventions have been shown to effectively enhance behavioral, clinical, and economic outcomes for individuals with uncontrolled hypertension. Moreover, the combination of digital health interventions and healthcare providers’ interventions can potentially help patients with uncontrolled hypertension improve adherence to self-management when compared to stand-alone digital health interventions. Digital health interventions to support self-management interventions should be developed for patients by healthcare providers.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 225-232"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166859","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":"A Mindfulness Breast Care App to reduce body image distress and stigma for breast cancer survivors: Development and preliminary quality assessment","authors":"Shuang Zheng ,&nbsp;Wenhe Huang ,&nbsp;Xueqin Zhang ,&nbsp;Ying Hua ,&nbsp;Sally Chan ,&nbsp;Shengjie Liu ,&nbsp;Yujing Zhong ,&nbsp;Xiaoying Jiang ,&nbsp;Jiemin Zhu","doi":"10.1016/j.ijnss.2025.04.007","DOIUrl":"10.1016/j.ijnss.2025.04.007","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to develop and preliminarily assess the quality of a Mindfulness Breast Care (MBC) App to reduce body image distress and stigma among breast cancer survivors (BCSs).</div></div><div><h3>Methods</h3><div>The development process of the MBC App involved: 1) establishing a research group; 2) determining of the content of the MBC App based on Mindfulness-Based Cognitive Therapy and 3) technical exploitation and maintenance. A mixed-methods study was conducted. We selected ten BCSs by a convenience sampling method. After using the APP for three months, five assessed the quality using the Mobile App Rating Scale: User Version (uMARS) and another five were interviewed for process evaluation.</div></div><div><h3>Results</h3><div>The MBC App was developed with three modules: 1) Library to provide health education information on body image, stigma, mindfulness, recovery and etc; 2) Mindfulness Yoga to offer 12 Hatha yoga videos for daily practice; and 3) Mindfulness Practices to have 12 sessions of mindfulness videoconferences. Based on the uMARS data, the MBC App received high ratings for functionality (4.10 ± 0.34), aesthetics (3.93 ± 0.55), information quality (4.10 ± 0.72), and perceived impact (4.03 ± 0.96), as well as moderate ratings for engagement (3.72 ± 0.94) and subjective quality (3.87 ± 0.77). Participants indicated that the <span>MBC</span> App provided reliable knowledge, information, and emotional support. Recommendations from participants included categorizing knowledge in the Library Module, recording videoconferences of mindfulness practice, and adding discussion sessions in the videoconference. Afterward, we optimized the MBC App to enhance the user experience accordingly.</div></div><div><h3>Conclusions</h3><div>The MBC App offers online mindfulness interventions specifically for BCSs in China. The preliminary quality assessment indicates that the MBC App may be a promising tool for delivering mindfulness interventions to BCSs.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 203-209"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166856","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":"Meta-synthesis of the experience of nurses with “Internet Nursing Service” in China","authors":"Wenyan Liu,&nbsp;Yao Li,&nbsp;Huanhuan Zhu,&nbsp;Kexin Li,&nbsp;Haiting Deng,&nbsp;Xiaoyan Cai","doi":"10.1016/j.ijnss.2025.04.012","DOIUrl":"10.1016/j.ijnss.2025.04.012","url":null,"abstract":"<div><h3>Objective</h3><div>Systematically integrate nurses’ experience with “Internet Nursing Service” to analysis the nurses’ experiences with “Internet Nursing Service”, and to provide a theoretical reference for formulating a more rational “Internet Nursing Service” model.</div></div><div><h3>Methods</h3><div>A systematic search in PubMed, Embase, Web of Science, the Cochrane Library, CINAHL, China National Knowledge Infrastructure (CNKI), Wanfang Database, and Chinese Biomedical Literature Database was conducted to collect qualitative research on nurses’ experiences with “Internet Nursing Service,” with a retrieval time limit from December 2019 to June 2024. Qualitative meta-synthesis was performed through line-by-line coding of relevant quotes, organization of codes into descriptive themes, and development of analytical themes.</div></div><div><h3>Results</h3><div>A total of 19 studies were included, one study was rated as Grade A in quality evaluation, and the remaining studies were rated as Grade B. Collectively synthesized into three integrated results: Harvest and growth, Difficulties and challenges, and Expectations and support. Harvest and growth, include 1) manifestation of self-value, 2) enhancing nursing capabilities, 3) optimizing nursing resources; Difficulties and challenges, include 1) lack of safety guarantee, 2) role conflict; Expectations and support include, 1) expectation for professional knowledge and skill training, 2) expectations for service platform optimization, 3) expectation for reasonable charges, 4) expectation for related policy support.</div></div><div><h3>Conclusion</h3><div>“Internet Nursing Service” model benefits both nurses and patients, but still full of challenges. It aids in the decentralization of medical resources. Management departments still need to encourage nurses to actively invest in “Internet Nursing Service” while ensuring their safety and interests.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 233-240"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166860","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":"A framework for developing spouse-inclusive digital applications in preventing perinatal depression and anxiety","authors":"Siti Roshaidai Arifin ,&nbsp;Amalia Kamaruddin ,&nbsp;Noor Azimah Muhammad ,&nbsp;Mohd Said Nurumal ,&nbsp;Hazwani Mohd Mohadis ,&nbsp;Nik Hazlina Nik Hussain ,&nbsp;Shanti Wardaningsih","doi":"10.1016/j.ijnss.2025.04.014","DOIUrl":"10.1016/j.ijnss.2025.04.014","url":null,"abstract":"<div><h3>Objective</h3><div>Digital approaches have proven effective in alleviating symptoms of perinatal depression and anxiety. However, current online applications for perinatal mental health often exclude the role of spouses in the intervention. This study aimed to develop a spouse-inclusive framework for digital self-management of perinatal depression and anxiety based on the women, spouses, and experts’ viewpoints.</div></div><div><h3>Methods</h3><div>The spouse-inclusive framework was developed through two phases of study. In phase I, using a generic qualitative research design, in-depth interviews were conducted with 20 perinatal women (with symptoms of depression and anxiety) and 15 men (spouses) in the obstetrics and gynecology clinics in Sultan Ahmad Shah Medical Centre and Hospital Canselor Tuanku Muhriz. Findings from phase I were used to develop the spouse-inclusive framework, guided by the Digital Self-Care Framework by the WHO and existing literature review. In phase II, two rounds of expert reviews were conducted: the first round involved Content Validity Index (CVI) validation, and the second round consisted of focus-group discussion (FGD) sessions to refine the proposed framework.</div></div><div><h3>Results</h3><div>We proposed a framework known as i-PartnerPulse, which included three main sections: functions (participants’ profile, activity planning &amp; reminder, goal setting &amp; reward system, success stories), aimed at enhancing user motivation during app usage; contents (assessment, intervention, and further action), aimed to educate both parties on the spouse’s role, psychoeducation, and essential skills; approaches (good user experience, interactive user interface, sharing session, stress busters), aimed to engage users consistently. A total of 10 experts in psychology, healthcare, and technology validated the framework with an average CVI of 0.88, indicating the validity of the framework.</div></div><div><h3>Conclusion</h3><div>The findings suggest that a spouse-inclusive framework can be effectively used to develop self-care applications for perinatal depression and anxiety. Researchers, academics, and software developers can utilize this framework to create comprehensive interventions aimed at empowering patients and addressing the risks of depression and anxiety during the perinatal period.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 246-252"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166863","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":"Barriers and facilitators of implementation sustainability of evidence-based practice for peristomal irritant contact dermatitis: A descriptive qualitative study","authors":"Nuo Zhang ,&nbsp;Qiuwen Zhang ,&nbsp;Cong Li ,&nbsp;Yanbo Huang ,&nbsp;Jiale Hu ,&nbsp;Jiaqi Wang ,&nbsp;Dong Pang","doi":"10.1016/j.ijnss.2025.04.002","DOIUrl":"10.1016/j.ijnss.2025.04.002","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the barriers and facilitators influencing the sustainable implementation of evidence-based practice (EBP) for Peristomal Irritant Contact Dermatitis (PICD) based on the Consolidated Framework for Implementation Research (CFIR).</div></div><div><h3>Methods</h3><div>The sample consisted of 17 nurses from three urology wards at a tertiary hospital in Beijing, China, who had participated in the EBP. Guided by the CFIR, we identified constructs influencing the sustainability of implementation by conducting a directed content analysis of the 17 individual in-depth interviews. By rating, the valence and magnitude of each construct were determined.</div></div><div><h3>Results</h3><div>This study identified 19 factors across the five domains of the CFIR. Among these determinants, 16 were identified as barriers, while three were recognized as facilitators. Common barriers across different contexts were identified, such as delayed evidence updating, the complexity of intervention components and steps, and incompatibility between the implementation process and clinical practices. In contrast, facilitators of intervention implementation were regular communication and feedback, support and drive from principals and a positive cultural atmosphere. In addition, we identified “regular evidence updating” as an independent construct outside of the CFIR, a finding that will provide key information for updating the CFIR framework.</div></div><div><h3>Conclusions</h3><div>Regular evidence updating is crucial for the sustainability of EBP implementation. Researchers should receive consistent feedback from practitioners and adjust or modify the EBP as necessary. Additionally, researchers must consider the compatibility or adaptability of the EBP’s content with clinical practice in formulating it rather than adding additional complexity to the original workflow.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 285-292"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166763","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}