International Journal of Nursing Sciences最新文献

{"title":"Reliability and validity of the Italian Version of the Chase Nurse Manager Competencies Scale","authors":"","doi":"10.1016/j.ijnss.2024.06.001","DOIUrl":"10.1016/j.ijnss.2024.06.001","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to translate and test the psychometric properties of the Chase Nurse Manager Competency Instrument (CNMCI) among Italian nurse managers and to provide further support for the scale’s validity testing.</p></div><div><h3>Methods</h3><p>An instrument translation and cross-sectional validation study was conducted. The English version was translated into Italian using the translation method, which included pre-translation (establishing equivalence), initial translation, pretesting, review, and administration. From August 2022 to June 2023, 349 nurse managers were recruited through a web survey from 31 public and private healthcare organizations in North, Central, and Southern Italy. Validity assessments included content and structural validity. Reliability was evaluated using Cronbach’s α coefficient and test-retest reliability.</p></div><div><h3>Results</h3><p>The content validity confirmed all the items of the CNMCI in the Italian version, including the two measurement sections, “knowledge and understand” and “ability to implement and/or use.” The instrument’s item-content validity index (I-CVI) ranged from 0.83 to 1.00, while the scale-level content validity index (S-CVI) for both instrument sections was 0.97. The confirmatory factor analysis showed an acceptable fit. In the “knowledge and understand” section, Cronbach’s α coefficient was 0.978, and in the “ability to implement and/or use” section, Cronbach’s α coefficient was 0.976. The correlation coefficient between each dimension was 0.494–0.908. The test-retest reliability score was 0.82, suggesting good instrument consistency.</p></div><div><h3>Conclusions</h3><p>Overall, the Italian CNMCI demonstrates good reliability and validity for measuring nurse managers’ core competencies and supports the construct’s multi-dimensionality. Also, our findings support the hierarchical nature of the factors, further supporting the validity of the instrument.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000553/pdfft?md5=6761a1af3978d132f9dba55fcf91d38f&pid=1-s2.0-S2352013224000553-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141390899","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 quality of dying and death of patients with cancer from Shanghai in China from the perspective of healthcare providers: A cross-sectional study","authors":"Jiawei Min ,&nbsp;Peihao Liu ,&nbsp;Kaifeng Xiao ,&nbsp;Zhe Huang ,&nbsp;Xiaobin Lai","doi":"10.1016/j.ijnss.2024.03.010","DOIUrl":"https://doi.org/10.1016/j.ijnss.2024.03.010","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the quality of dying and death among deceased patients with cancer in Shanghai from the perspective of healthcare providers.</p></div><div><h3>Methods</h3><p>This cross-sectional study was conducted in Shanghai from April to July 2023. A convenience sample of 261 healthcare providers working at eight healthcare institutions participated. Each participant was asked to evaluate the quality of dying and death of one deceased patient who had been cared for recently using the Good Death Scale for patients in China (GDS-PCN). The scale included family companionship (eight items), dying with peace (six items), professional care (six items), preparation &amp; no regrets (five items), maintaining dignity (four items), keeping autonomy (four items), and physical wellbeing (three items) seven dimensions, 36 items.</p></div><div><h3>Results</h3><p>The total GDS-PCN score was 144.11 ± 17.86. The professional care dimension scored the highest (4.21 ± 0.58), whereas the preparation and no regret dimension scored the lowest (3.75 ± 0.70). Significant differences in the GDS-PCN scores were based on the healthcare institution grade, ward type, hospitalization duration, communication about the condition, treatment, and death-related topics with the healthcare provider, and decision-making style (<em>P</em> &lt; 0.05). The quality of dying and death of the deceased patients was higher among those who received care in community health service centers and hospice wards, those who had been hospitalized for more than 15 days, those who had discussed their personal conditions, treatment, and death-related topics with healthcare providers to a greater extent; and those who were involved in decision-making (<em>P</em> &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>The overall quality of dying and death among cancer patients in Shanghai is moderate to high, but the quality of dying and death in the preparation and no regret dimension and the keeping autonomy dimension still have room for improvement. Increased utilization of hospice care and better communication between patients and healthcare providers may enhance decedents’ quality of dying and death. Future research on this topic is required from different perspectives and on a broader scale in the mainland of China.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000279/pdfft?md5=d3e100d212697b29bcd4d77395bd354b&pid=1-s2.0-S2352013224000279-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140646565","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":"Effectiveness of mobile health applications on clinical outcomes and health behaviors in patients with coronary heart disease: A systematic review and meta-analysis","authors":"Yining Zhu,&nbsp;Yuhan Zhao,&nbsp;Ying Wu","doi":"10.1016/j.ijnss.2024.03.012","DOIUrl":"10.1016/j.ijnss.2024.03.012","url":null,"abstract":"<div><h3>Objective</h3><p>Mobile health applications (apps) have gained significant popularity and widespread utilization among patients with coronary heart disease (CHD). The objective of this study is to evaluate the effects of mHealth apps on clinical outcomes and health behaviors in patients with CHD.</p></div><div><h3>Methods</h3><p>Databases were searched from inception until December 2023, including Cochrane Library, PubMed, EMBASE, Web of Science, CINAHL, China National Knowledge Infrastructure (CNKI), Chinese BioMedical Literature Service System (SinoMed), Wanfang Data, China Science and Technology Journal Database (VIP), for randomized controlled trials (RCTs) regarding the effectiveness of mHealth apps in patients with CHD. Two researchers conducted a comprehensive review of the literature, extracting relevant data and evaluating each study’s methodological quality separately. The meta-analysis was performed utilizing Review Manager v5.4 software.</p></div><div><h3>Results</h3><p>A total of 34 RCTs were included, with 5,319 participants. The findings demonstrated that using mHealth apps could decrease the incidence of major adverse cardiac events (<em>RR</em> = 0.68, <em>P</em> = 0.03), readmission rate (<em>RR</em> = 0.56, <em>P</em> &lt; 0.001), total cholesterol (<em>WMD</em> = −0.19, <em>P</em> = 0.03), total triglycerides (<em>WMD</em> = −0.24, <em>P</em> &lt; 0.001), waist circumference (<em>WMD</em> = −1.92, <em>P</em> = 0.01), Self-Rating Anxiety Scale score (<em>WMD</em> = −6.70, <em>P</em> &lt; 0.001), and Self-Rating Depression Scale score (<em>WMD</em> = −7.87, <em>P</em> &lt; 0.001). They can also increase the LVEF (<em>WMD</em> = 6.50, <em>P</em> &lt; 0.001), VO₂ max (<em>WMD</em> = 1.89, <em>P</em> &lt; 0.001), 6-min walk distance (6MWD) (<em>WMD</em> = 19.43, <em>P</em> = 0.004), Morisky Medication Adherence Scale-8 score (<em>WMD</em> = 0.96, <em>P</em> = 0.004), and medication adherence rate (<em>RR</em> = 1.24, <em>P</em> = 0.03). Nevertheless, there is no proof that mHealth apps can lower low-density lipoprote in cholesterol, blood pressure, BMI, or other indicator (<em>P</em> &gt; 0.05).</p></div><div><h3>Conclusion</h3><p>Mobile health apps have the potential to lower the incidence of major adverse cardiac events (MACEs), readmission rates, and blood lipids in patients with CHD. They can also help enhance cardiac function, promote medication adherence, and alleviate symptoms of anxiety and depression. To further corroborate these results, larger-scale, multi-center RCTs with longer follow-up periods are needed.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000292/pdfft?md5=d39befe228c8f083c6c3577019262919&pid=1-s2.0-S2352013224000292-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140277013","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":"Transforming education: Developing a practice-ready workforce","authors":"Gwen Sherwood","doi":"10.1016/j.ijnss.2024.03.002","DOIUrl":"10.1016/j.ijnss.2024.03.002","url":null,"abstract":"","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235201322400019X/pdfft?md5=9cd64227e4221c66fa23b2740864aa0f&pid=1-s2.0-S235201322400019X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140268355","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":"Perspectives and experiences of community-dwelling older adults who experience falling: A qualitative meta-synthesis","authors":"Huimin Jiang ,&nbsp;Haobin Yuan ,&nbsp;Stephen Tee ,&nbsp;Oi Ching Bernice Lam Nogueira","doi":"10.1016/j.ijnss.2024.03.009","DOIUrl":"10.1016/j.ijnss.2024.03.009","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to systematically review and synthesize the perspectives and experiences of community-dwelling older adults who experience falling, to inform the subsequent development of fall prevention and management interventions, and to provide recommendations for healthcare policy and practice.</p></div><div><h3>Methods</h3><p>The review was a qualitative meta-aggregation study following the JBI qualitative systematic review methodology. Databases searched included Medline (through PubMed), CINAHL, PsycINFO, Embase, and the Web of Science. Peer-reviewed articles published in the English language from January 2010 to May 2023 were retrieved. The JBI Qualitative Assessment and Review Instrument (JBI-QARI) was used to assess the quality of the methodology. The ConQual ranking system was used to establish confidence in the synthesized findings. The protocol was registered with PROSPERO (CRD 42023421789).</p></div><div><h3>Results</h3><p>This review included ten qualitative studies with an overall quality score of 60%–90%. Data extracted from eligible studies resulted in 59 findings, which were then aggregated into seven categories based on the similarity in meaning. Three synthesized findings were generated and rated as moderate for synthesized finding 2 and low for synthesized finding 1 and 3 on the ConQual score. Synthesized finding 1: Older adults experience physical injuries and pain, restricted daily activities, and limitations in social activities, reduction or loss of in independence, and have feelings of fear and helplessness. Synthesized finding 2: After experiencing a fall, older adults reflect on the cause of the fall and recognize and interpret the risk factors. Synthesized finding 3: Older adults’ reflections on the causes and impact of falls reveal both positive and negative reactions. They perceive a number of strategies for coping with falls and their consequences, such as using assistive devices, correcting risk factors, seeking medical help, and receiving ongoing physical and psychological attention.</p></div><div><h3>Conclusions</h3><p>Healthcare providers should pay attention to the feelings and experiences of older adults after falling, as well as their reflection on the causes and impacts of falling, and develop tailored plans for intervention. There is also a need for longitudinal studies to examine the longer-term impact of falls on older adults to provide insights into the stability and changes in their reflections, perceptions, attitudes, and preventive behaviors over time.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000267/pdfft?md5=72c7637fd3e165054dca5ac21487e5be&pid=1-s2.0-S2352013224000267-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140280680","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":"Symptom networks analysis among people with Meniere’s disease: Application for nursing care","authors":"Xuejiao Cao ,&nbsp;Yue Zhou ,&nbsp;Tang Li ,&nbsp;Chennan Wang ,&nbsp;Peixia Wu","doi":"10.1016/j.ijnss.2024.03.014","DOIUrl":"10.1016/j.ijnss.2024.03.014","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to explore and visualize the relationships among multiple symptoms in patients with Meniere’s disease (MD) and aid clinical nurses in the design of accurate, individualized interventions.</p></div><div><h3>Methods</h3><p>This study included 790 patients with MD at the Eye and ENT Hospital of Fudan University from October 2014 to December 2021. A self-designed symptom checklist was used to assess 15 MD-related symptoms and construct contemporaneous networks with all 15 symptoms in R software. Qgraph package and Fruchterman-Reingold layout were used for network visualization. Bootstrapping methods were performed to assess network accuracy and stability, and three centrality indices were adopted to describe relationships among symptoms.</p></div><div><h3>Results</h3><p>Symptom networks showed good accuracy and stability. “Anxiety and nervousness”(98.2%), “aural fullness”(84.4%) and “tinnitus”(82.7%) were the common symptom in MD patients, while “tinnitus”, “aural fullness” and “decline in word recognition”, were more serious. MD patients with longer disease duration had higher prevalence and severity for all symptoms (<em>P</em> &lt; 0.05). Symptom networks showed good accuracy and stability. “Decline in word recognition,” “fatigue,” and “anxiety and nervousness” were at the center of the symptom networks, which had the largest strength values and closeness. “Decline in word recognition,” “headache,” and “spatial discrimination and poor orientation” were the symptoms with the highest betweenness with the strongest bridging effect. The ≥1-year disease group exhibited higher centralities for “drop attack” and “anxiety and nervousness,” and a lower centrality for “headache” compared with the &lt;1-year disease group.</p></div><div><h3>Conclusions</h3><p>The symptom networks of MD patients with varying disease durations were revealed. Clinicians and nurses must provide precision interventions tailored to modifying symptom severity and centrality. Nursing interventions should focus on word recognition issues and associated discomfort in MD patients with multiple symptoms.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000310/pdfft?md5=4982f59d01fe935f4538f9ab977c64fd&pid=1-s2.0-S2352013224000310-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140277992","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":"Consequences of the hospital nursing research culture: Perspective of staff nurses","authors":"Ejercito Mangawa Balay-odao,&nbsp;Jonas Preposi Cruz,&nbsp;Joseph U. Almazan","doi":"10.1016/j.ijnss.2024.03.007","DOIUrl":"10.1016/j.ijnss.2024.03.007","url":null,"abstract":"<div><h3>Objective</h3><p>Research plays a critical role in molding nursing as a profession. Healthcare organizations are challenged to build an organizational culture that cultivates the development of nursing research. Creating a culture of nursing research is constantly branded a vital component in advancing nursing science. Therefore, this study described nurses’ perceptions about their hospital’s nursing research culture.</p></div><div><h3>Methods</h3><p>Semi-structured personal interviews were used to collect data. Seventeen staff nurses were selected to participate in the study by purposive sampling method from December 2022 to April 2023 in the eastern Philippines. The researchers used Braun and Clarke’s thematic approach to analyze the qualitative data.</p></div><div><h3>Results</h3><p>The analysis revealed three central themes and seven subthemes: influencing behavior and performance of the employee (help in research information and learning, flexibility and adaptability, collaboration and communication among employees), influencing staff nurses’ research participation (leadership strategies, training and professional development), and affecting hospitals to adapt to change (organizational performance and success, employee engagement and job satisfaction).</p></div><div><h3>Conclusions</h3><p>The findings support the benefits of a positive nursing research culture in hospitals due to its critical role in shaping nurses’ behavior and performance, participation in nursing research, and hospital adaptation to changes. Collectively, these themes contribute to a deeper understanding of the multifaceted impact that a culture of nursing research can have on various levels of the healthcare system.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000243/pdfft?md5=148bd635d9e5e9a9c334230c60ef1662&pid=1-s2.0-S2352013224000243-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140281361","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":"Improving the quality of care and patient safety in oncology, the contribution of simulation-based training: A scoping review","authors":"Nadia Al Wachami,&nbsp;Mohamed Chahboune,&nbsp;Ibtissam Youlyouz-marfak,&nbsp;Mohamed Reda Mesradi,&nbsp;Hajar Lemriss,&nbsp;Abderraouf Hilali","doi":"10.1016/j.ijnss.2024.03.005","DOIUrl":"10.1016/j.ijnss.2024.03.005","url":null,"abstract":"<div><h3>Objective</h3><p>Simulation-based training (SBT) is an effective educational method widely used in many clinical settings, including oncology. This study aimed to undertake a scoping review of research related to SBT in oncology to provide a comprehensive understanding of the role of SBT in enhancing the skills of healthcare professionals and thereby improving the quality of care and patient safety in oncology.</p></div><div><h3>Methods</h3><p>We conducted a scoping review to map published studies in Medline, Scopus, and Web of Science databases. Peer-reviewed articles about data on the role of SBT in improving and enhancing the skills of healthcare professionals in oncology published in English and French from 2012 to 2022 were retrieved. Two researchers screened, extracted, and analyzed all identified studies independently.</p></div><div><h3>Results</h3><p>Of the 1,013 publications identified in the initial phase, 29 studies were included in the analysis. Twenty-five of these studies focused on non-technical skills, such as decision-making, communication, teamwork, and cognitive abilities. Thirteen studies focused on technical skills. The results of all included studies showed significant improvement in the skills of oncology healthcare professionals through SBT programs. Fourteen studies subjectively assessed the role of this educational tool, while nine objectively evaluated it. Six studies used a combined subjective and objective evaluation method.</p></div><div><h3>Conclusions</h3><p>SBT is a very effective tool for improving the skills of healthcare professionals in oncology. Supporting and promoting SBT is essential to providing high-quality care and ensuring patient safety in all areas of health care.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235201322400022X/pdfft?md5=1481e555842bce35d7d5e188b9417233&pid=1-s2.0-S235201322400022X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140268269","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":"Embracing the future: Integrating ChatGPT into China’s nursing education system","authors":"Zhengxin Ni ,&nbsp;Rui Peng ,&nbsp;Xiaofei Zheng ,&nbsp;Ping Xie","doi":"10.1016/j.ijnss.2024.03.006","DOIUrl":"10.1016/j.ijnss.2024.03.006","url":null,"abstract":"<div><p>This article delves into the role of ChatGPT within the rapidly evolving field of artificial intelligence, especially highlighting its significant potential in nursing education. Initially, the paper presents the notable advancements ChatGPT has achieved in facilitating interactive learning and providing real-time feedback, along with the academic community’s growing interest in this technology. Subsequently, summarizing the research outcomes of ChatGPT’s applications in nursing education, including various clinical disciplines and scenarios, showcases the enormous potential for multidisciplinary education and addressing clinical issues. Comparing the performance of several Large Language Models (LLMs) on China’s National Nursing Licensure Examination, we observed that ChatGPT demonstrated a higher accuracy rate than its counterparts, providing a solid theoretical foundation for its application in Chinese nursing education and clinical settings. Educational institutions should establish a targeted and effective regulatory framework to leverage ChatGPT in localized nursing education while assuming corresponding responsibilities. Through standardized training for users and adjustments to existing educational assessment methods aimed at preventing potential misuse and abuse, the full potential of ChatGPT as an innovative auxiliary tool in China’s nursing education system can be realized, aligning with the developmental needs of modern teaching methodologies.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000231/pdfft?md5=8cd329ac4ad23bd15f7798f26a69d4d2&pid=1-s2.0-S2352013224000231-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140088883","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":"Nursing interventions to promote dyspnea self-management of complex chronic patients: An integrated review","authors":"Helga Rafael Henriques ,&nbsp;Andreia Correia ,&nbsp;Tatiana Santos ,&nbsp;José Faria ,&nbsp;Diana Sousa ,&nbsp;Joana Portela ,&nbsp;Joana Teixeira","doi":"10.1016/j.ijnss.2024.03.008","DOIUrl":"10.1016/j.ijnss.2024.03.008","url":null,"abstract":"<div><h3>Objectives</h3><p>Chronic dyspnea, a distressing symptom in patients with complex chronic conditions, is linked to higher risks of mortality. This study aimed to identify nursing interventions that could improve self-management for complex chronic patients, thereby enhancing control over chronic dyspnea. The findings intend to guide nursing care strategies that promote self-management among this population.</p></div><div><h3>Methods</h3><p>We searched the databases Medline, Scopus, Web of Science, CINAHL, Cochrane Database of Systematic Reviews (CDSR), and Joanna Briggs Institute (JBI) databases were searched in December 2023. We included adult patients with complex chronic conditions with chronic dyspnoea. The team screened articles collaboratively, using Rayyan software. A qualitative appraisal was performed according to JBI Critical Appraisal Checklist tools. The review protocol is registered under the number CRD42023456021.</p></div><div><h3>Results</h3><p>Our review included 18 studies that explored a variety of interventions for chronic dyspnea. We identified pharmacological interventions (such as oxygen therapy and inhalation treatments) and non-pharmacological approaches (including educational programs, breathing exercises, fluid intake management, body awareness techniques, peer support, emotional intelligence training, and the use of web applications). Those interventions empower patients, improve their ability to fulfill life roles, mitigate emotional distress, and improve overall quality of life. Nursing care can be crucial in enabling individuals to achieve independence and autonomy in self-care.</p></div><div><h3>Conclusions</h3><p>Promoting self-management for chronic dyspnea in complex chronic patients requires a holistic approach, encompassing multidisciplinary interventions, individualized self-care education, peer engagement, and technological support. Current research on self-management inadequately addresses interventions targeting patient behaviour change. It highlights the need to delve deeper into the self-management process. Further research is needed to expand the evidence base and refine these interventions.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000255/pdfft?md5=13d9874a324d699ef55cc6866f4d502a&pid=1-s2.0-S2352013224000255-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140278475","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}