International Journal of Nursing Sciences最新文献

{"title":"Prevalence of central line-associated bloodstream infections in patients with cancer and subgroup analysis using propensity score matching: A nationwide multicenter study in Italy","authors":"Silvia Belloni ,&nbsp;Cristina Arrigoni ,&nbsp;Marco Alfredo Arcidiacono ,&nbsp;Giovanni Boschi ,&nbsp;Alessandro Leonetti ,&nbsp;Maria Allevato ,&nbsp;Orejeta Diamanti ,&nbsp;Chiara Cardone ,&nbsp;Daniele Girardi ,&nbsp;Sergio Ferrante ,&nbsp;Daniela Strada ,&nbsp;Silvia Bonalumi ,&nbsp;Elena Pisano ,&nbsp;Paola Maisola ,&nbsp;Giulia Villa ,&nbsp;Arianna Magon ,&nbsp;Gianluca Conte ,&nbsp;Stefania Ducoli ,&nbsp;Marco Fadda ,&nbsp;Tedeschi Michele ,&nbsp;Rosario Caruso","doi":"10.1016/j.ijnss.2025.02.011","DOIUrl":"10.1016/j.ijnss.2025.02.011","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to analyze the prevalence of long-term central line-associated bloodstream infections (CLABSI) among hospitalized adults with cancer in Italy and compare the characteristics of patients who required long-term central venous access device (LCVAD) substitution due to prior CLABSI with those who had never experienced CLABSI.</div></div><div><h3>Methods</h3><div>The study was conducted in hospitals across northern and central Italy using a multicenter, observational, cross-sectional design from March to September 2021. A total of 174 adults with cancer were included. Data were collected through electronic case report forms, including demographic, clinical, treatment-related, and catheter-related variables. Propensity score matching (PSM) was used to compare the characteristics of patients who underwent LCVAD substitution due to previous CLABSI with those who never experienced CLABSI. Multiple correspondence analysis (MCA) was conducted to explore the patterns within matched subgroups.</div></div><div><h3>Results</h3><div>The prevalence of CLABSI was 3 %, and 5.2 % of patients required LCVAD substitution due to prior CLABSI. After applying PSM, the groups were successfully balanced for sex, age, presence of metastases, comorbidities, BMI, received treatments, corticosteroid therapy, ongoing antibiotics, hormone therapy, type of LCVAD, lumens, and utilization frequency. Hematologic cancer was more frequent in the CLABSI group (44.4 %) compared to the non-infective group (0), with a statistically significant difference (<em>P</em> = 0.045). MCA revealed potential patterns among matched subgroups but did not identify statistically significant associations: patients with previous LCVAD substitution were more frequently associated with a history of prior infections, ongoing antibiotic therapy, and unspecified primary lesion locations; conversely, patients who never experienced CLABSI tended to cluster around characteristics such as hormone therapy and corticosteroid therapy.</div></div><div><h3>Conclusions</h3><div>These findings emphasize the importance of continuous monitoring, individualized infection prevention strategies in oncology nursing practice. Future research with larger datasets is needed to validate these findings and develop tailored interventions to reduce CLABSI risks.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 276-284"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166762","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":"Retaining nurses in Sub-Saharan Africa: A systematic review and meta-analysis","authors":"Evans Kasmai Kiptulon ,&nbsp;Mohammed Elmadani ,&nbsp;Mokaya Peter Onchuru ,&nbsp;Anna Szőllősi ,&nbsp;Miklós Zrínyi ,&nbsp;Adrienn Ujváriné Siket","doi":"10.1016/j.ijnss.2025.04.004","DOIUrl":"10.1016/j.ijnss.2025.04.004","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to determine the current prevalence of nurse retention in Sub-Saharan Africa (SSA), evaluate the strategies and interventions in SSA countries used to retain their nurses, and identify the key challenges impeding nurse retention.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis were conducted. An electronic search was performed in August 2024 across multiple databases, including PubMed, Ovid Medline, Embase, CINAHL, Scopus, and grey literature sources. The studies were screened using Covidence, and quality assessments were conducted using the Mixed Methods Appraisal Tool.</div></div><div><h3>Results</h3><div>A total of 31 articles were included in the review. Meta-analysis revealed that the pooled nurses’ retention rate in SSA was 53 % (95 %<em>CI</em>: 38 %–67 %; <em>I</em>² = 97 %), while the pooled intention to stay (ITS) rate at work was 57 % (95 %<em>CI</em>: 43 %–71 %; <em>I</em>² = 99 %). Subgroup analysis by region showed that the ITS rate was highest in East Africa (65 %), followed by West Africa (63 %), and lowest in Southern Africa (35 %). Effective retention strategies included financial and non-financial incentives, increased production and training of nurses, steering students to shortage specialties, adequate rural housing, facility level improvements, availability of career and professional progression opportunities, nurses’ recognition and involvement, employment terms, transparency and predictable management of human resources, supportive work environments, leadership, religious factors, and stakeholders’ collaborations. Key challenges to nurses’ retention include inadequate healthcare funding, governance issues, poor remuneration and working conditions, political interference, high unemployment rates, ineffective mobility management, unregulated international migration, and active recruitment by wealthier nations.</div></div><div><h3>Conclusions</h3><div>Nurse retention in SSA remains critically low. Interventions should be formulated for the above-mentioned effective improvement strategies to address these systemic challenges in order to retain nurses in SSA.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 301-309"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166765","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":"Identifying the key influencing factors of psychological birth trauma in primiparous women with interpretable machine learning","authors":"Yuze Wu ,&nbsp;Fengling Li ,&nbsp;Huilan Shu ,&nbsp;Siyuan Li ,&nbsp;Lijun Cui ,&nbsp;Min Tan ,&nbsp;Lanjun Luo ,&nbsp;Xuemei Wei","doi":"10.1016/j.ijnss.2025.04.008","DOIUrl":"10.1016/j.ijnss.2025.04.008","url":null,"abstract":"<div><h3>Objective</h3><div>Accurately identifying the key influencing factors of psychological birth trauma in primiparous women is crucial for implementing effective preventive and intervention measures. This study aimed to develop and validate an interpretable machine learning prediction model for identifying the key influencing factors of psychological birth trauma in primiparous women.</div></div><div><h3>Methods</h3><div>A multicenter cross-sectional study was conducted on primiparous women in four tertiary hospitals in Sichuan Province, southwestern China, from December 2023 to March 2024. The Childbirth Trauma Index was used in assessing psychological birth trauma in primiparous women. Data were collected and randomly divided into a training set (80 %, <em>n</em> = 289) and a testing set (20 %, <em>n</em> = 73). Six different machine learning models were trained and tested. Training and prediction were conducted using six machine learning models included Linear Regression, Support Vector Regression, Multilayer Perceptron Regression, eXtreme Gradient Boosting Regression, Random Forest Regression, and Adaptive Boosting Regression. The optimal model was selected based on various performance metrics, and its predictive results were interpreted using SHapley Additive exPlanations (SHAP) and accumulated local effects (ALE).</div></div><div><h3>Results</h3><div>Among the six machine learning models, the Multilayer Perceptron Regression model exhibited the best overall performance in the testing set (MAE = 3.977, MSE = 24.832, <em>R</em>² = 0.507, EVS = 0.524, RMSE = 4.983). In the testing set, the <em>R</em>² and EVS of the Multilayer Perceptron Regression model increased by 8.3 % and 1.2 %, respectively, compared to the traditional linear regression model. Meanwhile, the MAE, MSE, and RMSE decreased by 0.4 %, 7.3 %, and 3.7 %, respectively, compared to the traditional linear regression model. The SHAP analysis indicated that intrapartum pain, anxiety, postpartum pain, resilience, and planned pregnancy are the most critical influencing factors of psychological birth trauma in primiparous women. The ALE analysis indicated that higher intrapartum pain, anxiety, and postpartum pain scores are risk factors, while higher resilience scores are protective factors.</div></div><div><h3>Conclusions</h3><div>Interpretable machine learning prediction models can identify the key influencing factors of psychological birth trauma in primiparous women. SHAP and ALE analyses based on the Multilayer Perceptron Regression model can help healthcare providers understand the complex decision-making logic within a prediction model. This study provides a scientific basis for the early prevention and personalized intervention of psychological birth trauma in primiparous women.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 253-260"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166757","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":"Effectiveness of nulliparous women’s different childbirth positions during the second stage of labor: A systematic review and network meta-analysis","authors":"Hongyan Liu ,&nbsp;Lingling Li ,&nbsp;Xiaojiao Wang ,&nbsp;Xinli Zhu ,&nbsp;Liping Sun ,&nbsp;Chunxiang Zhu ,&nbsp;Hui Min ,&nbsp;Chunyi Gu","doi":"10.1016/j.ijnss.2025.04.006","DOIUrl":"10.1016/j.ijnss.2025.04.006","url":null,"abstract":"<div><h3>Objectives</h3><div>A systematic review and network meta-analysis was conducted to evaluate the effectiveness of different childbirth positions in reducing the duration of the second stage of labor, providing evidence-based insights for obstetric institutions to guide interventions related to childbirth positions.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted in databases, including PubMed, Web of Science, the Cochrane Library, Embase, Wanfang Databases, China National Knowledge Infrastructure Databases (CNKI), China Science and Technology Journal Database (CSTJ), and China Biology Medicine disc (CBMdisc) to identify studies on the effectiveness of different childbirth positions in reducing the duration of the second stage of labor. The search included randomized controlled trials published from database inception to September 30, 2024. The Cochrane risk-of-bias tool was used to assess the quality of the studies. Two independent reviewers screened the literature, extracted data, and evaluated study quality. Subsequently, a network meta-analysis was performed using STATA software. The study protocol has been registered in PROSPERO (CRD42023428217).</div></div><div><h3>Results</h3><div>This study analyzed data from 25 randomized controlled trials involving 9,844 women. The findings indicated that in comparison to lithotomy position, free position (<em>MD</em> = 20.53, 95 %<em>CI</em> [11.38, 29.68]) and upright position (<em>MD</em> = −24.13, 95 %<em>CI</em> [−42.94, -5.32]) were found to be superior in reducing the duration of the second stage of labor. Free position outperformed kneeling position (<em>MD</em> = 21.48, 95 %<em>CI</em> [4.67, 38.28]) and squatting position (<em>MD</em> = 23.43, 95 %<em>CI</em> [1.88, 44.97]); upright position was superior to kneeling position (<em>MD</em> = −25.08, 95 %<em>CI</em> [−46.93, −3.22]); semirecumbent position surpassed squatting position (<em>MD</em> = 19.71, 95 %<em>CI</em> [2.05, 37.38]); and upright position was also superior to squatting position (<em>MD</em> = −27.03, 95 %<em>CI</em> [−51.48, −2.57]). According to the surface under the cumulative ranking curve (SUCRA), the upright position emerged as the most effective for reducing the duration of the second stage of labor (87.4 %), followed by free position (81.1 %), semirecumbent position (70.0 %), and lateral position (62.3 %).</div></div><div><h3>Conclusion</h3><div>These findings offer valuable insights for midwifery practice and help inform future research directions. Considering the limitations of this review, more larger-scale, multicenter randomized controlled trials are warranted to further evaluate the relative effectiveness of different childbirth positions in reducing the duration of the second stage of labor.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 268-275"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166761","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":"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":"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":"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":"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}