International Journal of Nursing Sciences最新文献

{"title":"“Becoming a family”—the effects of the hidden curriculum in transferring institutional mission: An experience from a century-old nursing school","authors":"Aimei Mao ,&nbsp;Hon-Lon Tam ,&nbsp;Pak-Leng Cheong ,&nbsp;Iat-Kio Van","doi":"10.1016/j.ijnss.2025.04.005","DOIUrl":"10.1016/j.ijnss.2025.04.005","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to examine the role of the hidden curriculum in transmitting the educational mission and its impacts on nursing students’ professional socialization.</div></div><div><h3>Methods</h3><div>This constructivist grounded theory study involved twenty-six students and five faculty members from a century-old nursing school in Macau. Semi-structured interviews examined the factors influencing nursing students’ choice of a specific nursing school and their general learning experiences in nursing studies. Open and focused coding was employed to develop categories and concepts that capture the nuances of how the hidden curriculum influences students’ personal experiences, perceptions, and values related to developing their professional identities. The data analysis was guided by the “Community of Practice” model.</div></div><div><h3>Results</h3><div>The educational mission fostered a hidden curriculum that emphasized nurturing qualities and social responsibilities, creating a family-like learning environment that positively influenced the professional socialization of nursing students. Under the core theme of “becoming a family,” two sub-themes emerged: “student-peer interactions - fostering sisterly/brotherly learning partnerships” and “student-faculty interactions – faculty’s acting as parenting instructors.” While the hidden curriculum promoted a democratic and egalitarian learning atmosphere among student-peers, it simultaneously reinforced hierarchical power dynamics among senior-junior students and student-faculty relationships, mirroring the power-based interpersonal dynamics often found in traditional Chinese families.</div></div><div><h3>Conclusions</h3><div>Explicating the educational mission can help shape a hidden curriculum that benefits nursing students’ professional socialization. Faculty members should reflect on the power inequalities reproduced by the hidden curriculum and establish appropriate boundaries in student-faculty relationships.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 293-300"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166764","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":"Healthcare providers’ perceptions of artificial intelligence in diabetes care: A cross-sectional study in China","authors":"Yongzhen Mo ,&nbsp;Fang Zhao ,&nbsp;Li Yuan ,&nbsp;Qiuling Xing ,&nbsp;Yingxia Zhou ,&nbsp;Quanying Wu ,&nbsp;Caihong Li ,&nbsp;Juan Lin ,&nbsp;Haidi Wu ,&nbsp;Shunzhi Deng ,&nbsp;Mingxia Zhang","doi":"10.1016/j.ijnss.2025.04.013","DOIUrl":"10.1016/j.ijnss.2025.04.013","url":null,"abstract":"<div><h3>Objectives</h3><div>Diabetes remains a major global health challenge in China. Artificial intelligence (AI) has demonstrated considerable potential in improving diabetes management. This study aimed to assess healthcare providers’ perceptions regarding AI in diabetes care across China.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted using snowball sampling from November 12 to November 24, 2024. We selected 514 physicians and nurses by a snowball sampling method from healthcare providers across 30 cities or provinces in China. The self-developed questionnaire comprised five sections with 19 questions assessing medical workers’ demographic characteristics, AI-related experience and interest, awareness, attitudes, and concerns regarding AI in diabetes care. Statistical analysis was performed using <em>t</em>-test, analysis of variance (ANOVA), and linear regression.</div></div><div><h3>Results</h3><div>Among them, 20.0 % and 48.1 % of respondents had participated in AI-related research and training, while 85.4 % expressed moderate to high interest in AI training for diabetes care. Most respondents reported partial awareness of AI in diabetes care, and only 12.6 % exhibited a comprehensive or substantial understanding. Attitudes toward AI in diabetes care were generally positive, with a mean score of 24.50 ± 3.38. Nurses demonstrated significantly higher scores than physicians (<em>P</em> &lt; 0.05). Greater awareness, prior AI training experience, and higher interest in AI training in diabetes care were strongly associated with more positive attitudes (<em>P</em> &lt; 0.05). Key concerns regarding AI included trust issues from AI-clinician inconsistencies (77.2 %), increased workload and clinical workflow disruptions (63.4 %), and incomplete legal and regulatory frameworks (60.3 %). Only 34.2 % of respondents expressed concerns about job displacement, indicating general confidence in their professional roles.</div></div><div><h3>Conclusions</h3><div>While Chinese healthcare providers show moderate awareness of AI in diabetes care, their attitudes are generally positive, and they are considerably interested in future training. Tailored, role-specific AI training is essential for equitable and effective integration into clinical practice. Additionally, transparent, reliable, ethical AI models must be prioritized to alleviate practitioners’ concerns.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 218-224"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166858","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":"Navigating the integration of artificial intelligence in Nursing: Opportunities, challenges, and strategic actions","authors":"Rick Yiu Cho Kwan ,&nbsp;Anson Chui Yan Tang ,&nbsp;Janet Yuen Ha Wong ,&nbsp;Wentao Zhou ,&nbsp;Maria Theresa Belcina ,&nbsp;Gracielle Ruth Adajar ,&nbsp;Misae Ito ,&nbsp;Irvin Ong ,&nbsp;Younhee Kang ,&nbsp;Jing Jing Su ,&nbsp;Julia Sze Wing Wong","doi":"10.1016/j.ijnss.2025.04.009","DOIUrl":"10.1016/j.ijnss.2025.04.009","url":null,"abstract":"<div><div>The advent of artificial intelligence (AI) in recent years has brought about transformative changes across various sectors, including healthcare. In nursing practice, education, and research, AI has the potential to revolutionize traditional methodologies, enhance learning experiences, and improve patient outcomes. Integrating AI tools and techniques can provide clinicians with smarter clinical solutions and nursing students with more robust and interactive learning environments, while also advancing research capabilities in the field. Despite the promising prospects, the incorporation of AI into nursing practice, education, and research presents several challenges. Firstly, there is a concern about the potential displacement of human roles in nursing due to automation, which may affect the human-centric nature of nursing care. Secondly, there are issues related to the lag in AI competency among nurses. Many current nursing curricula do not include comprehensive AI training, leading to a lack of preparedness in utilizing these technologies effectively. Lastly, the ethical implications of AI in healthcare, such as data privacy, patient consent, and the potential for biased algorithms, need to be meticulously addressed. To harness the full potential of AI in nursing practice, education, and research, several strategic actions including reinvesting in humanistic practice, revising core competencies and curriculum, and developing new ethical guidelines.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 241-245"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166861","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":"Physical activity among Chinese pregnant women in the first trimester: A cross-sectional study","authors":"Xin Chen ,&nbsp;Zhixuan Xiang ,&nbsp;Lu Chen ,&nbsp;Ke Sun ,&nbsp;Yongfang Deng ,&nbsp;Lingling Gao","doi":"10.1016/j.ijnss.2025.02.013","DOIUrl":"10.1016/j.ijnss.2025.02.013","url":null,"abstract":"<div><h3>Objectives</h3><div>Physical activity during pregnancy benefits both women and their fetuses; however, the prevalence of physical inactivity is high among pregnant women in the first trimester. This study aimed to examine physical activity patterns among pregnant Chinese women in the first trimester and clarify the characteristics associated with physical inactivity in the first trimester.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted at three Class-A tertiary hospitals in Guangzhou, city, China, from December 2021 to June 2022. A total of 1,283 pregnant women were enrolled. The Pregnancy Physical Activity Questionnaire and a sociodemographic and obstetric data sheet collected information in the first trimester.</div></div><div><h3>Results</h3><div>The prevalence of physical inactivity among Chinese pregnant women was 51 %. Pregnant women spent the most time in the domains of household/caregiving activities (median 38.25 h/week) and sedentary activities (median 54.25 h/week). Characteristics of pregnant women who were more likely to be physically inactive included younger age (<em>OR</em>: 1.413, 95 %<em>CI</em>: 1.291, 1.767; <em>P</em> = 0.002), unmarried (<em>OR</em>: 2.976, 95 %<em>CI</em>: 1.573, 5.630; <em>P</em> = 0.001), lower monthly income (<em>OR</em>: 1.945, 95 %<em>CI</em>: 1.535, 2.464; <em>P</em> = 0.001), self-paid medical care (<em>OR</em>: 1.472, 95 %<em>CI</em>: 1.140, 1.900; <em>P</em> = 0.003), nulliparous (<em>OR</em>: 3.169, 95 %<em>CI</em>: 2.504, 4.009; <em>P</em> = 0.001), inadequate knowledge about physical activity during pregnancy (<em>OR</em>: 1.797, 95 %<em>CI</em>: 1.432, 2.255; <em>P</em> = 0.001), husbands with no physical activity habits (<em>OR</em>:1.353, 95 %<em>CI</em>: 1.081, 1.693; <em>P</em> = 0.008), and no prepregnancy physical activity habits (<em>OR</em>: 1.832, 95 %<em>CI</em>: 1.433, 2.340; <em>P</em> = 0.001).</div></div><div><h3>Conclusions</h3><div>Physical inactivity was prevalent among pregnant women in the first trimester. Promoting physical activity could be incorporated into routine antenatal care. Healthcare professionals should assess and monitor the physical activity of pregnant women and provide consultations on physical activity during their first trimester, particularly for pregnant women with characteristics associated with physical inactivity.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 3","pages":"Pages 261-267"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166758","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 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}