International Journal of Nursing Sciences最新文献

{"title":"The prevalence and factors associated with sarcopenia in Thai older adults: A systematic review and meta-analysis","authors":"Phatcharaphon Whaikid,&nbsp;Noppawan Piaseu","doi":"10.1016/j.ijnss.2023.11.002","DOIUrl":"10.1016/j.ijnss.2023.11.002","url":null,"abstract":"<div><h3>Objective</h3><p>This systematic review and meta-analysis aimed to assess the prevalence and identify factors associated with sarcopenia in older Thais.</p></div><div><h3>Methods</h3><p>Research studies were searched in online databases, including PubMed, Embase, Scopus, and Thai-Journal Citation Index. The articles included in this review were limited to being published between January 1, 2013 and January 31, 2023 and observational study designs. The research quality was evaluated using the Joanna Briggs Institute (JBI) critical appraisal tool for prevalence studies. A meta-analysis was performed using the JBI SUMARI software. The review protocol has been registered on PROSPERO with the assigned ID CRD42023420514.</p></div><div><h3>Results</h3><p>A total of 265 research articles were initially identified, out of which 17 articles were included in this study, including a total of 4,668 participants aged 60 years and over, consisting of 1,380 (29.6%) men and 3,288 (70.4%) women. The overall prevalence of sarcopenia in Thai older adults was 20.7% (95% CI 14.4%–27.8%). Subgroup analysis of the sarcopenia prevalence based on the study areas revealed that the prevalence was 33.4% (95% CI 28.7%–38.3%) in hospitalized individuals, 23.2% (95% CI 12.5%–35.9%) in outpatient clinic settings, and 17.3% (95% CI 9.4%–26.8%) in community-living older adults. Advanced age (<em>OR</em> = 4.60, 95% CI 3.07–6.91), being male (<em>OR</em> = 2.30, 95% CI 1.37–3.85), low body mass index (BMI) (<em>OR</em> = 8.95, 95% CI 6.05–13.25), and malnutrition (<em>OR</em> = 2.78, 95% CI 2.09–3.70) are strong predictors of sarcopenia in older adults in Thailand.</p></div><div><h3>Conclusions</h3><p>This systematic review represents the first assessment of the overall prevalence and factors associated with sarcopenia in Thai older adults, indicating its significant concern within this population. These findings are of importance for public health management aimed at preventing and managing sarcopenia in the country.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Pages 31-45"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001424/pdfft?md5=ec1c4f2195df8aa65216ed51e10a9220&pid=1-s2.0-S2352013223001424-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138613464","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 effect of intelligent management interventions in intensive care units to reduce false alarms: An integrative review","authors":"Bingyu Li ,&nbsp;Liqing Yue ,&nbsp;Huiyu Nie ,&nbsp;Ziwei Cao ,&nbsp;Xiaoya Chai ,&nbsp;Bin Peng ,&nbsp;Tiange Zhang ,&nbsp;Weihong Huang","doi":"10.1016/j.ijnss.2023.12.008","DOIUrl":"10.1016/j.ijnss.2023.12.008","url":null,"abstract":"<div><h3>Objective</h3><p>In intensive care units (ICU), frequent false alarms from medical equipment can cause alarm fatigue among nurses, which might lead to delayed or missed responses and increased risk of adverse patient events. This review was conducted to evaluate the effectiveness of intelligent management interventions to reduce false alarms in ICU.</p></div><div><h3>Method</h3><p>Following the framework of Whitmore and Knafl, the reviewers systematically searched six databases: PubMed, EMBASE, CINAHL, OVID, Cochrane Library, and Scopus, and studies included intelligent management of clinical alarms published in the English or Chinese language from the inception of each database to December 2022 were retrieved. The researchers used the PICOS framework to formulate the search strategy, developed keywords, screened literature, and assessed the studies’ quality using the Joanna Briggs Institute-Meta-Analysis of Statistics, Assessment, and Review Instrument (JBI-MAStARI). The review was preregistered on PROSPERO (CRD42023411552).</p></div><div><h3>Results</h3><p>Seven studies met the inclusion criteria. The results showed that different interventions for intelligent management of alarms were beneficial in reducing the number of false alarms, the duration of alarms, the response time to important alarms for nurses, and the alarm fatigue levels among nurses. Positive results were found in practice after the application of the novel alarm management approaches.</p></div><div><h3>Conclusion</h3><p>Intelligent management intervention may be an effective way to reduce false alarms. The application of systems or tools for the intelligent management of clinical alarms is urgent in hospitals. To ensure more effective patient monitoring and less distress for nurses, more alarm management approaches combined with artificial intelligence will be needed in the future to enable accurate identification of critical alarms, ensure nurses are responding accurately to alarms, and make a real difference to alarm-ridden healthcare environments.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Pages 133-142"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001503/pdfft?md5=b7f8f52b93e47bd9e723231a0d12061a&pid=1-s2.0-S2352013223001503-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139017806","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":"Air quality self-management in asthmatic patients with COPD: An integrative review for developing nursing interventions to prevent exacerbations","authors":"Bruna F. Sebastião ,&nbsp;Raquel M. Hortelão ,&nbsp;Sara S. Granadas ,&nbsp;José M. Faria ,&nbsp;Joana R. Pinto ,&nbsp;Helga Rafael Henriques","doi":"10.1016/j.ijnss.2023.12.003","DOIUrl":"10.1016/j.ijnss.2023.12.003","url":null,"abstract":"<div><h3>Objectives</h3><p>Asthma-chronic obstructive pulmonary disease (COPD) overlap (ACO) patients experience a lower quality of life, frequent exacerbations, and worse pulmonary function. Environmental management is essential in a complex chronic condition, as pollutant exposure can worsen symptoms and increase morbidity and mortality. We aimed to identify evidence that informs nursing interventions in promoting self-management of air quality in asthmatic people with COPD.</p></div><div><h3>Methods</h3><p>We conducted an integrative review in March of 2023. We searched the databases CINAHL, MEDLINE, Academic Search Complete, Cochrane Database of Systematic Reviews (CDSR), Scopus, Web of Science, Joanna Briggs Institute (JBI) Evidence-Based Practice Database, and Google Scholar. We included articles whose participants were adults with asthma, COPD, or both; the intervention was air quality management and the outcome of any exacerbations. We excluded editorials, letters, commentaries, opinion papers, position papers, study protocols, conference abstracts, and reviews. Data extraction and synthesis were performed, categorizing interventions according to nursing actions. Methodological quality assessment was conducted using the JBI Critical Appraisal Checklist tools. The review protocol was registered at Open Science Framework (<span>https://doi.org/10.17605/OSF.IO/5Y4KW</span><svg><path></path></svg>).</p></div><div><h3>Results</h3><p>We included five articles from different countries. The interventions promoting air quality self-management for individuals with asthma and COPD included vigilance interventions (health professional regular visits, assessment of symptoms), monitoring interventions (measurement of indoor and outdoor trigger factors), and educational interventions (air quality alerts, allergen avoidance). Policy interventions such as smoke-free policies and comprehensive strategies to improve air quality were also identified. These areas of focus represent critical components of nurses’ interventions and can integrate the fundamental patterns of knowing in nursing. Although the studies reveal heterogeneous interventions and the methodological quality is variable, these interventions showed potential for preventing exacerbations, reducing emergency department visits, and minimizing hospitalizations.</p></div><div><h3>Conclusions</h3><p>The study emphasizes the need for a comprehensive approach involving nurses in multidisciplinary teams to air quality self-management. They can use these results to inform their interventions and ways of knowing, benefiting individuals with asthma and COPD. 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":"11 1","pages":"Pages 46-56"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235201322300145X/pdfft?md5=34079c9046a4ee5629c3d95c2d15be4a&pid=1-s2.0-S235201322300145X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139018512","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":"Attitudes of the public and medical professionals toward nurse prescribing: A text-mining study based on social medias","authors":"Qi Zhou ,&nbsp;Yiqing Xu ,&nbsp;Lili Yang ,&nbsp;Rashid Menhas","doi":"10.1016/j.ijnss.2023.12.005","DOIUrl":"10.1016/j.ijnss.2023.12.005","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to explore the public and medical professionals’ concerns and attitudes toward nurse prescribing using text-mining method to analyze social media data.</p></div><div><h3>Methods</h3><p>Python was used to automatically mine data related to the keywords “nurse prescribing” and “prescription” that were posted on four Chinese internet platforms between January 1, 2017, and November 1, 2022. The four Chinese internet platforms included social media sites such as Zhihu and Weibo, as well as medical forums like Aiaiyi Medical Hotspot and Dingxiangyuan Medicine. We conducted personnel, topic, and sentiment analysis techniques using SnowNLP, Bayesian Latent Dirichlet Allocation (LDA), and BosonNLP. Finally, we conducted content analysis using Nvivo 11 based on the results of the topic and sentiment analysis to obtain comprehensive and insightful results.</p></div><div><h3>Results</h3><p>We acquired 2,823 comments totaling 92,859 words on the four Internet platforms to conduct analysis. The analyze result showed that many public and medical professionals held a negative attitude toward nurse prescribing, and few had a prudent positive attitude. The public is concerned about the impact of nurse prescribing on medical professionals and the competency requirements for nurses. Medical professionals are concerned about the current and future status of nurse prescribing in China and the difficulties in implementing nurse prescribing.</p></div><div><h3>Conclusion</h3><p>Nurses should gradually gain recognition for their expertise and win the acceptance of the public and medical professionals on their ability of nursing prescribing by striving to enhance their professional capacity and self-authorization capabilities. Nurse administrators and educators need to recognize the advantages of nurse prescribing and address the challenges and issues in its implementation through promoting legislation, education, and heightening public awareness of its benefits.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Pages 99-105"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001473/pdfft?md5=29c5bf8ac9ad3287017a4df86cc7fb21&pid=1-s2.0-S2352013223001473-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988897","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":"Competencies of the nurses in the limitation of therapeutic effort in the intensive care unit: An integrative review","authors":"Elvia R. López-Panza ,&nbsp;Vanessa C. Pacheco-Roys ,&nbsp;Kelly J. Fernández-Ahumada ,&nbsp;Diana C. Díaz-Mass ,&nbsp;María Y. Expósito-Concepción ,&nbsp;Elizabeth Villarreal-Cantillo ,&nbsp;Cesar I. Aviles Gonzalez","doi":"10.1016/j.ijnss.2023.12.011","DOIUrl":"10.1016/j.ijnss.2023.12.011","url":null,"abstract":"<div><h3>Objective</h3><p>Nurses inevitably encounter patients who require care aimed at limiting therapeutic effort (LTE), even though many of them are not prepared to provide support to individuals with terminal illnesses and their families. One of the contexts in which the LTE is considered is the intensive care unit (ICU). This review is to describe the competencies for the execution of a nursing professional role in the LTE in the ICU.</p></div><div><h3>Method</h3><p>An integrative review of the literature published between the years 2010 and 2023. The search was carried out in five databases: Medline, Wiley Online Library, SciELO, ScienceDirect, and Web of Science. The Critical Appraisal Skills Programme in Spanish was used as the template for study evaluation. The methodology of the Oxford Center for Evidence-Based Medicine (CEBM) was used to assess the level of evidence and the degree of recommendation.</p></div><div><h3>Result</h3><p>A total of 25 articles in a wide range of studies were included. The findings suggest that the competencies for LTE in the ICU are direct patient care, family-centered care, and the role of the nurse within the team. However, more high-quality studies are needed to confirm these conclusions. Three categories were identified: (a) competencies as defender agent between the patient, his family, and the interdisciplinary team; (b) competencies for decision-making in limiting the therapeutic effort; and (c) competencies for nursing therapeutic interventions at the end of life.</p></div><div><h3>Conclusion</h3><p>The competencies of the nursing professionals who work in the adult ICU in the LTE are essential to the patient’s quality of life, dignity of their death, and comprehensive family support for coping with grief.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Pages 143-154"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001539/pdfft?md5=1b7abaa582fae0c5ff6fb5b53de5e988&pid=1-s2.0-S2352013223001539-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139017637","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":"Thanks to our reviewers in 2023","authors":"","doi":"10.1016/S2352-0132(24)00017-6","DOIUrl":"https://doi.org/10.1016/S2352-0132(24)00017-6","url":null,"abstract":"","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Page I"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013224000176/pdfft?md5=e849a226767459435e2b47ae66fe2e10&pid=1-s2.0-S2352013224000176-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139674122","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":"Associations among frailty status, hypertension, and fall risk in community-dwelling older adults","authors":"Liping Teng ,&nbsp;Danhui Wang ,&nbsp;Zhou Zhou ,&nbsp;Jun Sun ,&nbsp;Min Zhu ,&nbsp;Renrong Wang","doi":"10.1016/j.ijnss.2023.12.010","DOIUrl":"10.1016/j.ijnss.2023.12.010","url":null,"abstract":"<div><h3>Objectives</h3><p>Frailty and hypertension often coexist in older adults, which may lead to fall risks. This study aimed to examine the relationship between frailty status, hypertension, and fall risk.</p></div><div><h3>Methods</h3><p>In this cross-sectional study, a total of 401 older adults were conveniently recruited from communities in Wuxi, China, between September 2022 and November 2022. The fall risk self-assessment checklist from the Stopping Elderly Accidents, Deaths &amp; Injuries (STEADI) Toolkit was used to evaluate their fall risks. The FRAIL scale questionnaire was used to assess frailty status. Participants’ demographic information and comorbidities were collected. Multivariate logistic regression, generalized additive model, and smooth curve fitting were used to analyze the association between frailty, hypertension, and fall risk.</p></div><div><h3>Results</h3><p>Frailty had a strong association with increased prevalence of fall risk among the participants (<em>OR</em> 8.52, 95% CI 3.21–22.57; <em>P &lt;</em> 0.001). Hypertension significantly increased the fall risk among older adults (<em>OR</em> 1.87, 95% CI 1.11–3.13; <em>P =</em> 0.019). The group with hypertension and frailty had the highest prevalence of fall risk (<em>OR</em> 12.24, 95% CI 3.51–42.65). Smooth curve fitting showed a nonlinear association between frailty and fall risk in hypertension status. In the progress of pre-frailty to frailty status, a higher tendency to fall was found among older adults with hypertension.</p></div><div><h3>Conclusions</h3><p>Frailty status and hypertension independently and jointly influenced the increased prevalence of fall risk. Enhanced frailty and hypertension management may help decrease fall risk among this population.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Pages 11-17"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001527/pdfft?md5=2ed3bfaaffcef6146c1e08e47401ef7f&pid=1-s2.0-S2352013223001527-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988171","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":"Nurses’ engagement in antimicrobial stewardship and its influencing factors: A cross-sectional study","authors":"Huiyu Nie ,&nbsp;Liqing Yue ,&nbsp;Huan Peng ,&nbsp;Jinping Zhou ,&nbsp;Bingyu Li ,&nbsp;Ziwei Cao","doi":"10.1016/j.ijnss.2023.12.002","DOIUrl":"10.1016/j.ijnss.2023.12.002","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to investigate the level and influencing factors of nurses’ antimicrobial stewardship (AMS) engagement in China based on the capability, opportunity, motivation, and behavior (COM-B) theory, providing valuable insights for developing effective strategies to improve nursing quality in AMS.</p></div><div><h3>Methods</h3><p>This cross-sectional study was conducted in 17 tertiary hospitals in Hunan, China, from November 2021 to January 2022. A total of 4,514 nurses were selected. The Nurse AMS Engagement Questionnaire (NAEQ), developed using the COM-B theory, was used for evaluation. The questionnaire included capability (14 items), opportunity (7 items), motivation (6 items), and behavior (12 items) four dimensions, 39 items.</p></div><div><h3>Results</h3><p>The total NAEQ score was 155.08 ± 27.12, indicating a moderate level. The score of the capability, opportunity, motivation, and behavior dimensions were 52.33 ± 13.48, 28.64 ± 5.76, 24.57 ± 4.57 and 49.53 ± 8.83, respectively. Significant differences in nurses’ AMS engagement were based on professional titles, whether working as a part-time infection control nurse, whether knowing the AMS teams and the defined daily doses of antibiotics, department type, the deployment of clinical pharmacists, and frequency of antimicrobial training and physician-nurse joint rounds (<em>P</em> &lt; 0.05). Nurses with junior titles had higher scores on the NAEQ than nurses with intermediate titles (<em>P</em> &lt; 0.05). Nurses who worked as part-time infection control nurses, knew the AMS team, and the defined daily doses of antibiotics had higher NAEQ scores than those who didn’t (<em>P</em> &lt; 0.01). Nurses working in the ICU and infectious disease department had lower NAEQ scores than those in other departments, such as the ear, nose, and throat (ENT) department (<em>P</em> &lt; 0.01). Nurses who had clinical pharmacists deployed in their department had higher NAEQ scores than those without or unclear deployment (<em>P</em> &lt; 0.01). Furthermore, nurses who received more frequent antimicrobial training and participated in physician-nurse joint rounds had higher NAEQ scores (<em>P</em> &lt; 0.01).</p></div><div><h3>Conclusion</h3><p>Multiple strategies, including enhanced education and training and improved multidisciplinary communication and collaboration, are expected to improve nurse AMS engagement. It is important to give more attention to nurses with intermediate professional titles, less experience, and those working in specific departments.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Pages 91-98"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001448/pdfft?md5=1d6db2138566afefa80288aed0017787&pid=1-s2.0-S2352013223001448-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139014271","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":"Effect of the case-based learning method combined with virtual reality simulation technology on midwifery laboratory courses: A quasi-experimental study","authors":"Lingyun Zhao,&nbsp;Xiaohong Dai,&nbsp;Siyu Chen","doi":"10.1016/j.ijnss.2023.12.009","DOIUrl":"10.1016/j.ijnss.2023.12.009","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to evaluate the effect of case-based learning (CBL) method with virtual reality (VR) simulation technology (CBL-VR) on midwifery laboratory courses.</p></div><div><h3>Methods</h3><p>A quasi-experimental design was employed. A total of 135 midwifery students were recruited from Nursing College of Guilin Medical University in China from September 2020 to January 2022. Intervention group recruited students from the Class of 2019 (<em>n</em> = 59) and control group recruited students from the Class of 2018 (<em>n</em> = 76). The intervention group students received the CBL-VR method based on traditional laboratory teaching, the contents of course included four sections: eutocia (6 class hours), dystocia (6 class hours), umbilical cord prolapse (2 class hours), and neonatal asphyxia and resuscitation (4 class hours), 40 min per class hour. The control group students received the traditional laboratory teaching. Students’ academic performance, Self-Directed Learning (SDL) Ability Questionnaire, and the education satisfaction questionnaire were used to evaluate the teaching efficacy between two groups.</p></div><div><h3>Results</h3><p>After intervention, the intervention group students achieved higher scores than the control group in individual operation ability (90.88 ± 2.14 vs. 89.24 ± 3.15), team operation ability (90.97 ± 2.33 vs. 81.28 ± 5.45), and midwifery case analysis ability (88.64 ± 3.19 vs. 86.70 ± 2.56) (<em>P</em> ＜0.01). Prior to the implementation of the course, there was no difference in the SDL ability scores between the two groups of students (<em>P</em> ＞ 0.05). However, following the course intervention, the SDL ability scores of the intervention group were higher than those of the control group (94.78 ± 6.59 vs. 88.12 ± 8.36), and the scores in all dimensions of the intervention group were also higher (<em>P</em> &lt; 0.05). Additionally, more than 94% of the students indicated that CBL-VR method developed comprehensive abilities, including independent-study enthusiasm, independent thinking, collaboration, and communication.</p></div><div><h3>Conclusion</h3><p>Using the CBL-VR method in midwifery lab courses improved students’ course performance, SDL ability, and comprehensive ability. Students highly recognized the effectiveness of this approach.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Pages 76-82"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001515/pdfft?md5=26ab676783483aca7c526dcdaa73077e&pid=1-s2.0-S2352013223001515-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139021169","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":"Measurement properties of assessment tools of Kinesophobia in patients with cardiovascular disease: A systematic review","authors":"Yingying Jia ,&nbsp;Nianqi Cui ,&nbsp;Tingting Jia ,&nbsp;Hammza Jabbar Abdl Sattar Hamoudi ,&nbsp;Jianping Song","doi":"10.1016/j.ijnss.2023.12.016","DOIUrl":"10.1016/j.ijnss.2023.12.016","url":null,"abstract":"<div><h3>Objectives</h3><p>This study aimed to evaluate the measurement properties and methodological quality of assessment tools for Kinesophobia among patients with cardiovascular disease and provide a reference for healthcare professionals in selecting high-quality assessment tools.</p></div><div><h3>Methods</h3><p>A systematic search was performed on specific databases: Embase, the Cochrane Library, PubMed, Web of Science, China National Knowledge Infrastructure, Wanfang database, China Biological Medicine disc, CINAHL, and China Science and Technology Journal Database, from inception to April 1, 2023. The researchers retrieved studies on the measurement attributes of the exercise fear scale in patients with cardiovascular diseases. They also traced back the references of the included studies to supplement relevant literature. According to the inclusion and exclusion criteria, screening and data extraction were independently undertaken by two reviewers. Two researchers individually used the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) Risk of Bias Checklist to assess the methodological quality of the scale, applied the COSMIN criteria to evaluate the measurement properties of the scale, and used a modified Grading, Recommendations, Assessment, Development, and Evaluation system to assess the certainty of evidence.</p></div><div><h3>Results</h3><p>Seventeen studies were identified that reported the psychometric properties of six patient reported outcome measurement tools (included different languages version) The methodological quality of content validity was adequate in only two studies, the remaining patient-reported outcome measures demonstrated doubtful content validity. Limited information on cross-cultural validity/measurement invariance, measurement error, and responsiveness was retrieved. The Swedish version and the Chinese version of the Tampa Scale for Kinesiophobia Heart were graded “A.” The remaining instruments were graded “B.”</p></div><div><h3>Conclusions</h3><p>The methodological and measurement attributes of the Swedish and Chinese versions of the Tampa Scale for Kinesiophobia Heart are relatively high quality and can be tentatively recommended. The measurement properties of the remaining scales remain to be verified.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 1","pages":"Pages 57-65"},"PeriodicalIF":3.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352013223001588/pdfft?md5=204c0e80ecca38ae58f518d9a94b6e69&pid=1-s2.0-S2352013223001588-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139393796","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}