Nursing Reports最新文献

{"title":"Nurse-Led Interventions and Outcomes in Adult Hematopoietic Stem Cell Transplant Recipients: A Scoping Review.","authors":"Joshua Kanaabi Muliira, Eilean Rathinasamy Lazarus","doi":"10.3390/nursrep16090344","DOIUrl":"10.3390/nursrep16090344","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Hematopoietic cell transplantation (HCT) is increasingly used to treat malignant and non-malignant hematologic diseases and is associated with complex physical, psychological, and informational needs. Nurses play a central role in HCT care; however, the range, characteristics, and reported outcomes of nurse-led interventions have not been comprehensively synthesized. This review aimed to identify the types and outcomes of nurse-led interventions in adult HCT recipients and highlight gaps in evidence. <b>Methods:</b> The review was initially registered as a systematic review and was refined to a scoping review before final synthesis because of substantial heterogeneity in the available evidence. Studies involving adults undergoing or having received HCT were included if they evaluated interventions initiated, delivered, or coordinated by nurses and reported at least one clinical or patient-reported outcome. Multiple databases and grey literature (2015-2025) were searched. Study selection and data charting were performed independently by two reviewers. Methodological quality was assessed using the Mixed Methods Appraisal Tool, and findings were synthesized narratively. <b>Results:</b> Ten studies met the inclusion criteria, mostly from high-income countries. Nurse-led interventions included pre-transplant preparation, education, symptom management, physical activity and nutrition support, psychosocial care, navigation, survivorship follow-up, and advance care planning. Several studies reported improvements in self-efficacy, physical activity, symptom burden, and advance care planning documentation; however, findings for overall quality of life, infection rates, and long-term recovery were limited or inconclusive. <b>Conclusions:</b> Evidence on nurse-led interventions across the HCT trajectory remains limited. The mapped studies provide promising preliminary findings in selected outcome domains but are insufficient to establish intervention effectiveness. Future research should develop and evaluate rigorously designed, adequately powered, longitudinal, and multicomponent nurse-led interventions, including in resource-limited settings.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Talent-Management in Nursing: Factors, Organisational Practices and Retention Indicators Among Portuguese Nurses-A Cross-Sectional Study.","authors":"Telma Quaresma, Maria Céu Marques, Liliana Mota","doi":"10.3390/nursrep16090343","DOIUrl":"10.3390/nursrep16090343","url":null,"abstract":"<p><p><b>Introduction:</b> Talent management is increasingly relevant to nursing workforce sustainability, yet limited evidence has examined how nurses simultaneously perceive talent-related factors, organisational practices, and attraction and retention outcomes. <b>Objective:</b> The aim of this study was to examine the relationships between talent-management factors, organisational talent-management practices and perceived attraction and retention outcomes, while examining differences according to nurses' sociodemographic and professional characteristics. <b>Methodology:</b> A multicentre, descriptive-correlational cross-sectional study was conducted with 1004 nurses from 29 public and private hospital organisations across Portugal. Talent management was assessed using the 87-item Talent Attitudes Questionnaire, comprising 12 subdimensions across factors, practices and organisational indicators. <b>Results</b>: Nurses reported favourable perceptions of talent-management factors (M = 3.34), particularly leadership competencies, but less favourable organisational practices (M = 3.02). Attraction (M = 2.27) and retention (M = 2.31) had the lowest scores, whereas perceived consequences of talent management were high (M = 3.49), indicating a discrepancy between talent recognition and perceived organisational capacity to attract and retain nurses. Attraction and retention were strongly correlated (r = 0.77), while organisational facilitators showed moderate associations with both outcomes. Sector-related differences were observed for turnover and inhibiting factors. <b>Discussion:</b> The findings suggest a potential talent-management translation gap, an interpretive, descriptive framing rather than a directly tested construct, whereby recognition of talent and its organisational consequences coexists with limited perceived capacity to attract and retain nurses. <b>Conclusions</b>: Nursing workforce sustainability requires translating talent recognition into organisational conditions that support professional development, attraction, and retention. These findings provide an integrated organisational perspective on talent management and nurse retention.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Noise Levels in Intensive Care Units and Their Self-Reported Adverse Effects on Nurses in Saudi Arabia: A Cross-Sectional Study.","authors":"Nabat Almalki, Atheer Asiri, Lama Alkhaldi, Huda Majrashi, Abeer Almotairi, Amal Alfifi, Hind Althobaiti, Badriah Althubaiti, Jawharah Alhufayyan, Bushra Alshammari, Mawahib Almalki","doi":"10.3390/nursrep16090342","DOIUrl":"10.3390/nursrep16090342","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Intensive care units (ICUs) are acoustically demanding environments in which nurses are continuously exposed to alarms, medical equipment, and staff activity. This study assessed ICU nurses' perceived internal and external noise levels and their perceived noise-related adverse effects, and examined whether these perceptions differed according to demographic and work-related characteristics. <b>Methods</b>: A cross-sectional design was used with 244 ICU nurses in Saudi Arabia. Data were collected using a structured questionnaire adapted to assess perceived internal and external ICU noise and four effect domains (subjective, emotional, physiological, and work performance). <b>Results</b>: Perceived ICU noise was moderate (internal 64.68; external 64.51). Effect-domain means were 50.95 (subjective), 54.67 (emotional), 54.74 (physiological), and 51.28 (work performance). Female nurses scored significantly higher than male nurses for internal and external noise and for subjective, emotional, and physiological effects (all <i>p</i> < 0.05). Staff nurses, rotating-shift nurses, and nurses with <5 years of ICU experience reported higher effects in several domains; significant differences were also found by age group, marital status, and work-shift pattern. In multivariable models adjusting for all characteristics simultaneously, staff-nurse role, female gender and rotating shift remained independently associated with higher scores, whereas age group and years of ICU experience did not. <b>Conclusions</b>: ICU noise was perceived as a significant occupational stressor, with certain nurse subgroups reporting greater adverse effects. Healthcare organizations should prioritize comprehensive noise-reduction policies, effective alarm management, and targeted support strategies to mitigate noise-related impacts on nurses and improve the ICU work environment.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Structural Barriers and Cultural Bridges: A Qualitative Descriptive Study of Physicians' Perspectives on Interprofessional Collaboration with Registered Nurses.","authors":"Signe Eekholm, Marie-Louise Strandberg, Line Risberg Hartvigsen, Julie Grubbe, Silvia Loua Henriksen, Dorthe Bauer, Sidse Breer Schultz Volden, Camilla Elmig Feuerlein, Ingrid Poulsen","doi":"10.3390/nursrep16090340","DOIUrl":"10.3390/nursrep16090340","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Interprofessional collaboration (IPC) between physicians and registered nurses (RNs) is essential for managing increasingly complex patient care. Although IPC is associated with improved coordination and patient outcomes, hierarchical dynamics and organisational constraints may limit RNs' meaningful participation. This study explored physicians' perceptions of RNs' professional roles and contributions within IPC in hospital settings. <b>Methods</b>: This qualitative descriptive study used nine semi-structured focus group interviews with 42 physicians from medical units across three university hospitals in the Capital Region of Denmark, recruited through convenience sampling. Interviews focused on everyday collaborative practices, including interprofessional meetings and ward rounds. Data were analysed using inductive qualitative content analysis. <b>Results</b>: Physicians' accounts of IPC with RNs were captured in four themes: RNs' contributions are central to IPC; Cultural conditions enabling IPC; Misaligned workflows and competing responsibilities shaping IPC; and Clinical partnership and expectations of support in IPC. <b>Conclusions</b>: From the participating physicians' perspectives, IPC was shaped by RNs' experience, relational culture, and organisational conditions. Physicians described relying particularly on RNs' sharing of information and clinical assessments that they considered important for safe and coordinated care, which they perceived as reflective of RNs' experience. However, they perceived organisational constraints as limiting the integration of nursing perspectives into decision-making. These findings indicate areas for further investigation and potential organisational development related to RNs' participation in IPC.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perinatal Factors Associated with Neonatal Microbiome Development and Their Implications for Nursing Practice: An Integrative Review.","authors":"Martina Feliu, Maria Gallo-Fernández, Adrián Bouzas, Maria Isabel Buceta-Toro, Clara Gomez-Urios","doi":"10.3390/nursrep16090341","DOIUrl":"10.3390/nursrep16090341","url":null,"abstract":"<p><p><b>Background</b>: The neonatal microbiome plays a fundamental role in immune, metabolic, and physiological development from the earliest stages of life. Its establishment is influenced by several perinatal factors, many of which are closely related to nursing care practices. <b>Objective</b>: This study aimed to identify the principal perinatal factors associated with neonatal microbiome development and, secondarily, to explore their implications for nursing practice based on the available evidence. <b>Methods</b>: An integrative review was conducted using PubMed, Scopus, Web of Science, and CINAHL. Studies published between 2016 and 2026 involving newborns or neonates and addressing factors influencing neonatal microbiome development were considered. Following screening, eligibility assessment, and methodological quality appraisal, 14 studies were included in the final synthesis. <b>Results</b>: The evidence consistently identified mode of delivery, breastfeeding, and perinatal antibiotic exposure as the perinatal factors most consistently associated with neonatal microbial colonization. Vaginal delivery and breastfeeding were associated with greater abundances of beneficial bacterial genera, including <i>Bifidobacterium</i>, <i>Lactobacillus</i>, and <i>Bacteroides</i>, whereas cesarean delivery and antibiotic exposure were associated with reduced microbial diversity and altered colonization patterns. Emerging interventions such as vaginal microbial transfer showed promising results, although current evidence remains limited. Nursing-related practices, particularly breastfeeding support, promotion of early skin-to-skin contact, and participation in antimicrobial stewardship, were identified as key strategies for supporting healthy microbiome development. <b>Conclusions</b>: Current evidence suggests that nursing care may play an important role in promoting healthy neonatal microbial colonization through interventions that support physiological birth processes, breastfeeding, and appropriate antibiotic use. Further research is needed to evaluate the direct impact of specific nursing interventions on neonatal microbiome development and subsequent health outcomes.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitation Workforce Interventions for Pressure Ulcer Prevention: A Scoping Review.","authors":"José Júlio Veríssimo, Júlio Belo Fernandes","doi":"10.3390/nursrep16090339","DOIUrl":"10.3390/nursrep16090339","url":null,"abstract":"<p><p><b>Background</b>: Pressure ulcers remain a prevalent and largely preventable adverse event across healthcare settings, particularly among people with impaired mobility and activity, and reduced self-care capacity. Although rehabilitation interventions address key risk factors for pressure ulcer development, their contributions are often implicit and fragmented in the literature. This review aims to systematically map rehabilitation interventions described in the literature for pressure ulcer prevention across healthcare settings. <b>Methods</b>: We conducted a scoping review following the Arksey and O'Malley framework and reported it according to PRISMA-ScR. Eight electronic databases were searched for studies published between 2015 and 2026 in English or Portuguese. Rehabilitation interventions aimed at preventing pressure ulcers were mapped and synthesised using Orem's Self-Care Deficit Theory as an interpretive lens. <b>Results</b>: Eight records were included. Rehabilitation interventions spanned all three self-care systems and included repositioning, passive and active-assisted mobilisation, exercise prescription, electrical stimulation, pressure-relief manoeuvres, and education for individuals, caregivers, and professionals. Movement and activity enablement emerged as a prominent cross-cutting theme across systems, linking rehabilitation practice with transitions from dependence toward shared and autonomous self-care. <b>Conclusions</b>: Within multidimensional pressure ulcer prevention, this mapping identifies rehabilitation workforce interventions as an under-recognised component, contributing through movement enablement and fostering self-care capacity alongside other established preventive domains. Applying Orem's theory highlights prevention as a dynamic, person-centred process. Given the small and heterogeneous evidence base and the absence of formal quality appraisal, these findings represent a mapping of potential contributions rather than evidence of effectiveness.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of Using Digital Clinical Records to Identify Factors Associated with Nursing-Sensitive Outcomes During Hospitalization: A Pilot Study.","authors":"Ivana Finiguerra, Maria Michela Gianino, Roberta Vacchelli, Marco Demasi, Lusi Pappalardo, Chiara Albanese, Elisa Binello, Giulia Borghin, Serena Cappello, Nadia Cavagnini, Serena Durante, Alice Ferraris, Fabiana Gorgonzola, Barbara Munaro, Stefania Pellegrino, Clara Russo, Laura Tedino, Davide Minniti, Salvatore Di Gioia","doi":"10.3390/nursrep16090338","DOIUrl":"10.3390/nursrep16090338","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Nursing-sensitive outcomes are key indicators of nursing care quality and safety. Digitalization of clinical documentation enables prospective surveillance using routine data, but real-world evidence on integrated digital, clinical record-based approaches remains limited. This pilot study assessed the feasibility of using routinely collected digital data, combined with ward-level indicators, to support nursing-sensitive outcome surveillance and to preliminarily identify factors associated with these outcomes during hospitalization. <b>Methods:</b> An observational pilot study was conducted at a 400-bed Italian university hospital over two months (November 2025-January 2026) across ten wards. Clinical variables, including the Blaylock Risk Assessment Screening Score (BRASS) and ward-level indicators, were extracted from the electronic medical record system. The exploratory composite endpoint of documented nursing-sensitive outcomes was modeled using multivariable logistic regression with cluster-robust standard errors and Cox proportional hazards regression. <b>Results:</b> A dataset comprising 1552 hospitalizations and 20,415 patient-days was assembled, with 100% completeness for socio-demographic data and 93% for BRASS. The cumulative event rate of nursing-sensitive outcomes was 7.35% (6.08 per 1000 patient-days at risk; 5.58 per 1000 total patient-days). Pressure injuries were the most frequent event (<i>n</i> = 67), followed by falls (<i>n</i> = 39) and physical restraint (<i>n</i> = 14). In the adjusted models, the BRASS (OR = 1.12 per point, 95% CI 1.08-1.15; HR = 1.10, 95% CI 1.07-1.13) and admission to the hospital from the emergency department (OR = 4.41, 95% CI 3.02-6.45; HR = 3.46, 95% CI 2.48-4.83) were independently associated with nursing-sensitive outcome occurrence. In a 48 h landmark analysis restricted to hospitalized patients still event-free on day 2, the BRASS association was attenuated (OR 1.07, 95% CI 1.04-1.10). <b>Conclusions:</b> An integrated, digital, clinical record-based approach proved feasible for prospective nursing-sensitive outcome surveillance and supports the design refinements planned for longitudinal analyses.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149040794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of Nursing Undergraduates Regarding Their Clinical Placements: A Qualitative Interpretative Study.","authors":"Zaida Santana-Casiano, Claudio-Alberto Rodríguez-Suárez, Sergio Mies-Padilla, Milagros de la Rosa-Hormiga, Candelaria de la Merced Díaz-González, Héctor González-de la Torre","doi":"10.3390/nursrep16090337","DOIUrl":"10.3390/nursrep16090337","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Clinical placements are central to nursing education, but students' experiences are shaped by the clinical learning environment, relationships with staff, autonomy, and assessment, as well as curricular design. This study explored nursing undergraduates' lived experiences of clinical placements at the University of Las Palmas de Gran Canaria (ULPGC), their perceptions of the current placement programme, and suggestions for improvement. <b>Methods</b>: A qualitative, interpretative, sequential study with a hermeneutic phenomenological orientation was conducted. Eligible third- and fourth-year nursing students were recruited during the 2025/2026 academic year (N = 14). Phase 1 comprised ten individual semi-structured interviews, analysed inductively using ATLAS.ti, with descriptive co-occurrence patterns supporting the interpretative synthesis. Phase 2 consisted of a focus group with four additional students, with the data analysed deductively using the Phase 1 thematic framework. <b>Results</b>: Fifteen subthemes were organised into five themes: general experience, relationship with staff, autonomy and learning, structure and organisation, and assessment. Participants generally perceived their clinical placements positively, although experiences varied across settings. They associated satisfaction and learning with team inclusion, relationships with clinical staff, progressive autonomy, and supervision, while identifying challenges in placement organisation and assessment, particularly the reliance on written assignments rather than direct observation of clinical performance. Across both phases, participants' accounts reflected interconnected relational, educational, organisational, and assessment-related dimensions. Collective discussion further elaborated these experiences and potential improvements concerning supervision, placement organisation, and assessment. <b>Conclusions</b>: Nursing students' accounts suggested that clinical placement experiences reflected the interaction of relational, educational, organisational, and assessment-related dimensions. Collective reflection further elaborated these experiences and enabled potential improvements concerning supervision, placement organisation, and assessment to be discussed. These context-specific findings may inform future curricular review, although their transferability and the feasibility of the proposed improvements require evaluation in broader and more diverse student populations.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between the Nursing Work Environment and Missed Nursing Care: A Systematic Review and Meta-Analysis.","authors":"Marin Mamić, Nikolina Farčić, Ivana Barać, Željko Mudri, Marija Barišić, Ivana Mamić, Zrinka Puharić, Gabriela Katharina Pomper, Ivan Vukoja","doi":"10.3390/nursrep16090336","DOIUrl":"10.3390/nursrep16090336","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Missed nursing care threatens care quality and patient safety and may reflect modifiable organizational conditions. This systematic review and meta-analysis quantified the association between the nursing work environment and missed nursing care. <b>Methods</b>: PubMed, Scopus, Web of Science, and APA PsycInfo via EBSCOhost were searched from inception; searches were updated and finalized on 13 July 2026. Quantitative studies examining nursing work, professional, or practice environments in relation to missed, incomplete, unfinished, omitted, or implicitly rationed nursing care were eligible. The eligibility criteria, primary total-score Pearson correlation analysis, random-effects model with restricted maximum likelihood (REML) estimation, and direction harmonization were specified before inspection of the pooled results. Additional robustness and exploratory analyses were conducted post hoc, including Hartung-Knapp adjustment, leave-one-out and influence analyses, risk-of-bias and instrument-family sensitivity analyses, alternative correlation-metric analyses, meta-regression, and small-study-effect assessments. The review was retrospectively registered in the Open Science Framework on 25 August 2026 (DOI: 10.17605/OSF.IO/J62D3); no prospective protocol was available. <b>Results</b>: Forty studies were included. The primary meta-analysis comprised 15 studies and 7100 participants. A more favorable nursing work environment was associated on average with less missed nursing care (<i>r</i> = -0.301; 95% CI -0.402 to -0.192; <i>p</i> < 0.001; model-based <i>I</i>² = 95.7%). The 95% prediction interval ranged from -0.641 to 0.139 and crossed the null, indicating substantial uncertainty about the magnitude and potentially the direction of the association in a new setting. The association remained statistically significant with Hartung-Knapp adjustment (95% CI -0.411 to -0.182; <i>p</i> < 0.001), and no leave-one-out model changed its direction or statistical significance. <b>Conclusions</b>: On average, a more supportive nursing work environment was associated with less missed nursing care. However, the very high heterogeneity and a prediction interval crossing the null indicate substantial variation across settings. The pooled coefficient therefore represents an average association rather than a universal effect, and the predominantly observational evidence does not establish that modifying the work environment will causally reduce missed nursing care.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Disposability: A Systematic Review of Reusable and Single-Use Products in Hygiene-Related Nursing Care in the ICU.","authors":"Eleonora Lombardi, Gianluca Barra, Davide Vicari, Luciano Midolo, Floriana Pinto, Francesco Limonti, Roberta Decaro, Francesca Trotta, Davide Bartoli","doi":"10.3390/nursrep16090335","DOIUrl":"10.3390/nursrep16090335","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Intensive care is resource-intensive, and routine nursing hygiene contributes substantially to material consumption. This systematic review synthesised evidence comparing single-use and reusable or traditional reusable products in hygiene-related nursing care in intensive and critical care settings, considering clinical, economic, and environmental outcomes. <b>Methods:</b> A systematic review with structured narrative synthesis was conducted in accordance with PRISMA 2020. MEDLINE via PubMed, Scopus, Web of Science Core Collection, and CINAHL Ultimate via EBSCOhost were searched from inception to 25 August 2026. No language, date, or publication-type filters were applied at the database level. Primary empirical comparative studies and process-based life cycle assessments reporting original inventory data were eligible; English or Italian full text was required for inclusion. Two reviewers independently screened studies, extracted data, and performed design-appropriate methodological appraisal, with a third reviewer available to resolve disagreements. The review was registered in PROSPERO (CRD420261376160). <b>Results:</b> Eight studies were included: four quasi-experimental or before-after studies, three randomized trials, and one process-based life cycle assessment. The seven patient-based studies included 2665 participants across adult, paediatric, and neonatal intensive care settings. Environmental evidence was limited to two complementary studies from a single Australian ICU: reusable linen was associated with a 50% reduction in carbon emissions, from 7206 to 3605 kg CO₂e, and substantial reductions in landfill waste. Economic findings were product- and context-dependent; disposable bathing systems and diapers were generally less costly in the settings examined, whereas reusable linen increased overall expenditure by approximately 3%. Clinical findings showed no uniform advantage for either product category. After adjustment, linen type was not independently associated with pressure injury, bathing studies showed heterogeneous microbiological findings and no consistent physiological advantage between methods, and one neonatal before-after study reported lower probable sepsis with disposable diapers. <b>Conclusions:</b> Current evidence does not support a general advantage of either reusable or single-use hygiene products across intensive care. Environmental benefits were demonstrated for reusable linen, whereas economic and clinical outcomes varied by product, setting, and analytical approach. The evidence base remains small and heterogeneous, and no included study assessed clinical, economic, and environmental outcomes concurrently. Integrated comparative studies, particularly in European intensive care settings, are needed.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}