Nursing Reports最新文献

{"title":"Development and Effects of a Metaverse-Based Generative AI Nursing Informatics Competency Education Program for Clinical Nurses.","authors":"Sang Un Park, So Young Choi","doi":"10.3390/nursrep16090334","DOIUrl":"10.3390/nursrep16090334","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The integration of generative artificial intelligence (AI) into healthcare has expanded the competencies required of clinical nurses. However, existing nursing informatics education programs do not adequately prepare nurses to use generative AI effectively and ethically in clinical practice. This study aimed to develop and evaluate a metaverse-based generative AI nursing informatics competency education program for clinical nurses. <b>Methods</b>: A randomized controlled pretest-posttest design was employed. Forty-eight clinical nurses were randomly assigned to an intervention group (<i>n</i> = 24) or a control group (<i>n</i> = 24), and 46 participants completed the study. The six-week education program was developed using the Analysis, Design, Development, Implementation, and Evaluation (ADDIE) instructional design model and Bandura's self-efficacy theory. It was delivered through a metaverse platform using a flipped learning approach. Outcomes were measured at baseline, immediately after the intervention, and four weeks after the intervention. Data were analyzed using repeated-measures analysis of variance (ANOVA). <b>Results</b>: Compared with the control group, the intervention group demonstrated a significantly greater improvement in nursing informatics competency, the pre-specified primary outcome (<i>p</i> < 0.01), sustained at the four-week follow-up. Greater improvements were also observed for the secondary outcomes-general self-efficacy, ethical awareness of AI use, and evidence-based practice (all <i>p</i> < 0.01)-though these findings should be interpreted as hypothesis-generating given the absence of multiplicity adjustment. <b>Conclusions</b>: The metaverse-based generative AI education program improved self-reported nursing informatics competency and other key competencies among clinical nurses. <b>Trial Registration:</b> Clinical Research Information Service (CRIS) KCT0011821 registered on 8 April 2026.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041143","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":"Patient-Specific Vascular Anatomy for Bedside Safety: A Targeted Narrative Review and the VASC-N Framework.","authors":"Juan Alberto Sanchis-Gimeno, Andreea-Bianca Zuld, Jose E León-Rojas, Juan José Valenzuela-Fuenzalida, Alejandro Bruna-Mejías, Gustavo Oyanedel-Amaro, Mathias Orellana-Donoso","doi":"10.3390/nursrep16090333","DOIUrl":"10.3390/nursrep16090333","url":null,"abstract":"<p><p>Canonical vascular diagrams do not capture patient-specific differences in vessel identity, course, depth, calibre, branching, adjacency, dynamic behaviour, or post-procedural route. This targeted narrative review with purposive publication selection had two objectives: to synthesise vascular anatomical evidence relevant to nursing and health professions practice and education, and to use that synthesis to propose an action-oriented conceptual framework. PubMed/MEDLINE and the Web of Science Core Collection were searched from inception to 2 August 2026. After exact DOI and normalised-title deduplication, 1683 unique records underwent title/abstract inspection and keyword-assisted prioritisation; 56 information-rich human anatomical, ultrasonographic, clinical, educational, and sentinel case publications were purposively retained for full-text evidence charting and narrative synthesis. The synthesis identified six interpretive anatomy-to-risk mechanisms: possible vessel misidentification, unsafe neurovascular adjacency, device-vessel mismatch, dynamic positional change, misinterpretation of anomalous central routes, and loss of patient-specific anatomical knowledge between encounters. These categories are qualitative synthesis outputs, not frequency estimates or causal effects. The literature informed VASC-N-Verify; Assess; Scan and distinguish; Choose, adapt, and confirm; and Note, notify, and nurture learning-as an author-developed conceptual framework of proposed observable behaviours. A preliminary Nursing Actionability Test and minimum reporting checklist were also developed. Patient-specific vascular anatomy becomes educationally and clinically relevant when recognition may change a decision, support proportionate verification or escalation, preserve future access, or strengthen assessment. VASC-N and the accompanying tools have not been validated; prospective content-validity, feasibility, reliability, educational-transfer, and clinical-outcome studies are required.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041236","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 Impact of Climate Change on Pregnant Women's Health: A Scoping Review of Reviews.","authors":"Cristina Álvarez-García, Cesar Ivan Aviles-Gonzalez, Sebastián Sanz-Martos, Carmen Álvarez-Nieto, Isabel M López-Medina, Sergio Martínez-Vázquez, Maria Dolores López-Medina, Eva M Montoro-Ramirez","doi":"10.3390/nursrep16090332","DOIUrl":"10.3390/nursrep16090332","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Records through early 2026 mark 2025 as the warmest year in over 170 years. Pregnant women are among the populations most vulnerable to climate change. The objective of this study was to conduct a review that synthesizes existing knowledge on how the different dimensions of climate change are affecting the vulnerable population of pregnant women. <b>Methods</b>: A scoping review of reviews (PROSPERO: CRD420261400815) was conducted in the Health Sciences databases: PubMed, SCOPUS, PsycInfo, CINAHL and WOS, with no time or language restriction until February 2026. A qualitative synthesis was carried out on data extracted from the different reviews, and a frequency mapping of reported maternal and perinatal outcomes was performed. The methodological quality of the individual reviews included in this review was evaluated using the CASPe tool. <b>Results</b>: Air pollution primarily links to developmental issues and gestational hypertension (four reviews), while extreme heat was most frequently reported in relation to preterm birth (eight reviews). Natural disasters mostly compromise maternal mental health (five reviews), vector-borne diseases were most frequently associated with perinatal complications like low birth weight and preterm delivery (three reviews), and chemical exposure is chiefly associated with gestational diabetes (two reviews). <b>Conclusions</b>: Given all the maternal and perinatal outcomes reported in relation to climate change, healthcare professionals play a key role in advising pregnant women on their actual and perceived knowledge, risk perception, affective evaluation, self-efficacy, intention to adopt protective behaviors, and subsequent information-seeking behavior.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041286","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":"Content Refinement and Multicenter Validation of the ELIGES Patient Experience Questionnaire Focused on Nursing Care During Hospitalization: Study Protocol.","authors":"Noelia Navamuel-Castillo, Josep-Oriol Casanovas-Marsal, Ángel Boned-Galán, Ana Belén Hernández-Ruiz, Nieves López-Ibort, Ana Gascón-Catalán","doi":"10.3390/nursrep16090331","DOIUrl":"10.3390/nursrep16090331","url":null,"abstract":"<p><p><b>Background:</b> Patient experience has become a key component of healthcare quality assessment and improvement. Although its importance is increasingly recognized, there is a lack of standardized instruments specifically designed to assess patient experience in relation to nursing care during hospitalization. The starting point for this study is the ELIGES-Patient Experience questionnaire developed in 2024. This study aims to refine its content by incorporating the patient perspective and to evaluate its psychometric properties through a multicenter study. The final questionnaire will be intended to assess patient experience in relation to nursing care in inpatient units, providing a reliable tool for identifying opportunities for improvement and supporting person-centered care. <b>Methods:</b> A three-phase multicenter mixed-methods study will be conducted. First, a focus groups with expert patients will identify the key dimensions of patient experience related to nursing care during hospitalization. The initial questionnaire will then be reviewed and revised, yielding a first provisional version. Second, a national Delphi study involving expert patients will establish consensus on the questionnaire content, thereby yielding a consensus-based provisional version of the original instrument. Third, this provisional version of the questionnaire will undergo multicenter psychometric validation in six Spanish public hospitals. A pilot study will assess temporal stability and agreement, followed by administration of the provisional version to 2271 hospitalized patients to evaluate its psychometric properties. <b>Expected Results:</b> Following content refinement and psychometric validation, the resulting instrument is expected to provide a standardized measure of hospitalized patients' experience of nursing care that may help identify areas for future evaluation and quality-improvement initiatives. <b>Conclusions:</b> Patient experience measurement lacks standardization, which hinders comparability and limits its use as a quality improvement tool. This highlights the need for instruments that are conceptually sound, methodologically robust, and operationally applicable. A distinctive feature of this protocol is the active involvement of patients throughout the entire process, in keeping with the principles of person-centered care and helping to strengthen the relationship between healthcare professionals and patients.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041108","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":"Keeping Balance on a Moving Platform: A Qualitative Interview Study of Young Adults Living with Epilepsy and Implications for Neurological Nursing.","authors":"Janet Froulund Jensen, Liv Gølnitz Hjorhöy, Belle Mia Ingerslev Loft","doi":"10.3390/nursrep16090329","DOIUrl":"10.3390/nursrep16090329","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Supporting everyday self-management is a central component of person-centered neurological nursing for young adults living with epilepsy. However, little is known about how young adults experience and negotiate everyday life with epilepsy during a developmental stage characterized by increasing independence and major life transitions. This study aimed to explore how young adults experience and negotiate everyday life with epilepsy. <b>Methods:</b> A qualitative exploratory study informed by a hermeneutic approach was conducted to explore participants' experiences. Twelve young adults aged 18-29 years participated in individual virtual interviews. Interviews followed a semi-structured guide and were analyzed using reflexive thematic analysis to identify patterns across participants' experiences. The study was reported according to the Standards for Reporting Qualitative Research (SRQR). <b>Results:</b> The analysis identified a main theme, Keeping balance on a moving platform, which captured how young adults experienced living with epilepsy as a continuous balancing act within an unpredictable condition. Participants described continuously balancing independence with vulnerability while managing seizures, cognitive challenges, and concerns related to safety and social participation. Familiar digital and non-digital tools supported everyday self-management by helping participants structure daily routines, compensate for cognitive difficulties, and maintain a sense of normality. <b>Conclusions:</b> Living with epilepsy in young adulthood requires continuous adaptation to cognitive, emotional, and practical challenges that extend beyond seizure control. This study extends current knowledge by showing that self-management involves continuous negotiation between independence, vulnerability, and everyday participation rather than symptom control alone. The findings provide insights into person-centered neurological nursing by highlighting the importance of individualized support for managing cognitive challenges, everyday self-management, and transitions into education, employment, and family life.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041138","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":"Economic Evaluation of an Intervention to Improve Mouth Care and Reduce Pneumonia Incidence in Nursing Homes: An Exploratory Analysis.","authors":"Sally C Stearns, Jane A Weintraub, John S Preisser, Kimberly T Ward, Christopher J Wretman, Philip D Sloane, Sheryl Zimmerman","doi":"10.3390/nursrep16090330","DOIUrl":"10.3390/nursrep16090330","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Poor oral health, which is often overlooked in nursing homes (NHs), is associated with aspiration pneumonia. This analysis assesses the cost effectiveness of an oral hygiene intervention, \"Mouth Care Without a Battle©\" (MCWB), which trains NH staff to provide daily mouth care. The first year of a pragmatic cluster randomized effectiveness trial conducted in 14 NHs demonstrated a significant reduction in pneumonia incidence in intervention NHs. <b>Methods</b>: Because the two-year primary outcome was not statistically significant, the first-year analysis is post hoc. The incremental cost-effectiveness ratio (ICER) of costs (staff training, time spent providing mouth care, and pneumonia-related hospitalizations) to effects (reductions in pneumonia cases) over one year was estimated using bootstrapping. <b>Results</b>: Analyses for 1605 residents with clustering by NH show that the likelihood that MCWB is cost-saving ranges from 6.5% to 61.1% depending on whether staff are paid benefits and various levels of estimated hospital costs. Similarly, the likelihood that MCWB results in reduced pneumonia cases but with higher costs ranges from 32.0% to 86.6%. Whether MCWB is cost-effective depends on society's willingness to pay for reduced pneumonia cases and related unmeasured benefits. These estimates may represent a lower bound of potential cost savings because analyses did not include costs of treating pneumonia if not hospitalized, ambulance transport, or the emotional costs of illness. However, other excluded costs (e.g., dental restorations) and resources required to improve fidelity could reduce the likelihood of cost savings. <b>Conclusions</b>: MCWB and similar interventions that improve oral health care in NHs may yield cost savings or produce benefits from the reduction in pneumonia that justify net increases in costs incurred. It is also important to consider who bears the costs (e.g., the NH) versus who reaps the benefits (e.g., healthier residents and reduced Medicare payments).</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041195","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":"Effectiveness of Non-Pharmacological Interventions for the Prevention of Postoperative Delirium in Critically Ill Adult Patients: A Systematic Review and Meta-Analysis.","authors":"Matías Fuentealba-Márquez, David Prieto-Merino, Miguel Ángel López-Espinoza","doi":"10.3390/nursrep16090328","DOIUrl":"10.3390/nursrep16090328","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Postoperative delirium is a frequent and clinically relevant complication among adult patients admitted to intensive care units (ICUs) following major surgery. It is associated with increased morbidity, prolonged hospitalization, functional decline, and greater healthcare burden. Although non-pharmacological interventions are widely recommended for delirium prevention, evidence regarding their effectiveness in postoperative critically ill adults remains heterogeneous. This systematic review aimed to evaluate the effectiveness of non-pharmacological interventions in preventing postoperative delirium in adult ICU patients. <b>Methods:</b> This systematic review was conducted according to PRISMA 2020 guidelines. Searches were performed in PubMed/MEDLINE, Embase, CINAHL, Cochrane CENTRAL, Web of Science, Scopus, LILACS, and Google Scholar. Eligible studies included randomized controlled trials, quasi-experimental studies, and comparative studies evaluating non-pharmacological interventions for postoperative delirium prevention in adult ICU or critical care patients. The primary outcome was postoperative delirium incidence. Secondary outcomes included delirium duration, delirium severity, ICU length of stay, and postoperative sleep quality. Studies reporting sleep-related outcomes without directly assessing delirium were included only in the qualitative synthesis as indirect supportive evidence and were not used to estimate the preventive effect on delirium incidence. <b>Results:</b> A total of 26 studies were included in the qualitative synthesis, of which 14 provided sufficient dichotomous data for the primary meta-analysis of delirium incidence. The remaining studies contributed qualitative evidence on non-comparable delirium outcomes, sleep-related outcomes, or the management of established delirium. Non-pharmacological interventions significantly reduced the risk of postoperative delirium compared with control conditions (RR = 0.61; 95% CI: 0.48-0.78; I² = 25.2%). <b>Conclusions:</b> Non-pharmacological interventions were associated with a significant reduction in postoperative delirium incidence among critically ill adult patients. The certainty of the evidence for this outcome was moderate, and an analysis restricted to randomized controlled trials produced a consistent result. Further high-quality randomized controlled trials are required to standardize intervention protocols and clarify their effects on secondary clinical outcomes.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041186","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":"Mapping Assessment Approaches to Midwife-Led Perinatal Nutrition Counselling: A Scoping Review of Existing Instruments, Competency Frameworks, and Measurement Gaps.","authors":"Artemisia Kokkinari, Evangelia Antoniou, Dimitrios Iatrakis, Anastasia Bothou, Athina Diamanti, Evangelia Leontitsi, Maria Dagla","doi":"10.3390/nursrep16090327","DOIUrl":"10.3390/nursrep16090327","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Background:&lt;/b&gt; Nutrition counselling during the perinatal period is an important component of midwifery care and health promotion. Existing competency frameworks recognize nutrition-related education and counselling as part of midwifery practice, while several studies have assessed midwives' nutrition knowledge, attitudes, confidence, and self-reported practices. However, it remains unclear to what extent existing assessment approaches capture the quality of nutrition counselling as experienced by women receiving midwife-led care. &lt;b&gt;Objective:&lt;/b&gt; This scoping review aimed to map existing tools, questionnaires, competency frameworks, checklists, and other assessment approaches related to nutrition counselling, nutrition education, and nutrition-related competencies in midwifery and perinatal care; to compare the measurement domains represented across these approaches; and to identify remaining measurement gaps. &lt;b&gt;Methods:&lt;/b&gt; The review was conducted according to established scoping review methodology and reported in accordance with PRISMA-ScR. PubMed/MEDLINE, Scopus, Web of Science Core Collection, CINAHL, and Embase were searched from database inception to 1 July 2026 using two complementary search strategies targeting both nutrition-related assessment approaches and patient-experience/counselling-quality concepts. Eligible sources included studies or documents describing instruments, competency frameworks, questionnaires, screening tools, checklists, or other assessment approaches related to nutrition counselling within midwifery or perinatal care. Data were charted according to assessment type, target population, intended purpose, domains assessed, development methodology, validation evidence, and relevance to midwife-led nutrition counselling, and were synthesized descriptively and conceptually across assessment domains. &lt;b&gt;Results:&lt;/b&gt; The database searches identified 186 records, of which 42 duplicates were removed, leaving 144 records for title and abstract screening. Thirty-four reports underwent full-text assessment, of which 25 were excluded, resulting in nine included reports. These reports represented a smaller number of distinct assessment tools, frameworks, and approaches because three reports evaluated or applied the same underlying instrument, the FIGO Nutrition Checklist. The included evidence comprised nutritional-risk screening, provider-focused knowledge-, attitude-, and practice-based assessment, observational approaches to counselling delivery, and a professional competency framework. Cross-cutting synthesis identified four conceptually distinct measurement levels: nutritional risk and dietary status, professional knowledge and competence, counselling delivery and implementation, and women's experience of nutrition counselling. No eligible nutrition-specific patient-reported experience measure was identified, leaving the intersection between nutrition-specific content and woman-reported counselling experience in","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041110","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":"Operationally Defined Sarcopenia Phenotype Among Older Egyptian Outpatients: A Descriptive Cross-Sectional Study.","authors":"Fatma Magdi Ibrahim","doi":"10.3390/nursrep16090326","DOIUrl":"10.3390/nursrep16090326","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Sarcopenia can compromise mobility and self-care. This study estimated the prevalence of an operationally defined sarcopenia phenotype among older Egyptian outpatients and described characteristics relevant to nursing assessment; Orem's Self-Care Deficit Nursing Theory framed interpretation but was not tested. <b>Methods</b>: This cross-sectional study consecutively recruited 320 adults aged ≥60 years from outpatient clinics at four randomly selected public hospitals in El-Beheira Governorate (August 2024-January 2025). The operational definition, based on the EWGSOP 2010 framework, combined calf circumference <31 cm as a pragmatic muscle-mass proxy with low handgrip strength and/or gait speed ≤ 0.8 m/s. Nutrition and functional independence were assessed using the BMI-based MNA-SF and Lawton-Brody IADL scale. Primary analyses comprised descriptive summaries and Wilson 95% confidence intervals; exploratory Firth-penalized logistic regression models adjusted for age and sex were sensitivity analyses. <b>Results</b>: The phenotype was present in 109/320 participants (34.1%; 95% CI, 29.1-39.4%). Prevalence was 2.7% at ages 60-74 years, 16.8% at 75-84 years, and 91.6% at ≥85 years. Nutritional vulnerability, IADL dependence, food insecurity, polypharmacy, and recent hospitalization were descriptively more common among participants meeting the definition. Adjusted models retained several associations but yielded an unstable reversed nutritional estimate and wide confidence intervals. <b>Conclusions</b>: The operational phenotype identified a clinically vulnerable outpatient subgroup relevant to nursing and interdisciplinary assessment. The proxy-based definition, clinic sampling, extreme age imbalance, and cross-sectional design preclude confirmation of sarcopenia and independent-association, prognostic, or causal inference.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041056","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":"Early-Stage Evaluation of a Novel Sexual Health Care Model for Breast Cancer Survivors Undergoing Endocrine Therapy: A Case Series.","authors":"Wakako Yachi","doi":"10.3390/nursrep16090324","DOIUrl":"10.3390/nursrep16090324","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Women undergoing endocrine therapy after breast cancer often experience sexual-health concerns, but opportunities for individualized nursing support are limited. This case series implemented and preliminarily evaluated a novel sexual health-care model for women undergoing endocrine therapy after breast-cancer treatment. <b>Methods:</b> A care model was developed from Comfort Theory, a literature review, and clinical experience and underwent content-validity review by experts, including one nurse with lived experience of breast cancer. It was implemented individually for 6 months in five premenopausal women receiving endocrine therapy after breast-conserving surgery or total mastectomy. Data included baseline characteristics, care records, final interviews, and Self-affirmation Scale scores. Nursing goal attainment and final interviews were evaluated qualitatively. <b>Results:</b> All nursing goals appeared to have been achieved based on provider assessment and participants' narratives. Participants gradually expressed distress, questions, and sexual health needs related to bodily and sexual changes, developed greater understanding of treatment-related changes, identified individualized coping strategies, and showed greater self-worth and self-care. Self-affirmation scores were descriptively higher after care. Phenomenological analysis identified four constituents: having a place to discuss a body marked by breast and fertility loss; sharing with a midwife who accepted them as they were; reconnecting with their changed bodies; and discovering new meaning in life with altered fertility and bodily integrity. <b>Conclusions:</b> The care model may provide a safe, individualized space for women undergoing endocrine therapy after breast cancer to express concerns, understand bodily changes, and reconstruct meaning. The findings are preliminary and represent provider-assessed observations rather than evidence of effectiveness.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"16 9","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13610420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041198","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}