Nursing Reports最新文献

{"title":"Aspects of Self-Management After Solid Organ Transplantation-A Scoping Review.","authors":"Stefan Jobst, Christiane Kugler, Anne Rebafka","doi":"10.3390/nursrep15080304","DOIUrl":"10.3390/nursrep15080304","url":null,"abstract":"<p><p><b>Background</b>: Solid organ transplantation improves survival and quality of life but requires lifelong self-management. While models exist for kidney and liver recipients, a comprehensive framework for all solid organ transplant recipients is lacking. Addressing this gap is essential for optimizing post-transplant care. <b>Objectives</b>: This report aims to conceptualize self-management after solid organ transplantation by addressing questions related to (1) the contexts studied to date, (2) research methodologies and publication types used, and (3) core aspects associated with self-management post-transplantation. <b>Methods</b>: A scoping review was used to address the above objectives. A comprehensive search strategy identified relevant studies, followed by systematic screening, data extraction, and qualitative content analysis. Findings were categorized using a deductive-inductive coding approach to map core self-management aspects after solid organ transplantation. <b>Results</b>: The search yielded 34,417 records, with 742 ultimately included. Publications from 43 countries spanned 43 years, with many (48.9%) published after 2016. Research articles dominated (80.1%), covering kidney (61%), liver (22%), heart (21%), and lung (16%) transplants. A qualitative analysis identified four self-management domains containing various categories: (1) Managing the medical-therapeutic regimen, (2) managing biographical work, (3) managing (new) life roles, and (4) generic self-management skills. The conceptual model illustrates their interconnections, with aspects of the medical-therapeutic regimen management most frequently covered. <b>Conclusions</b>: Self-management after solid organ transplantation is complex, involving medical-therapeutic, emotional, social, and behavioral aspects. Aspects of managing the medical-therapeutic regimen dominate the research literature, while other aspects need further exploration. Future studies should address gaps to support holistic, patient-centered post-transplant care strategies.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12389569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973241","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":"Development, Reliability and Validity of Engagement in Exercise Rehabilitation Scale for Patients with Stroke.","authors":"Hu Jiang, Xiaoxuan Wang, Wenna Wang, Yongxia Mei, Beilei Lin, Jing Chen, Zhenxiang Zhang","doi":"10.3390/nursrep15080303","DOIUrl":"10.3390/nursrep15080303","url":null,"abstract":"<p><p><b>Background</b>: Exercise rehabilitation is a crucial component of stroke recovery, particularly for patients transitioning to home or community settings. However, there is currently a lack of self-reported scales designed to measure the level of engagement in exercise rehabilitation among patients with stroke. <b>Objective</b>: To develop and validate psychometric properties of the Engagement in Exercise Rehabilitation Scale for patients with stroke. <b>Methods</b>: The initial item pool was extracted from a literature review and a semi-structured interview with patients with stroke. The development and refinement of the items underwent expert consultation and cognitive interviews with patients with stroke. The items primarily covered patients' perceptions, emotional attitudes, and specific engagement behaviors regarding exercise rehabilitation in home or community settings. A total of 260 patients with stroke were selected to test the reliability and validity. The psychometric proprieties test included construct validity, content validity, criterion-related validity, exploratory factor analysis, internal consistency reliability, test-retest reliability, and split-half reliability. <b>Results</b>: The final version of the Engagement in Exercise Rehabilitation Scale comprised 20 items. The scale's content validity index was determined to be 0.976, while the item-content validity indices ranged from 0.833 to 1.000. Results from exploratory factor analysis indicated that this scale is unidimensional, with a cumulative variance contribution rate of 79.3%. The test-retest reliability of the scale was found to be 0.879, its split-half reliability was measured at 0.980, and its Cronbach's α coefficient was calculated to be 0.986. <b>Conclusion</b>: The Engagement in Exercise Rehabilitation Scale for patients with stroke demonstrates accepted reliability and validity. The accuracy and generalizability of this scale necessitate further validation through additional large-sample studies involving diverse populations across multiple centers.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12388844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973235","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":"Humanized and Community-Based Nursing for Geriatric Care: Impact, Clinical Contributions, and Implementation Barriers.","authors":"Viviana Margarita Espinel-Jara, María Ximena Tapia-Paguay, Amparo Paola Tito-Pineda, Eva Consuelo López-Aguilar, Eloy Fernández-Cusimamani","doi":"10.3390/nursrep15080302","DOIUrl":"10.3390/nursrep15080302","url":null,"abstract":"<p><p><b>Background</b>: As global populations age, the demand for effective and compassionate geriatric care has intensified. Humanized nursing emphasizes empathy and person-centered care, while community-based nursing builds on local resources and networks to support health and well-being. Together, these approaches offer promising strategies for improving care for older adults. This integrative review explores the evolution, clinical contributions, and implementation barriers of these models. <b>Methods</b>: A comprehensive literature search was performed using PubMed, CINAHL, Scopus, and Web of Science, targeting peer-reviewed studies, including qualitative and quantitative studies published between 2010 and 2025, that involved adults aged 60 years and older. Inclusion criteria emphasized humanized and community-based nursing interventions while excluding non-nursing and pediatric-focused studies. Quality appraisal was performed using CASP and JBI checklists, and data were thematically synthesized. <b>Results</b>: Evidence indicates that these care models significantly improve functional independence and psychosocial well-being and reduce hospital readmissions. For instance, community-based care in Taiwan improved activities of daily living in dementia patients by 15%, while U.S.-based programs reduced depressive symptoms by 30% among Latino older adults. Interdisciplinary, nurse-led interventions in South Korea and Puerto Rico showed a 22% reduction in readmissions and an 85% increase in care access. Despite these benefits, numerous barriers hinder widespread implementation, including workforce shortages, inadequate funding, fragmented healthcare systems, cultural resistance, digital literacy challenges, and policy constraints, particularly in low-resource settings such as the Philippines and Nepal. <b>Conclusions</b>: These findings underscore the transformative potential of humanized and community-based nursing while highlighting the need for targeted strategies such as task-shifting, inclusive technologies, and policy reform to advance equitable, sustainable geriatric care globally.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12388778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973191","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":"Development and Validation of an Educational Tool on Hypodermoclysis for Palliative Care Professionals.","authors":"Maria Vanessa Tomé Bandeira de Sousa, Carlos Laranjeira, José Mateus Pires, Isabela Melo Bonfim, Luís Carlos Carvalho Graça, Karla Maria Carneiro Rolim, Lara Anisia Menezes Bonates, Régia Christina Moura Barbosa Castro, Ana Fátima Carvalho Fernandes","doi":"10.3390/nursrep15080301","DOIUrl":"10.3390/nursrep15080301","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Hypodermoclysis has gained increasing recognition as a safe, effective, and minimally invasive method for administering medication and fluids in palliative care. Despite its advantages, its adoption remains limited, primarily due to a lack of structured training resources for healthcare professionals. This study aimed to develop and validate an educational tool for training clinical nurses in hypodermoclysis administration in palliative care. <b>Methods</b>: This is a methodological study with a multi-methods approach. Study development involved a needs assessment with 48 professionals, a literature review, and the creation of a manual enriched with visual aids. <b>Results</b>: The material was validated by expert judges, technical reviewers, and the target audience. Organized into 21 chapters, the manual comprehensively addresses technical, theoretical, and ethical dimensions of the practice. Content validation by 14 experts yielded an outstanding global Content Validity Index (CVI) of 0.95. An independent evaluation of visual design by four communication specialists produced consistently high scores (91-96%), classifying the material as \"superior\" in quality. Feedback from target users (12 nurses) highlighted the manual's clarity, applicability, and relevance. All constructive suggestions were incorporated into the final version. <b>Conclusions</b>: The resulting manual demonstrates strong validity as an educational resource, with significant potential to standardize and enhance hypodermoclysis training in palliative nursing, promoting both safety and humanized care.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12389239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973232","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 Relationship Between Stress, Academic Motivation, and Subjective Vitality Among Nursing Students.","authors":"Stanislav Sabaliauskas, Kamile Ingelevič, Oksana Misiūnienė, Agnė Jakavonytė-Akstinienė","doi":"10.3390/nursrep15080300","DOIUrl":"10.3390/nursrep15080300","url":null,"abstract":"<p><p><b>Objectives</b>: This cross-sectional, descriptive correlational research investigated the relationship between stress, academic motivation, and subjective vitality among nursing students. <b>Methods</b>: Participants were recruited through a non-probability purposive sampling approach. An anonymous online survey was conducted with 188 first- to fourth-year study nursing students, assessing their perceived academic stress using the Perceptions of Academic Stress Scale, academic motivation using the Student Academic Motivation Scale (SAMS-21), and subjective vitality using the Subjective Vitality Scale. Descriptive statistics, bivariate correlational analysis, and multivariate analysis were employed in this study. <b>Results</b>: The results indicate that students experience moderate stress levels during exam sessions, with higher stress associated with workload and examinations. Academic motivation was characterized by high extrinsic motivation, which identified regulation and intrinsic motivation to know. A significant difference in a form of extrinsic motivation-introjected regulation-was found between student groups, with a tendency for this motivation to decrease over the years of study. No statistically significant relationship was found between students' academic stress and subjective vitality. <b>Conclusions</b>: Academic stress related to workload and exams is determined by both demographic factors, such as age and year of study, and psychological factors, including academic self-perception and amotivation, which highlight the multifaceted nature of the stress experienced by nursing students. Students' subjective vitality is related to intrinsic motivation-to know and achieve-and to all extrinsic motivation. External forms of regulation, especially introjected regulation, are significantly related to students' subjective vitality.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12389095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973214","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 Nursing Student Licensure Examination: A Scoping Review.","authors":"Flavia Pantaleo, Alessandro Stievano, Chiara Mastroianni, Giorgia Petrucci, Natascia Mazzitelli, Michela Piredda, Maria Grazia De Marinis, Anna Marchetti","doi":"10.3390/nursrep15080299","DOIUrl":"10.3390/nursrep15080299","url":null,"abstract":"<p><p><b>Background</b>: In an increasingly globalized context marked by growing professional mobility, establishing shared standards for assessing nursing competencies is essential. The licensure examination represents a critical gateway between academic preparation and professional practice. However, significant ambiguity remains regarding what competencies are assessed and how this assessment is conducted internationally. <b>Objective</b>: This scoping review aimed to map the international literature on nursing licensure examinations by comparing frameworks and domains, performance levels, and assessment tools to identify similarities and differences in the core competencies required for entry into practice. <b>Methods</b>: The review followed Arksey and O'Malley's methodological framework. Comprehensive searches were conducted across PubMed, CINAHL, Scopus, ERIC, Cochrane Library, ProQuest, and OpenGrey databases. Studies addressing competency frameworks, performance levels, and assessment tools in undergraduate nursing licensure were included. <b>Results</b>: Twenty-three studies were analyzed. The most frequently cited framework was 'Client Needs'. Competency domains commonly addressed patient needs, professional roles, and healthcare settings. The dominant performance level was cognitive, typically assessed through multiple-choice questions; practical skills were often evaluated via 'bedside tests'. Despite variations in frameworks and domains, cognitive performance expectations and assessment tools showed some consistency. <b>Conclusions</b>: These findings underscore the need for a context-sensitive, internationally adaptable framework to promote fairness and support nurse mobility.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12388846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973223","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":"Boosted Genomic Literacy in Nursing Students via Standardized-Patient Clinical Simulation: A Mixed-Methods Study.","authors":"Daniel Garcia-Gutiérrez, Estel la Ramírez-Baraldes, Maria Orera, Verónica Seidel, Carmen Martínez, Cristina García-Salido","doi":"10.3390/nursrep15080297","DOIUrl":"10.3390/nursrep15080297","url":null,"abstract":"<p><p><b>Background</b>: Genomic information is becoming integral to nursing practice, yet undergraduate curricula often provide limited opportunities to apply this knowledge in realistic settings. <b>Objective</b>: To evaluate the impact of a clinical simulation-based intervention on nursing students' learning of genetic counseling, with a focus on knowledge acquisition, communication skills, and student satisfaction. <b>Methods</b>: A sequential mixed-methods study was conducted with 30 third-year nursing students enrolled in the elective Genetics Applied to Health Sciences. Quantitative data comprised (i) pre-/post-simulation knowledge tests, (ii) a satisfaction questionnaire, and (iii) final course grades, which were compared with grades of a cohort from the previous academic year that had no simulation component (n = 28). Qualitative insights were gathered through field notes and semi-structured interviews with six purposively selected participants. During the intervention each student rotated through the roles of genetic-counseling nurse, patient, and observer, followed by a facilitated debriefing. <b>Results</b>: Post-simulation knowledge scores and final course grades were significantly higher than both baseline values and the historical comparison cohort. Students reported very high satisfaction, highlighting the authenticity of the scenarios and the usefulness of immediate feedback. Qualitative analysis showed that role rotation fostered deeper understanding of counseling complexities, improved empathic communication, and bolstered self-confidence when discussing hereditary risk. <b>Conclusions</b>: Embedding standardized-patient simulation into undergraduate genetics courses measurably improves students' knowledge, communication proficiency, and satisfaction. These findings support incorporating similar simulation-based learning activities to bridge the gap between theoretical genetics content and real-world nursing practice.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12388744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973244","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":"Association Between Missed Nursing Care and Nurse Fatigue: A Cross-Sectional Correlational Study.","authors":"Bushra Alshammari, Ghady Saud Alsaleh, Awatif Alrasheeday, Nadiah Baghdadi, Nabat Almalki, Farhan Alshammari, Amira Assiry, Mawahib Almalki","doi":"10.3390/nursrep15080298","DOIUrl":"10.3390/nursrep15080298","url":null,"abstract":"<p><p><b>Background</b>/<b>Objectives</b>: Missed nursing care-defined as any aspect of required patient care that is omitted or delayed-has emerged as a significant indicator of healthcare quality. Fatigue among nurses, particularly in high-demand environments, may contribute to care omissions. This study aimed to assess the prevalence and patterns of missed nursing care and its association with occupational fatigue among nurses working in Saudi hospitals. <b>Methods</b>: A cross-sectional correlational study was conducted among 183 registered nurses from multiple hospitals in the Hail and Madinah regions, Saudi Arabia. Data were collected using the Missed Nursing Care Scale (MISSCARE) and the Occupational Fatigue Exhaustion/Recovery Scale (OFER-15). Statistical analysis was performed to assess the relationships between missed care, fatigue, and demographic/work-related variables. <b>Results</b>: Nurses reported moderate levels of missed care, especially in basic care tasks such as oral hygiene, assistance with meals, and timely ambulation. The most frequently cited causes of missed care included insufficient staffing, high patient load, and a lack of support personnel. Occupational fatigue scores were also moderate, with notably low inter-shift recovery. A significant negative correlation was found between inter-shift recovery and missed care (r = -0.120, 95% CI: -0.23 to -0.005, <i>p</i> = 0.040), indicating that poorer recovery between shifts was associated with more frequent omissions. Other fatigue dimensions showed weak, non-significant associations with missed care. <b>Conclusions</b>: Missed nursing care is a prevalent issue in Saudi hospitals and is significantly influenced by organizational factors and nurses' recovery between shifts. Interventions to improve staffing adequacy and promote rest and recovery may reduce care omissions and enhance patient outcomes.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12389463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973183","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 Experience of Patients with Type 1 Diabetes Mellitus with the Use of Glucose Monitoring Systems: A Qualitative Study.","authors":"Anxela Soto-Rodriguez, Ana Fernández-Conde, Raquel Leirós-Rodríguez, Álvaro Toubes Opazo, Nuria Martinez-Blanco","doi":"10.3390/nursrep15080294","DOIUrl":"10.3390/nursrep15080294","url":null,"abstract":"<p><p><b>Aim:</b> The purpose of this study was to explore the broad experience of continuous glucose monitoring from the perspective of patients diagnosed with type 1 diabetes mellitus, including not only their emotions and feelings but also the lifestyle changes, perceptions, and social aspects associated with its use. <b>Design:</b> This is a phenomenological qualitative study. <b>Patient or Public Contribution:</b> The sample consisted of 10 adult patients diagnosed with type 1 diabetes who had been using the continuous glucose monitoring system for at least 6 months and were patients of the Endocrinology and Nutrition Service of the University Hospital Complex of Ourense. <b>Methods:</b> The recorded interviews were conducted in November 2024. The conversations were audio-recorded with the participants' consent, and then transcribed for thematic analysis. <b>Results:</b> Three main categories were identified: \"experience prior to continuous glucose monitoring\" (accessibility, prior knowledge, and expectations), \"experience with the use of continuous glucose monitoring\" (perception of healthcare support, concerns, strengths, and alarm management), and \"experience regarding the disease\" (self-management of the disease and safety). Despite the fact that diabetes mellitus is a complex chronic disease, all participants provided a positive assessment of their progress and improved control through continuous glucose monitoring. <b>Conclusions:</b> All participants felt more secure and protected with continuous glucose monitoring, improving their quality of life. The main concern among the subjects was the possibility of the sensor failing. They positively valued the alarm system in case of hypoglycemia. The CGM is a highly effective tool for the management and self-control of diabetes and promotes the relationship between patients and professional health. <b>Impact:</b> The findings of this study have important implications for clinical care, highlighting the need for more training and more health education at the first level of health care, such as health centers.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12388861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973178","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":"What Helps or Hinders Annual Wellness Visits for Detection and Management of Cognitive Impairment Among Older Adults? A Scoping Review Guided by the Consolidated Framework for Implementation Research.","authors":"Udoka Okpalauwaekwe, Hannah Franks, Yong-Fang Kuo, Mukaila A Raji, Elise Passy, Huey-Ming Tzeng","doi":"10.3390/nursrep15080295","DOIUrl":"10.3390/nursrep15080295","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Background:&lt;/b&gt; The U.S. Medicare Annual Wellness Visit (AWV) offers a structured opportunity for cognitive screening and personalized prevention planning among older adults. Yet, implementation of AWVs, particularly for individuals with cognitive impairment, remains inconsistent across primary care or other diverse care settings. &lt;b&gt;Methods:&lt;/b&gt; We conducted a scoping review using the Consolidated Framework for Implementation Research (CFIR) to explore multilevel factors influencing the implementation of the Medicare AWV's cognitive screening component, with a focus on how these processes support the detection and management of cognitive impairment among older adults. We searched four databases and screened peer-reviewed studies published between 2011 and March 2025. Searches were conducted in Ovid MEDLINE, PubMed, EBSCOhost, and CINAHL databases. The initial search was completed on 3 January 2024 and updated monthly through 30 March 2025. All retrieved citations were imported into EndNote 21, where duplicates were removed. We screened titles and abstracts for relevance using the predefined inclusion criteria. Full-text articles were then reviewed and scored as either relevant (1) or not relevant (0). Discrepancies were resolved through consensus discussions. To assess the methodological quality of the included studies, we used the Joanna Briggs Institute critical appraisal tools appropriate to each study design. These tools evaluate rigor, trustworthiness, relevance, and risk of bias. We extracted the following data from each included study: Author(s), year, title, and journal; Study type and design; Data collection methods and setting; Sample size and population characteristics; Outcome measures; Intervention details (AWV delivery context); and Reported facilitators, barriers, and outcomes related to AWV implementation. The first two authors independently coded and synthesized all relevant data using a table created in Microsoft Excel. The CFIR guided our data analysis, thematizing our findings into facilitators and barriers across its five domains, viz: (1) Intervention Characteristics, (2) Outer Setting, (3) Inner Setting, (4) Characteristics of Individuals, and (5) Implementation Process. &lt;b&gt;Results:&lt;/b&gt; Among 19 included studies, most used quantitative designs and secondary data. Our CFIR-based synthesis revealed that AWV implementation is shaped by interdependent factors across five domains. Key facilitators included AWV adaptability, Electronic Health Record (EHR) integration, team-based workflows, policy alignment (e.g., Accountable Care Organization participation), and provider confidence. Barriers included vague Centers for Medicare and Medicaid Services (CMS) guidance, limited reimbursement, staffing shortages, workflow misalignment, and provider discomfort with cognitive screening. Implementation strategies were often poorly defined or inconsistently applied. &lt;b&gt;Conclusions:&lt;/b&gt; Effective AWV delivery for older adults with ","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 8","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12389198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973189","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}