Nursing Open最新文献

{"title":"Implications of Activity of Daily Living for Clinical Care of Older Adults Undergoing Urological Surgery-A Cross-Sectional Study.","authors":"Qin Chen, Yu Dai, Mian Guo, Xinyan Wang, Lihua Zhou","doi":"10.1002/nop2.70289","DOIUrl":"10.1002/nop2.70289","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to evaluate the clinical effectiveness of nursing classification based on Activities of Daily Living (ADL) scores to improve the quality of nursing care.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>This study was conducted from April 2023 to April 2024, involving a total of 570 older urological patients. The study assessed the level of Activities of Daily Living (ADL) scores and examined the factors influencing ADL through linear regression analysis. Additionally, the correlation between ADL scores and the quality of nursing classification was analysed.</p><p><strong>Results: </strong>The ADL scores were significantly associated with the risk of pressure ulcers, venous and falling. Patients were graded based on their ADL scores, revealing that higher ADL scores corresponded to higher quality nursing classification scores.</p><p><strong>Public contribution: </strong>In the process of treatment, the implementation of nursing classification should be based on the ADL scale so that it can significantly enhance the quality of nursing care, ensure patient safety, reduce the incidence of complications during hospitalisation, optimise the utilisation of nursing human resources and improve patient satisfaction.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 8","pages":"e70289"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 and Healthcare Workers Burnt out: A Qualitative Study of Burnout Experiences of Healthcare workers in a Secondary Hospital in Ghana.","authors":"Seth Christopher Yaw Appiah, Elvis Mwinsome Sobiesuo, Bernard Obeng, Elsie Asamoah, Comfort Badu Mantey, Peter Dwumah, Mary Sefa Boampong, Abena Afrakomah Boateng, Richard Ofori, Michael Nimoh, Josephine Boakyewaa Nyarko, Jonathan Mensah Dapaah","doi":"10.1002/nop2.70279","DOIUrl":"10.1002/nop2.70279","url":null,"abstract":"<p><strong>Aim: </strong>The COVID-19 pandemic emerged between 2019 and 2021, and had a profound and far-reaching impact across all sectors of society, significantly altering daily life and working conditions especially for frontline health professionals. This study explored the burnout context that occurred among health workers, predominantly nurses during the peak of the COVID-19 pandemic in a secondary hospital facility in Ghana.</p><p><strong>Design: </strong>Descriptive phenomenological design.</p><p><strong>Methods: </strong>The study adopted a qualitative approach, anchored on a descriptive phenomenological design to explore the dynamics of burnt-out experienced by 12 healthcare staff at the Kwame Nkrumah University of Science and Technology (KNUST) hospital in Ghana during the COVID-19 pandemic. The (12) healthcare workers, which included six (6) male and six (6) female, were recruited using a convenient sampling technique, guided by a structured interview guide. Adopting a thematic approach, the transcribed data were analysed after data categorisation and manual coding.</p><p><strong>Findings: </strong>Healthcare staff reported a significant increase in workload during the peak of COVID-19 cases, which subsided as case severity decreased over time. Healthcare workers recounted the pandemic's psychological toll, including symptoms of increased stress, worry, and despair exacerbated by severe burnout as a result of the crisis's relentless demands. Despite the obstacles, healthcare workers constantly emphasised their dedication to professionalism, indicating a strong feeling of obligation to maintain patient-centred treatment. A highlight was made in respect of exhaustion and emotional difficulties, though these experiences did not impair the quality of treatment delivered to clients. Providing respectful, empathetic, and equitable care to all patients irrespective of suspected COVID-19 or other diseases remained a central feature of services provided.</p><p><strong>Patient or public contribution: </strong>This paper presents findings relevant to the provision of quality client care in moments of extreme stress. It provides insights into the challenges nurses go through to secure their health and provide safety for the public in moments of general public fear and discomfort. The findings in this study invite the public to appreciate and equally empathise with emergency health care providers particularly during periods of pandemic.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 8","pages":"e70279"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Diagnoses and Interventions in the Field of Action for Patients Undergoing Renal Replacement Therapy: A Scoping Review.","authors":"Miguel Angel Cuevas-Budhart, José Ramón Paniagua Sierra, Renata Cedillo-Flores, Sonsoles Hernandez-Iglesias, Almudena Crespo Cañizarez, Maria Alina Renghea, José Antonio Herrero Calvo, Vicente Beneit Montesinos, Mercedes Gómez Del Pulgar G","doi":"10.1002/nop2.70280","DOIUrl":"10.1002/nop2.70280","url":null,"abstract":"<p><strong>Aim: </strong>To identify the primary nursing diagnoses and interventions related to patients with chronic kidney disease undergoing renal replacement therapy, organised according to Marjory Gordon's functional health patterns through a scoping review.</p><p><strong>Methods: </strong>A scoping review was conducted following the JBI 2020 Guidelines and the PRISMA ScR extension. Articles published between 2014 and 2021 were included from the Web of Science, Scopus and PubMed databases. The search strategy utilised DeCS and MeSH descriptors with Boolean operators AND/OR. Articles in English and Spanish authored by nurses and featuring retrospective, prospective or cross-sectional designs were selected. After extracting the main diagnoses and interventions, a nominal group of nephrology experts discussed the findings, followed by a Delphi technique to achieve consensus.</p><p><strong>Results: </strong>A total of nine studies were included, eight from Brazil and one from Turkey, which reflects a possible geographic concentration bias. Fifty-five nursing diagnoses and seventy-six core interventions were identified and categorised into Marjory Gordon's 11 functional patterns, facilitating the structuring of nursing action fields in nephrology.</p><p><strong>Conclusions: </strong>This review established a set of standardised nursing interventions specific to patients with chronic kidney disease undergoing renal replacement therapy.</p><p><strong>Implications for health policies: </strong>The classification supports the organisation of nephrology units, reduces professional overload and enhances care quality and patient safety. The standardised taxonomy (NANDA, NIC, NOC) facilitates interdisciplinary communication and promotes advanced nursing practice.</p><p><strong>No patient or public contribution: </strong>The study is a review of already published scientific articles and a review of experts and researchers who contributed to the document. For this reason, an express declaration of the patient, user or caregivers is not required since there was no participation in the study.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 8","pages":"e70280"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caregiving Experiences of Caregivers of Adolescents With Inflammatory Bowel Disease: A Qualitative Meta-Synthesis.","authors":"Huan Xu, Chao Wu, Changchang Chen, Bo Yan, Ning Zha, Kai Zhang, Fang Liu, Hongjuan Lang","doi":"10.1002/nop2.70267","DOIUrl":"10.1002/nop2.70267","url":null,"abstract":"<p><strong>Background: </strong>Inflammatory Bowel Disease (IBD) is a chronic condition that significantly affects the physical and mental health of adolescents. Caregivers are crucial in the treatment process, offering both physical care and emotional support. Caring for adolescents with IBD can significantly affect caregivers' physical, psychological and daily lives, presenting a range of emotional, financial and practical challenges.</p><p><strong>Aims: </strong>To explore and integrate the caregiving experiences of caregivers of adolescents with IBD, in order to inform future caregiving support and intervention strategies.</p><p><strong>Design: </strong>A systematic evaluation and synthesis of qualitative studies was conducted based on ENTREQ guidelines.</p><p><strong>Methods: </strong>A systematic search was performed in PubMed, Embase, Cochrane Library, Web of Science, CINAHL, PsyINFO, CNKI, Wangfang and VIP for qualitative studies on the caregiving experiences of caregivers of adolescents with IBD, from the start of the research until March 14 2025. The quality of the literature was assessed using the Joanna Briggs Institute's quality assessment criteria for qualitative research, and included studies were integrated using a pooled approach.</p><p><strong>Results: </strong>In total, nine studies were included, from which 69 themes were extracted. The findings were grouped into five main themes and 12 subthemes: Psychological and emotional challenges; Heavy caregiving burden; Multiple challenges; Indispensable external support; Positive progress.</p><p><strong>Conclusions: </strong>Caregivers of adolescents with IBD face numerous challenges. Healthcare professionals should recognise the varied needs of these caregivers and develop tailored support programmes to help alleviate psychological stress and enhance caregiving quality. Additionally, the Internet and community platforms can be utilised to establish a family support system, ensuring the well-being of both caregivers and adolescents.</p><p><strong>No patient or public contribution: </strong>This study is a meta-synthesis and does not require relevant contributions from patients or the public.</p><p><strong>Trial registration: </strong>PROSPERO number: CRD 420250654435.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70267"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"We Are Our Own Worst Enemies\": Workplace Bullying Among Nurses and Its Implications on Healthcare Workers and Job Performance: A Multi-Facility Study in the Tamale Metropolis.","authors":"Abubakari Wuni, Ajara Musah, Iddrisu Mohammed Sisala, Abdul Malik Abdulai, Letitia Chanayireh, Brenda Abena Nyarko, Hannah Buasilenu, Mudasir Mohammed Ibrahim, Sulemana Musah, Dorothy Azure, Nafisah Abdulai","doi":"10.1002/nop2.70282","DOIUrl":"10.1002/nop2.70282","url":null,"abstract":"<p><strong>Background: </strong>Workplace bullying is an important issue confronting the nursing profession, with victims described as being part of an oppressed group. The number of attacks and acts of violence that staff direct at each other in the workplace is alarmingly high and cannot be ignored.</p><p><strong>Aim: </strong>This study assessed the prevalence and impact of workplace bullying of nurses by other nurses among those working in three major hospitals in the Tamale Metropolis, Ghana.</p><p><strong>Methods: </strong>Data for this study were collected from Tamale Teaching Hospital, Tamale Central Hospital, and Tamale West Hospital using a descriptive cross-sectional multi-facility study design with a quantitative approach to data collection. A proportionate stratified random sampling technique was used to recruit 338 nurses from the three hospitals. A structured questionnaire was used to collect data, following approval from the Tamale Teaching Hospital Research and Development Unit and the Northern Regional Health Directorate, from January 2022 to March 2022. Stata for Windows V16.0 was used to analyse the data. Bivariate and multivariable logistic regression models were used to explore the factors associated with the prevalence of perceived workplace bullying among nurses. Confidence intervals were computed at a 95% confidence level, and a p-value of 0.05 or less was considered statistically significant.</p><p><strong>Results: </strong>The majority of respondents (85.5%) indicated they had observed workplace bullying before, and 50.6% had witnessed the bullying of a nurse by another nurse. A little over one-third had been victims of workplace bullying. Females constituted a higher proportion of both the perpetrators (53.0%) and the main targets (80.2%) of workplace bullying. Additionally, 34.6% reported having the intention to travel abroad to practise nursing as a result of observing bullying or being victims themselves. Multivariable analysis showed that the odds of experiencing workplace bullying were 63% lower among nurses working in the surgical ward compared to those in the Outpatient Department (AOR: 0.37, 95% CI: 0.15-0.91, p = 0.030).</p><p><strong>Conclusion: </strong>This study revealed that workplace bullying is prevalent among nurses in the three main hospitals within the Tamale Metropolis. Most respondents had witnessed workplace bullying, and a little over one-third had been victims themselves. Workplace bullying is a measurable issue that negatively affects nurses' mental health and job performance. Therefore, nursing leaders should organise regular sensitisation programmes to raise awareness of the impact of workplace bullying. Additionally, hospital management should encourage nurses to report instances of bullying, establish disciplinary committees to address such cases, punish offenders, and protect those who witness or are victims of bullying.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70282"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12276762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Entrepreneurial Instincts of Nurses and Midwives in Ghana.","authors":"Adelaide Maria Ansah Ofei, Jane Owusu-Asiamah, Theresa Barnes, Emma Annan","doi":"10.1002/nop2.70246","DOIUrl":"10.1002/nop2.70246","url":null,"abstract":"<p><strong>Background: </strong>In recent years, the popularity of entrepreneurship among nurses and midwives has increased. People in the nursing and midwifery professions have reaped numerous benefits from this endeavour. However, little is known about the reasons why nurses and midwives decide to become business owners. The aim of the study was to explore the motivation for entrepreneurial instincts among nurses and midwives in Ghana.</p><p><strong>Methodology: </strong>This qualitative study snowball-sampled nurses and midwives in the Greater Accra Region who have established their health-related businesses. The participants consisted of eleven participants based on theoretical saturation. Using an interview guide, researchers gathered in-depth data on the discussed phenomenon and then analysed the data using thematic analysis.</p><p><strong>Results: </strong>Five themes were identified from analysis of data, and they are frustration at the former workplace, the desire to own a business, preserving family legacy, the necessity for extra income, and engaging in something during retirement.</p><p><strong>Conclusion: </strong>Nurses and midwives gain experience through their work as professionals, which motivates them to become entrepreneurs. In addition to these experiences, other factors play an important role in the entrepreneurial ambitions of nurses and midwives.</p><p><strong>Patient or public contribution: </strong>We are grateful to all nurses and midwives for their help during the study.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70246"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling the Relationships of Professional Identity, Values and Communication Competence in Nursing Students' Clinical Practice Behaviours: A Cross-Sectional Study and Mediation Model Analysis.","authors":"Li Yang, Si Ni Li, Qingyu Wang, Si Pan, Wen Zhao","doi":"10.1002/nop2.70270","DOIUrl":"10.1002/nop2.70270","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to explore factors related to clinical practice behaviours and investigate the role of clinical communication competence in promoting professional identity/values and clinical practice behaviours among nursing students.</p><p><strong>Methods: </strong>Between July and August 2023, a cross-sectional online survey were conducted among 791 nursing students undergoing clinical internships at a tertiary hospital in Hunan Province, China, using convenience sampling methods. The Professional Identity Questionnaire for Nurse Students, the Nurses Professional Values Scale-Revised, the Clinical Communication Competence Scale and the Clinical Practice Behaviours Scale were used to assess students' professional identity, professional values, clinical communication competence and clinical practice behaviours, respectively. Descriptive statistics, t-tests, ANOVA and Pearson's correlation were performed. Mediation models explored relationships between professional identity, professional values, communication competence and clinical practice behaviours, with communication competence as a mediator. Indirect effects were tested using bias-corrected bootstrapping (5000 iterations) via the PROCESS macro.</p><p><strong>Results: </strong>The findings revealed that professional identity and professional values directly and indirectly influenced clinical practice behaviours in nursing students. Moreover, clinical communication competence was identified as a significant mediator in the relationship between professional identity (indirect effect = 0.11; 95% confidence interval [CI]: [0.09, 0.14], accounting for 23.4% of the total effect)/values (indirect effect = -0.13; 95% CI: [0.10, 0.17], accounting for 27.7% of the total effect) and clinical practice behaviours. Professional identity, professional values, clinical communication competence and clinical practice behaviours were found to have positive correlations with one another (Pearson's r ranged: 0.45-0.72, all ps < 0.05).</p><p><strong>Conclusion: </strong>This study sheds light on factors influencing nursing students' clinical practice behaviour, including professional identity, professional values and clinical communication competence. These insights can inform evidence-based strategies for nursing education and practice, facilitating targeted interventions to enhance students' professional development and clinical competence.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution was involved.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70270"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When Leadership Drives Nurses Away: Empirical Research Qualitative on High Turnover Rates Reasons.","authors":"Saleem Al-Rjoub","doi":"10.1002/nop2.70271","DOIUrl":"10.1002/nop2.70271","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to investigate the reasons that affect nurses' decisions to leave their setting. Nurse turnover impacts organisational costs, organisational stability, and quality of care. The role of nurse leaders' practices in nurse turnover remains underexplored.</p><p><strong>Design: </strong>Descriptive phenomenological design was used in the current study.</p><p><strong>Method: </strong>Giorgi's phenomenological method was used to explore the staff nurses' lived experiences and perceptions of turnover. The data was collected from semi-structured interviews with nurses who had left their current positions, moved to another organisation, changed professions, or retired.</p><p><strong>Results: </strong>Five themes emerged from the analysis: (1) poor communication, (2) a lack of leader support, (3) workloads and staffing issues, (4) a lack of professional development opportunities, and (5) inconsistent policies and leadership.</p><p><strong>Conclusion: </strong>Nurse leaders and administration play a critical role in driving nurses to stay or to leave the healthcare organisation by providing different and important practices and behaviours. Reducing the nursing turnover rate can create a more stable environment and enhance nurse satisfaction, which leads to better patient care.</p><p><strong>Implications for nursing administration: </strong>Nursing administration must create supportive workplace environments by enhancing leadership practices to reduce the nursing turnover rates, especially among new graduate nurses.</p><p><strong>Impact: </strong>The current study addresses the nurse turnover issue, with a particular focus on the role of nurse leaders' practices in nurse turnover. High nursing turnover rates impact organisational costs, organisational stability, and quality of care. This study will have a significant impact on nursing leadership, healthcare administration and policymakers.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70271"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telenursing as an Effective Ally for Improving Patient Outcomes in Diabetes? An Umbrella Review.","authors":"Marika Lo Monaco, Arianna Profeta, Salvatore Corrao","doi":"10.1002/nop2.70265","DOIUrl":"10.1002/nop2.70265","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To evaluate telenursing interventions' effectiveness in managing patients with diabetes mellitus.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;Overview of systematic reviews.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Review methods: &lt;/strong&gt;According to the PRISMA statement, we included studies published from 2005 to 2023 that evaluated telenursing interventions for adult diabetic patients and reported physiological, behavioural, and clinical outcomes. AMSTAR 2 was used to assess the quality of the included studies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Data sources: &lt;/strong&gt;We conducted an umbrella review from July 2023 to May 2024, searching Cochrane Library, PubMed, SCOPUS, and PROSPERO for systematic reviews published from inception to May 10, 2024.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Thirty-one eligible systematic reviews were identified. Most (n = 23) reported positive effects of telenursing interventions (telephone calls, text messaging, mobile software applications, telecoaching) on reducing glycated haemoglobin (HbA1c). Findings on weight loss, hypoglycaemia, and quality of life were heterogeneous. Telenursing interventions promoted self-management behaviours like medication adherence and dietary improvements. While several studies suggested potential cost-effectiveness, further studies are needed to explore the long-term economic impact of telenursing on diabetes management.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Telenursing appears to be a promising approach for improving diabetes management, particularly in self-management behaviours and HbA1c control. Further research is needed to explore the long-term sustainability, cost-effectiveness, and optimal telenursing protocols for diabetes care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implication for the profession and/or patient care: &lt;/strong&gt;This umbrella review highlights the significant role of telenursing in improving diabetes management and patient outcomes. Nurse-led telehealth interventions have demonstrated their ability to enhance patient self-management, adherence to treatment plans, and overall well-being. Additionally, by reducing hospitalisations and healthcare costs and increasing access to care for patients living in rural areas, nurse-led telehealth interventions represent an effective strategy for improving diabetes care despite initial costs. Given these findings, healthcare providers and policymakers should implement telenursing programs to enhance patient care and system efficiency.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Reporting method: &lt;/strong&gt;The authors adhered to the EQUATOR guidelines using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) and \"the Preferred Reporting Items for Overviews of Reviews Statement\" (PRIOR) for the reporting.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patient or public contribution: &lt;/strong&gt;There was no patient contribution. The European Union-ERDF or ESF, OP Research and Innovation 2014-2020-DM 1062/2021 co-financed the publication.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Trial registration: &lt;/strong&gt;International Prospective Register of Systematic Re","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70265"},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating Nurses' Competencies for Development of \"Internet + Nursing Service\": A Cross-Sectional Study.","authors":"Jialing Chen, Qi Zhang, Pedro Fong, Lirong Meng","doi":"10.1002/nop2.70275","DOIUrl":"10.1002/nop2.70275","url":null,"abstract":"<p><strong>Aim: </strong>To test whether nursing informatics competency (NIC) and innovation ability predict nurses' willingness for \"Internet + nursing service\" in China's Greater Bay Area, and examine the role of innovation ability in this relationship.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Review methods: </strong>Recruited registered nurses via quota sampling in China's Greater Bay Area. Participants completed validated scales assessing NIC, Innovation Behaviour, and Willingness for Internet + nursing service, testing a hypothesised mediation model where innovation ability links informatics competency to willingness.</p><p><strong>Data sources: </strong>Data were collected from 544 registered nurses between January and March 2024.</p><p><strong>Results: </strong>Nurses reported moderate levels of NIC, innovation ability, and willingness for Internet + nursing service. Higher informatics competency was associated with greater innovation ability and willingness. Furthermore, innovation ability appeared as a pathway linking informatics competency to willingness.</p><p><strong>Conclusion: </strong>Stronger NIC and innovation ability may boost nurses' readiness for Internet-enabled care in the Greater Bay Area.</p><p><strong>Implications for the profession and/or patient care: </strong>Targeted informatics and innovation training can enhance nurses' readiness for these digital services.</p><p><strong>Impact: </strong>Addressing the need for enhanced digital nursing ('Internet + nursing service') for the aging population in China's Greater Bay Area, this study found moderate nurse informatics competency, innovation ability, and willingness to engage in this service. Higher competency and innovation were linked to greater willingness, with informatics competency influencing willingness directly and through innovation ability. These findings impact nursing practice, education, and policy in the region, informing strategies to improve digital service readiness.</p><p><strong>Reporting method: </strong>This study adheres to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.</p><p><strong>Patient or public contribution: </strong>No patients or members of the public were involved in study design, conduct, reporting, or dissemination.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 7","pages":"e70275"},"PeriodicalIF":2.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12289534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}