Worldviews on Evidence-Based Nursing最新文献

{"title":"Elements of a care pathway for human trafficking victims in emergency departments: A mapping review.","authors":"Leanne van Rooy, Yvonne Botma, Celia J Filmalter, Tanya Heyns","doi":"10.1111/wvn.12761","DOIUrl":"10.1111/wvn.12761","url":null,"abstract":"<p><strong>Background: </strong>Human trafficking, a form of modern slavery, is a global health problem. Human trafficking victims may need health care while they are being exploited, and traffickers often take victims to emergency departments (EDs) if their injuries and illness prevent them from working. Healthcare professionals in EDs could help combat human trafficking; however, 85% of human trafficking victims in EDs remain unidentified. Implementing a standardized care pathway to improve the identification and care of human trafficking victims may improve the identification of these victims and allow victims to become survivors.</p><p><strong>Aims: </strong>This mapping review aimed to identify the elements that should be included in a care pathway facilitating the recognition of and response to human trafficking victims in EDs.</p><p><strong>Methods: </strong>Five electronic databases generated 159 articles and 628 gray literature records, of which 23 primary research reports and five reports from gray literature were included. The following electronic databases were searched: EBSCOhost, Scopus, Web of Science, ProQuest, and PubMed. ProQuest Central and gray literature were records OR Magazines OR Newspapers OR Blogs, Podcasts, AND Websites OR Working Papers OR Conference Papers & Proceedings. The inclusion criteria for the population were adults (≥18 years), human trafficking victims, and sex trafficking victims. The concept, pathway and algorithm, and context of the ED were used. Records were blinded when assessing eligibility. The demographics of the included records were descriptively analyzed. The reports and gray literature were deductively coded and charted. The data extraction tool was based on the emergency nursing framework and was developed before data extraction. Inductive analysis was used to create subthemes, namely, approach to victims, characteristics, red flags, identifying questions, opportunities to be recognized, strategies, approach upon recognition, potential danger, and resources.</p><p><strong>Results: </strong>A holistic care pathway embedded in a person-centered trauma-informed approach was conceptualized. The strategies are based on The Blue Heart and The Blue Campaign 4Ps, including prevention, protection, prosecuting, and partnerships. An evidence-informed approach that is culturally congruent and gender sensitive should be adopted. Healthcare professionals will be able to identify and assess victims, avoid retraumatization, and initiate interprofessional partnerships to provide coordinated care.</p><p><strong>Linking evidence to action: </strong>Human trafficking victims may escape detection in EDs. This mapping review identified elements to be included in a care pathway for recognizing and responding to victims of human trafficking. The care pathway should be built on person-centered and trauma-informed care and include prevention, protection, prosecution, and partnership-building strategies. Moreover, an inte","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":" ","pages":"e12761"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of virtual reality technology on anxiety and depression in older adults with chronic diseases: A systematic review and meta-analysis of randomized controlled trials.","authors":"Jing Yang, Yue Li, Di Gao, Xuemei Xie, Wenting Ji, Jing Gao","doi":"10.1111/wvn.12763","DOIUrl":"10.1111/wvn.12763","url":null,"abstract":"<p><strong>Background: </strong>Previous research has demonstrated the effectiveness of virtual reality (VR) technology in many application areas. However, there is a clear gap in the literature regarding its effects on depression and anxiety in older adults with chronic diseases.</p><p><strong>Aims: </strong>This review aimed to assess the effectiveness of VR interventions for depression and anxiety in older adults with chronic diseases.</p><p><strong>Methods: </strong>Seven electronic databases were systematically searched from their inception to April 9, 2024. Two researchers evaluated methodological quality using RoB (version 2.0) and performed meta-analyses using RevMan (version 5.4) and Stata (version 16.0) software.</p><p><strong>Results: </strong>This review included 19 randomized controlled studies. Meta-analysis revealed that VR significantly improved depression (standard mean difference [SMD] = -0.67, 95% confidence interval [CI] [-0.90, -0.45], p < .00001) and anxiety (SMD = -0.76, 95% CI [-0.95, -0.57], p < .00001) in older adults with chronic diseases, improved their quality of life (SMD = 0.39, 95% CI [0.17, 0.61], p = .0006) and positive emotions (SMD = 5.65, 95% CI [3.61, 7.69], p < .00001), and relieved stress (SMD = -1.08, 95% CI [-1.52, -0.64], p < .00001). However, the difference in self-efficacy was statistically non-significant (SMD = 1.01, 95% CI [-0.48, 2.50], p = .19).</p><p><strong>Linking evidence to action: </strong>The results of this systematic review provide important evidence for developing interventions to improve the mental health of older adults with chronic diseases.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":" ","pages":"e12763"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Is the Evidence to Support Ongoing Nasogastric Tube Position Testing? A Prospective Observational Study of Adverse Events in Australia and the United Kingdom.","authors":"Kate Glen, Christine Elizabeth Weekes, Merrilyn Banks, Mary Hannan-Jones","doi":"10.1111/wvn.70001","DOIUrl":"10.1111/wvn.70001","url":null,"abstract":"<p><strong>Background: </strong>Ongoing nasogastric tube (NGT) testing guidelines aim to prevent the use of a displaced NGT; however, guidelines vary, and the relative risks and benefits of different testing methods are unknown.</p><p><strong>Aim: </strong>To observe methods used in two hospitals to confirm ongoing NGT position and any differences in outcomes.</p><p><strong>Methods: </strong>Data were collected prospectively from the medical records of 256 patients with NGTs across a London National Health Service Trust and a Brisbane hospital. These hospitals use different methods of ongoing NGT position confirmation, predominantly pH tests and external tube length measurement (ETLM), respectively. Statistical models explored outcomes associated with test results, including confirmation of NGT position, number of X-rays, and delivery of enteral nutrition and medication.</p><p><strong>Results: </strong>Most ongoing NGT position tests in London were pH (83.4%) and in Brisbane were ETLM (98.6%). Overall, eight NGTs were reported as displaced, of which six were identified by oral cavity inspection. One hundred and eighty-five (31.8%) ongoing pH tests failed to confirm that the NGT remained correctly positioned. Failed ongoing NGT position tests were associated with significantly more X-rays, which resulted in disruptions to enteral nutrition and medications in London (n = 64, 47.1%) compared to Brisbane (n = 9, 7.5%) (p < 0.001).</p><p><strong>Linking evidence to action: </strong>Overall, NGT displacement occurred rarely. Compared to ETLM, pH tests frequently failed to confirm that the tube remained correctly positioned, resulting in X-rays and disruptions to enteral nutrition and medications. Oral cavity inspection alongside ETLM could be a safe alternative method to pH testing but requires more research to examine generalizability.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"22 1","pages":"e70001"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11808467/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communication Interventions for Families with Parental Cancer With Dependents: Findings from a Scoping Review.","authors":"Cinzia Caparso, Zoe Bowen, Sung Won Choi","doi":"10.1111/wvn.70000","DOIUrl":"10.1111/wvn.70000","url":null,"abstract":"<p><strong>Background: </strong>Since 2019, invasive cancer diagnoses in people younger than 50 years old have increased by 12.8%, which impacts people of childbearing age. Currently, family interventions for parents with cancer primarily focus on the impacted parent communicating the initial cancer diagnosis or at end-of-life messages with their dependents through in-person interventions. Limited web-based interventions have been developed to increase communication across all family members (e.g., parents with cancer with co-parents or children with their parents) about communicating the impact of cancer on the individual's and family's well-being across the cancer trajectory, a key gap to improved outcomes in this population.</p><p><strong>Aim: </strong>This scoping review aimed to comprehensively summarize family communication interventions designed for a parent with cancer who has dependents and to identify and analyze any knowledge gaps regarding family communication interventions in this population.</p><p><strong>Methods: </strong>A comprehensive informationist-assisted search was completed in seven databases. Two reviewers independently performed title/abstract reviews and full-text reviews within the Rayyan software system. Two reviewers performed data extraction.</p><p><strong>Results: </strong>Thirty-five articles were included, and 24 different interventions were investigated. Most articles were published by European teams (45%). Fourteen articles (40%) evaluated interventions that included the entire family, seven (20%) reported family theories, and three (9%) used a web-based delivery. Most articles focused on the outcomes of the parent with cancer and the outcomes of their dependents (31%). Most interventions aimed to increase parent communication with dependents at end-of-life (43%) or at early diagnosis (32%) in the breast cancer population.</p><p><strong>Linking evidence to action: </strong>In-person communication interventions have been developed to communicate with dependents about an early or terminal cancer diagnosis. The impact of the intervention on parents with cancer and their children's outcomes were also investigated. No web-based interventions have been published that focus on the entire family, include family-level outcomes, or completed dyadic analysis across the family on the family-level outcomes to determine relationships. Web-based interventions are needed to address communication challenges for all family members affected by a cancer diagnosis, and equitable access to such interventions should be supported.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"22 1","pages":"e70000"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Efficacy of Various Interventions to Reduce Perceived Stress Among Older Adults: A Systematic Review and Network Meta-Analysis.","authors":"Mingyue Zhu, Huimin Chen, Qing Wang, Xiaotong Ding, Zheng Li","doi":"10.1111/wvn.70004","DOIUrl":"https://doi.org/10.1111/wvn.70004","url":null,"abstract":"<p><strong>Background: </strong>Existing interventions targeting perceived stress in older adults exhibit a diverse range of types and inconsistent effectiveness. It remains unclear which interventions are most effective for older adults in terms of perceived stress, anxiety, depression, and cortisol levels.</p><p><strong>Aims: </strong>This study aimed to assess the effectiveness of interventions targeting perceived stress in older adults for perceived stress, depression, anxiety, and cortisol levels.</p><p><strong>Methods: </strong>A systematic search was conducted using PubMed, EMBASE, Web of Science, Cochrane, CINAHL, PsycINFO, CNKI, SinoMed, VIP, and WanFang databases on January 9, 2024 for randomized controlled trials (RCTs). Pairwise meta-analysis and network meta-analysis (NMA) were conducted using Review Manager v.5.4 and Stata v.16.0.</p><p><strong>Results: </strong>A total of 23 RCTs were included. The reminiscence therapy had the highest probability (98.6%) of being the most promising intervention to reduce perceived stress, followed by exercise (68.1%) and yoga (56.1%). The included interventions had benefits on cortisol levels (SMD = -0.30; 95% CI [-0.54, -0.06]; p = 0.01). Moreover, exercise showed positive effects on reducing depression (SMD = -1.84; 95% CI [-3.69, 0.01]; p = 0.05), and it was ranked as the most promising method for depression or anxiety. Health education also reduced anxiety symptoms compared to control group (SMD = -0.77; 95% CI [-1.27, -0.26]; p = 0.03).</p><p><strong>Linking evidence to action: </strong>Interventions targeting perceived stress had overall benefits in reducing perceived stress in older adults, especially reminiscence therapy and exercise. Exercise and health education each had potential benefits for alleviating depression and anxiety, respectively. More high-quality RCTs are needed to obtain more robust conclusions.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"22 1","pages":"e70004"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of meaning-centered interventions on existential distress and mental health outcomes in cancer survivors and their family caregivers: A systematic review and meta-analysis of randomized controlled trials.","authors":"Ziqi Wang, Dongsheng Xu, Shuanghan Yu, Yantong Liu, Yujie Han, Wei Zhao, Wei Zhang","doi":"10.1111/wvn.12752","DOIUrl":"10.1111/wvn.12752","url":null,"abstract":"<p><strong>Background: </strong>Cancer is a global public health concern that causes psychosocial and spiritual challenges in those who suffer from it and their family caregivers. Meaning-centered interventions have a positive impact on improving anxiety and depression in patients with advanced cancer. However, the impact of meaning-centered interventions on existential distress of patients with cancer and family caregivers' mental health is still unclear.</p><p><strong>Aims: </strong>To examine the efficacy of meaning-centered interventions in alleviating existential distress, enhancing quality of life, and fostering a sense of meaning among cancer survivors and their family caregivers.</p><p><strong>Methods: </strong>This systematic review and meta-analysis were conducted according to the Preferred Reporting Item for Systematic Reviews and Meta-analysis 2020 statement. A comprehensive search was conducted from inception until September 2023 across nine databases: PubMed, Embase, Web of Science, PsycINFO, The Cochrane Library, CINAHL, Scopus, WANFANG, and CNKI. Heterogeneity testing and meta-analyses were conducted using Review Manger 5.3. We calculated standard mean deviations and 95% confidence intervals and presented forest plots for assessing intervention effects. Two reviewers independently evaluated the risk of bias of all included articles. STATA 17.0 was used for publication bias analysis.</p><p><strong>Results: </strong>The review included 25 studies with 2399 participants, and 22 were included in the meta-analysis. Meaning-centered interventions enhanced quality of life, alleviated existential distress, and reduced depressive symptoms and cancer-related fatigue. They did not affect spiritual well-being. The subgroup analysis showed that the individual form and long-term intervention (≥3 months) enhanced the quality of life in cancer survivors. Meaning-centered interventions reduce depression in advanced cancer survivors more than in mixed-stage cancer survivors. Meaning-centered interventions significantly enhanced benefit finding for family caregivers.</p><p><strong>Linking evidence to action: </strong>Meaning-centered interventions may improve mental health for patients with cancer and their family caregivers. Future research must include diverse cultural perspectives to understand the impact of meaning-centered interventions on various groups.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":" ","pages":"e12752"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishment of a risk prediction model for peripherally inserted central catheter-related bloodstream infections based on a systematic review and meta-analysis of 20 cohorts.","authors":"Qian Zhang, Hongjuan Li, Lin Chen, Xinping Mu, Junying Li","doi":"10.1111/wvn.12762","DOIUrl":"10.1111/wvn.12762","url":null,"abstract":"<p><strong>Background: </strong>Peripherally inserted central catheters (PICCs) are commonly used for extended intravenous therapy but are associated with a significant risk of bloodstream infections (BSIs), which increase morbidity and healthcare costs.</p><p><strong>Aim: </strong>The aim of this study was to identify patients at high risk of developing PICC-related bloodstream infections (PICC-RBSIs) to establish new and more specific targets for precise prevention and intervention.</p><p><strong>Methods: </strong>A search was conducted from the earliest available record to May 2024 among the following databases: Embase, MEDLINE, Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, Scopus, and Chinese National Knowledge Infrastructure (CNKI). Hand searching for gray literature and reference lists of included papers was also performed. We assessed the quality of the studies using the Newcastle-Ottawa Scale (NOS) checklist. Two reviewers screened all the retrieved articles, extracted the data, and critically appraised the studies. Data analysis was performed using RevMan statistical software.</p><p><strong>Results: </strong>A total of 20 cohort studies involving 51,907 individuals were included in the analysis. The statistically significant risk factors identified were hospital length of stay, line type (tunneled), history of PICC placement, multiple lumens, previous infections, chemotherapy, total parenteral nutrition, hematological cancers, delays in catheter care, local signs of infection (e.g., localized rashes), previous BSIs, and diabetes mellitus. Due to high heterogeneity among studies regarding previous BSIs, this factor was excluded from the final predictive model, while all other risk factors were included.</p><p><strong>Conclusions: </strong>The present meta-analysis identified risk factors for PICC-RBSIs and developed a predictive model based on these findings, incorporating 10 risk factors that integrate both patient-specific and procedural factors.</p><p><strong>Linking evidence to action: </strong>Integrating the risk prediction model for PICC-RBSI into clinical guidelines and training is essential. Healthcare providers should be trained to use this model to identify high-risk patients and implement preventive measures proactively. This integration could enhance personalized care, reduce infection incidence, and improve patient outcomes. Future research should update the model with new risk factors and validate its effectiveness in diverse clinical settings.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":" ","pages":"e12762"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI-Assisted Tailored Intervention for Nurse Burnout: A Three-Group Randomized Controlled Trial.","authors":"Gumhee Baek, Chiyoung Cha","doi":"10.1111/wvn.70003","DOIUrl":"10.1111/wvn.70003","url":null,"abstract":"<p><strong>Background: </strong>High-stress environments, heavy workloads, and the emotional demands of patient care, which are common challenges faced by nurses, are factors that can lead to burnout. Shift work can make traditional burnout interventions costly and difficult to implement. Artificial intelligence (AI) could offer solutions that are less constrained by time, resources, and labor.</p><p><strong>Aim: </strong>To investigate the effectiveness of an AI-assisted intervention in reducing nurse burnout.</p><p><strong>Methods: </strong>A single-blind, three-group, randomized controlled trial of 120 nurses (40 per group) was conducted from June 2023 to July 2023. The AI-assisted tailored intervention included two 2-week programs, delivering one of four programs to the intervention group: mindfulness meditation, acceptance commitment therapy, storytelling and reflective writing, or laughter therapy. The experimental group received tailored programs based on demographic and work-related characteristics, job stress, stress response, coping strategy, and burnout dimensions (client-related, personal, and work-related). Control Group 1 self-selected their programs, while Control Group 2 was provided with online information on burnout reduction. Primary outcomes, client-related, personal, and work-related burnout, were measured at baseline, week 2, and week 4. Secondary outcomes, job stress, stress responses, and coping strategies, were assessed at baseline and week 4. Data were analyzed using ANOVA, repeated measures ANOVA, and the Scheffé test for post hoc analysis.</p><p><strong>Results: </strong>The experimental group showed significant reductions in client-related burnout (F = 7.725, p = 0.001) and personal burnout (F = 10.967, p < 0.0001) compared to the other groups. Significant effects of time and time × group interactions were observed for client-related and personal burnout, with time effects noted for work-related burnout. Stress response reduction was highest in Control Group 1, followed by the experimental group and Control Group 2 (F = 3.07, p = 0.017).</p><p><strong>Linking evidence to action: </strong>AI algorithms could provide tailored programs to mitigate nurse burnout, particularly in client-related and personal burnout. Reducing nurse burnout could contribute to the quality of care.</p><p><strong>Trial registration: </strong>This trial is registered with the Clinical Research Information Service (KCT0008546).</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"22 1","pages":"e70003"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11843407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing decision-making: A simple solution to making evidence-based practice more accessible to all.","authors":"Madeleine Whalen","doi":"10.1111/wvn.12740","DOIUrl":"10.1111/wvn.12740","url":null,"abstract":"","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":" ","pages":"596-597"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of clinical nurses with medication interruption: A systematic review and qualitative meta-synthesis.","authors":"Qing Wang, Xiaotong Ding, Mingyue Zhu, Hongli Chen, Yanli Yang, Yanhong Wang, Zixuan Gan, Yuetfoon Chung, Zheng Li","doi":"10.1111/wvn.12749","DOIUrl":"10.1111/wvn.12749","url":null,"abstract":"<p><strong>Background: </strong>Managing medication interruptions is considered one of the biggest dilemmas for nurses in clinical settings. To improve medication safety, it was imperative to conduct a systematic review to get a deeper understanding of nurses' experiences with medication interruptions.</p><p><strong>Aims: </strong>A systematic review and qualitative meta-synthesis aimed to explore clinical nurses' experiences of interruption during medication in hospitals.</p><p><strong>Methods: </strong>Systematic searches were conducted in PubMed, CINAHL, Ovid Medline, Embase, Web of Science, and The Cochrane Library from inception to January 2024. The search strategy included four groups of keywords: (1) qualitative research, (2) nurses, (3) medication interruption, and (4) experience. Critical Appraisal Skills Programme was used to assess the quality of the studies. Meta-ethnography was utilized to synthesize the findings of the included studies.</p><p><strong>Results: </strong>Nine articles published between 2012 and 2023 were included; the number of participants varied from 5 to 40, aged 20-68 years, and the majority were female. Four synthesized findings were identified as follows: (1) an inevitable part of the routine, (2) a decision-making process, (3) working in a minefield, and (4) coping with interruption.</p><p><strong>Linking evidence to action: </strong>Nurses embraced interruptions as an inherent component of clinical care. Previous experience and nursing culture, encompassing personal and professional aspects, significantly influence nurses' attitudes toward medication interruptions. It is crucial to incorporate the distinctive work experiences of nurses into techniques aimed at efficiently handling interruptions in future research. The registration number in PROSPERO is CRD42023470276.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":" ","pages":"598-610"},"PeriodicalIF":3.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}