Worldviews on Evidence-Based Nursing最新文献

{"title":"The Impacts of a Practicing Nurse Evidence-Based Practice Fellowship Program on Clinicians, Patients, Culture, and Cost.","authors":"Leah L Shever-Doletzky, Paul Edick, Dana J Tschannen, Nikki Taylor, Lori Wenzel","doi":"10.1111/wvn.70144","DOIUrl":"10.1111/wvn.70144","url":null,"abstract":"<p><strong>Background: </strong>Evidence-based practice (EBP) programs for nurses are a strategy to influence the culture of an organization to value and use EBP. It is critical to demonstrate their impact during this time of uncertainty and economic unrest.</p><p><strong>Aims: </strong>This project describes and evaluates a Practicing Nurse EBP Fellowship Program for Registered Nurses (RNs) and Advanced Practice Registered Nurses (APRNS) on (1) cost, (2) participants' retention, dissemination of work, and application for an advanced degree; (3) impacts using the Institution of Healthcare Improvement (IHI) Quintuple Aim framework, and (4) EBP culture.</p><p><strong>Methods: </strong>Direct costs were described using actual costs incurred, and salary estimates were pulled from the literature for indirect costs. Secondary data analyses were used to examine retention of the Fellows and the EBP culture. A survey was used to measure participants' self-reports of the dissemination of projects and applications for an advanced degree. The Program Director associated IHI Quintuple aims to each project. Descriptive statistics were utilized to analyze the data.</p><p><strong>Results: </strong>Forty-seven nurses (RNs and APRNs) participated in the EBP Fellowship Program over 8 years. Annual costs for the program were $106,294.00. All five of the IHI's Quintuple Aim were addressed across the 47 EBP projects. The retention rate was 76.6% for these Fellows who averaged 5 years since completing the program. Twenty-nine percent of respondents had presented their work externally, and 21% had enrolled in or completed a doctoral program (DNP or PhD). There was a decrease observed in the employee engagement question measuring EBP culture.</p><p><strong>Linking to evidence to action: </strong>EBP Fellowship Programs are a cost-effective strategy to invest in clinicians and improve patient and clinician outcomes. Continued support from Chief Nurse Executives for such programs is still needed.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 3","pages":"e70144"},"PeriodicalIF":5.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984132","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":"Perceptions of Workplace Incivility Among Nursing Staff: Implications for Staff Development.","authors":"Hind Zakaria Barnawi, Abeer Mohamed Abdelkader","doi":"10.1111/wvn.70131","DOIUrl":"10.1111/wvn.70131","url":null,"abstract":"<p><strong>Background: </strong>Workplace incivility, characterized by low-intensity, disrespectful behaviors, undermines nurses' job satisfaction, retention, and patient care quality in high-stress settings, such as emergency departments.</p><p><strong>Objectives: </strong>To measure workplace incivility from patients, physicians, colleagues, and supervisors among nurses, assess professional attitudes, analyze correlations, and recommend staff development strategies.</p><p><strong>Methods: </strong>A quantitative, cross-sectional study surveyed 256 nurses using the Nursing Incivility Scale and Attitude Scale for Nursing Profession. Data were analyzed with IBM SPSS, SmartPLS for PLS-SEM, and chi-squared tests.</p><p><strong>Results: </strong>Nurses reported moderate incivility, with physicians as the primary source (M = 4.86 ± 0.000, p < 0.001), followed by patients, visitors, and colleagues; supervisors were least aggressive (M = 2.05 ± 0.689, p = 0.015). Younger (20-30 years, χ² = 31.868, p < 0.001), less experienced (0-5 years, χ² = 31.921, p < 0.001), Saudi (χ² = 10.808, p = 0.004), and single nurses (χ² = 30.436, p < 0.001) perceived higher incivility. Attitudes were positive, with \"Characteristics of the Nursing Profession\" (M = 3.83) and \"General Attitude\" (M = 3.73) scoring higher than \"Preference for the Nursing Profession\" (M = 3.58). Females (χ² = 12.261, p = 0.002), nurses aged 31-40 (χ² = 23.731, p < 0.001), those with bachelor's degrees (χ² = 34.008, p < 0.001), and those with 11-15 years' experience (χ² = 18.606, p = 0.017) reported more positive attitudes. PLS-SEM showed \"Disrespect from Patients\" (path coefficient = 0.951) and \"Lack of Respect\" (path coefficient = 0.932) reduced \"Preference\" (R² = 0.41), with negative correlations (r = -0.430, p = 0.011; r = -0.381, p = 0.015).</p><p><strong>Linking evidence to action: </strong>The evidence points to a critical need for targeted interventions focusing on physician-nurse professional dynamics to mitigate incivility. Educational and policy initiatives must be developed to protect younger, less experienced, and Saudi nurses who are disproportionately affected. Given the direct and significant link between disrespect and reduced preference for the profession, hospitals must implement zero-tolerance policies and comprehensive support systems to foster an environment of mutual respect to improve nurse retention and well-being.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 3","pages":"e70131"},"PeriodicalIF":5.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989700","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":"Patient Outcomes Associated With Continuous Remote Patient Monitoring: A Scoping Review.","authors":"Stephanie J Raps, Angela K Phillips, Lance J McGinnis, Rebecca E Heyne, Mamie E Tilbury, Patricia A Patrician","doi":"10.1111/wvn.70134","DOIUrl":"10.1111/wvn.70134","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic highlighted the need for alternative healthcare delivery models, leading to the development of Continuous Remote Patient Monitoring (CRPM). CRPM allows for real-time monitoring of high-risk patients, reducing the burden on hospital resources. The integration of virtual nursing into CRPM has enhanced remote care capabilities, though it has also introduced new challenges related to patient safety and staffing, that is, nurse-to-patient ratios.</p><p><strong>Objective: </strong>This scoping review aims to explore the current evidence on virtual nursing using CRPM and identify challenges or barriers that help further future research and healthcare practices.</p><p><strong>Methods: </strong>This scoping review followed the PRISMA-ScR guidelines. Eligible studies focused on virtual nursing with physiological monitoring in either remote hospital or home-based care settings, with explicit examination of nursing care and its impact on patient and nursing outcomes. Peer-reviewed articles published in the past 10 years in English were included. Four databases (Ovid, PubMed, CINAHL, and Medline) were searched with support from a medical librarian. After screening 207 records using Covidence, 17 studies met the inclusion criteria. Two reviewers independently screened all records, with a third resolving discrepancies. Data was charted using a standardized extraction template.</p><p><strong>Results: </strong>Seventeen studies were included in this review. CRPM was associated with reported benefits in managing chronic conditions, extending acute care into home settings, and enhancing healthcare system adaptability, particularly during the COVID-19 pandemic. Clinical benefits included early detection of health deterioration, reduced hospital readmissions, and improved patient satisfaction. Nurses played a pivotal role in physiologic data interpretation and intervention, highlighting the importance of continuous oversight in achieving favorable outcomes. However, implementation challenges, such as alert fatigue, data overload, user interface complexity, and financial sustainability were consistently reported. These findings underscore the need for improved data management systems, targeted nurse training, and sustainable funding models to support broader CRPM adoption.</p><p><strong>Linking evidence to action: </strong>Virtual nursing within CRPM demonstrates strong potential to improve patient outcomes and reduce hospitalizations by extending inpatient-level physiologic surveillance into home-based and hospital-at-home settings through continuous, nurse-led monitoring. Successful integration of this model into routine practice will require addressing challenges related to data management, clinician workload associated with 24/7 surveillance, and sustainable funding mechanisms to support continuous virtual nursing coverage.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 3","pages":"e70134"},"PeriodicalIF":5.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151055","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":"The Italian Organizational Culture and Readiness Scale for System-Wide Integration of EBP (OCRSIEP) Scale: Psychometric Adaptation of an Existing Scale.","authors":"Daniele Napolitano, Alessio Lo Cascio, Mattia Bozzetti, Felice Curcio, Simone Amato, Roberta Guardione, Alessandro Stievano, Pasquale Iozzo, Daniela D'Angelo, Ippolito Notarnicola, Daniela Tartaglini, Dhurata Ivziku","doi":"10.1111/wvn.70133","DOIUrl":"10.1111/wvn.70133","url":null,"abstract":"<p><strong>Background: </strong>Organizational culture and readiness are critical determinants of evidence-based practice (EBP) implementation. The Organizational Culture and Readiness Scale for System-Wide Integration of EBP (OCRSIEP), developed within the ARCC framework, is a validated tool to assess these dimensions, but no Italian version currently exists.</p><p><strong>Aim: </strong>To translate, culturally adapt, and psychometrically validate the OCRSIEP and its short form in Italian.</p><p><strong>Methods: </strong>A validation study was conducted, using exploratory and confirmatory factor analyses to derive and test the underlying model, followed by reliability testing with multiple indices and measurement invariance analyses.</p><p><strong>Results: </strong>Data were collected from 405 Italian nurses. Factor analyses supported a 19-item, six-factor structure explaining 59.5% of the variance, with a second-order factor indicating an overarching construct. The three-item short form showed strong model fit and explained 67% of the variance. Subscales demonstrated acceptable-to-excellent reliability, and partial scalar invariance was established across public and private facilities.</p><p><strong>Linking evidence to action: </strong>The Italian OCRSIEP scales are valid and reliable tools to assess organizational readiness for EBP implementation. They can guide leaders, educators, and researchers in monitoring, benchmarking, and advancing EBP-oriented system transformation within the Italian healthcare context.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 2","pages":"e70133"},"PeriodicalIF":5.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13067802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647271","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 and Medication-Related Deprescribing for Healthcare Professionals: A Rapid Review of the Literature.","authors":"Beheshta Momand, Winnie Sun, Jennifer Abbass-Dick, Adam Dubrowski, Efrosini Papaconstantinou","doi":"10.1111/wvn.70138","DOIUrl":"10.1111/wvn.70138","url":null,"abstract":"<p><strong>Significance/background: </strong>Polypharmacy, a rising concern in the older adult population, is associated with significant risks, including adverse drug reactions and inappropriate medication use. Deprescribing, which is supported by effective communication between healthcare professionals and patients, has emerged as an important strategy to reduce potentially inappropriate medications. While numerous frameworks, guidelines, and tools exist to support healthcare professionals in deprescribing, many lack explicit integration of communication strategies, despite their critical role in shared decision-making and patient engagement.</p><p><strong>Aim: </strong>The aim of this rapid review was to synthesize and describe the existing deprescribing frameworks, guidelines, and tools used by healthcare professionals, with a focus on how communication is represented within them. The secondary objective was to extract communication elements from each of the deprescribing frameworks, guidelines, and tools.</p><p><strong>Methods: </strong>We used rapid review methodology recommended by the World Health Organization. The protocol was registered with the Open Science Framework and reported according to the PRISMA statement. CINAHL, Ovid Medline, and Scopus were searched from January 2003 to July 2024. Eligible studies focused on deprescribing frameworks, guidelines, or tools used by healthcare professionals caring for older adults (≥ 65 years). A qualitative synthesis of the evidence was conducted.</p><p><strong>Results/findings: </strong>The search retrieved 5177 articles. After removing 1704 duplicates, 3473 citations were screened for eligibility. Of those, 343 were reviewed in full, and 18 were included in the final synthesis. We identified three frameworks, two guidelines, and seven tools. Frameworks such as A-TAPER, TAPER, and the 10-Step Conceptual Framework emphasized patient-centered care but varied in approach. Communication strategies, shared decision-making, active listening, feedback, communication adaptation, and encouraging participation were present but not explicit. Most frameworks targeted physicians and pharmacists, with minimal involvement of nurses.</p><p><strong>Linking evidence to action: </strong>Future deprescribing frameworks should explicitly integrate communication strategies and include nurses in their development. Building on these findings, our next step is to engage nurses to identify the most important communication characteristics for effective deprescribing conversations. These insights can guide the development of future frameworks, guidelines, and tools to support structured, patient-centered communication and improve deprescribing outcomes. This has important implications for clinical practice, education, and policy aimed at optimizing care for older adults.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 2","pages":"e70138"},"PeriodicalIF":5.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13067806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647200","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":"Parenting Concerns and Emotional Distress in Cancer Patients With Minor Children: A Meta-Analysis of Key Moderators.","authors":"Yuan-Ju Liao, Ya-Chuan Tseng, Hsin-Yi Liu, Yun-Hsiang Lee, Yeur-Hur Lai, Yuan-Yuan Fang","doi":"10.1111/wvn.70127","DOIUrl":"10.1111/wvn.70127","url":null,"abstract":"<p><strong>Background: </strong>Parenting concerns, stemming from cancer's projected impact on children, are a common and significant source of emotional distress for parents. A quantitative synthesis of existing data is critically absent, and the role of modulating factors (e.g., male sex, single parenthood, and the number of children) remains unclear.</p><p><strong>Aims: </strong>This meta-analysis aims to quantify the association between parenting concerns and emotional distress in cancer patients, examining male sex, single parenthood, and number of children as key moderators.</p><p><strong>Methods: </strong>This systematic review and meta-analysis followed PRISMA guidelines. Searches (PubMed, Embase, PsycINFO, Airiti Library; inception-November 2025) identified observational studies of adult cancer patients with minor children. Data on parenting concerns, anxiety, and depression were extracted and appraised using a modified JBI Checklist. Correlations were synthesized. Meta-regression addressed the quantitative void, examining male sex, single parenthood, and number of children as key moderators. Publication bias and sensitivity were assessed.</p><p><strong>Results: </strong>We included 12 studies (N = 3895). Our meta-analysis found significant positive associations (r = 0.50, p < 0.001) between parenting concerns and both anxiety and depression. Meta-regression, controlling for time since diagnosis, identified male sex, single parenthood, and fewer children as significant moderators for anxiety (p < 0.001), with similar trends for depression.</p><p><strong>Linking evidence to action: </strong>This meta-analysis highlights parenting concerns linked to distress in cancer patients, with fathers, single parents, and those with fewer children particularly vulnerable. Routine assessment and tailored, family-centered psychosocial interventions are urgently needed.</p><p><strong>Prospero registration: </strong>This systematic review was registered with the International Prospective Register of Systematic Reviews and Meta-analysis (PROSPERO; Registration No. CRD42024592899).</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 2","pages":"e70127"},"PeriodicalIF":5.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724597","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":"Self-Management Technology of Medication Adherence in Patient Chronic Disease: A Systematic Review and Meta-Analysis.","authors":"Rapin Polsook, Pinhatai Supametaporn, Sunisa Suktrakul, Lunchakorn Wuttisittikulkij","doi":"10.1111/wvn.70137","DOIUrl":"10.1111/wvn.70137","url":null,"abstract":"<p><strong>Background: </strong>Chronic diseases require sustained medication adherence, yet nonadherence remains common, leading to poor outcomes and increased healthcare costs. Digital self-management technologies such as mobile health (mHealth) apps, SMS reminders, and web-based platforms offer scalable ways to support adherence, but evidence on their overall effectiveness across diverse contexts is fragmented.</p><p><strong>Aim: </strong>To systematically review and meta-analyze the effectiveness of self-management technologies in improving medication adherence among adults with chronic diseases and to examine potential moderators of intervention impact.</p><p><strong>Methods: </strong>Following PRISMA guidelines, we searched PubMed, Scopus, Web of Science, CINAHL, and JMIR for peer-reviewed studies (January 2010-June 2025) evaluating digital self-management interventions with adherence outcomes and comparator groups. Eligible designs included RCTs, quasi-experimental, and controlled before-after studies in adults with chronic disease. Random-effects meta-analysis estimated pooled effect sizes (Cohen's d). Heterogeneity (I²), subgroup analyses, and publication bias (Egger's, Begg's, trim-and-fill) were assessed.</p><p><strong>Results: </strong>Fifty-two studies were included, spanning 2015-2025. Early interventions (2015-2019) focused on feasibility, using SMS and basic web tools; later years (2021-2025) showed technological maturity, dominated by mHealth apps integrating monitoring, reminders, and education. The pooled random-effects effect size was d = 0.268 (95% CI 0.123-0.414, p = 0.0003), indicating a small-to-moderate benefit. Heterogeneity was high (I² = 89%). Medium-duration (10.8-24 weeks) interventions had the largest effect (d = 0.50), and effects varied markedly by country (e.g., Iran d = 2.29; Taiwan d = -0.94). Begg's test suggested possible publication bias; trim-and-fill adjustment increased the pooled effect to d = 0.366.</p><p><strong>Linking evidence to action: </strong>Digital self-management technologies yield a statistically significant, small-to-moderate improvement in medication adherence across chronic diseases, with potential underestimation due to selective reporting. Effectiveness is moderated by temporal trends, geography, intervention duration, and study design, underscoring the need for context-specific adaptation and methodological rigor. Future research should prioritize large, well-controlled trials, pre-registration, and exploration of cultural and systemic determinants to optimize intervention impact.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 2","pages":"e70137"},"PeriodicalIF":5.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610451","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 Mindfulness-Based Art Therapy for Oncology Nurses: A Randomized Controlled Trial.","authors":"WenMin Wu, JingYi Zhang, Yu Ye, FangPing Duan, JiaLang Wang, Wei Huang, Yun Gao","doi":"10.1111/wvn.70132","DOIUrl":"10.1111/wvn.70132","url":null,"abstract":"<p><strong>Background: </strong>Oncology nurses are frequently subjected to significant psychological stress due to the demanding nature of cancer care, which negatively impacts their mental and physical health as well as the quality of patient care. Although Mindfulness-Based Stress Reduction has been demonstrated to be effective in alleviating stress, practitioners often encounter barriers such as limited engagement and difficulty maintaining regular practice.</p><p><strong>Aim: </strong>To enhance engagement and adherence, we integrated art elements into the Mindfulness-Based Stress Reduction framework, creating the Mindfulness-Based art therapy program, and evaluated its effectiveness among oncology nurses.</p><p><strong>Design: </strong>A three-arm randomized controlled trial.</p><p><strong>Methods: </strong>90 oncology nurses participated (Mindfulness-Based Art Therapy group = 30, Mindfulness-Based Stress Reduction group = 30, waitlist controls group = 30) in an 8-week program. Stress, anxiety, depression, fatigue, and mindfulness levels were assessed at baseline, immediately after the fourth week of intervention, and immediately after the intervention concluded. Compliance and satisfaction were evaluated using attendance rates and satisfaction questionnaires. Descriptive statistics were used to analyze general data; intervention effects were compared using one-way ANOVA and generalized estimating equations, and compliance and satisfaction were compared using independent samples t-test.</p><p><strong>Results: </strong>Both Mindfulness-Based Art Therapy and Mindfulness-Based Stress Reduction significantly improved stress, physiological markers, and mindfulness vs. controls. Mindfulness-Based Stress Reduction better reduced depression (β = -2.980, 95% CI: -5.427, -0.533, p = 0.017), while Mindfulness-Based Art Therapy was superior for fatigue (β = -11.582, 95% CI: -20.615, -2.550, p = 0.012). Mindfulness-Based Art Therapy had higher adherence (93.3% vs. 73.3%, p < 0.05) and satisfaction (3.27 ± 0.45 vs. 2.40 ± 0.52, p = 0.01).</p><p><strong>Linking evidence to action: </strong>For oncology nurses, Mindfulness-Based Art Therapy is as effective as Mindfulness-Based Stress Reduction for improving stress and mindfulness, while providing greater adherence, satisfaction, and more consistent fatigue reduction.</p><p><strong>Trial registration: </strong>Chinese Clinical Trial Registry, ChiCTR2300078124 (http://www.chictr.org.cn), 30/11/2023.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 2","pages":"e70132"},"PeriodicalIF":5.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516109","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":"A Nurse-Led Educational Intervention for Patients With Type 1 Diabetes Using Continuous Glucose Monitoring.","authors":"Marcos Pazos-Couselo, Verónica Izquierdo, Mercedes Muñoz Martinez, Francisco Javier Gómez Romero, José-Ramón Muñoz-Rodríguez, Antía Fernández-Pombo, Jesus Moreno-Fernandez","doi":"10.1111/wvn.70139","DOIUrl":"10.1111/wvn.70139","url":null,"abstract":"<p><strong>Background: </strong>The primary barrier to maximizing the benefits of intermittently scanned continuous glucose monitoring (isCGM) is low scan frequency. Higher daily scan frequency correlates with better glycemic control.</p><p><strong>Aim: </strong>To evaluate the effect of a nurse-led educational intervention on scan frequency and behavioral change in adults with type 1 diabetes (T1D) showing low scanning frequency.</p><p><strong>Methods: </strong>In this 12-week quasi-experimental study, adults with T1D using isCGM and low scan frequency participated in a single, individualized, direct education session led by a diabetes nurse educator. The intervention focused on increasing daily scan frequency and supporting patient engagement in self-management.</p><p><strong>Results: </strong>Thirty-four patients using isCGM participated. Mean daily scan frequency increased from 3.1 to 6.1 scans/day following the intervention. This rise was associated with an 8.0% improvement in TIR. A positive correlation was observed between scan frequency and TIR, with each additional daily scan associated with a 0.51% increase in TIR.</p><p><strong>Linking evidence to action: </strong>A single, targeted educational session can significantly improve isCGM adherence and glycemic control in adults with T1D and low adherence, supporting its value as a practical strategy in routine clinical care.</p><p><strong>Trial registration: </strong>The protocol was publicly registered at ClinicalTrials.gov (NCT05570162).</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 2","pages":"e70139"},"PeriodicalIF":5.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13071537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677318","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":"Association of Nurse Managers' Strengths-Based Leadership and Nurses' Work Ability: The Mediating Role of Growth Mindset-A Cross-Sectional Survey.","authors":"Heba Emad El-Gazar, Eman Salman Taie, Mahmoud Ahmed Elsheikh, Mohamed Ali Zoromba","doi":"10.1111/wvn.70126","DOIUrl":"10.1111/wvn.70126","url":null,"abstract":"<p><strong>Introduction: </strong>Nursing leadership is crucial for empowering nurses to excel in their roles. Among various leadership approaches, strengths-based leadership is particularly effective in harnessing staff potential to meet current workplace demands. However, the benefits of this leadership style on nurses' work ability remain underexplored, and the underlying mechanisms driving this relationship have not been thoroughly investigated.</p><p><strong>Aim: </strong>Based on the Self-Determination Theory and the Self-Validation Theory, this study aimed to examine: (1) whether nurse managers' strengths-based leadership (as perceived by bedside nurses) could foster nurses' work ability, and (2) the mediating role of a growth mindset in this association.</p><p><strong>Methods: </strong>Structural equation modeling in AMOS software was conducted, analyzing cross-sectional data from 209 bedside nurses using the Strengths-Based Leadership Scale, the Growth Mindset Scale, and the Work Ability-Personal Radar Scale. Participants were recruited via convenience sampling from October to December 2024 across three tertiary public hospitals in Cairo and Mansoura, Egypt.</p><p><strong>Results: </strong>Strengths-based leadership was significantly associated with nurses' work ability. Growth mindset of nurses partially mediated the positive association between strengths-based leadership and their work ability.</p><p><strong>Linking evidence to action: </strong>This study emphasizes the role of strengths-based leadership, an underexplored yet significant leadership style in the nursing literature. It is the first study to examine the effect of strengths-based leadership on nurses' work ability, mediated by a growth mindset.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 2","pages":"e70126"},"PeriodicalIF":3.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500357","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}