Worldviews on Evidence-Based Nursing最新文献

{"title":"Transforming Hospital Care: Impact of an Evidence-Based Practice Course on Healthcare Professionals' Competencies in a Randomized Clinical Trial.","authors":"Elaine Cristina Marqueze, Heidy Oliveira Portela, Evelyn Carla Borsari Mauricio, Cristina Satoko Mizoi, Maiana Regina Gomes de Sousa, Sara Becker Oliveira, Marinete Esteves Franco","doi":"10.1111/wvn.70130","DOIUrl":"10.1111/wvn.70130","url":null,"abstract":"<p><strong>Introduction: </strong>Evidence-Based Practice (EBP) is essential to healthcare quality and safety, integrating scientific evidence with clinical expertise and patient preferences. Despite its importance, EBP implementation still faces major challenges. Educational interventions have proven effective in strengthening EBP competencies among healthcare. MAIN: To evaluate the impact of a personalized educational intervention on EBP competencies among healthcare professionals. Working at a private tertiary general hospital, comparing performance before and after the intervention.</p><p><strong>Methods: </strong>A randomized controlled trial involving healthcare professionals was conducted. Eligible and consented participants were randomly assigned to either an Intervention Group (IG) receiving an Evidence-Based Practice (EBP) course or a Control Group (CG) not receiving the course, stratified by job level, role, and work shift. From the completers, 18 participants were randomly selected for the IG, and all 7 available CG participants were included in the final sample for analysis. All study participants completed two validated instruments: the Assessing Competencies in Evidence-Based Medicine (ACE) and the Fresno Test. The educational intervention consisted of a seven-week course with weekly three-hour sessions, for a total of 21 h. Comparative analyses were conducted using a Linear Mixed Model, adjusted for educational level, job level, time working at the hospital, and weekly workload.</p><p><strong>Results: </strong>A statistically significant increase in general EBP knowledge was observed in the IG following the intervention, with a mean gain of 19.1%. Separate analysis showed improvements of 10.8% in ACE and 24.2% in Fresno Test scores. No statistically significant changes were observed in the CG. Furthermore, after the intervention, the IG outperformed the CG for both general EBP knowledge and Fresno Test scores on both pre- and post-intervention comparisons.</p><p><strong>Conclusion: </strong>The educational intervention had a positive statistically significant impact on EBP knowledge and skills among healthcare professionals in the IG compared to the CG. These findings underscore the potential of structured educational initiatives to enhance the quality of clinical practice through improved EBP competencies.</p><p><strong>Trial registration: </strong>UTN U1111-1322-8443.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 2","pages":"e70130"},"PeriodicalIF":5.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13044389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595926","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":"Factors Influencing Intention to Leave Among Nurse Managers: A Cross-Sectional Study.","authors":"Valentina Simonetti, Ilaria Franconi, Natascia Piermattei, Andrea Faragalli, Marco Fioretti, Donatella Rossolini, Giulia Santamaria, Rosaria Gesuita, Giancarlo Cicolini","doi":"10.1111/wvn.70135","DOIUrl":"10.1111/wvn.70135","url":null,"abstract":"<p><strong>Aims: </strong>To estimate the proportion of Italian nurse managers (NMs) intending to leave (ITL) their positions and to identify associated socio-demographic, job-related, and psychosocial factors.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>Between September and November 2023, 464 NMs from 19 public hospitals completed a case-report form and the short version of the Copenhagen Psychosocial Questionnaire II (COPSOQ II). Latent Class Analysis (LCA) identified ITL profiles, and multiple logistic regression assessed factors associated with ITL.</p><p><strong>Results: </strong>284 NMs (61.2%; 95% CI 57-66) reported an intention to leave within 12 months. LCA identified two classes: (1) Low-ITL (54%)-mainly outpatient NMs from Central regions with strong relationships with management, good support, work-life balance, and autonomy (55.9% probability of being unlikely to leave). (2) High-ITL (46%)-mainly surgical or critical-care NMs, often from Northern regions, marked by poor management relations, low support and high work-family conflict (80.9% probability of being likely to leave). Multiple regression confirmed that stronger management relations reduced ITL (OR 0.60, 95% CI 0.46-0.79) whereas high job demands and work-health conflict increased it (OR 1.56, 95% CI 1.19-2.04). Northern location also predicted higher ITL (OR 1.58, 95% CI 1.03-2.44). Demographics, education, and clinical setting were not significantly associated.</p><p><strong>Linking evidence to action: </strong>These findings suggest that healthcare organizations should prioritize managerial and organizational strategies targeting modifiable work-related factors to reduce nurse managers' intention to leave. Interventions aimed at improving organizational support, work environment, and job satisfaction may contribute to workforce retention at the managerial level. Future research should evaluate the effectiveness of targeted organizational interventions in sustaining nurse manager retention.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 2","pages":"e70135"},"PeriodicalIF":5.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13044383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595981","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":"Effectiveness of Multifactorial and Exercise Programs in Preventing Falls Among Older Adults: A Systematic Review and Component Network Meta-Analysis.","authors":"Yuan Luo, Yiqun Miao, Yuhan Zhao, Jiawei Li, Rongrong Guo, Ying Wu","doi":"10.1111/wvn.70136","DOIUrl":"10.1111/wvn.70136","url":null,"abstract":"<p><strong>Background: </strong>To compare the effectiveness of multifactorial and exercise programs in preventing falls among older adults, with a specific focus on evaluating the individual and combined contributions of their key intervention components.</p><p><strong>Methods: </strong>This study was a systematic review and component network meta-analysis. PubMed, Embase, and Web of Science were searched from inception to February 2025 for randomized controlled trials, focusing on four primary outcomes: fallers, recurrent fallers, injurious fallers, and fractured fallers. Risk of bias was evaluated using the Cochrane tool, and additive component network meta-analysis compared intervention group and component efficacy.</p><p><strong>Results: </strong>69 randomized controlled studies were included. In multifactorial interventions, traditional health education could increase fall risk (iRR: 1.10, 95% CI [1.03; 1.67]) and recurrent fall risk (iRR: 1.25, 95% CI [1.06; 1.48]). Medication management can increase recurrent fall risk (iRR: 1.35, 95% CI [1.09; 1.67]) and fracture risk (iRR: 2.11, 95% CI [1.48; 3.00]). Exercise (iRR: 1.24, 95% CI [1.01; 1.53]) increased fracture risk, and environment modification (iRR: 0.56, 95% CI [0.61; 0.79]) reduced it. The additive effect of risk assessment and advice, exercise, and environment modification reduced fall risk. In exercise programs, gait and balance (iRR: 0.58, 95% CI [0.36; 0.93]) can reduce recurrent fall risk. An intervention containing two components (gait and balance + strength and resistance) reduced the risk of falls and fall-related injuries.</p><p><strong>Linking evidence to action: </strong>Environment modification reduced fracture risk, emphasizing the value of creating safe living spaces. The combination of risk assessment, advice, exercise, and environment modification reduced fall risk, suggesting a holistic approach may be effective in preventing falls. Traditional methods of health education and medication management are in urgent need of updating to synergize with other exercise components and enhance the effectiveness of fall prevention. Prospective clinical trials are needed to optimize combinations of exercise components, particularly integrating gait and balance training with strength and resistance exercises.</p><p><strong>Trial registration: </strong>The review was registered online in the International Prospective Register of Systematic Reviews (PROSPERO) under registration number (CRD42025643530).</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 2","pages":"e70136"},"PeriodicalIF":5.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595983","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 Effect of Evidence-Based Practice on Patient Safety Culture Among Nurses.","authors":"Ali A Ammouri, Ayman Tailakh, Shalabia Elsayed Abozead, Wafa'a M Othman","doi":"10.1111/wvn.70140","DOIUrl":"10.1111/wvn.70140","url":null,"abstract":"<p><strong>Background: </strong>Patient safety is important when evaluating a healthcare organization's ability to control and eliminate patient dangers when implementing evidence-based practice (EBP). There is limited understanding of how EBP affects safety culture.</p><p><strong>Purpose: </strong>The purpose of this study was to assess nurses' perceptions of EBP utilization and its effect on patient safety culture.</p><p><strong>Method: </strong>A cross-sectional, descriptive design was employed utilizing self-report questionnaires. A convenience sample of 381 registered nurses was recruited from four major hospitals in Jordan. Descriptive and multivariate linear regression analyses were used.</p><p><strong>Result: </strong>EBP knowledge/skills had the highest positive score. Meanwhile, organizational learning and continuous improvement were the greatest positive scores of patient safety culture among nurses. Nurses who perceived greater knowledge/skill associated with EBP reported higher levels of organizational learning and continuous improvement (β = 0.15, p < 0.001), increased teamwork within units (β = 0.11, p < 0.05), lower perceptions of nonpunitive responses to error (β = -0.15, p < 0.001), greater communication openness (β = 0.16, p < 0.001), and improved feedback and communications about errors (β = 0.13, p < 0.01).</p><p><strong>Linking evidence to action: </strong>The association between EBP and patient safety underscores the importance of systematically implementing EBP in healthcare settings. As scientific evidence informs clinical practice, it is crucial for hospitals to integrate EBP into their policies and strategies to sustainably foster a culture of safety and optimize nursing practices.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 2","pages":"e70140"},"PeriodicalIF":5.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787290","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":"Building and Sustaining Evidence-Based Practice Through a Scholars Program.","authors":"Jennifer Hayakawa, Vicky Bowden, Paulina Schuhler","doi":"10.1111/wvn.70109","DOIUrl":"10.1111/wvn.70109","url":null,"abstract":"<p><strong>Background: </strong>Integrating evidence-based practice (EBP) into nursing is critical for improving clinical outcomes, yet adoption remains limited due to ongoing individual and organizational barriers.</p><p><strong>Purpose: </strong>The EBP Scholars Program was developed to overcome barriers and foster a culture of evidence-based nursing practice within a pediatric healthcare system.</p><p><strong>Implementation: </strong>Launched in 2007 during the organization's Magnet journey, the program is grounded in scientific, educational, and implementation science principles. Selected through a competitive application process, scholars engage in a seven-month structured curriculum grounded in the 8 A's Model of EBP. Learning outcomes are evaluated using pre- and post-program scores on the Evidence-Based Practice Knowledge Assessment Questionnaire (EBP-KAQ).</p><p><strong>Outcomes and impact: </strong>The program has enrolled 147 participants and graduated 124. On average, participants increased their EBP knowledge by 15.7%. Scholar-led projects have led to over 40 policy updates, new care guidelines, and measurable quality and safety improvements. Graduates have produced 43 posters, 18 podium presentations, and 9 peer-reviewed publications.</p><p><strong>Linking evidence to action: </strong>The EBP Scholars Program offers a scalable model for embedding EBP in healthcare. Through strategic leadership, interdisciplinary collaboration, and structured mentorship, it has advanced evidence-based care, professional development, and a culture of continuous improvement.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 1","pages":"e70109"},"PeriodicalIF":5.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991452","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":"Comparing Evidence-Based Practice Competencies, Adoption, Barriers, and Predictors Among Nurses and Other Healthcare Professionals Across the Eastern Mediterranean Region.","authors":"Naglaa Youssef, Assem Gebreal, Marina Saleeb, Alaa Alanazi, Ashley Shepherd, Saja Hasan Al Asaad, Hasan Nabil Al Houri, Nazir Ahmad Tookhy, Shoaib Ahmad Shakhes, Ahmed Essam Nawwar, Nada Hossam Aly Warda, Hamza Ismail Alhamdan, Qusai Hamdan, Murad Jakhlab, Hassan Hikmat Musleh, Bayan Ayash, Shab Alkhoujah, Rimsha Ehsan, Ejaz Ahmad Khan, Maab Saadabi Mohamed Suliman, Hamid Ali Abdalrahman, Abdullahi M Hussein, Mohamed Ayoub Tlili, Maram Elmutasim, Ramy Mohamed Ghazy","doi":"10.1111/wvn.70097","DOIUrl":"10.1111/wvn.70097","url":null,"abstract":"<p><strong>Background: </strong>Current research lacks a comprehensive understanding of evidence-based practice (EBP) adoption and its predictors across diverse healthcare professionals (HCPs) in the Eastern Mediterranean Region (EMR), particularly with a direct comparison between nurses and other professional groups.</p><p><strong>Objectives: </strong>This study aims to evaluate the EBP competencies, adoption levels, identified barriers, and associated predictors among nurses and other healthcare professionals (HCPs) within the EMR.</p><p><strong>Methods: </strong>A cross-sectional, correlational, and comparative design was used. An electronic survey was distributed (April 27th-August 17th, 2023) via convenience/snowball sampling, inviting nurses, physicians, physiotherapists, dentists, and pharmacists across the EMR to complete the survey. Multivariate regression analysis and structural equation modeling (SEM) were used to identify predictors of EBP adoption.</p><p><strong>Results: </strong>A total of 4673 HCPs participated and reported several barriers to EBP adoption, including time constraints, difficulties in interpreting statistics, lack of authority to change practices, and insufficient equipment. Nurses had fewer postgraduate degrees but more work experience and full-time employment than other HCPs. Despite reporting more workplace EBP support, nurses read less research, had lower EBP scores and adoption propensity, and perceived greater barriers than other HCPs (p < 0.002). Multivariate regression showed the highest barrier scores in Syria/Tunisia and the lowest in the United Arab Emirates. Nurses reported significantly higher barriers compared to other HCPs (p < 0.001). Fear of Change was not a primary barrier overall, but was elevated in specific subgroups of nurses. SEM showed good fit: RMSEA = 0.077, SRMR = 0.053, CFI = 0.80, χ²(df) = 917, p < 0.001. SEM showed that EBP adoption propensity and fear of change significantly mediate the relationship between HCPs' characteristics and EBP scores.</p><p><strong>Linking evidence to action: </strong>Despite having a positive attitude and propensity towards EBP, nurses lack the necessary knowledge and support to adopt it, and they face more barriers than other healthcare professionals. Nurses require greater support from healthcare leaders to enhance their EBP competencies and address the reported barriers. Policymakers and organizations should prioritize tailored, role-specific training and supportive structures and environments to ensure equitable and effective EBP implementation for improving patient outcomes across the EMR.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 1","pages":"e70097"},"PeriodicalIF":5.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004763","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":"Global Prevalence of Chronic Pain Among Cancer Survivors: A Systematic Review and Proportional Meta-Analysis of Observational Studies.","authors":"Pak Kit Wong, Lizhen Wang, Mu-Hsing Ho, Chia-Chin Lin","doi":"10.1111/wvn.70122","DOIUrl":"10.1111/wvn.70122","url":null,"abstract":"<p><strong>Background: </strong>Cancer survivors often receive inadequate pain management, leading to impaired quality of life. Despite their importance, evidence on the global prevalence of chronic pain in cancer survivors remains insufficiently clear.</p><p><strong>Aims: </strong>The systematic review and proportional meta-analysis aimed to estimate the pooled global prevalence of chronic pain among cancer survivors and to explore heterogeneity stratified by geographic region, cancer type, pain duration, and pain assessment tool.</p><p><strong>Methods: </strong>Five databases (PubMed, Embase, Cochrane Library, CINAHL, and China National Knowledge Infrastructure) were searched up to September 2024 for studies in English or Chinese. The review followed MOOSE and PRISMA guidelines with PROSPERO registration (CRDxx). Studies were included if they reported chronic pain prevalence in cancer survivors using validated instruments or solely reported chronic pain. Two reviewers independently screened studies, extracted data, and assessed quality using the JBI Critical Appraisal Checklist for Analytical Cross-Sectional Studies. Pooled prevalence and 95% prediction intervals were calculated using a random-effects model with Freeman-Tukey double arcsine transformation. Subgroup analysis was used to explore heterogeneity. Leave-one-out analysis explored robustness. Funnel plot and Egger's test were used to examine publication bias.</p><p><strong>Results: </strong>In total, 36 studies involving 39,806 participants were included. The pooled prevalence of chronic pain among cancer survivors was 41% (95% CI: 34%-49%) after testing robustness, with significant heterogeneity (I² = 99.32%). Subgroup analysis indicated significant group differences in prevalence rates by geographic region, cancer type, and pain duration (all p < 0.001).</p><p><strong>Linking evidence to action: </strong>These findings stress the need for more extensive and tailored chronic pain management in current clinical practice. Additional research on chronic pain outcomes among pediatric cancer survivors, cancer populations within Africa and South America, and those with cancer types other than breast cancer is needed.</p><p><strong>Trail registration: </strong>PROSPERO Registration: CRD42024597090.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 1","pages":"e70122"},"PeriodicalIF":5.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12869016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114309","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":"Efficacy of Digital Mental Health Interventions for Depression and Anxiety in Older Adults: A Systematic Review and Meta-Analysis.","authors":"Fatma Magdi Ibrahim, Iliya Petkov, Mohammed Musaed Al-Jabri, Ahmad Hammoud, Mohamad Ahmad Saleem Khasawneh, Sirwan Khaled Ahmed, Ghada Shahrour","doi":"10.1111/wvn.70119","DOIUrl":"10.1111/wvn.70119","url":null,"abstract":"<p><strong>Background: </strong>Older adults face growing risks of depression and anxiety, yet stigma, comorbidities, cost, and limited access impede receipt of conventional care. Digital mental health interventions (DMHIs), including immersive virtual reality (VR), exergaming, and mobile apps, may reduce these barriers.</p><p><strong>Aim: </strong>To evaluate the efficacy of DMHIs in reducing depressive and anxiety symptoms among adults aged ≥ 50 years.</p><p><strong>Methods: </strong>We conducted a PRISMA adherent systematic review and meta-analysis of randomized controlled trials. Interventions included immersive VR, exergaming/physical digital platforms, mobile applications, and digital cognitive training. Standardized mean differences (SMDs) were pooled with random effects models; heterogeneity was assessed with I².</p><p><strong>Results: </strong>Nineteen RCTs (n = 718; mean ages 50.9-84.7 years) met inclusion criteria. Across studies, DMHIs significantly reduced depressive symptoms (SMD = -0.656, 95% CI = -0.932 to -0.380; p < 0.001) and anxiety symptoms (SMD = -0.559, 95% CI = -0.740 to -0.380; p < 0.0001). Immersive and physically engaging modalities (e.g., VR, exergaming) outperformed app-based approaches. Heterogeneity ranged from moderate to high (I² ≈ 69.6%-97%).</p><p><strong>Linking evidence to action: </strong>Offer DMHIs: especially VR or exergaming when access to in-person therapy is limited or as an adjunct to usual care. Provide brief onboarding and, when feasible, caregiver support to boost adherence and confidence with technology. Select or configure age-friendly interfaces (e.g., large fonts, simple navigation) to address common usability barriers. Integrate DMHIs into stepped-care or rehabilitation pathways and monitor outcomes with validated tools (e.g., GDS, STAI). Address equity by supplying devices/connectivity solutions and consider cost-effectiveness and long-term engagement in implementation plans.</p><p><strong>Trial registration: </strong>PROSPERO ID: CRD420250655153.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 1","pages":"e70119"},"PeriodicalIF":5.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214669","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":"Mindfulness-Based Interventions to Reduce Stress and Depression Among Midwives and Nurses: A Meta-Analysis Study.","authors":"Rongrong Zeng, Yan Zeng, Miao Li, Zhengtong Huangfu, Xiaoxia Zhang, Shulin Wang, Huan Liao","doi":"10.1111/wvn.70111","DOIUrl":"10.1111/wvn.70111","url":null,"abstract":"<p><strong>Background: </strong>Mindfulness-Based Interventions (MBIs) have gained traction in various healthcare settings, particularly for stress reduction among healthcare professionals. This meta-analysis aimed to evaluate the effectiveness of MBIs on reducing stress and depression in obstetrical nurses.</p><p><strong>Methods: </strong>A comprehensive literature search was done across multiple databases, including Cochrane Library, PsycINFO/PsycNet, PubMed/MEDLINE, Web of Science, and Google Scholar. The risk of bias for each included study was assessed using the Cochrane Risk of Bias Tool. Subgroup analyses were done according to intervention time (less than 8 weeks, 8 weeks, more than 8 weeks) and population. Meta-analysis was done using random-effects models. Effect sizes were calculated using standardized mean differences (SMD). Heterogeneity was assessed using the I² statistic.</p><p><strong>Results: </strong>The sample size in 55 studies was 4612 nurses and midwives (2904 in the intervention group and 1708 in the control group). The meta-analysis showed a significant overall effect of MBIs on reducing stress levels (SMD = -0.71; 95% CI [-0.97, -0.44]; p < 0.001), and depression (SMD = -0.74; 95% CI [-1.35, -0.13]; p < 0.001) among midwives and nurses. Subgroup analysis showed that the effects of intervention duration on reducing stress (X² = 3.01, p = 0.220) was not significant, but its effect on depression (X² = 61.46, p = 0.000) was significant.</p><p><strong>Linking evidence to action: </strong>Healthcare organizations should integrate structured MBIs into staff wellness initiatives to promote mental well-being. Nursing education programs can include mindfulness components to strengthen coping skills. Future work should also examine combined mindfulness-CBT programs (e.g., MINDBODYSTRONG) and address organizational factors contributing to burnout for a more comprehensive approach.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 1","pages":"e70111"},"PeriodicalIF":5.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221726","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":"Evidence-Based Practice and Research Competency Among Ambulatory Care Nurses: Results From a National Survey Study.","authors":"Elizabeth Fritz, Jeff Gau, Kathy Mertens, Edtrina Moss, Jessica Varghese, Kristen Shear, Na Lim Heo, Jené Hurlbut, Marianne Hutti, Margo A Halm","doi":"10.1111/wvn.70116","DOIUrl":"10.1111/wvn.70116","url":null,"abstract":"<p><strong>Significance/background: </strong>Although research and evidence-based practice are widely regarded as foundational to high quality patient care, little is known about the evidence-based practice and research competencies of ambulatory care nurses.</p><p><strong>Aims: </strong>The aim of this study was to measure the self-perceived evidence-based practice and research competencies and learning needs of ambulatory care nurses.</p><p><strong>Methods: </strong>In 2024, a national sample of 2790 ambulatory care nurses participated in an online cross-sectional structured survey measuring evidence-based practice and research competencies. Respondents rated their competency using the EBP Capability Beliefs Scale and the Application of Knowledge and Skills subscale from the Research Competencies Assessment Instrument for Nurses (RCAIN). Results were compared across practice settings, job roles, and subspecialties.</p><p><strong>Results/findings: </strong>Higher education levels correlated with higher scores in both evidence-based practice and research competencies. After controlling for education level, nurses from specialty or procedural areas scored higher in evidence-based practice competencies than nurses from all other work environments. Direct care nurses scored lower than nurses in all other roles in research competencies. Statistically significant correlations were also found between evidence-based practice competencies and the type of organization where a nurse worked.</p><p><strong>Linking evidence to action: </strong>Findings indicate EBP and research competencies must be increased among ambulatory care nurses. Leadership support and resource allocation are critical for EBP development. Among ambulatory care nurses, those in direct care roles may have the greatest opportunities to develop EBP and research competencies. Nurses with limited exposure to EBP and research should be encouraged to engage in professional development activities on these topics. Education and EBP mentorship for ambulatory care nurses should be tailored to the ambulatory care environment where possible, to make it relatable to learners.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 1","pages":"e70116"},"PeriodicalIF":5.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054496","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}