{"title":"Exploring the Concept of Safe Sex in Adolescents: Insights From a Scoping Review Approach.","authors":"Lakkhana Chainok, Chantira Chiaranai, Rachadaporn Jai-Ai","doi":"10.1111/nhs.70212","DOIUrl":"10.1111/nhs.70212","url":null,"abstract":"<p><p>This concept analysis explores the nature of safe sex among adolescents, offering insights to empower them in making informed sexual decisions. Using Walker and Avant's methodological framework and a scoping review approach, we conducted an extensive literature search in PubMed, SCOPUS, CINAHL-Complete, and Thai Journal Online, identifying 1414 records. After duplicate removal, 1288 records were screened, with 43 studies included in the final review. Our analysis defines safe sex by identifying its attributes, antecedents, consequences, and empirical referents. Four key attributes emerged: (1) condom use as a protective measure, (2) avoidance of substance use, (3) monogamy, and (4) effective communication. Antecedents include access to sexual health education, positive peer and parental influences, and availability of protective resources. Consequences include reduced risk of unintended pregnancies and sexually transmitted infections, as well as enhanced emotional well-being and relationship quality. Model, borderline, related, and contrary cases were developed to distinguish safe sex from related but incomplete behaviors. Findings emphasize the need for comprehensive, age-appropriate sexual health education. Healthcare providers should integrate these elements into routine adolescent health visits to promote safer sexual practices.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70212"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ya-Di Zhang, Yu-Meng Qian, La-Mei Liu, Hui-Qin Zhang, Qi-Han Zhang, Xiao-Yan Dong, Yun Li, Li Wang, Yan Zhang
{"title":"Mediating Role of Medication Self-Management Ability in Older Individuals With Chronic Kidney Disease Between Transitional Care Quality and Medication Discrepancy: A Cross-Sectional Study.","authors":"Ya-Di Zhang, Yu-Meng Qian, La-Mei Liu, Hui-Qin Zhang, Qi-Han Zhang, Xiao-Yan Dong, Yun Li, Li Wang, Yan Zhang","doi":"10.1111/nhs.70228","DOIUrl":"https://doi.org/10.1111/nhs.70228","url":null,"abstract":"<p><p>This study aims to investigate the mediating role of medication self-management ability in the relationship between transitional care quality and medication discrepancy among older individuals with chronic kidney disease (CKD) during the hospital-home transition. A cross-sectional study was conducted on 262 older individuals with CKD in two hospitals utilizing a general information questionnaire, medication discrepancy tool, self-administration of medication tool, and partner at care transitions measure. Data analyses were performed using IBM SPSS Statistics version 27.0, and the mediating role was scrutinized via the SPSS PROCESS 4.0 plugin. The results showed that the incidence of medication discrepancy was 79.4% at 8 weeks post-discharge. A positive correlation was found between transitional care quality and medication self-management ability (r = 0.527, p < 0.001). Negative correlations were observed between medication self-management ability and medication discrepancy (β = -0.205, OR = 0.814, p < 0.001), as well as between transitional care quality and medication discrepancy (β = -0.249, OR = 0.780, p < 0.001). It is concluded that improved transitional care quality and medication self-management ability reduce the incidence of medication discrepancies, with medication self-management ability partially mediating the role of transitional care quality in medication discrepancies.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70228"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stéphane L Bouchoucha, Loïc Martin, Emmanuelle Cartron, James J Lucas, Lim Siew Hoon, Karen McKenna, Ana Hutchinson
{"title":"More Than a Barrier: Exploring the Personal and Professional Impact of Personal Protective Equipment Use in Healthcare.","authors":"Stéphane L Bouchoucha, Loïc Martin, Emmanuelle Cartron, James J Lucas, Lim Siew Hoon, Karen McKenna, Ana Hutchinson","doi":"10.1111/nhs.70231","DOIUrl":"10.1111/nhs.70231","url":null,"abstract":"<p><p>Personal protective equipment used to provide protection to healthcare workers during the pandemic was impacted by shortages in supply and side effects from use. The aim of this study was to explore the prevalence of personal protective equipment (PPE) side effects experienced by healthcare workers in France, including access to, use of PPE, and PPE training. A cross-sectional descriptive survey was used. Reporting followed the STROBE statement. Three hundred and forty-six participants completed the survey. Most were female (41.2%), nurses (59.7%) and aged between 31 and 45 years old. Surgical masks were associated with side effects (54.6%), including acne (24.05%), pressure injuries (26.49%) and burning/pain (7.62%). N95 respirator use was associated with side effects (30.43%), of acne (11.88%) and abrasions (11.88%). Side effects were most frequently reported by female participants and those working in COVID-19 areas. The side effects caused by PPE use and the impact this has on healthcare workers cannot be underestimated. Findings in this study identify the need to develop preventative measures to reduce side effects and improve patient interactions.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70231"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Siobhan O'Halloran, Susan Perlen, Anna Chapman, Sominsky Luba, Samantha L Dawson, Rachael Cusworth, Laura Alston, Vidanka Vasilevski, Linda Sweet, Peter Vuillermin, Alison M Hutchinson
{"title":"Addressing the Increasing Rate of Caesarean Sections in an Australian Healthcare System: A Systems Science Approach to Identify Stakeholder Perspectives.","authors":"Siobhan O'Halloran, Susan Perlen, Anna Chapman, Sominsky Luba, Samantha L Dawson, Rachael Cusworth, Laura Alston, Vidanka Vasilevski, Linda Sweet, Peter Vuillermin, Alison M Hutchinson","doi":"10.1111/nhs.70220","DOIUrl":"10.1111/nhs.70220","url":null,"abstract":"<p><p>Caesarean section (CS) rates are increasing globally. We aimed to understand stakeholders' perspectives on factors driving CS in pregnancy care to inform areas for intervention. Stakeholders from five health services participated in three Group Model Building workshops to identify the drivers of CS and intervention opportunities. A Causal Loop Diagram was developed to identify priority action areas. Workshop transcripts were thematically analyzed to understand the factors influencing CS rates and to identify areas for interventions to improve CS decision-making. Participants identified 29 drivers that were grouped into four priority areas for action: mothers' health and confidence, clinicians providing care, clinical monitoring and intervention, and health system issues. Five major themes emerged from the transcripts: health system issues, maternal factors, clinical factors, clinical management, and guidelines and adherence. Intervention ideas included: feedback data use across health services, improving the quality of data, and modifying data entry prompts. The factors driving CS rates related to clinicians, maternal service users, the health system, and the health service. A standardized audit and feedback tool to assess, monitor, and compare CS rates within health systems may address CS overuse.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70220"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Qianhua Mai, Yueer Chen, Fengyin Qin, Zhengya Qin, Guoyin Han, Yibing Tan
{"title":"Category Characteristics and Influencing Factors of Stroke Preparedness Among Middle-Aged and Older Adults: A Latent Class Study.","authors":"Qianhua Mai, Yueer Chen, Fengyin Qin, Zhengya Qin, Guoyin Han, Yibing Tan","doi":"10.1111/nhs.70223","DOIUrl":"https://doi.org/10.1111/nhs.70223","url":null,"abstract":"<p><p>This study used latent class analysis to explore the potential characteristics of stroke preparedness and the factors that influence it in middle-aged and older adults. A total of 845 middle-aged and older adults were recruited from 16 communities in Guangdong Province between July and August 2022. We identified four potential categories of stroke preparedness among middle-aged and older adults: recognition of stroke-emergency medical services (EMS) activation, low symptoms alertness-hospital avoidance, recognition of stroke-go to the hospital, and overlook arm weakness-go to the hospital. The categories could be determined by education level, medical background, knowledge of stroke and knowledge of Stroke 1-2-0 (Chinese version of FAST), conscientiousness traits, and level of family support. The findings of the four categories and their influencing factors suggest that community caregivers should adopt targeted interventions according to the characteristics of different groups of middle-aged and older adults to improve their ability to recognize and cope with stroke.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70223"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Urban-Rural Comparison of Health-Promoting Behaviors in Adult Patients With Cancer Following Primary Treatment: A Cross-Sectional Study.","authors":"Nada Mesfer Ghormallah Alzahrani, Dhuha Youssef Wazqar","doi":"10.1111/nhs.70218","DOIUrl":"https://doi.org/10.1111/nhs.70218","url":null,"abstract":"<p><p>Limited studies have addressed health-promoting behaviors (HPBs) during survivorship among rural and urban patients with cancer in Saudi Arabia. Previous research has found a link between place of residence and HPBs but has shown inconsistent results. This study aimed to assess and compare HPBs following primary treatment between rural and urban patients with cancer and identify their differences according to sociodemographic and clinical characteristics. A descriptive, comparative, cross-sectional study was conducted among a random sample of 148 adult rural and urban patients from two large hospitals in Saudi Arabia's Western region. The Health Promoting Lifestyle Profile II (HPLP-II) and sociodemographic and clinical surveys were completed by the participants. The study methods were compliant with the STROBE checklist. Data were analyzed using descriptive and inferential statistics. The mean overall HPLP-II and domain scores were comparable between the urban and rural groups, indicating a moderate level, except for physical activity, which was low. However, the rural participants had significantly higher nutrition (t = 2.022, p < 0.05) and stress management (t = 2.033, p < 0.05) scores than the urban participants. The physical activity scores significantly varied according to age, marital status, and treatment types. The HPBs did not differ significantly between the groups (t = 0.702, p = 0.483). Given the increased emphasis on patient-centered care, initiatives to support HPBs in both populations will require more rigorous evidence. This study provides valuable insights into HPBs, cancer survivorship, and residential locations that policymakers, researchers, and healthcare providers should consider to improve HPBs in this population.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70218"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sónia A L Novais, Maribel D Carvalhais, Diana F C Ribeiro, Íris N D Correia, Victoria Sandutã, Ester Goutan-Roura, Paulo A O Marques
{"title":"Foot Temperature Monitoring in People With Diabetes Mellitus: A Systematic Review of Incidence and Risk With Meta-Analysis.","authors":"Sónia A L Novais, Maribel D Carvalhais, Diana F C Ribeiro, Íris N D Correia, Victoria Sandutã, Ester Goutan-Roura, Paulo A O Marques","doi":"10.1111/nhs.70206","DOIUrl":"10.1111/nhs.70206","url":null,"abstract":"<p><p>Diabetic foot ulcers represent a serious complication of diabetes mellitus, often associated with amputations and hospitalizations. Monitoring foot temperature allows early detection of the risk of developing DFUs. This study compares foot temperature monitoring methods in patients with diabetes mellitus and assesses their applicability in the early detection of foot temperature differences. A systematic literature review was conducted following Cochrane methodology. An electronic search was carried out across multiple scientific databases. The risk of bias was assessed using the Rob2 tool, and the meta-analysis was performed using the Cochrane platform, Review Manager 5.4. Eight studies were included, seven of which met the criteria for meta-analysis. The results indicate that diabetic foot ulcers and amputations were less frequent in the temperature monitoring group compared to the control groups. The meta-analysis underscores the potential of foot temperature monitoring to prevent diabetic foot ulcers and their recurrence. Nurses should implement interventions that promote temperature monitoring and adherence to preventive measures while raising awareness of the benefits of these actions.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70206"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leire Sevillano-Garayoa, Maddi Olano-Lizarraga, Jesús Martín-Martín
{"title":"Interventions for Caregivers Caring for a Family Member With Advanced Illness at Home: A Systematic Review.","authors":"Leire Sevillano-Garayoa, Maddi Olano-Lizarraga, Jesús Martín-Martín","doi":"10.1111/nhs.70196","DOIUrl":"10.1111/nhs.70196","url":null,"abstract":"<p><p>The rising prevalence of advanced illness poses growing challenges for family caregivers, requiring healthcare professionals to address an increasing array of caregiver needs. This systematic review explores the impact of at-home interventions for caregivers supporting individuals with advanced illness, examining intervention characteristics and methodological quality. Quantitative studies published over the past 5 years (2019-2024) were sourced from PubMed, PsycINFO, CINAHL, Scopus, and Cochrane Library. Intervention data, including modality, components, timing, providers, recipients, and caregiver outcomes, were systematically reviewed. Methodological quality was assessed using Cochrane RoB 2 and ROBINS-I. From 16 studies, key caregiver needs such as depression, anxiety, distress, quality of life, burden, and caregiving self-efficacy emerged as primary areas addressed. The majority of interventions were face-to-face, nurse-led, and aimed at primary caregivers. Findings underscore the importance of personalized interventions that consider caregivers' unique responses and actively involve them in design. Nurses play a crucial role in leading these interventions, positioning them as central to enhancing caregiver support in home settings.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70196"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12358210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Na Zhang, Qian Lu, Jie Qiu, Siyu Fan, Yu Zhao, Shiyu Wang, Wenjuan Sun, Weiguo Wang, Fengping Liu
{"title":"Experiences and Needs in the Dietary Management of Chronic Kidney Disease: A Qualitative Study of Patient, Caregiver and Healthcare Professionals' Perspectives.","authors":"Na Zhang, Qian Lu, Jie Qiu, Siyu Fan, Yu Zhao, Shiyu Wang, Wenjuan Sun, Weiguo Wang, Fengping Liu","doi":"10.1111/nhs.70219","DOIUrl":"https://doi.org/10.1111/nhs.70219","url":null,"abstract":"<p><p>Dietary management is crucial in the disease management of patients with chronic kidney disease (CKD). However, there is still a lack of research on the genuine experiences and needs of patients, caregivers, and healthcare professionals involved in CKD dietary management, especially in the Chinese context. To explore the experiences and needs of Chinese patients with CKD, caregivers, and healthcare professionals regarding dietary management. A descriptive qualitative study was conducted to gather data using semi-structured in-depth interviews, with data examined by thematic analysis. A total of 36 participants were involved in the interviews. Five themes were identified in the study: (1) Dilemmas: disease threat perception; (2) Practice divide: obstacles to the implementation of the guide; (3) Disease adaptation: reconstruction of dietary identity; (4) Precision education: demand-driven educational strategies; (5) Multilevel collaboration: building support networks. These findings establish a scientific foundation for policy formulation and enhancements in medical practice. Future research should evaluate the practicality of dietary guidance frameworks and develop intelligent assistive tools to support dietary decision-making, thereby promoting sustainable improvements in patients' dietary management.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70219"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nurses' Perceptions and Experiences Regarding Environmental Sustainability in the Operating Room: A Phenomenological Study.","authors":"İnci Kırtıl, Şevval Çağan Kişin, Nuray Akyüz","doi":"10.1111/nhs.70207","DOIUrl":"10.1111/nhs.70207","url":null,"abstract":"<p><p>This study explored operating room nurses' awareness, practices, and perceived barriers regarding environmental sustainability. The study was conducted between January and February 2025 using in-depth, semi-structured interviews with 15 operating room nurses. Data were collected using an interview form and a personal information form, employing maximum variation and snowball sampling techniques. The data were analyzed using content analysis, which yielded four main themes and 10 subthemes: (1) knowledge and awareness of environmental sustainability, (2) experiences with environmental sustainability in the operating room, (3) nurses' role in environmental sustainability, and (4) recommendations for environmental sustainability. Operating room nurses had limited awareness of environmental sustainability, revealing gaps in knowledge, support, and practices. The findings highlighted both positive and negative experiences related to sustainability practices. To improve sustainable practices, it is essential to increase awareness, expand educational opportunities, and develop institutional policies that are crucial. The limited awareness of environmental sustainability highlights the need for targeted educational programs aimed at increasing nurses' knowledge. Enhancing nurses' awareness and understanding is pivotal in implementing sustainable practices in the operating room, contributing to efficient resource utilization and benefiting both the environment and healthcare institutions.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70207"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}