Nursing & Health Sciences最新文献_第5页

Pain and Pain Management in Austrian Nursing Home Residents' Daily Lives: A Qualitative Study Guided by an Integrated Quality of Life Model for Older Adults. 奥地利养老院居民日常生活中的疼痛和疼痛管理：一项以老年人综合生活质量模型为指导的定性研究。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70338

Eva Pichler, Doris Eglseer, Daniela Schoberer, Christa Lohrmann, Sandra Zwakhalen, Manuela Hoedl

{"title":"Pain and Pain Management in Austrian Nursing Home Residents' Daily Lives: A Qualitative Study Guided by an Integrated Quality of Life Model for Older Adults.","authors":"Eva Pichler, Doris Eglseer, Daniela Schoberer, Christa Lohrmann, Sandra Zwakhalen, Manuela Hoedl","doi":"10.1111/nhs.70338","DOIUrl":"10.1111/nhs.70338","url":null,"abstract":"Pain affects various aspects of nursing home residents' lives and their quality of life. The Integrated Conceptual Model of Quality of Life for Older Adults provides a holistic framework to understand factors influencing quality of life. Especially in Austria, knowledge about pain and its management in nursing home residents' daily lives is lacking. Therefore, this study assesses pain and pain management in Austrian nursing home residents' daily lives in the context of the mentioned model. Data were collected in semi-structured interviews with 28 nursing home residents (median age 85.5/75% female), using an interview guide based on the model. A content-structuring qualitative content analysis was carried out. Interviewees often report that they did not want to be a burden, indicating that limiting beliefs may contribute to their reluctance to seek help. They emphasized that support from nursing staff was inadequate due to the lack of time, skills, and offered pain management options. Many interviewees used additional interventions to treat pain themselves. Overall, the Austrian situation appears to be consistent with findings in other countries.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70338"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13080236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693128","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}

引用次数: 0

Diagnostic Accuracy of Screening Tools for Delirium in Adults Receiving Care in Intensive Care Units: A Systematic Review and Network Meta-Analysis. 在重症监护病房接受治疗的成人谵妄筛查工具的诊断准确性：系统回顾和网络荟萃分析。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70344

Ning Li, Zhiying Zhou, Tingting Yao, Xiaoyan Xu

{"title":"Diagnostic Accuracy of Screening Tools for Delirium in Adults Receiving Care in Intensive Care Units: A Systematic Review and Network Meta-Analysis.","authors":"Ning Li, Zhiying Zhou, Tingting Yao, Xiaoyan Xu","doi":"10.1111/nhs.70344","DOIUrl":"10.1111/nhs.70344","url":null,"abstract":"Delirium is a common, critical condition in adults receiving care in intensive care units, requiring effective screening tools for early detection. To systematically compare the diagnostic performance of delirium screening tools for adults receiving care in ICUs, we conducted a comprehensive search across nine databases up to August 1, 2025, followed by a network meta-analysis of diagnostic test accuracy. Fifty studies involving 6042 patients were included. The S-PTD demonstrated optimal diagnostic performance, with high pooled sensitivity (0.922) and specificity (0.977). The CAM-ICU showed outstanding specificity (0.949), whereas the DDS exhibited poor sensitivity (0.302). In conclusion, the CAM-ICU and ICDSC are widely used; the S-PTD performs excellently but requires validation in adults receiving mechanical ventilation, and the 4AT exhibits balanced accuracy but is unsuitable for adults receiving mechanical ventilation. The NEECHAM and DDS have limitations, particularly the DDS, which exhibits low sensitivity and may fail to accurately identify cases of delirium. High-quality validation studies and uniform DSM-5 use are recommended. Trial Registration: This study has been registered with PROSPERO (CRD42024534483).","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70344"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822853","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}

引用次数: 0

Risk Factors for Dysfunctional Liver Graft Response: A Case-Control Study. 肝移植反应功能不全的危险因素：一项病例对照研究。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70357

Layana de Paula Cavalcante, João Cruz Neto, Maria Beatriz Freire Alves, Francisca Alessandra Peixoto da Cunha, Ana Clara de Brito Gomes, Reinaldo Gutierrez Barreiro, Viviane Martins da Silva, Marcos Venícios de Oliveira Lopes

{"title":"Risk Factors for Dysfunctional Liver Graft Response: A Case-Control Study.","authors":"Layana de Paula Cavalcante, João Cruz Neto, Maria Beatriz Freire Alves, Francisca Alessandra Peixoto da Cunha, Ana Clara de Brito Gomes, Reinaldo Gutierrez Barreiro, Viviane Martins da Silva, Marcos Venícios de Oliveira Lopes","doi":"10.1111/nhs.70357","DOIUrl":"10.1111/nhs.70357","url":null,"abstract":"The purpose of this article was to identify recipient-, donor-, and graft-related risk factors associated with dysfunctional liver graft response following liver transplantation. A case-control study was developed based on medical records of adult liver transplant recipients were analyzed. Cases were defined by the occurrence of dysfunctional liver graft response within the first seven postoperative days or by death/retransplantation within 6 months. Controls had preserved graft function and survived without retransplantation. Logistic regression analysis was performed to identify associated risk factors. Recipient-related risk factors included younger age, renal dysfunction, higher body mass index, and reduced blood transfusion support. Donor-related factors included older age, male sex, and elevated serum sodium levels. Prolonged warm and cold ischemia times were also associated with dysfunction. These findings supported the development of the proposed nursing diagnosis, \"Risk for Dysfunctional Liver Graft Response.\" The dysfunctional liver graft response is a multifactorial phenomenon involving recipient, donor, and graft-related factors. These findings contribute to highlight the relevance of nursing involvement throughout transplantation pathways.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70357"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13180498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965178","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}

引用次数: 0

Development and Exploratory Validation of the Assisting Mealtime Scale for Dementia Care: Nursing Staff Perspectives on Mealtime Support. 痴呆护理辅助用餐时间量表的开发与探索性验证：护理人员对用餐时间支持的看法。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70343

Hansen Cindy Tang, WenPeng You, Kazem Razaghi, Fung Kuen Koo, Hui-Chen Rita Chang

{"title":"Development and Exploratory Validation of the Assisting Mealtime Scale for Dementia Care: Nursing Staff Perspectives on Mealtime Support.","authors":"Hansen Cindy Tang, WenPeng You, Kazem Razaghi, Fung Kuen Koo, Hui-Chen Rita Chang","doi":"10.1111/nhs.70343","DOIUrl":"10.1111/nhs.70343","url":null,"abstract":"Mealtime assistance for people living with dementia presents care-related challenges, yet few validated instruments assess nursing staff perspectives. This study developed and conducted an exploratory validation of the Assisting Mealtime Scale. A multi-phase instrument development process included literature review, expert consultation, content validation, pilot testing, and forward-backward translation. The 19-item scale was administered to nursing staff in aged care settings in Australia and China (N = 240). Exploratory factor analysis using principal axis factoring with Promax rotation examined factor structure. Sampling adequacy was assessed using the Kaiser-Meyer-Olkin test and Bartlett's test of sphericity. Internal consistency was evaluated using Cronbach's alpha. Sampling adequacy was excellent (KMO = 0.891). A three-factor solution explained 55.25% of total variance. Factors represented Perceived Knowledge and Skill Gaps, Time and Task Pressure, and Attitudes Toward mealtime assistance and Autonomy. The overall scale demonstrated good reliability (α = 0.890). The scale demonstrates preliminary construct validity and reliability. Further confirmatory and cross-cultural validation is required.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70343"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845176","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}

引用次数: 0

A Systematic Review of Obstetric Mistreatment Among Women Living With HIV. 艾滋病毒感染妇女产科虐待的系统回顾。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70323

Joy Edeh, Oluwaseun Badru, Roba Alwasila, Ezinwa Anyanwu, Oluwafemi Adeagbo

{"title":"A Systematic Review of Obstetric Mistreatment Among Women Living With HIV.","authors":"Joy Edeh, Oluwaseun Badru, Roba Alwasila, Ezinwa Anyanwu, Oluwafemi Adeagbo","doi":"10.1111/nhs.70323","DOIUrl":"10.1111/nhs.70323","url":null,"abstract":"Several studies have established that women living with HIV frequently encounter mistreatment when accessing maternal healthcare. Previous reviews on obstetric mistreatment have largely focused on the general population, leaving an important research gap to fill. As such, we synthesized evidence of obstetric mistreatment among women living with HIV. Six databases were searched in January 2025: CINAHL Plus, Embase, PubMed, Scopus, Web of Science, and Google Scholar. Of the 4652 articles assessed, 23 studies were included. There was evidence of varying proportions of non-consented care, lack of privacy, non-dignified care, abandonment and neglect, forced sterilization, stigma and discrimination, physical abuse, non-confidential care, and lack of supportive care from maternal healthcare providers. Our qualitative findings revealed experiences of disrespect and abuse, stigma and discrimination, non-dignified care, and forced sterilization. There is substantial evidence that women living with HIV continue to experience diverse forms of mistreatment in maternal care, particularly in Sub-Saharan Africa. Our findings highlight the urgent need for systemic and structural reforms in maternal healthcare settings to improve the experiences of women living with HIV.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70323"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595705","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}

引用次数: 0

Social Media Professionalism in Nursing Students: A Concept Analysis. 护生的社交媒体专业：概念分析。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70322

Tommy Lin, Kateryna Metersky

{"title":"Social Media Professionalism in Nursing Students: A Concept Analysis.","authors":"Tommy Lin, Kateryna Metersky","doi":"10.1111/nhs.70322","DOIUrl":"10.1111/nhs.70322","url":null,"abstract":"The objective is to clarify the concept of social media professionalism among nursing students. Walker and Avant's concept analysis method was used. CINAHL, Scopus, PubMed, and ProQuest Dissertations & Theses Global were used to find both empirical and gray literature published between 2014 and 2024 that discussed professionalism and social media use among nursing students; 18 articles were included. Social media professionalism among nursing students encompasses five attributes: maintaining privacy and confidentiality, clear boundaries between personal and professional identities, accountability for online actions, civil and respectful digital discourse, and adherence to professional regulatory standards and institutional policies. Antecedents include access and exposure to digital platforms, role modeling, educational preparation, awareness and internalization of professional values, and personal motivation and self-efficacy. Consequences include an impact on professional reputation, employability, and academic progress; influence on professional identity formation; legal and regulatory outcomes; and public and institutional perceptions. The operational definition of social media professionalism among nursing students aims to clarify the concept for future use and research as well as address existing gaps in the current literature, nursing education, and institutional policy.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70322"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13021322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522553","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}

引用次数: 0

Consensus on Nontechnical Skills for Japanese Paramedics: A Delphi Study. 日本护理人员非技术技能的共识：德尔菲研究。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70325

Koshi Nakagawa, Brett Williams, Ryu Kimura, Hinata Kijima, Shota Tanaka, Tsutomu Komine, Hideharu Tanaka

引用次数: 0

Adults' Experiences and Perceptions of Electronic Devices for Diabetes Self-Management: A Qualitative Evidence Synthesis. 成人对糖尿病自我管理电子设备的体验和感知：一项定性证据综合。

IF 2.1 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70348

Vanesa Alcántara-Porcuna, Beatriz Rodríguez-Martin, Daniela Avello

{"title":"Adults' Experiences and Perceptions of Electronic Devices for Diabetes Self-Management: A Qualitative Evidence Synthesis.","authors":"Vanesa Alcántara-Porcuna, Beatriz Rodríguez-Martin, Daniela Avello","doi":"10.1111/nhs.70348","DOIUrl":"10.1111/nhs.70348","url":null,"abstract":"Electronic devices are increasingly used to support self-management in adults with type 1 diabetes (T1DM). However, understanding patient perceptions and lived experiences is essential to ensure effectiveness, equitable accessibility, and sustained acceptance. This qualitative evidence synthesis explored how adults with T1DM perceive and experience electronic devices for self-management, focusing on benefits, barriers, and contextual factors influencing use. A systematic search across six databases was conducted using the Cochrane Qualitative and Implementation Methods Group approach. Qualitative studies published up to December 2024 were included. Data were analyzed using descriptive thematic synthesis and reported, following PRISMA and ENTREQ guidelines. Twenty-seven studies encompassing 522 participants were included. Eight key review findings emerged: Digital devices foster empowerment, encourage positive lifestyle changes, and could improve interactions with healthcare professionals. However, sustained use and engagement were shaped by contextual and emotional factors. Significant barriers include financial constraints, technical and usability problems, and limited continuous psychological and clinical support. Social support and integration into healthcare systems also influenced engagement. Electronic devices for T1DM self-management are complex socio-technical interventions whose potential depends on truly person-centered, equitable, supportive care. Trial Registration: PROSPERO: CRD42024572860.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"28 2","pages":"e70348"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13138877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845193","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}

引用次数: 0

Methodological Considerations on a Qualitative Study of Competencies Gained Through Advanced Nursing Education. 通过高级护理教育获得的能力定性研究的方法学考虑。

IF 1.6 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70355

Jie Kong, Bing Luo

引用次数: 0

Alert, Analyze, Act: Redefining Ophthalmic Infection Prevention Through Real-Time Insights. 警觉、分析、行动：通过实时洞察重新定义眼感染预防。

IF 1.6 3区医学

Nursing & Health Sciences Pub Date : 2026-06-01 DOI: 10.1111/nhs.70364

Bo Zhang, Chaoyang Hong

引用次数: 0