Journal of Clinical Nursing最新文献

{"title":"The Effect of Communication in Emergency Department Isolation Rooms Using Smart Glasses: A Mixed-Methods Study.","authors":"Soyoung Park, Hyeongsuk Lee","doi":"10.1111/jocn.17690","DOIUrl":"https://doi.org/10.1111/jocn.17690","url":null,"abstract":"<p><strong>Aim: </strong>To assess the effectiveness of using smart glasses to facilitate communication among nurses inside and outside the emergency department.</p><p><strong>Design: </strong>Complementary mixed-methods study with a one-group pretest-posttest design.</p><p><strong>Methods: </strong>Thirty emergency nurses participated in surveys on demographics, digital literacy, and communication clarity before and after using smart glasses. Qualitative interviews explored user experiences.</p><p><strong>Results: </strong>Smart glasses improved communication clarity. No significant correlation was found between demographics or clinical experience and communication clarity. Qualitative analysis identified five facilitating factors-reduced nursing workload, enhanced patient care, improved efficiency, reliable support, and professional feel-and five barriers-user interface issues, surveillance burden, communication errors, technology-integration limitations, and ethical/patient privacy concerns.</p><p><strong>Conclusion: </strong>Smart glasses improved communication in emergency isolation rooms, potentially enhancing patient safety and reducing treatment delays. Addressing usability and ethical concerns is key for successful integration.</p><p><strong>Implications for the profession and/or patient care: </strong>Smart glasses offer significant potential to enhance communication. To maximise their benefits, it is crucial to address challenges such as the added stress on novice nurses, potential increases in workload, and ethical concerns regarding patient privacy. Providing comprehensive training and refining the technology will help to reduce user burden and ensure robust data security, ultimately improving patient care and supporting nursing staff in high-stress environments.</p><p><strong>Impact: </strong>Smart glasses can improve communication among emergency nurses, especially in isolation rooms, by reducing treatment delays and enhancing collaboration, thus improving patient safety.</p><p><strong>Reporting method: </strong>TREND (Nonrandomised evaluations of behavioural and public health interventions).</p><p><strong>Patient or public contribution: </strong>Emergency nurses' feedback was integral to evaluating the usability and effectiveness of smart glasses.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442635","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":"Pediatric Nurses' Challenges in Implementing and Sustaining Clinical Handover in Intensive Care Units: Advocating for the Safety of Critically Ill Paediatric Patients.","authors":"Nagwa Ibrahim Hamad, Haitham Mokhtar Mohamed Abdallah, Sally Mohammed Farghaly Abdelaliem, Rabab Saleh Shaheen","doi":"10.1111/jocn.17681","DOIUrl":"https://doi.org/10.1111/jocn.17681","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;This study aimed to examine the challenges faced by pediatric nurses in implementing and sustaining clinical handover in intensive care units (ICUs), focusing on identifying key barriers affecting the handover process in these specialised environments.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Pediatric nurses encounter several challenges that hinder the effective implementation of clinical handover in intensive care settings. These challenges can compromise patient safety and care continuity. Understanding these obstacles is essential for identifying areas for improvement and enhancing handover practices in pediatric intensive care units (PICUs) and neonatal intensive care units (NICUs).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;A descriptive, cross-sectional study was conducted in the neonatal intensive care unit (NICU) and pediatric intensive care unit (PICU) of the specialised university hospital for children in Alexandria, Egypt. The sample included 127 nurses who provided direct care to critically ill children. Participants were selected using convenience sampling. Data were collected using a self-administered questionnaire designed to assess various challenges encountered during the clinical handover process. The questionnaire covered five key areas: nurse-related challenges, handover quality-related challenges, organisational challenges, environmental challenges and communication challenges. Data were analysed using descriptive and inferential statistical methods, including multivariate regression analysis. The study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The study found that the most significant challenges during clinical handover were nurse-related (mean = 74.7, SD = 5.6), followed by organisational challenges (mean = 69.2, SD = 16.7). Statistically significant differences were observed in nurses' characteristics, such as gender, age, marital status, years of experience and the place and duration of handover. Nurses who conducted longer handovers or performed them at the bedside reported fewer challenges compared to those who performed handovers at the nursing station or those with shorter durations.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Pediatric nurses in critical care settings face significant challenges in clinical handover, with barriers such as resistance to change, non-standardised language, time constraints and outdated reports being prominent. Female nurses, older nurses and those working in settings with less standardised handover practices reported more difficulties. Addressing these challenges is critical for improving handover processes, ensuring better patient safety and enhancing care outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for nursing practice and policy: &lt;/strong&gt;Standardised handover protocols tailored to intensive care workflows, along with targeted training for nurses, are essential to address the identified challenges.","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426546","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":"Nursing Interventions for the Management of a Stoma Complicated by a Parastomal Hernia or Bulge: A Scoping Review.","authors":"Cecilie Larsen, Trine Bolette Borglit, Lisbeth Roesen Leinum, Pia Dreyer, Marianne Krogsgaard","doi":"10.1111/jocn.17671","DOIUrl":"https://doi.org/10.1111/jocn.17671","url":null,"abstract":"<p><strong>Background: </strong>Parastomal hernia or bulging is a long-recognised complication in relation to a stoma. Around half of patients develop a parastomal bulge and up to 75% experience symptoms. Only a minority is offered surgical treatment; thus, most patients manage the bulge on their own or by interventions provided by stoma care nurses.</p><p><strong>Aims and objectives: </strong>To identify and present the available information on nursing interventions for the management of symptoms caused by the parastomal bulge.</p><p><strong>Methods: </strong>This scoping review followed the framework by the Joanna Briggs Institute, conducting searches in 11 databases and through stoma organisations. Literature on nursing management of parastomal bulges was included. Two authors independently screened and selected the studies, with data-charting performed by one author and verified by another. The PAGER framework depicted the state of the evidence and the PRISMA-ScR checklist guided the process.</p><p><strong>Results: </strong>Of 8361 screened publications, 44 were included. Management of the parastomal bulge and related symptoms were described in eight nursing interventions: appliances, support garments, irrigation and regulation of stool, strangulation, disguise and intimacy, physical activity, support and education, record keeping, follow-up and referral. Most evidence was based on expert opinion with only ⅓ of papers using study designs, such as cross-sectional, qualitative, review, before and after study, Delphi and RCT.</p><p><strong>Conclusion: </strong>This scoping review highlights the complexity of providing nursing interventions for parastomal bulging. It shows that one intervention can manage multiple symptoms and potentially several symptoms simultaneously, whereas several interventions may be needed to address a single symptom. Therefore, decisions on interventions must be based on the underlying cause of the problem. Due to the limited number of studies on the effects of nursing interventions, more rigorous research is needed in the future.</p><p><strong>Relevance to clinical practice: </strong>The results can be used as an inspirational guide for clinical practice.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426587","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":"Sexual and Gender Minority Migrants' Experiences of Health Service Access and Utilisation: A Qualitative Meta-Synthesis.","authors":"Maria Gottvall, Osszián Péter-Szabó, Rummage Isaac, Christoffer Aav, Erik Norgren, Tommy Carlsson","doi":"10.1111/jocn.17683","DOIUrl":"https://doi.org/10.1111/jocn.17683","url":null,"abstract":"<p><strong>Aims: </strong>To describe and synthesise qualitative studies exploring sexual and gender minority migrants' experiences of health service access and utilisation.</p><p><strong>Design: </strong>Systematic meta-synthesis of qualitative studies.</p><p><strong>Data sources: </strong>Systematic searches in four databases and citation screening were conducted in 2023 and 2024. English-language empirical qualitative studies published in scientific journals within 10 years were included. Of 1109 screened, 21 reports were included.</p><p><strong>Methods: </strong>Included reports were appraised using CASP and JBI checklists. Extracted results were analysed with inductive content analysis in a collaborative process.</p><p><strong>Results: </strong>All reports had acceptable quality, including 365 participants from 72 countries. A range of external and internal barriers to accessing health services were reported, including financial constraints and fears. Although migrants expressed an appreciation of health services, they also experienced non-affirming behaviours and discrimination related to their intersecting identities. Several essential components in health services necessary to cater to the needs of migrants were addressed, including the personality and manner of health professionals as well as adherence to confidentiality.</p><p><strong>Conclusion: </strong>Barriers to health services, intersectional discrimination and non-affirming behaviours when interacting with health services are pressing issues that need further attention.</p><p><strong>Implication for the profession and/or patient care: </strong>Ensuring safety through affirming support is key to achieving high-quality and accessible health services for sexual and gender minority migrants. Nurses and other health professionals need to carefully consider intersectional layers related to sensitivity and safety when supporting sexual and gender minority migrants. Open, friendly, validating, respectful and encouraging communication is essential in clinical settings.</p><p><strong>Impact: </strong>This review addressed experiences of health services amongst a marginalised population. The findings highlight the importance of affirming care and are relevant for health professionals, stakeholders and decision-makers.</p><p><strong>Reporting method: </strong>ENTREQ.</p><p><strong>Patient or public contribution: </strong>Two persons with lived experience were involved in the meta-synthesis.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426547","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":"The Effectiveness of Telehealth Self-Management Interventions to Improve the Health Outcomes of Adults Undergoing Haemodialysis: A Systematic Review and Meta-Analysis.","authors":"Si Xian Ng, Lian Kwang Tang, Hannele Turunen, Minna Pikkarainen, Yanhong Dong, Hong-Gu He","doi":"10.1111/jocn.17686","DOIUrl":"https://doi.org/10.1111/jocn.17686","url":null,"abstract":"<p><strong>Background: </strong>Haemodialysis is a life-sustaining treatment for patients suffering from advanced chronic kidney disease that persists without respite. Adherence to complex haemodialysis regimens demands rigorous self-management. Current literature has suggested the potential of novel telehealth technologies in supporting the self-management of haemodialysis patients, but this remains inconclusive.</p><p><strong>Aim: </strong>To synthesise available evidence to determine the effectiveness of telehealth self-management interventions on the health outcomes of adults undergoing haemodialysis.</p><p><strong>Design: </strong>A systematic review and meta-analysis (reported according to the PRISMA Guidelines).</p><p><strong>Methods: </strong>Nine electronic databases (PubMed, EMBASE, Cochrane Central Register of Controlled Trials, MEDLINE, CINAHL, PsycINFO, Scopus, Web of Science and ProQuest Dissertations & Theses Global), trial registries and grey literature were searched from inception till 1 December 2023 for randomised controlled trials on the effectiveness of telehealth self-management interventions for haemodialysis patients. Two independent reviewers performed screening, data extraction and risk-of-bias appraisal using Cochrane RoB tool-1. Meta-analyses using Review Manager Web synthesised the interventional effects. Cochrane GRADE assessed the overall quality of evidence.</p><p><strong>Results: </strong>Fifteen randomised controlled trials (involving 1003 participants) were included. Telehealth self-management interventions had a medium statistically significant effect on improving self-efficacy (SMD = 0.54, 95% CI [0.25, 0.83], Z = 3.69, p = 0.0002). Additional meta-analyses for the outcomes of knowledge, treatment adherence, health-related quality of life, inter-dialytic weight gain and serum electrolyte levels were non-statistically significant but appeared promising to be improved by telehealth self-management. The overall certainty of evidence for all outcomes was very low.</p><p><strong>Conclusions: </strong>This review provided insights into the clinical importance of telehealth self-management interventions in self-efficacy enhancement among haemodialysis patients. Future researchers are encouraged to optimise telehealth components relevant to the worldwide needs and cultural diversity of adults undergoing haemodialysis.</p><p><strong>Implication for professional care: </strong>Adoption of technological healthcare delivery is vital in establishing positive health outcomes and sustainability of routine patient care pathways.</p><p><strong>Patient or public contribution: </strong>None.</p><p><strong>Registration: </strong>PROSPERO CRD42024438860.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426548","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":"Development and Validation of a Chinese Version of an Information Needs Questionnaire for Patients With Breast Cancer Undergoing Radiotherapy.","authors":"Zhao Wang, Xueyu Li, Fang Zhang, Junjun Sun, Congcong Lian, Jiayun Sun, Yixuan Liu, Jing Zhao, Xiaocen Chen","doi":"10.1111/jocn.17682","DOIUrl":"https://doi.org/10.1111/jocn.17682","url":null,"abstract":"<p><strong>Background: </strong>The efficacy of radiotherapy and the satisfaction of patients can be significantly improved by adequately addressing their information needs. This process is impeded by the current lack of a comprehensive tool for assessing these needs.</p><p><strong>Objective: </strong>To develop an Information Needs Questionnaire for patients with breast cancer undergoing radiotherapy and to assess its reliability and validity.</p><p><strong>Methods: </strong>The initial item pool for the questionnaire was developed through a literature analysis and semi-structured interviews with 12 patients with breast cancer receiving radiotherapy. The Delphi method was employed to consult 16 experts and the questionnaire content was refined based on expert feedback and item ratings to form the first draft. A pre-investigation was conducted on 30 patients with breast cancer treated with radiotherapy to refine the item expression. From March-October 2024, item analysis, factor analyses, and reliability tests were conducted on 220 patients. This study adhered to STROBE guidelines.</p><p><strong>Results: </strong>The final questionnaire comprised 36 items. Exploratory factor analysis revealed 5 dimensions, with all item factor loading within their respective dimensions being ≥ 0.4 and no items exhibiting multiple loadings. These five factors accounted for 72.805% of the total variance. The overall content validity index was 0.980, with item-level content validity index ranging from 0.900 to 1.000. The Cronbach's α coefficient for the entire questionnaire was 0.959, and the coefficients for each dimension ranged from 0.786 to 0.958.</p><p><strong>Conclusion: </strong>The Information Needs Questionnaire demonstrated excellent reliability and validity in patients with breast cancer undergoing radiotherapy. It can effectively guide medical staff to accurately assess the information needs of patients with breast cancer who are undergoing radiotherapy.</p><p><strong>Relevance to clinical practice: </strong>Identifying the authentic informational needs of breast cancer patients throughout the entire radiotherapy process is instrumental in enabling medical staff to devise personalised and targeted information support interventions.</p><p><strong>Patient or public contribution: </strong>A total of 220 participants provided perspectives on their information needs.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374866","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":"Registered Nurse-Led Interdisciplinary Care: A Single Case Study of a Young Woman With Intellectual Disability and Chronic and Complex Health Problems.","authors":"Nathan J Wilson, Peter Lewis, Cheryll Apostol, Natalie Duckworth, Macey Barratt","doi":"10.1111/jocn.17685","DOIUrl":"https://doi.org/10.1111/jocn.17685","url":null,"abstract":"<p><strong>Aim: </strong>To describe how specialised models of registered nurse-led care and support can play a vital role in the health and quality of life of someone with intellectual disability and multiple chronic and complex health problems.</p><p><strong>Design: </strong>Single instrumental case study.</p><p><strong>Methods: </strong>Data collection occurred between March and August 2023, and included interviews with parents, historical case files, descriptions of the nurse-led model of care and a list of the daily registered nurse-led interventions.</p><p><strong>Results: </strong>The evidence presented strongly support the positive impact a nurse-led model of care can have for persons with profound disability and complex health conditions, and their families. The improved quality of life observed in this project underscores the significant role nurses play in enhancing the well-being of this vulnerable population.</p><p><strong>Conclusion: </strong>Further research on a larger scale should be completed to create a robust foundation of a specialised, nurse-led model of care for individuals with profound disability and complex health conditions.</p><p><strong>Implications: </strong>There is room for funded intermediate models of care as the health system cannot be expected, and nor is it appropriate, to provide ongoing care for all people with intellectual disability.</p><p><strong>Reporting method: </strong>This study adhered to the COREQ guidelines for qualitative research.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374805","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":"Struggles of Fatherhood: A Prospective Study on the Incidence of Paternal Postpartum Depression and Associated Factors.","authors":"Jing Shi Chua, Jamie Qiao Xin Ng, Cornelia Yin Ing Chee, Liang Shen, Cindy-Lee Dennis, Yap Seng Chong, Shefaly Shorey","doi":"10.1111/jocn.17684","DOIUrl":"https://doi.org/10.1111/jocn.17684","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the incidence and the factors associated with paternal postpartum depression amongst new fathers in Singapore.</p><p><strong>Design: </strong>A prospective repeated measures study was conducted from September 2023 to March 2024.</p><p><strong>Methods: </strong>A total of 200 fathers aged 21 years and above who had a neonate born at full term and no serious health events for both mother and neonate were recruited from a local hospital via convenience sampling. Fathers completed questionnaires at the third trimester of pregnancy (baseline) and 1 month postpartum. Multiple regression analyses were used to identify significant factors associated with postpartum depression in fathers.</p><p><strong>Results: </strong>The incidence of paternal postpartum depression was 5.26% at 1 month post-childbirth, using the Edinburgh Postpartum Depression Scale (EPDS). Using the Gotland Male Depression Scale (GMDS), 7% of the fathers were identified with high risk of depression and 14.3% of the fathers had moderate depressive symptoms. Paternal postpartum depression at 1 month post-childbirth could be predicted by paternal postpartum depression scores at baseline measured by EPDS and GMDS, as well as by baseline perceived social support and parental self-efficacy at 1 month post-childbirth.</p><p><strong>Conclusion: </strong>This study found that a considerable number of fathers in Singapore are at risk of postpartum depression. There is an urgent need for the development of more comprehensive tools to measure postpartum depression in fathers that are culturally adapted to the local context.</p><p><strong>Implications: </strong>Early screening during antenatal visits enables timely intervention and access to support, benefiting the entire family. Nurses could help fathers to be more involved by extending patient education and teaching infant care skills to both parents. When counselling patients, the involvement of extended family members and navigating new roles as caregivers of a new baby and breadwinners are important considerations for new parents.</p><p><strong>Impact: </strong>This study is the first of its kind to measure the incidence of postpartum depression amongst new fathers in an urban multicultural Asian setting, like Singapore. The study found that the incidence of postpartum depression in fathers were 5.26% when measured using EPDS and 14.3% when measured using GMDS at 1 month postpartum. These findings could inform future family-centred and father-specific interventions to improve the mental health outcomes of new parents.</p><p><strong>Reporting method: </strong>This study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) reporting guideline.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374806","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":"Discrimination Faced by Male Nurses and Male Midwives: A Systematic Review and Meta-Synthesis.","authors":"Malanie Li Ling Wong, Siew Lin Serena Koh, Wei Zhou Teo, Kok Wee Eng, Shefaly Shorey","doi":"10.1111/jocn.17679","DOIUrl":"https://doi.org/10.1111/jocn.17679","url":null,"abstract":"<p><strong>Aim: </strong>To consolidate and appraise available evidence on the experiences and perceptions of male nurses and male midwives facing discrimination.</p><p><strong>Design: </strong>Qualitative systematic review. This review was informed by the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA).</p><p><strong>Methods: </strong>The Critical Appraisal Skills Program checklist was used to appraise included articles, and extracted data were meta-summarised and meta-synthesised using Sandelowski and Barroso's two-step approach.</p><p><strong>Data sources: </strong>PubMed, EMBASE, CINAHL, Scopus, Web of Science, PsycINFO, Cochrane Library, ProQuest (Dissertations and Theses Global) and ClinicalTrials.gov were sourced from the inception to December 2022.</p><p><strong>Results: </strong>A total of 21 studies were included, involving 283 male nurses and 11 male midwives. Four themes were identified during the meta-synthesis: (1) It's a 'women's world', (2) discrimination within and beyond the workplace, (3) stereotypes and labels and (4) the silver lining.</p><p><strong>Conclusion: </strong>This review offered male nurses' and male midwives' perspectives on discrimination faced in nursing. There is a need to ensure gender equality in the nursing profession by reinforcing the importance and value of employing men in this profession.</p><p><strong>Implications: </strong>Future research should focus on examining the experiences of male nursing students and other healthcare stakeholders to understand discrimination faced by men in nursing from varied geographical and cultural backgrounds. The findings may provide helpful insights for planning supportive interventions, institutional adjustments, legislative changes, educational initiatives and research that benefit male nurses and male midwives.</p><p><strong>Impact: </strong>This qualitative systematic review consolidated and meta-synthesised the available evidence on male nurses' and male midwives' experiences of discrimination. These findings contribute to the understanding of male nurses and male midwives as a gender minority and the need for greater gender equality.</p><p><strong>Reporting method: </strong>PRISMA.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257161","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":"Effect of Massage and Touch on Agitation in Dementia: A Meta-Analysis.","authors":"Xiaotong Liu, Lili Zang, Qiuying Lu, Yue Zhang, Qinghui Meng","doi":"10.1111/jocn.17674","DOIUrl":"https://doi.org/10.1111/jocn.17674","url":null,"abstract":"<p><strong>Aims and objectives: </strong>To systematically assess the effects of massage and touch on agitation in patients with dementia and to determine the optimal intervention design.</p><p><strong>Background: </strong>Agitated behaviour is the most common behavioural symptom in patients with dementia and can seriously affect the health status and quality of life of individuals with dementia and their caregivers. Massage and touch have been widely used as a non-pharmacological intervention to address the behavioural issues of dementia. However, current research findings on the effects of massage and touch on agitation in people with dementia are inconsistent.</p><p><strong>Design: </strong>A meta-analysis of randomised controlled trials.</p><p><strong>Methods: </strong>This meta-analysis complied with PRISMA guidelines, and relevant literature up to January 2024 was systematically retrieved from PubMed, Embase, Web of Science, the Clinical Trials Registry, Cochrane Library and four Chinese databases. Statistical evaluations were performed utilising Review Manager 5.4, and the included studies' bias risks were assessed with the Cochrane Collaboration tool.</p><p><strong>Results: </strong>Seventeen randomised controlled trials involving 980 patients with dementia were included. The results of the meta-analysis showed that massage and touch could ameliorate agitation and behaviour problems in dementia. Subgroup analyses based on massage type showed that hand, head and foot massage significantly improved agitation. Massage and touch for ≤ 4 weeks were more effective in reducing agitated behaviour than those for > 4 weeks. Furthermore, subgroup analysis revealed that massages and touch were more effective for individuals with less severe dementia.</p><p><strong>Conclusions: </strong>Massage and touch in the short term can effectively improve agitation in dementia patients, while hand, head and foot massage can effectively reduce agitation. Thus, clinical nursing staff and caregivers of individuals should be actively helped to apply massage and touch to their patients. However, more studies are needed to validate our results before we can give a more definitive recommendation.</p><p><strong>Relevance to clinical practice: </strong>This study suggests that massage and touch can be used as complementary treatments for agitation in people with dementia and encourages nursing staff and caregivers to apply massage and touch to better cope with the agitated behaviour of older adults with dementia.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p><p><strong>Trial registration: </strong>PROSPERO registration number: CRD42024507133.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124066","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}