International Journal of Nursing Studies最新文献

{"title":"Understanding Chinese adults' attitudes toward nurse prescribing: A national cross-sectional study","authors":"Xue Wang ,&nbsp;Yibo Wu ,&nbsp;Xinghua Bai ,&nbsp;Yiwen Wang ,&nbsp;Jing Wang ,&nbsp;Shuang Zang","doi":"10.1016/j.ijnurstu.2025.105064","DOIUrl":"10.1016/j.ijnurstu.2025.105064","url":null,"abstract":"<div><h3>Background</h3><div>Limited studies have investigated the attitudes of Chinese adults toward the role of nurse prescribing, particularly based on population-based cross-sectional research.</div></div><div><h3>Objective</h3><div>To investigate the associations of socio-demographic and health-related factors with the acceptance of the role of nurse prescribing.</div></div><div><h3>Design</h3><div>A cross-sectional study.</div></div><div><h3>Setting</h3><div>In China.</div></div><div><h3>Participants</h3><div>A total of 30,054 participants were included in this study.</div></div><div><h3>Methods</h3><div>We employed univariate generalized linear model and multivariable generalized linear model analyses to explore the factors that were associated with the acceptance of the role of nurse prescribing.</div></div><div><h3>Results</h3><div>Individuals of older age (β: 0.08, 95 % CI: 0.05–0.10) and residing in the Western region of China (β: 1.99, 95 % CI: 1.29–2.70), with average monthly household income per capita in the range of 3001–6000 (β: 2.58, 95 % CI: 1.84–3.32) and ≥ 6001 (β: 3.90, 95 % CI: 3.01–4.80), as well as those reporting higher levels of perceived social support (β: 0.46, 95 % CI: 0.35–0.56), better self-rated health status (β: 0.15, 95 % CI: 0.14–0.17), and increased eHealth literacy (β: 0.61, 95 % CI: 0.53–0.68), tend to demonstrate an inclination toward accepting nurse prescribing.</div></div><div><h3>Conclusions</h3><div>These findings provide valuable insights for healthcare policymakers and practitioners aiming to promote the integration of nurse prescribing into the Chinese healthcare system. Our results emphasize the need for targeted interventions to address barriers to acceptance and enhance the accessibility and utilization of nurse-prescribing services among diverse demographic characteristics.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"166 ","pages":"Article 105064"},"PeriodicalIF":7.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Personal and work-related factors associated with nurse resilience: An updated systematic review using meta-analysis and narrative synthesis","authors":"Fiona Yu ,&nbsp;Deborah Raphael ,&nbsp;Lisa Mackay ,&nbsp;Melody Smith ,&nbsp;Ritin Fernandez","doi":"10.1016/j.ijnurstu.2025.105054","DOIUrl":"10.1016/j.ijnurstu.2025.105054","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Nursing shortages and increased workforce turnover have significantly increased nurses' workloads, thus increasing the risk of burnout and stress, particularly during the COVID-19 pandemic. A systematic review published in 2019 suggested that resilience could act as a buffer to adversity; however, the factors associated with resilience during and after this global pandemic have not been identified.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;To identify personal and work-related factors associated with nurse resilience, including the period during and after the COVID-19 pandemic.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Systematic review.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Data sources&lt;/h3&gt;&lt;div&gt;The search was conducted between January and February 2024 in the following databases: CINAHL Plus, MEDLINE (Ovid), PsycINFO, EMBASE, and Scopus, using the key terms ‘resilience’, ‘hardiness’, ‘work’, ‘employ’, ‘occupation’, ‘job’, and ‘nursing’.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Review methods&lt;/h3&gt;&lt;div&gt;Quantitative studies with English full text, published between 2018 and 2024, were selected if they assessed resilience and its associated factors among nurses providing direct patient care. Two authors independently completed the data selection process. Studies with quality assessment grades of 3 or above were included for final analysis. A meta-analysis was utilised for the mean resilience levels from studies using the same measures of resilience, and a narrative synthesis was performed for the demographic and work-related factors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Fifty-nine cross-sectional studies with a quality assessment score of 3 or above were included. Forty-seven studies were included in a meta-analysis, which reported an estimated mean resilience level of 20.69 using a random-effects model (95 % CI [18.53, 22.85], z = 18.79, p &lt; 0.0001, I&lt;sup&gt;2&lt;/sup&gt; = 95.1 %). Twenty studies with the Connor Davidson Resilience Scale (CD-RISC)-25 and five with the CD-RISC-10 were meta-analysed for the mean resilience levels of 62.85 (95 % CI: [55.60, 70.10], z = 16.97, p &lt; 0.0001, I&lt;sup&gt;2&lt;/sup&gt; = 31.70 %) and 26.34 (95 % CI: [20.85, 31.83], p &lt; 0.0001, I&lt;sup&gt;2&lt;/sup&gt; = 0 %), respectively. A low mean resilience level was identified. Sixteen demographic factors were identified as associated with resilience. Twenty job demand factors negatively associated with resilience were determined and categorised into exhaustion, psychological factors, and work challenges. Thirty-two job resource factors positively related to resilience were identified and classified into the following categories: psychological factors, leadership, work performance, well-being and quality of life, and social and organisational support.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Understanding the job demand and resource factors can help organisations minimise the risks and develop institutional strategies to protect nurses from the negative impact of COVID-19 or future pandemics on nurses' well","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"166 ","pages":"Article 105054"},"PeriodicalIF":7.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143704461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systemic and organizational barriers and facilitators to the advancement of ethnic minority women nurses in healthcare leadership: A meta-synthesis","authors":"Mihirika Surangi De Silva Pincha Baduge ,&nbsp;Belinda Garth ,&nbsp;Mariam Mousa ,&nbsp;Leanne Boyd ,&nbsp;Ifeoluwa Adesina ,&nbsp;Kathryn Joseph ,&nbsp;Helena Jane Teede","doi":"10.1016/j.ijnurstu.2025.105052","DOIUrl":"10.1016/j.ijnurstu.2025.105052","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This meta-synthesis explored system and organizational-level barriers and facilitators for women in nursing from ethnically minoritized backgrounds that impact their advancement in healthcare leadership. This topic is important because nursing accounts for a significant proportion of the global health workforce, and women represent the majority of the nursing profession, yet, women nurses are underrepresented in healthcare leadership. This disparity is further compounded for women nurses from ethnically minoritized backgrounds, including migrants.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Systematic review methods incorporating meta-synthesis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Data sources&lt;/h3&gt;&lt;div&gt;Six databases (MEDLINE, EMCARE, EMBASE, PsycINFO, PubMed, and CINAHL) were searched from January 2000 to November 2024 for terms including: “women”, “nurses OR midwives”, and “leadership”. The search was limited to the English language.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Review methods&lt;/h3&gt;&lt;div&gt;Template analysis was performed to identify system and organizational-level barriers and facilitators that impact on ethnically minoritized women nurses' career progression. Methodological quality of included studies was assessed using the Joanna Briggs Institute Cross-sectional and Prevalence Studies criteria and Critical Appraisal Skills Programme-Qualitative Studies Checklist.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Twenty-one papers were included in this review. Under four main categories, seventeen sub-themes were identified: 1. Systemic/outer setting barriers (skills, education and qualification recognition for migrants; societal racial bias), 2. Systemic/outer setting facilitators (policies; supportive nursing organizations specific to ethnically minoritized women; research, evidence and awareness on racism; representation across all stakeholders in nursing), 3. Organizational/inner setting barriers (lack of support for organizational processes and policies; institutional racism; discriminatory organizational culture; limited access to effective mentoring and networking; ineffective support tools; impact of persistent barriers), and 4. Organizational/inner setting facilitators (organizational processes and policies; organizational culture; mentoring and networking; support tools; training and development).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Women nurses from ethnically minoritized backgrounds encounter systemic and organizational-level barriers to healthcare leadership, contributing to their underrepresentation in leadership. Recruitment, promotion, and retention processes for leadership positions are adversely affected, primarily due to bias, inadequate support mechanisms, and discrimination. Addressing these issues and removing structural barriers for women nurses from ethnically minoritized backgrounds requires a systemic and organizational-level approach. By identifying these disparities, healthcare systems can work towards creating equal opportunities for","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"166 ","pages":"Article 105052"},"PeriodicalIF":7.5,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects on health outcomes following a nurse-led hearing loss management intervention designed for older adults: A randomized controlled trial","authors":"Ya-Chuan Tseng ,&nbsp;Nien-Tzu Chang ,&nbsp;Sara Hsin-Yi Liu ,&nbsp;Bih-Shya Gau ,&nbsp;Tien-Chen Liu ,&nbsp;Meei-Fang Lou","doi":"10.1016/j.ijnurstu.2025.105050","DOIUrl":"10.1016/j.ijnurstu.2025.105050","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Hearing loss is prevalent in older adults, which can negatively impact health. However, providing strategies for managing hearing loss is often not prioritized and it is not well understood whether interventions providing older adults with information to improve living with hearing loss can impact health.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;To investigate the effects of a nurse-led hearing loss management intervention designed for older adults on communication ability, loneliness, depression, quality of life and hearing aid satisfaction.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This single-blind, parallel-arm, randomized controlled trial with a repeated measure design recruited adults aged ≥&lt;!--&gt; &lt;!--&gt;65 years with hearing loss (N = 57) from an otolaryngology clinic of a university-affiliated hospital in northern Taiwan from September 2021 to October 2023. Participants were randomly assigned to a 10-week nurse-led hearing loss management program (intervention group, n = 28), or 10 weeks of usual care while wait-listed for the program (wait-list control group, n = 29). The program included (1) ten 60-min one-on-one health education sessions on hearing loss management strategies; (2) a printed booklet on hearing loss; (3) a consultation with communication partners of the participants; and (4) weekly follow-up calls. Self-report assessments were conducted at baseline (T0), immediately after completion of the intervention (3 months, T1), and at the 3-month follow-up (6 months from baseline, T2). Data were analyzed using the intention-to-treat principle. Generalized estimating equations analyzed changes in measures from T0 to T1 and T0 to T2 for the intervention group compared with the wait-list control group.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Post-intervention, after adjusting for age, participants in the intervention group had greater improvements in communication ability compared with the wait-list control group (mean difference = −&lt;!--&gt; &lt;!--&gt;8.51, 95 % CI: −&lt;!--&gt; &lt;!--&gt;12.37 to −&lt;!--&gt; &lt;!--&gt;4.65, p &lt; 0.001) and an increase in perceived hearing aid satisfaction (mean difference = 3.90, 95 % CI: 1.84 to 5.96, p = 0.001). The greater improvements in communication ability for the intervention group compared with the wait-list control group were sustained at the 3-month follow-up (mean difference = −&lt;!--&gt; &lt;!--&gt;5.95, 95 % CI: −&lt;!--&gt; &lt;!--&gt;10.48 to −&lt;!--&gt; &lt;!--&gt;1.42, p = 0.007). No differences were identified between the two groups in terms of loneliness, depression or quality of life.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Significant improvements were seen in communication abilities and hearing aid satisfaction for older adults in the intervention group after participation in the nurse-led hearing program. The sustained communication ability improvements at 3-month follow-up suggest hearing loss management programs positively impact the health of older adults with hearing loss.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"166 ","pages":"Article 105050"},"PeriodicalIF":7.5,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to \"Survivorship concerns among posttreatment cancer survivors in South Korea: A secondary analysis of a cross-sectional survey\" [Int. J. Nurs. Stud. 162 (2025) 104982].","authors":"Soo Hyun Kim","doi":"10.1016/j.ijnurstu.2025.105042","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2025.105042","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":" ","pages":"105042"},"PeriodicalIF":7.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Authors' response to \"Comment on Fajarini et al. (2024) 'Effects of advanced practice nurses on health-care costs, quality of care, and patient well-being in health-care settings: A meta-analysis of randomized controlled trials'\".","authors":"Melati Fajarini, Kuei-Ru Chou","doi":"10.1016/j.ijnurstu.2025.105051","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2025.105051","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":" ","pages":"105051"},"PeriodicalIF":7.5,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Author's responses to \"Comment on Kim (2025) 'Survivorship concerns among posttreatment cancer survivors in South Korea: A secondary analysis of a cross-sectional survey\".","authors":"Soo Hyun Kim","doi":"10.1016/j.ijnurstu.2025.105039","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2025.105039","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":" ","pages":"105039"},"PeriodicalIF":7.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Skin-to-skin contact and breastfeeding after caesarean section: A systematic review and meta-analysis of intervention studies","authors":"José Alberto Martínez-Hortelano ,&nbsp;Alicia Saz-Lara ,&nbsp;Jorge Luis Gómez González ,&nbsp;Soledad Cristóbal-Aguado ,&nbsp;Laura Iglesias-Rus ,&nbsp;Vicente Martínez-Vizcaíno ,&nbsp;Miriam Garrido-Miguel","doi":"10.1016/j.ijnurstu.2025.105038","DOIUrl":"10.1016/j.ijnurstu.2025.105038","url":null,"abstract":"<div><h3>Background</h3><div>Breastfeeding has been widely studied as a factor that improves maternal and newborn health outcomes. Immediate or early skin-to-skin contact interventions have been proposed in health care services to increase breastfeeding or exclusive breastfeeding rates following caesarean births although the findings are inconclusive.</div></div><div><h3>Objective</h3><div>This systematic review and meta-analysis aimed to synthesize the available evidence on early or immediate skin-to-skin contact and breastfeeding in women and newborns following caesarean birth.</div></div><div><h3>Methods</h3><div>A systematic search was performed using in the MEDLINE, EMBASE, Cochrane Library and Web of Science databases from inception to June 2024. The effects of early or immediate skin-to-skin contact were reported as relative risks (RRs) with 95 % confidence intervals (CIs) provided by the original articles. Pooled estimates were calculated using the DerSimonan and Laird methods. The intervention groups received early or immediate skin-to-skin contact and the control group received standard care after caesarean birth. The risk of the bias of the randomized controlled trials was assessed using the Cochrane risk of bias tool for randomized controlled trials (RoB 2) and the risk of bias in nonrandomized studies of interventions (ROBINS-I) assessment tool for nonrandomized studies. Publication bias was assessed with funnel plot asymmetry and Egger's test. Zotero reference manager and Stata 17 software were used.</div></div><div><h3>Results</h3><div>Eight randomized controlled trials and three quasiexperimental studies involving a total of 1.990 participants were included. The findings indicate that skin-to-skin contact decreased the time to first attachment by 51.73 min (95 % CI: −<!--> <!-->68.54 to −<!--> <!-->34.91; I²: 85.3), increased the breastfeeding rates in the first 2 h after birth (RR: 4.86; 95 % CI: 2.71 to 7.01; I²: 44.1) and the exclusive breastfeeding rate at discharge (RR: 1.69; 95 % CI 1.36 to 2.01; I²: 13.7), but not the exclusive breastfeeding rate at one month from birth or later (RR: 1.13; 95 % CI 0.73 to 1.54; I²: 0.0).</div></div><div><h3>Conclusion</h3><div>This study revealed that early or immediate skin-to-skin contact after caesarean birth improved breastfeeding rates and exclusive breastfeeding rates during the health care stay. Trials with longer follow-up times are needed to assess whether interventions based on early or immediate skin-to-skin contact maintain their effectiveness over time and to clarify whether early or immediate skin-to-skin contact is safe for preterm newborns or women with certain health conditions.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"166 ","pages":"Article 105038"},"PeriodicalIF":7.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of psychoeducation interventions on psychological outcomes among spousal caregivers of community-dwelling older adults: A systematic review and meta-analysis","authors":"Ning Zhang ,&nbsp;Yamei Bai ,&nbsp;An Tao ,&nbsp;Yayi Zhao ,&nbsp;Helen Yue Lai Chan","doi":"10.1016/j.ijnurstu.2025.105049","DOIUrl":"10.1016/j.ijnurstu.2025.105049","url":null,"abstract":"<div><h3>Background</h3><div>Spouses often assume the role of primary informal caregivers for ageing partners. Spousal caregivers are more likely than other family members to experience negative psychological outcomes due to their unique identities. However, little is known as to whether psychoeducation interventions can support them in the caregiving process.</div></div><div><h3>Objectives</h3><div>To systematically identify and synthesise evidence regarding the effects of psychoeducation interventions on psychological outcomes among spousal caregivers of community-dwelling older adults.</div></div><div><h3>Design</h3><div>A systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>Eight electronic databases, including Cochrane Library, PubMed, CINAHL, MEDLINE, Embase, PsycINFO, Chinese Journal Net and Wanfang were searched from inception to August 2024. Randomised controlled trials of psychoeducation interventions on psychological outcomes in spousal caregivers of older adults were included. The quality of the evidence was evaluated using The Cochrane Risk of Bias Tool v2. The certainty of the evidence was assessed by the GRADE approach. Data synthesis methods, including meta-analysis and narrative synthesis, were conducted based on data availability. Meta-analysis was performed using a random-effects model given the substantial heterogeneity in the intervention design and outcomes. Sensitivity analyses were used to assess the robustness of the findings.</div></div><div><h3>Results</h3><div>Among the 18 reviewed studies, the overall risk of bias indicated that four had low risk, eight had some concerns, and six had high risk. The pooled analysis suggested that psychoeducation interventions had significant effects on improving marital satisfaction (SMD = 0.28, 95 % CI: 0.09 to 0.47; low certainty) and positive aspects of caregiving (SMD = 1.30, 95 % CI: 0.44 to 2.16; very low certainty). However, the effects on depressive symptoms, caregiving burden, anxiety, mental health, coping and self-efficacy were negligible. Narrative synthesis of evidence suggested potential beneficial effects on posttraumatic growth, family functioning, family relationship and life satisfaction.</div></div><div><h3>Conclusions</h3><div>Psychoeducation interventions have potential to improve marital satisfaction and positive aspects of caregiving among spousal caregivers of older adults. However, the evidence has a low level of certainty with considerable variability in intervention design and outcome measures, indicating the need for further rigorous investigation. The non-significant effects on enhancing caregiving competence or alleviating negative psychological outcomes highlight the importance of exploring the specific needs and expectations of spousal caregivers.</div></div><div><h3>Registration</h3><div>PROSPERO (CRD42024498599).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"166 ","pages":"Article 105049"},"PeriodicalIF":7.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on ‘Survivorship concerns among post-treatment cancer survivors in South Korea: A secondary analysis of a cross-sectional survey’","authors":"Beilei Chen, Sheng Li","doi":"10.1016/j.ijnurstu.2025.105041","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2025.105041","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"38 1","pages":""},"PeriodicalIF":8.1,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143583085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}