International Journal of Nursing Studies最新文献

{"title":"Digital exclusion in older adults: A scoping review","authors":"Hui Ge,&nbsp;Jiashuai Li,&nbsp;Huiling Hu,&nbsp;Tingting Feng,&nbsp;Xue Wu","doi":"10.1016/j.ijnurstu.2025.105082","DOIUrl":"10.1016/j.ijnurstu.2025.105082","url":null,"abstract":"<div><h3>Background</h3><div>The intersection of aging and digitalization is a distinctive feature of this new era. While digitalization brings convenience, it also forces older people to use tools that did not exist during their formative or working years. Understanding digital exclusion in older adults, the primary demographic affected, is essential to better support integration into the digital society, particularly in enhancing digital healthcare services' usability, continuity, and precision.</div></div><div><h3>Objective</h3><div>This study aims to conduct a scoping review of digital exclusion to better understand its current state in older adults.</div></div><div><h3>Methods</h3><div>The scoping review followed a five-stage framework and the PRISMA-ScR checklist statement. We systematically searched PubMed, CINAHL Plus with Full Text, Academic Search Complete, ACM digital library, Web of Science, and ProQuest from the earliest available date to May 2024.</div></div><div><h3>Results</h3><div>A total of 39 articles were included in the scoping review. The attributes of digital exclusion were identified as resource exclusion, skills exclusion, and motivational exclusion. Contributing factors were categorized into three domains: sociodemographic characteristics, physiological conditions, and psychological states. The consequences of digital exclusion were separated into social exclusion and technology anxiety. Intervention strategies included accessibility, ability, and willingness, aligning with the attributes of digital exclusion in older adults.</div></div><div><h3>Conclusions</h3><div>The findings of this scoping review contribute to understanding and clarifying digital exclusion in older adults. Digital exclusion is a prevalent, complex, multi-causal, and multidimensional phenomenon that predisposes individuals to social exclusion. Identifying attributes, contributing factors, and consequences can guide digital product developers, sociologists, and geriatric clinicians in addressing digital exclusion in older adults to improve their mental and physical well-being. Future research should focus more on empirical studies to deepen our understanding of digital exclusion in older adults.</div><div><strong>Tweetable abstract</strong>: The definition of digital exclusion is inconsistent. Further clarification of contributing factors, developing measurement tools, and formulating interventions for digital exclusion in older adults can contribute to achieving consensus on the concept.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105082"},"PeriodicalIF":7.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143863421","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":"Reminiscence therapy delivery formats for older adults with dementia or mild cognitive impairment: A systematic review and network meta-analysis","authors":"Yuhang Pu ,&nbsp;Guangwei Zhang ,&nbsp;Simiao You ,&nbsp;Hayley Gains ,&nbsp;Kexin Huang ,&nbsp;Yongliang Jiao ,&nbsp;Rendong He ,&nbsp;Bingyue Han ,&nbsp;Haiqi Yang ,&nbsp;Yong Jia ,&nbsp;Li Chen","doi":"10.1016/j.ijnurstu.2025.105085","DOIUrl":"10.1016/j.ijnurstu.2025.105085","url":null,"abstract":"<div><h3>Background</h3><div>Reminiscence therapies are beneficial for people who have dementia or mild cognitive impairment and are widely used among older adults in service institutions and community health care. However, it is not clear which reminiscence therapy delivery format is the most effective.</div></div><div><h3>Objectives</h3><div>To evaluate all reminiscence therapy delivery formats with regard to comparative cognitive function, depressive symptoms, quality of life and adherence, among people with dementia or mild cognitive impairment.</div></div><div><h3>Methods</h3><div>Nine databases were searched systematically to screen pertinent randomized controlled trials (RCTs) published as of March 7, 2025. The effects of and adherence to reminiscence therapy delivery formats were ranked by using a network meta-analysis based on frequentist approaches. The inconsistency between direct comparison and indirect comparison was examined by the node-splitting method. The surface under the cumulative ranking curve (SUCRA) was calculated to rank probability of all reminiscence therapy delivery formats.</div></div><div><h3>Results</h3><div>Fifty-three RCTs involving 4582 participants were included from 4363 records. Compared to the control groups, reminiscence therapy improved cognitive function, reduced depressive symptoms and improved quality of life and this differed according to delivery format. Digital reminiscence therapy had better effects relative to treatment as usual (<em>SMD</em> = 5.02, 95 % <em>CI</em>: 2.57, 7.48) was the highest ranking (SUCRA = 93.6 %) for cognitive function. Digital reminiscence therapy had better effects compared to treatment as usual (<em>SMD</em> = −<!--> <!-->5.98, 95 % <em>CI</em>: −<!--> <!-->10.67, −<!--> <!-->1.30) with highest ranking (SUCRA = 94.9 %) for depressive symptoms. Individual reminiscence therapy had better effects compared to treatment as usual (<em>SMD</em> = 5.15, 95 % <em>CI</em>: 3.61, 6.70) and ranked first (SUCRA = 98.3 %) for quality of life. Group reminiscence therapy was the best format compared to individual reminiscence therapy (<em>SMD</em> = 2.36, 95 % <em>CI</em>: 1.37, 4.06) and treatment as usual (<em>SMD</em> = 1.71, 95 % <em>CI</em>: 1.07, 2.73) with highest ranking (SUCRA = 95.6 %).</div></div><div><h3>Conclusions</h3><div>This review suggests that digital reminiscence therapy seems to be the most effective format for people with dementia or mild cognitive impairment and adherence is likely to be higher following group reminiscence therapy. Considering the limitations of this review, more comprehensive multi-group randomized controlled trials are warranted to compare the effects of and adherence to reminiscence therapy delivery formats for people with dementia or mild cognitive impairment.</div></div><div><h3>Registration</h3><div>This review was registered with PROSPERO (CRD42024530754).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105085"},"PeriodicalIF":7.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143863420","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 a nurse-led individualized mHealth nutrition intervention for post-discharged gastric cancer patients following gastrectomy: A randomized controlled trial","authors":"Xiao-han Jiang ,&nbsp;Xiu-hong Yuan ,&nbsp;Jia-min Chen ,&nbsp;Hong Yu ,&nbsp;Xi-jie Chen ,&nbsp;Yong-he Chen ,&nbsp;Si-jia Li ,&nbsp;Yue-e Wen ,&nbsp;Jun-sheng Peng","doi":"10.1016/j.ijnurstu.2025.105092","DOIUrl":"10.1016/j.ijnurstu.2025.105092","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effects of a nurse-led individualized mHealth nutrition intervention on nutritional status, nutritional intake, cognitive beliefs related to nutritional behavior, weight loss, blood parameters, gastrointestinal symptoms, and quality of life in post-discharged gastric cancer patients following gastrectomy.</div></div><div><h3>Design</h3><div>This was an assessor-blinded parallel-arm randomized controlled trial with a repeated-measures design.</div></div><div><h3>Setting(s)</h3><div>The participants were recruited from inpatient gastric surgery units of two tertiary hospitals in Guangzhou, China.</div></div><div><h3>Participants</h3><div>A total of 108 patients with gastric cancer who underwent gastrectomy and were scheduled to be discharged to their homes were included.</div></div><div><h3>Method</h3><div>Participants were randomly allocated to either the intervention or the control group (n = 54 per group). The intervention group received the nurse-led individualized mHealth nutrition intervention in addition to the usual care, whereas the control group received only usual care. The intervention included face-to-face education before discharge, the use of an applet and phone consultations. Baseline data were collected on the day of discharge from the hospital (T0). The patients' nutritional status, cognitive beliefs related to nutritional behavior, nutritional intake, weight loss, blood parameters, gastrointestinal symptoms and quality of life were repeatedly measured at 4-week (T1) and 12-week (T2) after discharge.</div></div><div><h3>Results</h3><div>Compared with the control group, the intervention group showed significant improvement in nutritional status (<em>ꞵ₄ weeks</em> = −<!--> <!-->1.08, 95 % CI −<!--> <!-->2.12 to 0.04, <em>p</em> = 0.042; <em>ꞵ₁₂ weeks</em> = −<!--> <!-->1.52, 95 % CI −<!--> <!-->2.57 to −<!--> <!-->0.47, <em>p</em> = 0.005). Improvements were also observed in energy and protein intake, weight loss, and cognitive beliefs related to nutritional behavior, including risk perception, outcome expectancy, self-efficacy, intention, and action plan (<em>p</em> &lt; 0.05). However, no statistically significant differences were observed in coping plan, gastrointestinal symptoms, blood parameters, and quality of life (<em>p</em> &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>The nurse-led individualized mHealth nutrition intervention was effective for improving the cognitive beliefs related to nutritional behavior, energy and protein intake, and nutritional status, as well as reducing weight loss among post-discharged gastric cancer patients following gastrectomy.</div></div><div><h3>Registration number</h3><div>ChiCTR2200064808.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105092"},"PeriodicalIF":7.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847473","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":"Exploring the perceptions and experiences of caregivers with the application of socially assistive robots in dementia care: A systematic review of qualitative studies","authors":"Wen Shi,&nbsp;Wenlu Zhou,&nbsp;Rui Wang,&nbsp;Haifei Shen,&nbsp;Niying Xu,&nbsp;Junjie Wang","doi":"10.1016/j.ijnurstu.2025.105084","DOIUrl":"10.1016/j.ijnurstu.2025.105084","url":null,"abstract":"<div><h3>Background</h3><div>The use of socially assistive robots in dementia care is growing, aimed at improving patient well-being and alleviating caregiver burden. Refining the utilisation of robotic assistance in individuals with dementia is critical, drawing on feedback and insights from caregivers. While numerous qualitative studies have examined how caregivers view and interact with socially assistive robots, a comprehensive synthesis of these insights is missing. This study seeks to integrate existing research on caregiver perceptions and experiences regarding socially assistive robots, offering guidance for applying and developing such technology in dementia care.</div></div><div><h3>Methods</h3><div>A computerised search of the Cochrane Library, PubMed, Embase, CINAHL, Web of Science Core Collection, CNKI, Wanfang, Vip and SinoMed was conducted to identify relevant qualitative studies. The search covered the period from establishing each database until July 2024. The Joanna Briggs Institute criteria for qualitative research were utilised to evaluate the quality of the studies, and a thematic synthesis approach was employed to integrate the findings.</div></div><div><h3>Results</h3><div>A total of 15 studies were included, yielding four new integrated findings: (1) mixed attitudes of caregivers towards socially assistive robots, (2) perceived benefits of using socially assistive robots in people with dementia from caregivers, (3) realistic barriers in applying socially assistive robots for dementia care, and (4) future expectations for socially assistive robots from caregivers. Most caregivers actively embrace socially assistive robots, while a minority express concerns and doubts. These devices have significantly improved the psychological and physical conditions of people with dementia, concurrently reducing the burden for caregivers. However, the current models of these robots still exhibit several shortcomings and technical limitations, and caregivers maintain high expectations for their improvement.</div></div><div><h3>Conclusion</h3><div>During the implementation of socially assistive robots, the requirements and intentions of people with dementia and their caregivers must be addressed. This involves conducting essential knowledge dissemination and relevant educational activities to enhance user acceptance of these robotic assistants. Simultaneously, efforts should be made to improve the functionality and design aesthetics of these robots, refine the social support system and further enhance the quality of care for people with dementia while alleviating caregiver burden.</div></div><div><h3>Registration</h3><div>PROSPERO CRD42024511500.</div></div><div><h3>Tweetable abstract</h3><div>Socially assistive robots improve the well-being of people with dementia.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105084"},"PeriodicalIF":7.5,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143856065","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":"Effect of horticultural activities on reducing depressive symptoms in community-dwelling adults: a systematic review and meta-analysis","authors":"Po Yan Sin,&nbsp;William Ho Cheung Li,&nbsp;Myrian Sze Nga Fan,&nbsp;Shuk Ching Ng,&nbsp;Kai Chow Choi","doi":"10.1016/j.ijnurstu.2025.105081","DOIUrl":"10.1016/j.ijnurstu.2025.105081","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To review and analyse randomised-controlled trials and controlled clinical trials on the effect of horticultural activities on alleviating depressive symptoms in community-dwelling adults.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Eligibility criteria&lt;/h3&gt;&lt;div&gt;We included randomised controlled trials and controlled clinical trials that reported depressive symptoms as an outcome. Only community-dwelling adults are included. Involved interventions were horticultural activities with direct interactions with real plants. Excluded interventions include complete virtual-reality-based interventions and passive involvement in a natural environment. The comparison group must not include any horticultural elements.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Data sources&lt;/h3&gt;&lt;div&gt;On 12/9/2024, 14 databases were searched: Academic Search Ultimate, APA PsycInfo, British Nursing Index, CINAHL, CENTRAL, Educational Resources Information Center, Embase, Epistemonikos, Global Health, MEDLINE, Ovid Emcare, Ovid Nursing Database, Scopus, and Web of Science. Citation Search was performed.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Risk of bias&lt;/h3&gt;&lt;div&gt;The Risk of Bias-2 and the Risk-Of-Bias In Non-randomised Studies-of-Interventions tool were utilised.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Result synthesis&lt;/h3&gt;&lt;div&gt;Data was synthesised using a random-effects meta-analyses model. Effect sizes were estimated as standardised mean differences.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The systematic review covered 30 studies and 2071 participants. The meta-analysis covered 25 studies and indicated that horticultural activities had an overall moderate effect on depressive symptoms (SMD − 0.67, 95 % CI −&lt;!--&gt; &lt;!--&gt;0.86 to −&lt;!--&gt; &lt;!--&gt;0.47, I&lt;sup&gt;2&lt;/sup&gt; 54 %). Subgroup analyses revealed that horticultural therapy and therapeutic horticulture had no significant difference in effects (horticultural therapy: SMD −&lt;!--&gt; &lt;!--&gt;0.74, 95 % CI −&lt;!--&gt; &lt;!--&gt;1.35 to −&lt;!--&gt; &lt;!--&gt;0.14, I&lt;sup&gt;2&lt;/sup&gt; 79 %; therapeutic horticulture: SMD − 0.62, 95 % CI −&lt;!--&gt; &lt;!--&gt;0.80 to −&lt;!--&gt; &lt;!--&gt;0.45, I&lt;sup&gt;2&lt;/sup&gt; 27 %). The effect of horticultural activities in reducing depressive symptoms was moderate among younger adults (SMD − 0.59, 95 % CI −&lt;!--&gt; &lt;!--&gt;0.83 to −&lt;!--&gt; &lt;!--&gt;0.36, I&lt;sup&gt;2&lt;/sup&gt; 43 %), and older adults (SMD − 0.73, 95 % CI −&lt;!--&gt; &lt;!--&gt;1.05 to −&lt;!--&gt; &lt;!--&gt;0.40, I&lt;sup&gt;2&lt;/sup&gt; 61 %). The interventions conducted indoors and outdoors showed no significant difference (Indoor: SMD −0.55, 95 % Cl −&lt;!--&gt; &lt;!--&gt;0.87 to −&lt;!--&gt; &lt;!--&gt;0.23, I&lt;sup&gt;2&lt;/sup&gt; 61 %; Outdoor: SMD − 0.62, 95 % Cl −&lt;!--&gt; &lt;!--&gt;0.83 to −&lt;!--&gt; &lt;!--&gt;0.42, I&lt;sup&gt;2&lt;/sup&gt; 6 %). The effects of interventions once a week (SMD − 0.61, 95 % Cl −&lt;!--&gt; &lt;!--&gt;0.92 to −&lt;!--&gt; &lt;!--&gt;0.30, I&lt;sup&gt;2&lt;/sup&gt; 68 %) were similar to those twice a week (SMD − 0.72, 95 % Cl −&lt;!--&gt; &lt;!--&gt;1.05 to −&lt;!--&gt; &lt;!--&gt;0.39, I&lt;sup&gt;2&lt;/sup&gt; 37 %). The effective components of horticultural activities included plant care, horticultural artwork, harvesting, food consumption, sensory stimulation, and starting rituals.&lt;/div&gt;&lt;/div&gt;&lt;di","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105081"},"PeriodicalIF":7.5,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143881627","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 exercise training on cognition in adults with depression: A systematic review and three-level meta-analysis","authors":"Fei-Fei Ren ,&nbsp;Feng-Tzu Chen ,&nbsp;Wen-Sheng Zhou ,&nbsp;Meng-Yi Tian ,&nbsp;Ruei-Hong Li ,&nbsp;Dong-Shi Wang ,&nbsp;Wen-Ming Liang ,&nbsp;Yong Yang ,&nbsp;Yu-Kai Chang","doi":"10.1016/j.ijnurstu.2025.105083","DOIUrl":"10.1016/j.ijnurstu.2025.105083","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Cognitive impairment is a central feature of depression. Exercise training has enormous potential as a nonpharmacological intervention to improve cognition in depressed individuals.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This review aimed to evaluate and update the effect of exercise training on overall cognition and its subdomains, as well as whether moderators influence the effect of exercise training on cognition in depressed adults.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Systematic review and three-level meta-analysis of randomized controlled trials.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We systematically searched Embase, Ovid MEDLINE, Web of Science, PubMed, and Scopus from their inception to February 14, 2024, and updated the search results on December 5, 2024. Randomized controlled trials investigating how exercise training affected cognition in depressed adults were included. The meta-analysis was performed using a random-effects model in R. We used the Physiotherapy Evidence Database scale to evaluate the study's quality.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Twenty-two studies were included. Exercise training showed statistically significant improvements in overall cognition [&lt;em&gt;g&lt;/em&gt; = 0.21; 95 % confidence interval (CI) = 0.12, 0.30] and cognitive subdomains of processing speed (&lt;em&gt;g&lt;/em&gt; = 0.20; 95 % CI = 0.04, 0.36), attention (&lt;em&gt;g&lt;/em&gt; = 0.21; 95 % CI = 0.06, 0.35), memory (&lt;em&gt;g&lt;/em&gt; = 0.24; 95 % CI = 0.11, 0.38), and executive function (&lt;em&gt;g&lt;/em&gt; = 0.21; 95 % CI = 0.09, 0.33) compared with comparison groups in depressed adults. The greater cognitive benefits were observed when participants exercised twice a week (&lt;em&gt;g&lt;/em&gt; = 0.30; 95 % CI = 0.03, 0.56), at a low intensity (&lt;em&gt;g&lt;/em&gt; = 0.26; 95 % CI = 0.08, 0.43), spent more than 60 min per session (&lt;em&gt;g&lt;/em&gt; = 0.24; 95 % CI = 0.05, 0.44), 150 min or more per week (&lt;em&gt;g&lt;/em&gt; = 0.27; 95 % CI = 0.09, 0.45), had a program duration more than 10 weeks (&lt;em&gt;g&lt;/em&gt; = 0.25; 95 % CI = 0.12, 0.39), and engaged in mind–body exercise (&lt;em&gt;g&lt;/em&gt; = 0.26; 95 % CI = 0.08, 0.43). The clinical setting, sample size, and comparison group for memory moderated the effects of exercise training on cognition.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Exercise training is an effective nonpharmacological intervention that enhances overall cognition and subdomains of processing speed, attention, memory, and executive function compared with comparison groups in depressed adults. This study only included English-language articles, which may have caused a language bias, and Egger's test revealed a possibility of publication bias.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration number&lt;/h3&gt;&lt;div&gt;CRD42023457900 (PROSPERO).&lt;/div&gt;&lt;div&gt;&lt;strong&gt;Tweetable abstract&lt;/strong&gt;: Exercise training is an effective nonpharmacological intervention for adults with depression to improve overall cognition and cognitive subdomains of processing speed, attention, memory, and executive function compared with compari","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105083"},"PeriodicalIF":7.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874911","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 care products to prevent pressure ulceration?","authors":"Jan Kottner","doi":"10.1016/j.ijnurstu.2025.105075","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2025.105075","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":" ","pages":"105075"},"PeriodicalIF":7.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812316","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":"Experiences and perspectives regarding developmentally appropriate cancer services for adolescents and young adults with cancer: A mixed methods systematic review","authors":"Sheeja Perumbil Pathrose ,&nbsp;Kerry Sutcliffe ,&nbsp;Esther Davis ,&nbsp;Pandora Patterson ,&nbsp;Jane Ussher ,&nbsp;Lucie Ramjan","doi":"10.1016/j.ijnurstu.2025.105077","DOIUrl":"10.1016/j.ijnurstu.2025.105077","url":null,"abstract":"<div><h3>Background</h3><div>Providing developmentally appropriate cancer services for adolescents and young adults is a challenge for the health sector. Current service approaches are fragmented and diverse, with amalgamation of adolescents and young adults' perspectives lacking in the literature. Whilst there has been progress in delivering care focused on adolescents and young adults, contemporary evidence is warranted to understand their experience to establish sustainable developmentally focused cancer care.</div></div><div><h3>Objective</h3><div>To examine the experiences and perspectives regarding developmentally appropriate cancer services for adolescents and young adults with cancer.</div></div><div><h3>Design</h3><div>This systematic review was conducted in accordance with the Joanna Briggs Institute methodology for mixed methods systematic reviews using a convergent integrated approach. Studies focused on the care experiences of adolescents and young adults with a cancer diagnosis between the ages of 15 to 39 years were included in the review. A key word search of six relevant databases identified 2513 records and 57 full text records were screened for eligibility.</div></div><div><h3>Results</h3><div>16 qualitative studies, 12 quantitative studies and two mixed method studies were included in the analysis. Four synthesised findings were generated from 10 categories. Findings were conceptualised as: Developmentally appropriate information and communication, Decision-making process, Relationship, emotions and comfort, and Care environment. Findings highlighted information provided was inappropriate at the time of diagnosis and inadequate during treatment period and survivorship. They desired direct, open communication with healthcare providers and expected guidance in certain instances, however, also sought autonomy in decision-making. The support of family, peers and care-providers was considered invaluable to effectively cope with stressors. The need for cultivating an empathetic healthcare environment suitable for young people was also identified as a significant need.</div></div><div><h3>Conclusions</h3><div>This review affirmed that although significant effort has been invested, further work is needed to improve the cancer care experiences of adolescents and young people. The findings emphasise many preferences regarding how cancer services should be delivered, suggesting that services should be evaluated against these preferences. Ensuring developmental appropriateness is critical for the delivery of supportive cancer care.</div></div><div><h3>Registration number</h3><div>CRD42023413864 (PROSPERO).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105077"},"PeriodicalIF":7.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143830307","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":"Comment on Wang et al. (2025) ‘The effectiveness of yoga on menopausal symptoms: A systematic review and meta-analysis of randomized controlled trials’","authors":"Linzi Chen, Yuezhan Li","doi":"10.1016/j.ijnurstu.2025.105071","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2025.105071","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"6 1","pages":""},"PeriodicalIF":8.1,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824963","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":"The effectiveness of cultural competence interventions in nursing: A systematic review and meta-analysis","authors":"Selvedina Osmancevic ,&nbsp;Laura Maria Steiner ,&nbsp;Franziska Großschädl ,&nbsp;Christa Lohrmann ,&nbsp;Daniela Schoberer","doi":"10.1016/j.ijnurstu.2025.105079","DOIUrl":"10.1016/j.ijnurstu.2025.105079","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The growing need to provide culturally competent nursing care has increased the importance of implementing and evaluating cultural competence interventions in healthcare settings. Previous research showed that increasing healthcare professionals' cultural competence can reduce racism and inequalities and enhance their ability to navigate cultural diversity. Whilst some evidence shows that educational interventions can improve cultural competence of healthcare professionals, a summary of this evidence is lacking, especially regarding the effectiveness of such interventions on nurses' cultural competence and patient-related outcomes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;In this systematic review, the effectiveness of cultural competence interventions on nurses' levels of cultural competence and patient-related outcomes is assessed.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A systematic review and a meta-analysis were conducted.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We searched in MEDLINE, Embase, CINAHL, PsychINFO, ERIC and CENTRAL up to September 2023 for studies using a quasi-experimental or experimental design. We used the Cochrane Handbook for Systematic Reviews of Interventions and PRISMA guideline for methodological and reporting guidance. Two researchers independently assessed the eligibility of the studies and their methodological quality. We assessed the quality of experimental studies using the Revised Cochrane Risk of Bias Assessment Tool for Randomized Trials (RoB 2), and the quality of quasi-experimental studies with the Risk of Bias in Nonrandomized Studies – of Interventions tool (ROBINS-I).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Overall, 17 studies, three randomised controlled trials and 14 pre-test/posttest studies, were included in this review. Of these 17 studies, 12 provided sufficient, appropriate data for inclusion in the meta-analysis. Cultural competence interventions were offered through education and training (including lectures, presentations, case studies, discussions, or various reflection activities) or technology-based applications and support (mobile app, online database, or web-based training). Education and training were shown to slightly increase nurses' levels of cultural competence, with a low certainty of the evidence. Technology-based applications and support may increase nurses' levels of cultural competence, but the evidence is very uncertain. No pooling of studies was possible for the patient-related outcomes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Education and training can improve the level of nurses' cultural competence; therefore, they should be offered as continuing education for nurses. However, our confidence in the underlaying evidence for cultural competence interventions is low due to the imprecision and risk of bias of included studies; thus, the results should be interpreted with caution. Despite the growing interest in and body of research on nurses' cultural competence ","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105079"},"PeriodicalIF":7.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143856064","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}