International Journal of Nursing Studies最新文献

{"title":"Effects of mobile health management model on the prevention of gestational diabetes mellitus in pregnant women at risk of gestational diabetes: A randomized controlled trial.","authors":"Beibei Duan,Leyang Liu,Cunhao Ma,Zhe Liu,Baohua Gou,Weiwei Liu","doi":"10.1016/j.ijnurstu.2025.105252","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2025.105252","url":null,"abstract":"BACKGROUNDGestational diabetes mellitus is a common pregnancy complication with rising incidence worldwide. Traditional interventions for gestational diabetes mellitus prevention often lack accessibility and personalization. Mobile health (mHealth) technologies, particularly smartphone apps, provide an innovative solution. They enable real-time, personalized care by tracking key health metrics, delivering user-specific dynamic feedback, and offering customized lifestyle plans. This approach addresses traditional limitations and presents a more effective, accessible gestational diabetes mellitus prevention strategy.OBJECTIVEThis study aimed to evaluate the effectiveness of a mobile health management model, based on a gestational diabetes prevention app, in preventing gestational diabetes mellitus and improving maternal and neonatal outcomes in pregnant women at risk of gestational diabetes mellitus.METHODSIn this randomized controlled trial, pregnant women at risk of gestational diabetes mellitus before 12 weeks of gestation were recruited from three tertiary hospitals in Beijing. Participants were randomly assigned to either a control group receiving standard care, or an intervention group receiving additional support via a mHealth model using the 'Better Pregnancy' app. A gestational diabetes mellitus risk group health management team was established, led by 3 diabetes specialist nurses, 1 doctor, 1 dietitian, 1 psychologist, and several volunteers. Outcomes included the incidence of gestational diabetes mellitus, oral glucose tolerance test values at 24 weeks of gestation, self-management ability, self-efficacy, perceived social support, pregnancy weight gain, delivery complications, and neonatal outcomes.RESULTSA total of 246 pregnant women at risk of gestational diabetes mellitus were enrolled, including 124 in the control group and 122 in the intervention group. Compared to the control group, the intervention group had a lower incidence of gestational diabetes mellitus (18.9 % vs. 33.9 %), lower glucose tolerance test values (fasting: 4.47 ± 0.36 vs. 4.61 ± 0.51, 1-hour postprandial: 7.74 ± 1.54 vs. 8.29 ± 1.82, 2-hour postprandial: 6.85 ± 1.28 vs. 7.32 ± 1.64), and lower HbA1c levels (4.81 ± 0.32 vs. 4.98 ± 0.35). The intervention group also had reduced insulin use (0 % vs. 8.3 %) and hospitalizations rate due to poor blood glucose control (2.1 % vs. 14.5 %). Besides, the intervention group showed improved general self-efficacy, self-management, and perceived social support scores than the control group (P < 0.05). Multivariate logistic regression analysis showed that the intervention significantly reduced the risk of gestational diabetes mellitus (OR = 0.424, 95 % CI: 0.217-0.827, P = 0.012). Higher pre-pregnancy BMI and history of gestational diabetes mellitus were identified as risk factors for gestational diabetes mellitus incidence.CONCLUSIONSThe mHealth management model significantly reduced fasting and postprandial blood glucose, HbA","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"48 1","pages":"105252"},"PeriodicalIF":8.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145357854","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":"Evolving nursing roles in assisted dying services in New Zealand: A scoping review.","authors":"Isaac Amankwaa,Cathy Liu,Jacqui Coates-Harris,Mellisa Chin,Sharon Brownie,Patricia McClunie-Trust","doi":"10.1016/j.ijnurstu.2025.105253","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2025.105253","url":null,"abstract":"BACKGROUNDThe implementation of New Zealand's End-of-Life Choice Act 2019 provides a unique lens for examining the early-stage implementation of assisted dying policy. As legislation expands globally, nurses are emerging as central yet under-examined actors in delivering assisted dying care. This review addresses the urgent need to understand how nursing roles evolve in newly legalised contexts.OBJECTIVEThis scoping review aimed to understand the experiences, roles, and challenges faced by registered nurses and nurse practitioners in delivering assisted dying services under the End-of-Life Choice Act in Aotearoa New Zealand.METHODThe scoping review followed Joanna Briggs Institute guidelines. A systematic search was performed across ProQuest Central, Scopus, PubMed, and CINAHL to identify literature published between 2021 and 2025. Two screened the articles and extracted the data. A convergent, segregated approach was used for thematic synthesis.RESULTSNineteen studies were included, spanning anticipatory commentary and experiential data after the End-of-Life Choice Act came into force. Four themes were identified. First, evolving nursing roles revealed fragmentation: nurse practitioners administer life-ending medication but remain excluded from eligibility assessments. In contrast, registered nurses act as frontline coordinators yet are legally barred from initiating discussions. Experiential accounts added unanticipated burdens, including family management, logistical coordination, and supporting colleagues without formal preparation. Second, ethical dimensions extended beyond legal safeguards. Anticipatory sources predicted value conflicts, while experiential studies described lived moral distress, fractured team dynamics from conscientious objection, and confidentiality risks in small communities. Third, preparedness and support showed a marked gap. While early literature assumed structured training and clear guidance, experiential findings reported uneven preparation, reliance on informal peer networks, and culturally unsafe or absent emotional support. Debriefing was valued but inconsistently delivered. Finally, contextual variations shaped implementation. Hospices diverged between integration and resistance, aged residential care exposed nurses to family conflict and role ambiguity, rural practice intensified inequities and professional isolation, and community nurses often became central coordinators of home-based deaths. Māori perspectives were largely absent.CONCLUSIONSNew Zealand's assisted dying policy creates a fragmented framework for nursing roles, confirmed by anticipatory projections and lived experience. This contrasts with integrated approaches in countries such as Canada, while also exposing gaps in preparedness, ethical support, and cultural responsiveness. Addressing these challenges requires legislative refinement, consistent support systems, and Māori-led, longitudinal research across diverse care contexts. Social media ab","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"138 1","pages":"105253"},"PeriodicalIF":8.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145357853","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":"Effectiveness of non-pharmacological interventions for relieving thirst in intensive care unit patients: A network meta-analysis","authors":"Xing Shu ,&nbsp;Shuang Li ,&nbsp;Zewen Pan ,&nbsp;Hao Peng ,&nbsp;Jiayi Zhou ,&nbsp;Can Wang ,&nbsp;Mingfang Xiang","doi":"10.1016/j.ijnurstu.2025.105245","DOIUrl":"10.1016/j.ijnurstu.2025.105245","url":null,"abstract":"<div><h3>Background</h3><div>Thirst is a prevalent and clinically significant symptom among intensive care unit patients. However, the comparative effectiveness of various non-pharmacological interventions for relieving thirst remains largely unclear.</div></div><div><h3>Objectives</h3><div>To evaluate the comparative effectiveness of non-pharmacological interventions for thirst alleviation in intensive care unit patients through a synthesis of direct and indirect evidence.</div></div><div><h3>Design</h3><div>A systematic review and network meta-analysis.</div></div><div><h3>Data sources</h3><div>A comprehensive search of sixteen electronic databases and <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> was conducted for randomized controlled trials from inception to November 20, 2024.</div></div><div><h3>Review methods</h3><div>Screening, data extraction, coding, and risk of bias assessment were performed independently and in duplicate. The primary analysis utilized random-effects network meta-analysis to assess the effectiveness of non-pharmacological interventions in reducing thirst intensity. The quality of evidence was assessed using the Confidence in Network Meta-Analysis (CINeMA) online tool. This study was registered in PROSPERO (CRD42024606388).</div></div><div><h3>Results</h3><div>A total of 14 studies, encompassing 1642 critically ill patients, met the inclusion criteria and evaluated 13 non-pharmacological interventions for thirst alleviation. Compared to routine oral care, the following interventions showed statistically significant efficacy (all <em>P</em> &lt; 0.05), ordered by their surface under the cumulative ranking curve (SUCRA): mint liquid spray (82.4 %), room temperature water spray (82.3 %), menthol lozenge (81 %), lemon liquid spray (78.8 %), drinking a little ice-cold water (65.3 %), and ice-cold water spray (51.3 %). The CINeMA assessment indicated that the overall certainty of the evidence remained low.</div></div><div><h3>Conclusions</h3><div>This network meta-analysis suggests that mint liquid spray may appear to offer benefits for relieving thirst among ICU patients, indicating that spray-based moisturization is a promising strategy. We advocate for comprehensive ICU oral care, emphasizing tailored interventions and the integration of low-temperature and menthol adjuncts into standard care protocols. Such strategies may help alleviate thirst-related distress and optimize critical care outcomes. However, further high-quality, standardized studies are required to verify these findings.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"173 ","pages":"Article 105245"},"PeriodicalIF":7.1,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314637","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":"Corrigendum to “Effects of three peripherally inserted central catheters insertion techniques on catheterization outcomes: A randomized controlled trial” [Int. J. Nurs. Stud. 172 (2025) 105209]","authors":"Lan Li ,&nbsp;Xinlei Wu ,&nbsp;Lihui Lin ,&nbsp;Zhiyun Cai ,&nbsp;Xijun Ye ,&nbsp;Yufeng Lin ,&nbsp;Yajiao Wang ,&nbsp;Liu Yang","doi":"10.1016/j.ijnurstu.2025.105237","DOIUrl":"10.1016/j.ijnurstu.2025.105237","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"172 ","pages":"Article 105237"},"PeriodicalIF":7.1,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145261289","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":"Prevalence, trends and distribution of dementia among older adults from 1990 to 2023 in China: A comprehensive systematic review and meta-analysis","authors":"Jing-hong Liang ,&nbsp;Rui-xia Jia ,&nbsp;Ying-quan Wang ,&nbsp;Sheng Qian ,&nbsp;Lu Lin ,&nbsp;Yong Xu","doi":"10.1016/j.ijnurstu.2025.105247","DOIUrl":"10.1016/j.ijnurstu.2025.105247","url":null,"abstract":"<div><h3>Objective</h3><div>Dementia among the older adults represents a significant public health challenge in China, particularly in light of the country's evolving socioeconomic conditions and demographic transformations. This meta-analysis of recent research focuses on quantifying the prevalence of dementia among older adults in China between 1990 to 2023. Additionally, it explores the prevalence of dementia within specific demographic groups.</div></div><div><h3>Design</h3><div>A systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>A comprehensive search of the PubMed/MEDLINE, Embase, Web of Science, and Cochrane databases was conducted from their inception until September 2024. The search used terms like “dementia”, “prevalence” and “China”, combined with specific filters. Studies were included if they reported dementia prevalence data among adults in China. Two reviewers independently extracted data on study characteristics, total sample size, and dementia cases, and assessed study quality using predefined criteria. The overall dementia prevalence was calculated by pooling estimates with 95 % CIs. Subgroup analyses were performed based on age, sex, region, and study quality.</div></div><div><h3>Results</h3><div>A total of 132 studies involving 681,074 participants and 35,141 people with dementia from 32 provinces in China were identified. The overall pooled prevalence of dementia was found to be 4.76 %. Furthermore, the pooled prevalence of dementia exhibited a gradual increase from 1990 (2.43 %) to 2023 (5.74 %). Notably, when classified into different subgroups by economic development level, individuals residing in underdeveloped regions exhibited a prevalence of 5.82 %. In contrast, when categorized by geographical location, those in the Northeast demonstrated a prevalence of 13.66 %. The prevalence was notably higher among females, recorded at 7.94 %, in contrast to males, which stood at 4.00 %. Additionally, individuals aged over 90 years exhibited a prevalence of 32.92 %, significantly higher than those in the 60–70 age group (2.07 %), 70–80 age group (5.26 %), and 80–90 age group (14.03 %).</div></div><div><h3>Conclusions</h3><div>The prevalence of dementia in China is considerable, currently estimated at 4.76 % with an upward trend since 1990. It affects nearly one-third of those aged 90 and older, with clear disparities by sex, age, and region. These findings highlight the need for targeted prevention and early detection among high-risk groups.</div></div><div><h3>Registration</h3><div>INPLASY2024120073.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"173 ","pages":"Article 105247"},"PeriodicalIF":7.1,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145271488","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":"Use of plastic cannulae in haemodialysis: A scoping review","authors":"Monica Schoch ,&nbsp;Debra Kerr ,&nbsp;Vicki Smith ,&nbsp;Rochelle Wynne","doi":"10.1016/j.ijnurstu.2025.105246","DOIUrl":"10.1016/j.ijnurstu.2025.105246","url":null,"abstract":"<div><h3>Background</h3><div>Metal needles have traditionally been used for cannulation of arteriovenous fistula and grafts in haemodialysis. Plastic cannulae have emerged as a potential alternative, particularly for patients with newly formed arteriovenous fistula or graft, or those that require more arm mobility during dialysis. Despite the potential for improved clinical outcomes, the introduction of plastic cannula into haemodialysis units globally has been variable. Empirical evidence related to the clinical advantages of plastic cannula in haemodialysis remains limited.</div></div><div><h3>Aim</h3><div>To map the existing literature to gain an understanding of global trends in the use of plastic cannula for arteriovenous fistula and arteriovenous grafts in patients with end-stage renal disease requiring haemodialysis.</div></div><div><h3>Methods</h3><div>A review of literature from published 1990 to May 2025 is reported. MEDLINE Complete, CINAHL Complete, the Cochrane Database of Systematic Reviews, and the Cochrane Central Register of Controlled Trials, ProQuest, Trove, and Google Scholar were searched. English language articles describing the use of plastic cannula in adults for haemodialysis in any setting were eligible for inclusion. Two reviewers independently assessed title, abstract relevant full text papers. Data were analysed using narrative synthesis.</div></div><div><h3>Results</h3><div>Papers (N = 45) reporting randomised controlled trials, non-randomised experimental, cohort and cross-sectional studies, case reports, cost analyses, or literature reviews from Australia, Europe, the United States, Canada, New Zealand, and Asia met the inclusion criteria. Findings indicate increasing adoption of plastic cannulae in haemodialysis practice worldwide. Key barriers included the higher initial unit cost, and procedural complexities associated with implementing a new technique. Despite this, long-term cost-effectiveness was demonstrated, due to reductions in clinical interventions resulting from adverse outcomes. Plastic cannulae were linked to improved clinical outcomes such as less catastrophic tissue damage due to failed cannulations, lack of aborted haemodialysis sessions, and higher levels of patient comfort.</div></div><div><h3>Conclusion</h3><div>There is a growing global interest in plastic cannulae for haemodialysis vascular access. Although emerging evidence points to potential clinical and economic advantages, widespread adoption remains limited due to logistical challenges and higher initial costs. Robust, high-quality trials comparing metal needles versus plastic cannulae are required to accurately determine relative effectiveness. Trial design must accommodate an appropriate period of plastic cannulae practice integration.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"173 ","pages":"Article 105246"},"PeriodicalIF":7.1,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314638","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 second victim of adverse events in health care: A systematic review of qualitative research","authors":"Yinhui Deng ,&nbsp;Binbin Mo ,&nbsp;Baohong Xu ,&nbsp;Lili Wang ,&nbsp;Jialiang Lai ,&nbsp;Changhong Zhao","doi":"10.1016/j.ijnurstu.2025.105248","DOIUrl":"10.1016/j.ijnurstu.2025.105248","url":null,"abstract":"<div><h3>Background</h3><div>Adverse medical events not only harm patients, but also create second victims among healthcare professionals, causing significant psychological trauma and professional challenges. A critical issue confronting healthcare systems worldwide is that over two-thirds of healthcare professionals encounter such trauma during their careers.</div></div><div><h3>Objectives</h3><div>The purpose of this study is to examine the impact of the second victim phenomenon on individuals and organizations, as well as their reciprocal interactions.</div></div><div><h3>Design</h3><div>A qualitative systematic review.</div></div><div><h3>Data source</h3><div>Medline, Web of Science, Cochrane, Science Direct, CINAHL, and PsycINFO were searched from January 2015 until April 2025.</div></div><div><h3>Review methods</h3><div>Two individuals independently performed the literature screening, as well as the extraction and evaluation of information. Quality was assessed using the Joanna Briggs Institute Qualitative Assessment and Review Instrument for Qualitative Research, and data were integrated and summarized using the inductive analysis method.</div></div><div><h3>Results</h3><div>Three analytical themes emerged from 19 studies: (1) The double-helix emotional response mode, which highlights the dynamic game between emotional contraction and emotional expansion. (2) The dilemma of organizational support, focusing on the gap between the symbolic and substantive aspects of resource provision. (3) The systematic feedback of the second victim phenomenon, which explores the transition from personal post-traumatic growth to systemic evolution.</div></div><div><h3>Conclusions</h3><div>This study advances theoretical understanding of the second victim phenomenon by analyzing the double-helix emotional response mode, the dilemma of organizational support and the systematic feedback mechanism. It also offers innovative insights and practical approaches for enhancing and continuously optimizing healthcare quality.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"173 ","pages":"Article 105248"},"PeriodicalIF":7.1,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330686","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":"Sterile water injections for managing abdominal labour contraction pain: A randomised double blind placebo-controlled trial","authors":"Nigel Lee ,&nbsp;Lena B. Mårtensson ,&nbsp;Yu Gao ,&nbsp;Leonie Callaway ,&nbsp;Belinda Barnett ,&nbsp;Sania Hellyer ,&nbsp;Lauren Kearney ,&nbsp;Sue Kildea","doi":"10.1016/j.ijnurstu.2025.105244","DOIUrl":"10.1016/j.ijnurstu.2025.105244","url":null,"abstract":"<div><h3>Background</h3><div>Sterile water injections have been demonstrated to effectively manage back pain experienced during labour with no side effects other than the administration pain. Abdominal labour pain differs to back pain in location and likely physiological derivation. It is not known if sterile water injections would be efficacious in the relief of abdominal labour contraction pain.</div></div><div><h3>Objective</h3><div>To assess the efficacy of sterile water injections to reduce abdominal labour contraction pain.</div></div><div><h3>Design</h3><div>A two-arm superiority randomised placebo-controlled trial.</div></div><div><h3>Setting</h3><div>A referral maternity hospital in Brisbane, Australia.</div></div><div><h3>Participants</h3><div>Women in spontaneous or induced labour at term requesting analgesia.</div></div><div><h3>Methods</h3><div>Between April 2022 and November 2023 consenting participants were assigned (1:1) by an independently generated randomisation schedule to injections of either sterile water or saline placebo. The primary outcome was the difference between groups in self-reported visual analogue pain score at 30 min following allocated treatment. Secondary outcomes included use of pharmacologic analgesia following allocation. Analysis was by intention to treat.</div></div><div><h3>Results</h3><div>160 women were randomised to sterile water injections (n = 81) or injections of saline placebo (n = 79). Seven participants withdrew prior to treatment. Primary outcome data was provided by 68 women (intervention) and 64 (placebo). The mean visual analogue scores at 30 min were: intervention: 52.13 mm (with 100 mm indicating worst conceivable pain) and placebo: 71.14 mm; mean difference: −<!--> <!-->19.00 mm (95 % Confidence interval (CI) −<!--> <!-->26.10 to −<!--> <!-->11.91). Pain scores in the secondary repeated measures model at 60 min post treatment were (61.28 mm vs.76.15 mm) −<!--> <!-->14.84 (95 % CI −<!--> <!-->22.23 to −<!--> <!-->7.46). There was no difference in pain scores at 90 min, use of other pharmacological analgesia, or maternal or neonatal outcomes.</div></div><div><h3>Conclusion</h3><div>Sterile water injections provided a statistically significant reduction in pain when compared to a placebo for up to 60 min following treatment. However, the use of other pharmacological analgesia such as epidural did not differ between groups.</div></div><div><h3>Trial registration</h3><div>The trial is registered at the Australian and New Zealand Clinical Trials Registry (Trial ID: ACTRN12621001036808). Registration date 5/08/2021. First recruitment 29th April 2022.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"173 ","pages":"Article 105244"},"PeriodicalIF":7.1,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309740","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":"Emotional support powered by artificial intelligence in healthcare settings: A scoping review of technologies, contents, and outcomes","authors":"Yingjia Qian ,&nbsp;Wenjuan Tang ,&nbsp;Tingting Xu ,&nbsp;Daqiao Zhu ,&nbsp;Wenzhe Hua","doi":"10.1016/j.ijnurstu.2025.105243","DOIUrl":"10.1016/j.ijnurstu.2025.105243","url":null,"abstract":"<div><h3>Background</h3><div>In recent years, the application of artificial intelligence technologies for emotional support in healthcare settings has increased. However, less is known about the quality and effectiveness of artificial intelligence-based emotional support.</div></div><div><h3>Objectives</h3><div>This scoping review aimed to investigate the characteristics, supporting content, and outcomes (usability, acceptability, and effectiveness) of artificial intelligence-based emotional support in healthcare settings.</div></div><div><h3>Methods</h3><div>The scoping review followed the five-stage framework proposed by Arksey and O'Malley and the reporting standards established in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. In July 2025, literature searches were conducted across 10 databases without restrictions on study design. The Mixed Methods Appraisal Tool was used to assess quality. Results were synthesized narratively.</div></div><div><h3>Results</h3><div>A total of 20 studies involving 4703 participants were included. Some studies exhibited methodological limitations, including insufficient blinding and inadequate control of confounding factors. Artificial intelligence-based emotional support systems varied in their technical characteristics, with cognitive-behavioral therapy and mindfulness being the most common foundation for the design of supportive content. Among patients, caregivers, and healthcare providers, these systems demonstrated a degree of usability and acceptability and were effective in improving a range of emotional states and emotion-related capacities. However, limitations persisted regarding technology, supportive content, specific emotional indicators, and sustained effectiveness.</div></div><div><h3>Conclusion</h3><div>This review identified substantial heterogeneity in the technologies and supportive content of artificial intelligence-based emotional support in healthcare settings. While these systems show promising potential, their limitations must be carefully considered in practice. Future research should adopt more rigorous experimental designs and increase nurse involvement in both technology development and study implementation. This review can help nursing professionals better understand and utilize artificial intelligence to provide emotional support and improve patients' emotional well-being.</div></div><div><h3>Registration</h3><div>This review has been registered in PROSPERO (CRD42025645966).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"172 ","pages":"Article 105243"},"PeriodicalIF":7.1,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304198","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":"Negative life events, suicidal ideation and self-harm among nurses with depressive symptoms: A latent class analysis","authors":"Zengyu Chen ,&nbsp;Juan He ,&nbsp;Meng Ning ,&nbsp;Sini Li ,&nbsp;Jiaxin Yang ,&nbsp;Yusheng Tian ,&nbsp;Xuting Li ,&nbsp;Qiang Yu ,&nbsp;Yiting Liu ,&nbsp;Dan Zhang ,&nbsp;Zhenhui Ren ,&nbsp;Jianghao Yuan ,&nbsp;Chunhui Bin ,&nbsp;Chongmei Huang ,&nbsp;Yamin Li","doi":"10.1016/j.ijnurstu.2025.105242","DOIUrl":"10.1016/j.ijnurstu.2025.105242","url":null,"abstract":"<div><h3>Background</h3><div>Suicidal ideation and self-harm among nurses with depressive symptoms are public health concerns, given their elevated prevalence and potentially severe outcomes. Prior studies predominantly examined negative life events either as isolated variables within broader exploratory analyses or as a single continuous measure, without assessing distinct patterns. This study aimed to identify distinct patterns of negative life events among Chinese nurses with depressive symptoms and examine their associations with suicidal ideation and self-harm.</div></div><div><h3>Methods</h3><div>This cross-sectional study analyzed data from 73,371 nurses with depressive symptoms from the Nurses' Mental Health Study in China. Latent class analysis identified patterns of ten negative life events experienced in the past year. Two binomial logistic regression models were used to examine associations between negative life event patterns and suicidal ideation (n = 64,569) and self-harm (n = 68,038), adjusting for demographic, work-related, health-related, and childhood experience covariates. Sensitivity analyses included stratified logistic regressions by levels of depressive symptom severity and multinomial logistic regressions that treated “prefer not to answer” responses as a separate category, to assess the robustness of associations and potential underreporting bias.</div></div><div><h3>Results</h3><div>Four distinct negative life event patterns emerged: Low-Stress Life Events (59.7 %), Health and Family Crisis (12.4 %), Economic and Relationship Struggles (23.1 %), and Widespread Life Crises (4.7 %). Compared to the Low-Stress group, nurses in the Economic and Relationship Struggles group had statistically significantly higher odds of suicidal ideation (AOR = 1.25, 95 % CI: 1.14 to 1.37) and self-harm (AOR = 1.20, 95 % CI: 1.04 to 1.39). The Widespread Life Crises group showed even stronger associations with suicidal ideation (AOR = 1.68, 95 % CI: 1.46 to 1.92) and self-harm (AOR = 1.86, 95 % CI: 1.54 to 2.24). The Health and Family Crisis group showed no statistically significant associations with either outcome. Sensitivity analyses supported the main findings, with consistent associations observed across depression severity subgroups. The multinomial logistic regression also showed elevated risk ratios for suicidal ideation and self-harm among respondents in the Widespread Life Crises group, including those who selected “prefer not to answer.”</div></div><div><h3>Conclusions</h3><div>This study identified distinct patterns of negative life events among nurses with depressive symptoms and demonstrated that economic and relationship challenges, especially when occurring across multiple life domains, are significantly associated with the risk of suicidal ideation and self-harm. Targeted interventions addressing specific life stressor patterns may help reduce suicidality in this high-risk population.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"173 ","pages":"Article 105242"},"PeriodicalIF":7.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304311","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}