International Journal of Nursing Studies最新文献

{"title":"Preconception educational interventions for women, present landscape, gaps, and future directions: A scoping review","authors":"Shuxian Liu , Gessica Augustin , Ni Ning , Erika Ota","doi":"10.1016/j.ijnurstu.2025.105134","DOIUrl":"10.1016/j.ijnurstu.2025.105134","url":null,"abstract":"<div><h3>Purpose</h3><div>To summarize studies on educational interventions in preconception care for non-pregnant women of reproductive age.</div></div><div><h3>Methods</h3><div>A scoping review was conducted using the Joanna Briggs Institute and Arksey and O'Malley frameworks. Seven electronic databases (PubMed, Embase, CINAHL, ClinicalTrials.gov, Web of Science, Cochrane Database, PsycINFO) were searched from inception to April 19, 2024. The study types included randomized controlled trials and non-randomized controlled studies.</div></div><div><h3>Results</h3><div>A total of 34 articles encompassing 29 studies (27 randomized controlled trials) were included in this review. Among these, 17 studies (58.6 %) targeted general preconception women, while the remaining studies focused on specific populations, such as women with higher body mass index (BMI), low income, teenagers with diabetes, risk drinking, human immunodeficiency virus (HIV), or tobacco use. Preconception educational interventions were predominantly delivered by healthcare professionals, with minimal research involving multidisciplinary team collaboration. The interventions were primarily categorized into two types.</div><div>in-person education (24 studies, 82.8 %) and technology-based education (12 studies, 41.4 %). Six studies combined both types, and one study included two groups using different approaches. In-person education included group sessions (16 studies, 55.2 %), one-on-one sessions (10 studies, 34.5 %), and printed materials (8 studies, 27.6 %). Technology-based methods involved websites/chatbots (6 studies, 17.2 %), texts/calls/emails (5 studies, 17.2 %), and digital materials (2 studies, 6.9 %). Notably, 16 studies (51.7 %) used multiple educational methods. The intervention content covered 15 key preconception health domains. The most frequently addressed domain was “healthy lifestyle” (22/29, 75.9 %), but 12 studies (41.4 %) covered only a single domain. Preconception educational interventions demonstrated positive impacts on women's knowledge, attitudes, behaviors, mental health, and biometric indicators. However, evidence on their effects on maternal and neonatal outcomes, as well as on mental health and biometric indicators, remains limited.</div></div><div><h3>Conclusion</h3><div>Preconception educational interventions have shown clear benefits across various aspects of women's health. However, current evidence reveals several critical gaps. Strengthening the distribution and accessibility of preconception health resources, especially in low- and middle-income countries, remains essential. Future research should focus on high-risk populations, adopt multidisciplinary approaches, and integrate comprehensive intervention strategies. Broader coverage of preconception health domains is also needed. Moreover, further studies on maternal and neonatal outcomes, mental health, and biometric indicators are vital to reinforce the evidence base and guide practice.</div><","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105134"},"PeriodicalIF":7.5,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144290797","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 Yang et al. (2025) ‘Tailored personas for self-management in home-based cardiac rehabilitation for patients with coronary heart disease: A qualitative study’","authors":"Ruxia Qiu","doi":"10.1016/j.ijnurstu.2025.105132","DOIUrl":"10.1016/j.ijnurstu.2025.105132","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105132"},"PeriodicalIF":7.5,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144262488","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":"Efficacy of different digital interventions in patients with mild cognitive impairment or dementia: A systematic review and network meta-analysis","authors":"Xin Lin ,&nbsp;Guangyi Xu ,&nbsp;Mengjiao Zhao ,&nbsp;Yunxia Jiang","doi":"10.1016/j.ijnurstu.2025.105129","DOIUrl":"10.1016/j.ijnurstu.2025.105129","url":null,"abstract":"<div><h3>Background</h3><div>The number of people living with cognitive impairment is increasing rapidly. Previous research has shown that digital cognitive training is a promising, safe, and efficacious non-pharmacological treatment, but it is unclear which digital intervention is most effective. The purpose of this study was to compare the effectiveness of different digital interventions on cognitive function mild cognitive impairment (MCI) or dementia.</div></div><div><h3>Objective</h3><div>This study evaluated the efficacy of different digital interventions for patients with MCI or dementia through a network meta-analysis.</div></div><div><h3>Methods</h3><div>We systematically searched Pubmed, Web of science, Embase, Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure (CNKI),VIP Journal, and Wanfang Database from inception to 1 January 2025 and included randomized controlled trials (RCTs) that evaluated efficacy of computerized cognitive intervention on global cognition, executive function, and memory function in patients with MCI or dementia. The consistency model was used to conduct a network meta-analysis.</div></div><div><h3>Results</h3><div>A total of 57 articles were included in the review, including 3182 participants. Network meta-analysis showed that mobile device-based electronic games were the most effective intervention in slowing the decline of global cognition (standard mean difference (SMD) = 5.09, 95 % confidence interval (95 % CI) 2.17, 11.91) and the decline of executive function (SMD = 0.17, 95 % CI 0.03, 0.90) in the most effective interventions. As for memory function, immersive virtual reality technology was the most effective cognitive intervention to slow down memory decline (SMD = 2.71, 95 % CI 1.35, 5.46).</div></div><div><h3>Conclusions</h3><div>Digital cognitive interventions have better efficacy compared to conventional therapies, and mobile video games and immersive virtual reality may be the best digital cognitive interventions to slow cognitive decline.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105129"},"PeriodicalIF":7.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254097","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 parenting interventions on self-efficacy, anxiety, stress, and depression among parents of preterm infants: A systematic review and meta-analysis of randomized control trials","authors":"Dyah Tri Kusuma Dewi ,&nbsp;Cai Thi Thuy Nguyen ,&nbsp;Su-Ru Chen ,&nbsp;Gabrielle T. Lee ,&nbsp;Shao-Yu Tsai ,&nbsp;Mega Hasanul Huda ,&nbsp;Shu-Yu Kuo","doi":"10.1016/j.ijnurstu.2025.105128","DOIUrl":"10.1016/j.ijnurstu.2025.105128","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Parents of preterm infants need to acquire essential caregiving skills and effectively manage emotional distress during the transition into parenthood to meet their infants' care needs. Although various parenting programs have been developed, their effectiveness remains inconclusive.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To determine the effectiveness of parenting interventions on parenting self-efficacy and psychological outcomes, including anxiety, stress, and depression, among parents of preterm infants and to identify the key factors that contribute to effective parenting programs.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A systematic review and meta-analysis of randomized control trials.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;PubMed, MEDLINE Ovid, Web of Science, Cumulative Index to Nursing and Allied Health Literature Plus, Embase, and PsycINFO were searched from inception to December 20, 2024. Independent reviewers conducted the study selection, data extraction, and quality assessment. The Cochrane risk-of-bias tool version 2 was used to evaluate methodological quality. The pooled effects were analyzed using a random-effects model, and subgroup analysis and meta-regression were performed to identify potential moderators.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Thirty-two randomized controlled trials with a total of 4058 participants were identified, 29 of which were included in the meta-analysis. Mothers who received parenting interventions demonstrated a significant improvement in parenting self-efficacy (standardized mean difference, SMD: 0.64, 95 % confidence interval, CI: 0.45 to 0.83) and a reduction in anxiety (SMD: −&lt;!--&gt; &lt;!--&gt;0.83, 95 % CI: −&lt;!--&gt; &lt;!--&gt;1.39 to −&lt;!--&gt; &lt;!--&gt;0.26), stress (SMD: −&lt;!--&gt; &lt;!--&gt;0.20, 95 % CI: −&lt;!--&gt; &lt;!--&gt;0.33 to −&lt;!--&gt; &lt;!--&gt;0.07), and depression (SMD: −&lt;!--&gt; &lt;!--&gt;0.19, 95 % CI: −&lt;!--&gt; &lt;!--&gt;0.32 to −&lt;!--&gt; &lt;!--&gt;0.06). The interventions also effectively reduced fathers' stress (SMD: −&lt;!--&gt; &lt;!--&gt;0.23, 95 % CI: −&lt;!--&gt; &lt;!--&gt;0.45 to −&lt;!--&gt; &lt;!--&gt;0.02). In studies reporting combined outcomes for both mothers and fathers, a significant reduction in depression (SMD: −&lt;!--&gt; &lt;!--&gt;0.31, 95 % CI: −&lt;!--&gt; &lt;!--&gt;0.60 to −&lt;!--&gt; &lt;!--&gt;0.02) was observed. The effects remained significant for all maternal outcomes at three months post-intervention, and maternal depression showed a sustained decrease from four to 12 months post-intervention. Interventions conducted in hospital settings and delivered in non-Organization for Economic Co-operation and Development countries were effective in enhancing mothers' parenting self-efficacy and reducing anxiety.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Parenting programs significantly enhance parenting self-efficacy and psychological health among mothers and fathers of preterm infants. Effective strategies in these programs should be integrated into routine care to optimize outcomes. Future studies assessing outcomes for parents of preterm infants, particularly from the p","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105128"},"PeriodicalIF":7.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254053","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":"Risk factors for pressure injuries in critical care patients: an updated systematic review","authors":"Jenny Alderden ,&nbsp;Katie R. Brooks ,&nbsp;Susan M. Kennerly ,&nbsp;Tracey L. Yap ,&nbsp;Ellie Dworak ,&nbsp;Jill Cox","doi":"10.1016/j.ijnurstu.2025.105127","DOIUrl":"10.1016/j.ijnurstu.2025.105127","url":null,"abstract":"<div><h3>Objective</h3><div>To update a previously published systematic review identifying independent risk factors of pressure injury development in critically ill patients.</div></div><div><h3>Design</h3><div>Systematic review.</div></div><div><h3>Methods</h3><div>Five indexing databases (CINAHL, Cochrane Library, Dissertations &amp; Theses Global, PubMed, and Scopus) were systematically searched for studies published between January 2017 and December 2024. Investigators independently screened studies, extracted data, and assessed study quality using an established appraisal tool. Evidence tables were created, and a narrative synthesis was conducted, organized by relevant domains and subdomains.</div></div><div><h3>Results</h3><div>This updated review included 33 studies (15 additional studies since the original review). Of these, 14 were rated as high quality, eight as moderate quality, nine as low quality, and 2 as very low quality. The most consistently identified independent risk factors were older age, limited mobility or activity, impaired perfusion, vasopressor use, and longer intensive care unit length of stay. Diabetes also emerged as a notable risk factor in several high-quality studies, although evidence was mixed. Inconsistent measurement approaches for nutrition and skin status continued to limit conclusive findings in these domains. Methodological heterogeneity across studies prevented meta-analysis and limited the generalizability of findings.</div></div><div><h3>Conclusions</h3><div>The new evidence found in this updated review reinforces previously identified risk factors – age, mobility limitations, poor perfusion, and vasopressor use – while identifying length of stay and diabetes as additional potential contributors to pressure injury risk. Comprehensive risk assessments for critically ill patients should prioritize these factors, especially in older adults with compromised mobility, poor perfusion, or receiving vasopressors. Future research should aim to standardize measurement approaches and explore how multiple risk factors interact to influence pressure injury development.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105127"},"PeriodicalIF":7.5,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271625","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 accuracy of anesthesia-educated nurses in pre-anesthesia evaluation: A diagnostic accuracy study","authors":"Lin Yin ,&nbsp;Bo Xu ,&nbsp;Danni Luo ,&nbsp;Dongmei Ma ,&nbsp;Jiale Hu ,&nbsp;Shuying Zhu ,&nbsp;Jiang Zou ,&nbsp;Limei Liao","doi":"10.1016/j.ijnurstu.2025.105126","DOIUrl":"10.1016/j.ijnurstu.2025.105126","url":null,"abstract":"<div><h3>Background</h3><div>The global shortage of anesthesiologists and increasing surgical demand have driven the adoption of task-shifting strategies, including delegating pre-anesthesia evaluations to registered nurses. While some results have been reported in high-income countries, limited evidence exists regarding the feasibility and safety of such practices in low- and middle-income countries with developing nurse education systems, such as China.</div></div><div><h3>Objective</h3><div>To evaluate the accuracy of pre-anesthesia evaluations conducted by nurses who had undertaken education in anesthesia in a specialized cancer hospital in China, using the assessment results of senior anesthesiologists as the reference standard. Secondary objectives included assessing the agreement on the American Society of Anesthesiologists classification and comparing the accuracy of pre-anesthesia evaluations by nurses with and without critical care experience.</div></div><div><h3>Methods</h3><div>This prospective cross-sectional study was conducted in a metropolitan teaching hospital in Southwest China. Pre-anesthesia evaluations performed by 24 anesthesia nurses were compared to those of five senior anesthesiologists for 1930 patients undergoing elective surgery with general anesthesia. Diagnostic accuracy metrics, including sensitivity, specificity, positive predictive value, and negative predictive value, were calculated. Agreement on the American Society of Anesthesiologists classification was assessed using the Kappa statistic.</div></div><div><h3>Results</h3><div>Anesthesia nurses achieved an overall accuracy of 97.7 % (95 % CI: 97.0 %–98.3 %) for determining surgical readiness, with a sensitivity of 70.7 % (95 % CI: 57.3 %–81.9 %) and specificity of 98.6 % (95 % CI: 97.9 %–99.0 %). Positive and negative predictive values were 60.3 % (95 % CI, 47.7 %–72.0 %) and 99.1 % (95 % CI, 98.5 %–99.5 %), respectively. Agreement on the American Society of Anesthesiologists classification was substantial (Kappa = 0.712). Nurses with prior critical care experience demonstrated higher values in all accuracy metrics, although differences were not statistically significant.</div></div><div><h3>Conclusions</h3><div>Nurses with education in anesthesia demonstrated high overall accuracy and substantial agreement with senior anesthesiologists in performing pre-anesthesia evaluations, supporting their potential role in task-shifting strategies. Further improvements in accuracy may be achieved through enhanced training in cardiovascular assessment and the integration of supportive technologies. These findings provide valuable evidence for implementing nurse-led pre-anesthesia evaluations in low- and middle-income countries, but broader studies are needed to generalize these results to diverse clinical settings.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105126"},"PeriodicalIF":7.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254052","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":"Community-driven research: Exploring the potential of citizen science in nursing","authors":"Giulia Villa ,&nbsp;Debora Rosa ,&nbsp;Ilaria Marcomini ,&nbsp;Andrea Poliani ,&nbsp;Pier Raffaele Spena ,&nbsp;Roberto Buccione ,&nbsp;Duilio F. Manara ,&nbsp;Maya Fedeli","doi":"10.1016/j.ijnurstu.2025.105125","DOIUrl":"10.1016/j.ijnurstu.2025.105125","url":null,"abstract":"<div><div>Citizen science, part of participatory science, emerged in the mid-1990s and involves volunteer non-professional scientists in developing and conducting research. The direct involvement of citizens can improve research outcomes, increase trust in science, and ensure that research and innovation align with societal values, expectations, and needs. Patients' and caregivers' participation in research can significantly enhance treatment adherence, self-care skills, adaptation to new living conditions, conscious use of healthcare systems, and reduction of side effects. In this article, we explore the concept of Citizen Science as applied to the nursing field and serves as an informed guide for nurses who wish to test or adopt this new approach to research: we summarize different types of citizen science approaches, define key principles for good practice, and outline the characteristics that a Citizen Science research project should have. We also illustrate how Citizen Science approaches can be incorporated into nursing research and highlight important factors to consider to ensure the effectiveness, reliability, and inclusiveness of Citizen Science projects.</div><div>The implementation of this methodology offers new perspectives to help nurses lead and contribute to initiatives that generate meaningful evidence and promote a collaborative, patient-centered approach to healthcare research. Introducing this community-driven research approach to nursing research could help create and guarantee value-based healthcare because of the intervention of patients' and caregivers' opinions and outcomes. It has the potential to make a significant contribution to the field of nursing by involving patients in research areas as co-authors and designers of research projects.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105125"},"PeriodicalIF":7.5,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194557","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 relationship between nurse staffing and financial performance of hospitals in Taiwan: Mediating and moderating effects of healthcare quality","authors":"Hao-Ju Chung ,&nbsp;Kuan-Chen Chen ,&nbsp;Chung-I Lin ,&nbsp;Sun-Weng Huang","doi":"10.1016/j.ijnurstu.2025.105124","DOIUrl":"10.1016/j.ijnurstu.2025.105124","url":null,"abstract":"<div><h3>Background</h3><div>The level of nursing staff is considered a decisive factor in healthcare quality and patient outcomes. However, the impact on hospital financial performance remains underexplored.</div></div><div><h3>Purpose</h3><div>This study examines the relationship between nursing staff assignment, financial performance, and healthcare quality.</div></div><div><h3>Method</h3><div>This study collected 495 data observations from 99 hospitals in Taiwan from 2015 to 2019. The research variables were patient-to-nurse ratio, financial performance, and healthcare quality. Data was collected from the National Health Insurance Administration of the Ministry of Health and Welfare and the National Health Insurance Medical Quality Information Disclosure Network. We conducted a multiple regression analysis to explore the relationship between nurse staffing and healthcare quality and between nurse staffing and financial performance. Furthermore, we examined the mediating and moderating effects of healthcare quality on the relationship between nurse staffing and financial performance.</div></div><div><h3>Result</h3><div>The results indicate that patient-to-nurse ratios had a statistically significant positive relationship with net operating profit margin, gross operating profit margin, and after-tax net profit margin. Patient-to-nurse ratios had a statistically significant positive relationship with “Percentage of unplanned rehospitalizations within 14 days post-discharge,” “Percentage of re-emergency visits to the same hospital within three days post-discharge,” and “Percentage of hospitalization days exceeding 30 days in acute beds.” Furthermore, the “Percentage of re-emergency visits to the same hospital within three days post-discharge” had a negative moderating effect on the relationships between patient-to-nurse ratios and return on assets, net operating profit margin, and gross operating profit margin. The “Percentage of hospitalization days exceeding 30 days in acute beds” had a negative moderating effect on the relationships between patient-to-nurse ratios and return on assets, net operating profit margin, and after-tax net profit margin.</div></div><div><h3>Conclusions</h3><div>The relationship between patient-to-nurse ratios and financial performance was positive but moderated by healthcare quality to some extent. Due to low healthcare quality, cost savings based on high patient-to-nurse ratios might not be achieved, thus reducing financial performance. This study suggests that when considering nursing staff assignment, hospital managers should consider whether the hospital's healthcare quality could play a moderating role in improving financial performance.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105124"},"PeriodicalIF":7.5,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144297507","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":"Comparative analysis of the effectiveness of pharmacological and non-pharmacological interventions on arteriovenous fistula cannulation-related pain in patients receiving hemodialysis: A systematic review and network meta-analysis","authors":"Amir Masoud Sharifnia ,&nbsp;Ginger Chu ,&nbsp;Elizabeth Manias ,&nbsp;Patricia M. Davidson ,&nbsp;Ritin Fernandez","doi":"10.1016/j.ijnurstu.2025.105123","DOIUrl":"10.1016/j.ijnurstu.2025.105123","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Managing arteriovenous fistula cannulation pain in patients receiving hemodialysis is essential for ensuring patient comfort and promoting adherence to treatment. Various interventions have been proposed to alleviate this pain.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To evaluate the comparative effects of non-pharmacological and pharmacological interventions and to rank the best intervention options for cannulation-related pain.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A Systematic review and network meta-analysis were conducted. Five electronic English databases (Medline, CINAHL, EMBASE, Cochrane Trials, and Clinical trials.gov) were searched from inception until November 2023 to identify eligible randomized controlled trials. Screening, data abstraction, and quality assessment were performed by two independent reviewers. The Cochrane Collaboration risk of bias tool 2.0 was used to determine the risk of bias. Data were analyzed using RStudio with the netmeta package, employing a frequentist framework and random effects model.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Twenty-four randomized controlled trials published between 2014 and 2023, involving 1704 participants, were included. The studies comprised 25 interventions, categorized into alternative/complementary therapies and local anesthetics. Compared to usual care, 11 interventions statistically significantly improved AVF cannulation pain: cryotherapy combine with visual distraction (SMD = 4.32, 95 % CI: 1.87, 6.77), visual distraction (SMD = 3.95, 95 % CI: 2.12, 5.77), lavender inhalation aromatherapy (SMD = 3.68, 95 % CI 2.63, 4.73), arnica ointment (SMD = 2.83, 95 % CI: 0.81, 4.85), auricular acupressure combine with compound lidocaine cream (SMD = 2.70, 95 % CI: 0.90, 4.51), lavender topical aromatherapy (SMD = 2.51, 95 % CI: 0.88, 4.14), lidocaine tape (SMD = 2.36, 95 % CI: 0.15, 4.57), cooling spray (SMD = 2.17, 95 % CI: 0.59, 3.76), EMLA cream 5 % (SMD = 1.80, 95 % CI: 0.48, 3.12), auditory distraction (SMD = 1.78, 95 % CI: 0.01, 3.55), and Hegu point acupressure (SMD = 1.52, 95 % CI: 0.04, 3.01). The P-scores and SUCRA rankings indicated that cryotherapy combined with visual distraction, visual distraction alone, and lavender inhalation aromatherapy were the top three effective interventions, respectively.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Non-pharmacological interventions, particularly cryotherapy combined with visual distraction, visual distraction alone, and lavender inhalation aromatherapy, were determined to be effective in reducing arteriovenous fistula cannulation-related pain in hemodialysis patients. Integrating these interventions into clinical practice can enhance patient comfort during hemodialysis procedures. Further research is needed to explore individualized approaches and assess the long-term efficacy of these interventions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;The review protocol was registered at PROSPERO (CRD42023475975).&lt;/div&gt;&lt;/div","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105123"},"PeriodicalIF":7.5,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144189829","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":"Revisiting the Delphi technique - Research thinking and practice: A discussion paper","authors":"Felicity Hasson,&nbsp;Sinead Keeney,&nbsp;Hugh McKenna","doi":"10.1016/j.ijnurstu.2025.105119","DOIUrl":"10.1016/j.ijnurstu.2025.105119","url":null,"abstract":"<div><div>The Delphi technique is a research methodology which has traditionally been used to gain consensus among experts on complex issues characterised by uncertainty. Pioneered by the Rand Corporation in the 1950s for military applications, it has since been widely adopted across various fields, including nursing, health and social sciences and information systems on an array of multifaceted real-world issues. However, since its inception, the Delphi technique has undergone substantial methodological development and its use has now gone beyond its initial rationale.</div><div>In the last two decades there has been a growing body of work illustrating an increasing methodological diversity of the method. While such diversity presents possibilities, it also challenges traditional application and methodological rigour. In an attempt to preserve the integrity of the method, generic and discipline specific guidelines have emerged providing general principles and standards.</div><div>The aim of this paper is to present a much-needed critical reflection on the current application of the Delphi technique and its methodological development and to build on our paper from 2001 (Keeney et al., 2001). While the development of the Delphi method and its evolution are well recognised and reported in the literature, some controversies surrounding the approach remain and it is timely to revisit the method with a critical eye.</div><div>Ultimately, the Delphi technique's flexibility is its significant strength, enabling the exploration of novel lines of inquiry, but it also presents a challenge. Striking the right balance between flexibility and rigour can lead to more meaningful insights and actionable outcomes from a Delphi study. Yet to achieve this, some level of consensus may need to be reached on the Delphi technique itself. In recognition of its 60th birthday, it is an opportune time to re-examine its key aspects and methodological advances and reflect on ‘when is a Delphi not a Delphi?’</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105119"},"PeriodicalIF":7.5,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071835","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}