International Journal of Nursing Studies最新文献

{"title":"AI Nurse Specialists: Transforming the nursing workforce for the age of artificial intelligence","authors":"Siobhan O'Connor, Mengying Zhang, Daniel Wicks, Xiaoyang Li, Helen Caton-Peters, Peter White, Nathan Blake","doi":"10.1016/j.ijnurstu.2026.105523","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2026.105523","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"46 1","pages":""},"PeriodicalIF":8.1,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147597984","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":"Digital communication services facilitating nurse–patient dialog for home dwelling older adults: A scoping review","authors":"Katrine Staats ,&nbsp;Ying Jiang ,&nbsp;Xi Vivien Wu ,&nbsp;Ellen Karine Grov ,&nbsp;Ann-Helen Torstveit","doi":"10.1016/j.ijnurstu.2026.105340","DOIUrl":"10.1016/j.ijnurstu.2026.105340","url":null,"abstract":"<div><h3>Background</h3><div>The global aging population presents significant challenges for healthcare systems, as older adults often face chronic illnesses, functional limitations, and emotional challenges. Effective communication between nurses and home-dwelling older adults plays a key role in assessing needs, coordinating services, and ensuring quality care. Digital communication services have emerged as promising tools to enhance nurse–patient dialog. However, barriers such as physical or cognitive impairments, limited digital literacy, and usability challenges hinder their adoption and effectiveness.</div></div><div><h3>Objective</h3><div>This scoping review aimed to map existing evidence on how digital communication services facilitate nurse–patient dialog for home-dwelling older adults.</div></div><div><h3>Design</h3><div>A scoping review was performed following Arksey and O'Malley's framework.</div></div><div><h3>Data sources</h3><div>A systematic search was carried out in April 2024 with an updated search in May 2025, across five electronic databases: Medline, Embase, PsycINFO, CINAHL (EBSCOhost) and Web of Science.</div></div><div><h3>Results</h3><div>A total of 37 studies were included in the review, highlighting the overarching theme of “nodes in the digital nurse-patient communication”, with three main themes: (1) digital communication services, (2) dynamic nurse–patient relationship and, (3) challenges in maintaining effective dialog.</div></div><div><h3>Conclusion</h3><div>Digital communication services, such as mobile applications, telemonitoring systems, and video conferencing, have the potential to enhance nurse–patient interactions by improving safety, efficiency, and emotional well-being. However, success depends on addressing usability challenges and supporting nurses with adequate resources. While digital tools cannot fully replicate trust, empathy, and dignity fostered through in-person interactions, hybrid care models integrating digital tools with in-person visits may offer promising approaches to delivering person-centered, dignified care that empowers older adults to live independently and securely in their homes.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"176 ","pages":"Article 105340"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145962454","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":"Forecasting rehabilitation needs in emerging economies: A multi-country analysis based on the Global Burden of Disease Study 2021","authors":"Lang Chen ,&nbsp;Chuwei Tian ,&nbsp;Zhongkai Bian ,&nbsp;Lijuan Gao ,&nbsp;Wenwen Jiang ,&nbsp;Hang Wu ,&nbsp;Liu Shi ,&nbsp;Qi Yong H. Ai ,&nbsp;Yunfeng Rui ,&nbsp;Hongxing Wang ,&nbsp;Jinyu Wang","doi":"10.1016/j.ijnurstu.2026.105345","DOIUrl":"10.1016/j.ijnurstu.2026.105345","url":null,"abstract":"<div><h3>Background</h3><div>Emerging economies, represented by BRICS countries (Brazil, China, India, Russian Federation and South Africa), have a substantial impact on the global rehabilitation needs. However, the rehabilitation needs of BRICS countries remain unascertained. This study aimed to explore the rehabilitation needs of the BRICS countries from 1990 to 2021 and predict the trend of rehabilitation needs.</div></div><div><h3>Methods</h3><div>Relevant data pertaining to eight condition categories (encompassing 27 individual conditions) requiring rehabilitation were retrieved from the Global Burden of Disease Study 2021. The joinpoint regression models were employed to calculate average annual percentage changes to quantify trends in age-standardized rates. The autoregressive integrated moving average models were used to predict rehabilitation needs until 2036.</div></div><div><h3>Results</h3><div>The number of prevalent cases of total conditions requiring rehabilitation increased from 634 million (95% uncertainty interval [UI] 608–664) in 1990 to 1.093 billion (95% UI 1.056–1.135) in 2021, an increase of 72.2%. The years lived with disability counts of total conditions increased from 79 million (95% UI 60–101) in 1990 to 147 million (95% UI 112–189) in 2021, an increase of 85.6%. Since 1990, the age-standardized prevalence rates of total rehabilitation needs have been decreasing in all BRICS countries. The number of people needing rehabilitation will continue to grow, with 1.469 billion people in BRICS countries requiring rehabilitation services by 2036. The highest contribution to the need for rehabilitation in BRICS countries was musculoskeletal disorders with about 676 million people (95% UI 630–716) across eight condition categories, and hearing loss with 232 million people (95% UI 205–260) among 27 individual conditions.</div></div><div><h3>Conclusions</h3><div>The need for rehabilitation in BRICS countries has increased substantially over the past 32 years and will continue to increase until 2036. Although the rehabilitation needs are based on modeled estimates from the Global Burden of Disease Study 2021, we strongly recommend that rehabilitation services targeting these needs, particularly for musculoskeletal disorders and hearing loss within sensory impairments, be integrated into primary care systems.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"176 ","pages":"Article 105345"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145995295","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":"Implementing integrated care for older adults in primary health care: A systematic scoping review","authors":"Mingyao Sun ,&nbsp;Jingyi Liu ,&nbsp;Mo Yi ,&nbsp;Siye Chen ,&nbsp;Yaqi Huang ,&nbsp;Yan Ivy Zhao ,&nbsp;Angela Yee Man Leung ,&nbsp;Zhiwen Wang","doi":"10.1016/j.ijnurstu.2026.105342","DOIUrl":"10.1016/j.ijnurstu.2026.105342","url":null,"abstract":"<div><h3>Background</h3><div>As populations age worldwide, primary health care systems face increasing challenges in addressing the complex health and social needs of older adults. Integrated care offers a promising approach to promote healthy ageing by providing coordinated, person-centred services across care settings. However, there is a lack of synthesised evidence on integrated care implementation in primary health care, which limits our understanding of its full potential.</div></div><div><h3>Objective</h3><div>To map how integrated care for older adults has been implemented in primary health care worldwide, identify the most scalable components, and highlight practice and policy implications for strengthening primary health care systems.</div></div><div><h3>Methods</h3><div>We conducted a scoping review to synthesise evidence on the implementation and outcomes of integrated care interventions for older adults in primary health care settings. We systematically searched PubMed, Embase, and CINAHL for studies published in the past ten years. Eligible studies included interventional designs targeting individuals aged ≥<!--> <!-->60 years and implemented integrated care as defined by the WHO. Data were extracted and analysed using narrative synthesis and frequency analysis.</div></div><div><h3>Results</h3><div>A total of 181 studies across 26 countries were included. Most interventions were community- or primary health care-based, multidisciplinary (91%), and involved cross-sectoral integration (47%). Core components included care coordination/personalised care planning (67%), physical activity (40%), health education (38%), and psychosocial support (29%). Overall, 88% of studies reported positive outcomes, most often at the patient level. However, implementation outcomes such as acceptability (21%), feasibility (19%), and fidelity (9%) were inconsistently assessed. Evidence was dominated by high-income settings, with limited representation from low- and middle-income countries.</div></div><div><h3>Conclusions</h3><div>Integrated care in primary health care shows broad potential to improve outcomes for older adults, particularly when built around care coordination, team-based delivery, and person-centred planning. Scalable models are those that use existing primary health care resources, integrate community health workers, and employ low-cost digital tools. Yet critical gaps remain in implementation fidelity, sustainability, and equity, especially in resource-limited settings. Embedding integrated care within quality improvement cycles can accelerate adoption and adaptation, offering a pathway for primary health care systems worldwide to promote healthy ageing.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"176 ","pages":"Article 105342"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145995298","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 use of large language models in clinical documentation: A scoping review","authors":"Brigitte Fong Yeong Woo ,&nbsp;Kenrick Cato ,&nbsp;Hannah Cho ,&nbsp;Sang Bin You ,&nbsp;Jiyoun Song","doi":"10.1016/j.ijnurstu.2025.105322","DOIUrl":"10.1016/j.ijnurstu.2025.105322","url":null,"abstract":"<div><h3>Background</h3><div>Clinical documentation is essential for safe, high-quality care but has become increasingly complex, contributing to clinician burnout. Large language models offer potential to ease documentation by generating summaries, structuring data, and ensuring compliance. However, concerns remain regarding accuracy, bias, privacy, and regulatory risks.</div></div><div><h3>Objective</h3><div>To map current literature on large language models applications in clinical documentation, evaluating their benefits, limitations, and ethical considerations.</div></div><div><h3>Information sources</h3><div>Five electronic databases (i.e., PubMed, Scopus, CINAHL, Cochrane Library, and IEEE Xplore) covering peer-reviewed literature published in English between January 2009 and August 2025.</div></div><div><h3>Methods</h3><div>This scoping review followed Arksey and OMalleys framework and was reported in accordance with PRISMA-ScR guidelines. Screening, data extraction, and quality appraisal were conducted independently by multiple reviewers using Joanna Briggs Institute tools. Findings were synthesized using descriptive and narrative approaches.</div></div><div><h3>Results</h3><div>Forty-one studies met inclusion criteria, most originating from the United States. Large language models were primarily applied to clinical note generation, discharge summaries, and provider-patient encounter documentation. Key evaluation metrics included content accuracy, linguistic quality, and summarization performance. Large language models demonstrated potential to improve documentation efficiency and readability, with some studies reporting up to 40 % time savings. However, concerns about factual inaccuracies, hallucinations, and reduced performance in complex cases were common. Clinician perceptions were mixed. Some found notes generated by large language models helpful and well-structured, while others raised concerns about reliability, liability, and loss of clinical nuance. Ethical challenges included data privacy, security, and algorithmic bias, with varying levels of compliance across settings.</div></div><div><h3>Conclusions</h3><div>Large language models hold significant promise for enhancing clinical documentation by improving efficiency, standardization, and clarity. However, their safe and effective use requires rigorous attention to accuracy, ethical safeguards, and clinician trust. Integration must support, rather than supplant, clinical reasoning and patient-centered care. Co-design with clinicians, real-world evaluation, and artificial intelligence literacy are essential to ensure that these technologies augment, not erode, professional judgment and care quality.</div></div><div><h3>Registration</h3><div>Open Science Framework Registries (<span><span>https://osf.io/m4h3q</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"176 ","pages":"Article 105322"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145784532","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":"Strategies to support safe wandering in care homes for older adults – what works, for whom, and in which circumstances?: A realist synthesis","authors":"Emma S. Hock ,&nbsp;Bryony Waters-Harvey ,&nbsp;Alys Wyn Griffiths ,&nbsp;Emily Fisher ,&nbsp;Tamara Backhouse ,&nbsp;Iria Cunha ,&nbsp;Sion Scott ,&nbsp;Clarissa Giebel ,&nbsp;Liz Jones ,&nbsp;Jignasa Mehta ,&nbsp;Karen Spilsbury ,&nbsp;Andrew Booth ,&nbsp;Reena Devi ,&nbsp;Mary Gemma Cherry","doi":"10.1016/j.ijnurstu.2026.105347","DOIUrl":"10.1016/j.ijnurstu.2026.105347","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;Wandering is a common behaviour among people with dementia living in care homes, driven by various factors such as enjoyment, a sense of purpose, lifelong habits, and social interaction. These elements can bring both physical and mental benefits, highlighting the need for strategies that enable safe wandering while respecting individual autonomy. This realist synthesis aimed to explore these strategies and the conditions under which they lead to successful outcomes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This realist synthesis involved scoping the literature to develop initial theoretical explanations for how different strategies could support safe wandering. From this literature, we developed context-mechanism-outcome configurations, which we combined into initial programme theories. Systematic searches were then used to test and refine these programme theories. Studies were prioritised for inclusion based on criteria of relevance and richness. We extracted data pertinent to the initial programme theories and documented relevance, richness, and rigour. We synthesised data into five refined programme theories. At each stage of the process, we collaborated with stakeholders to develop and validate the strategies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The review included 79 evidence sources, leading to five refined programme theories. 1) &lt;strong&gt;Personalised Care:&lt;/strong&gt; Emphasising the importance of staff practicing person-centred care by understanding residents, their reasons for wandering, and their life histories. 2) &lt;strong&gt;Monitoring:&lt;/strong&gt; Effective monitoring requires good visual access or technological solutions that enable staff to observe residents, and detect when residents need support to walk while also enabling resident freedom and independence. 3) &lt;strong&gt;Navigation:&lt;/strong&gt; Navigation is facilitated by dementia-friendly design features and environmental cues, which help minimise the challenges residents face due to diminished orientation and wayfinding abilities. 4) &lt;strong&gt;Managing access:&lt;/strong&gt; Involving balancing residents' safety and autonomy. Strategies may include restricting access to unsafe areas by locking doors or using technology and camouflage, while ensuring access to safe spaces. 5) &lt;strong&gt;Hydration and nutrition:&lt;/strong&gt; Hydration and nutrition (e.g., suitable snacks) is provided to prevent weight loss for residents who wander and may not stay seated during meals. These theories provide insight into supporting safe wandering, leading to improved wellbeing for both residents and staff, enhanced safety and autonomy for residents, and reduced staff anxiety.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;Strategies that create a supportive environment, provide physical assistance, and support hydration and nutrition enabled residents to wander safely. Identified strategies improved wellbeing for both residents and staff. However, the same strategies also led to ethical concerns around digita","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"176 ","pages":"Article 105347"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146000614","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":"Construction and behavioural mechanism research of perioperative nutritional risk prediction model for esophageal cancer patients based on data mining perspective","authors":"Hui Dang ,&nbsp;Cong Yu ,&nbsp;Chenqian Zhu","doi":"10.1016/j.ijnurstu.2026.105427","DOIUrl":"10.1016/j.ijnurstu.2026.105427","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"178 ","pages":"Article 105427"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826403","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 advance care planning interventions to improve engagement behaviours among the elderly with chronic diseases: A systematic review and meta-analysis","authors":"Yutong Huang ,&nbsp;Xing Wu ,&nbsp;Xingyu Yao ,&nbsp;Yuanxing Han ,&nbsp;Huale Zhuang ,&nbsp;Yayi Zhao","doi":"10.1016/j.ijnurstu.2026.105437","DOIUrl":"10.1016/j.ijnurstu.2026.105437","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"178 ","pages":"Article 105437"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826551","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":"Diagnostic accuracy of using point-of-care ultrasonography for confirming nasogastric tube placement: A pilot study","authors":"Mei Yi Mak ,&nbsp;Harris Kai Cheong Lam ,&nbsp;Janita Pak Chun Chau ,&nbsp;Candy Mung Nga Li ,&nbsp;So Ching Lee ,&nbsp;Ka Ying Li ,&nbsp;Fung Wah Chao ,&nbsp;Suzanne Hoi Shan Lo ,&nbsp;Kai Chow Choi ,&nbsp;Danny Wah Kun Tong","doi":"10.1016/j.ijnurstu.2026.105455","DOIUrl":"10.1016/j.ijnurstu.2026.105455","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"178 ","pages":"Article 105455"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826569","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":"Long-term nutritional status changes and steady-state prediction after esophagectomy: Insights from markov chain analysis","authors":"Meimei Shang ,&nbsp;Yanfei Liu ,&nbsp;Min Zhang ,&nbsp;Fang Zhang ,&nbsp;Yingtao Meng","doi":"10.1016/j.ijnurstu.2026.105464","DOIUrl":"10.1016/j.ijnurstu.2026.105464","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"178 ","pages":"Article 105464"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826586","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}