International Journal of Nursing Studies最新文献

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Identifying critical intervention, contextual and implementation features in systematic reviews: Intervention component analysis ten years on 识别系统评价中的关键干预、背景和实施特征:十年来的干预成分分析
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-06-18 DOI: 10.1016/j.ijnurstu.2025.105144
Katy Sutcliffe, Dylan Kneale
{"title":"Identifying critical intervention, contextual and implementation features in systematic reviews: Intervention component analysis ten years on","authors":"Katy Sutcliffe,&nbsp;Dylan Kneale","doi":"10.1016/j.ijnurstu.2025.105144","DOIUrl":"10.1016/j.ijnurstu.2025.105144","url":null,"abstract":"<div><h3>Background</h3><div>It is now widely recognised that in addition to providing robust evidence about intervention effectiveness, systematic reviews need to provide decision-makers with information about critical intervention, contextual and implementation features that support successful outcomes. Our 2015 paper introduced Intervention Component Analysis (ICA), a method comprised of three key approaches for examining trials within an effectiveness synthesis: a) an inductive approach to coding trial features; b) extraction of trialists perspectives about the strengths and limitations of features and experiences of implementation; and c) an assessment of identified features in relation to outcomes to assess which appear to be important. In this paper we reflect on how ICA has since been employed by ourselves and others to demonstrate the variety of ways it has been applied and to support further developments of the method.</div></div><div><h3>Methods</h3><div>In March 2025 we searched Google Scholar for papers citing the 2015 ICA paper. We extracted information on: the year of publication; whether ICA was employed as an analysis method or simply cited; which aspects of ICA were employed; whether ICA was employed in combination with other synthesis methods; and any innovations to or refinements of the method. We also conducted several in-depth case studies to explore variation in application and illustrate the benefits of ICA.</div></div><div><h3>Findings</h3><div>We identified 95 papers citing the 2015 paper of which 44 reported using or drawing on ICA in their analysis and a further 4 protocols reported a plan to use ICA; the remainder (n = 47) cited but did not use ICA. Of the 48 that used or planned to use ICA, most (n = 38) used or planned to use it in combination with another method such as a meta-analysis or qualitative comparative analysis whilst 10 used ICA as the sole method of analysis. We identified several innovative applications of ICA including the use of existing frameworks or logic models alongside the inductive coding method.</div></div><div><h3>Discussion</h3><div>Use of ICA allows systematic reviewers to better understand ‘how’ interventions work. ICA has been found by ourselves and others to be both useful and flexible – able to be tailored to both large and small reviews, suitable for use as a stand-alone tool or alongside existing theories or taxonomies, useful as a tool for understanding intervention variation only or as a tool for explaining variation in outcomes. Potential future avenues for development include the use of subgroup analysis and meta-regression to test the theories generated by ICA.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"170 ","pages":"Article 105144"},"PeriodicalIF":7.5,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337644","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}
引用次数: 0
Corrigendum to “The effectiveness of Function Focused Care among patients acutely admitted to hospital: A stepped wedge cluster trial” [Int. J. Nurs. Stud. 160 (December 2024) 104893] 急性住院患者功能集中护理的有效性:阶梯式楔形聚类试验[j]。j .孕育。Stud. 160 (December 2024) 104893]。
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-06-11 DOI: 10.1016/j.ijnurstu.2025.105130
Selma Kok , Lisette Schoonhoven , Lisette M. Vernooij , Johannes B. Reitsma , Carolien Verstraten , Silke F. Metzelthin , Nienke Bleijenberg , Janneke M. de Man-van Ginkel
{"title":"Corrigendum to “The effectiveness of Function Focused Care among patients acutely admitted to hospital: A stepped wedge cluster trial” [Int. J. Nurs. Stud. 160 (December 2024) 104893]","authors":"Selma Kok ,&nbsp;Lisette Schoonhoven ,&nbsp;Lisette M. Vernooij ,&nbsp;Johannes B. Reitsma ,&nbsp;Carolien Verstraten ,&nbsp;Silke F. Metzelthin ,&nbsp;Nienke Bleijenberg ,&nbsp;Janneke M. de Man-van Ginkel","doi":"10.1016/j.ijnurstu.2025.105130","DOIUrl":"10.1016/j.ijnurstu.2025.105130","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105130"},"PeriodicalIF":7.5,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287006","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}
引用次数: 0
Promoting nurse participation in hospital antimicrobial stewardship: A realist review 促进护士参与医院抗菌药物管理:一个现实的回顾
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-06-09 DOI: 10.1016/j.ijnurstu.2025.105142
Yunting Luo , Lingxiao He , Wenyan Li , Jing Zhao , Rong Deng , Zhiyong Zong
{"title":"Promoting nurse participation in hospital antimicrobial stewardship: A realist review","authors":"Yunting Luo ,&nbsp;Lingxiao He ,&nbsp;Wenyan Li ,&nbsp;Jing Zhao ,&nbsp;Rong Deng ,&nbsp;Zhiyong Zong","doi":"10.1016/j.ijnurstu.2025.105142","DOIUrl":"10.1016/j.ijnurstu.2025.105142","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Antimicrobial stewardship is a collaborative intervention strategy aimed at promoting the selection of optimal antimicrobial regimens to improve and measure the appropriate use of antimicrobials, thereby fostering rational use of these agents, enhancing patient outcomes effectively, and curbing the wide dissemination of antimicrobial resistance. Recently, nurses' pivotal contribution in multidisciplinary antimicrobial stewardship teams is increasingly recognized. However, the contexts and mechanisms able to facilitate nurses' participation in the complex dynamics of antimicrobial stewardship remain unclear.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This review aims to identify and analyze the mechanisms, contextual factors, and outcomes that promote nurses' participation in antimicrobial stewardship interventions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This study adheres to the methods of realist review based on the Normalization Process Theory. Preliminary programme theories were generated through an extensive literature review and thematic analysis. A systematic search was conducted in PubMed, EMBASE, CINAHL, Web of Science, CNKI, and Wangfang databases. The final Context-Mechanism-Outcome configurations were determined to validate the final programme theory.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 5635 articles were retrieved; ultimately, 35 studies were included for a comprehensive analysis. The review identified five key configurations clarifying the interactions among contextual factors, mechanisms, and outcomes: (1) Contextual factors: multidisciplinary team collaboration and hospital organizational support. (2) Strategies and mechanisms: articulating nurses' contributions and impact (Coherence-Building), promoting awareness and positive perceptions (Cognitive Participation), enhancing nurses' competencies (Collective Action), fostering collaborative and motivating frameworks, and emphasizing continuous quality improvement (Reflexive Monitoring). (3) Outcomes: improvements in patient outcomes (e.g., faster antibiotic initiation, shorter hospital stays, and lower mortality) and staff outcomes (e.g., enhanced knowledge, confidence, and adherence to antimicrobial stewardship practices).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;This realist review has developed a theoretical framework to promote nurses' participation in antimicrobial stewardship practices. This framework emphasizes the complex dynamic mechanisms that facilitate or hinder nurses' involvement in antimicrobial stewardship and aims to implement evidence-based strategies to encourage nurses' participation in antimicrobial stewardship practices. This, in turn, is expected to enhance the effectiveness of hospital antimicrobial stewardship initiatives and improve the quality of patient care within the hospital environment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Significance&lt;/h3&gt;&lt;div&gt;This realist review highlights that, at both individual and organizational levels, supporti","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105142"},"PeriodicalIF":7.5,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304935","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}
引用次数: 0
Mediating role of lifestyle factors in the resilience–job satisfaction relationship among nurses: A descriptive correlational study 生活方式因素在护士心理弹性-工作满意度关系中的中介作用:一项描述性相关研究
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-06-09 DOI: 10.1016/j.ijnurstu.2025.105143
Lena Serafin , Katarzyna Wesołowska-Górniak , Angeli Malewska , Karolina Kruszewska , Justyna Kujawa , Bożena Czarkowska-Pączek
{"title":"Mediating role of lifestyle factors in the resilience–job satisfaction relationship among nurses: A descriptive correlational study","authors":"Lena Serafin ,&nbsp;Katarzyna Wesołowska-Górniak ,&nbsp;Angeli Malewska ,&nbsp;Karolina Kruszewska ,&nbsp;Justyna Kujawa ,&nbsp;Bożena Czarkowska-Pączek","doi":"10.1016/j.ijnurstu.2025.105143","DOIUrl":"10.1016/j.ijnurstu.2025.105143","url":null,"abstract":"<div><h3>Background</h3><div>Given the global nursing shortage and the increasing prevalence of workplace stressors, resilience has emerged as a crucial factor influencing job satisfaction, preventing burnout, and ensuring high-quality patient care. While previous research has established a connection between resilience and various occupational outcomes, the mediating effect of health-promoting behaviors—such as physical activity, diet, and sleep—remains largely unexplored, underscoring the need for further investigation in this area. Therefore, the objective of this study is to examine the effect of chosen lifestyle aspects on the connection between resilience and job satisfaction among nurses.</div></div><div><h3>Methods</h3><div>A cross-sectional correlational study was conducted among 508 active professional Polish nurses. The study utilized Polish adaptations of the following assessment tools: (1) Minnesota Satisfaction Questionnaire, (2) Brief Resilience Coping Scale, (3) The International Physical Activity Questionnaire, (4) Athens Insomnia Scale, (5) The Healthy Lifestyle and Personal Control Questionnaire and (6) a demographic section characterized the socio-geographical aspects of the study group. Data were analyzed using descriptive statistics, Pearson's correlation, and mediation and moderation analyses performed with Hayes' PROCESS macro for SPSS.</div></div><div><h3>Results</h3><div>The study identified sleep quality and social support as significant mediators in the relationship between resilience and job satisfaction. Higher resilience correlated with increased job satisfaction, with sleep quality partially mediating this effect. Social support also played a mediating effect, reinforcing the positive impact of resilience on both intrinsic and extrinsic job satisfaction. Additionally, work experience moderated the relationship between resilience and job satisfaction. The effect was strongest among early-career nurses and diminished with years of experience.</div></div><div><h3>Conclusion</h3><div>The study highlights the complex interplay between resilience, job satisfaction, and lifestyle factors, emphasizing the significant mediating effects of sleep quality and social support. Additionally, work experience emerged as a key moderator, with resilience having a stronger impact on job satisfaction among early-career nurses, underscoring the need for tailored interventions at different career stages. Importantly, the findings suggest that fostering resilience-related resources should not rely solely on training interventions, but also include promoting healthy lifestyle behaviors by enhancing sleep quality and strengthening social support networks.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105143"},"PeriodicalIF":7.5,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304937","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}
引用次数: 0
The impact of postoperative cartoon viewing on emergence delirium in young children: A randomized controlled trial 术后卡通观看对幼儿出现性谵妄的影响:一项随机对照试验
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-06-07 DOI: 10.1016/j.ijnurstu.2025.105141
Wen Chen , Yaping Xie, Juan Gao, Gaige Meng, Huan Wang, Yannan Zhou, Pei Gao, Xuesheng Liu
{"title":"The impact of postoperative cartoon viewing on emergence delirium in young children: A randomized controlled trial","authors":"Wen Chen ,&nbsp;Yaping Xie,&nbsp;Juan Gao,&nbsp;Gaige Meng,&nbsp;Huan Wang,&nbsp;Yannan Zhou,&nbsp;Pei Gao,&nbsp;Xuesheng Liu","doi":"10.1016/j.ijnurstu.2025.105141","DOIUrl":"10.1016/j.ijnurstu.2025.105141","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Research has revealed non-pharmacological methods mitigate the occurrence of emergence delirium with a lower incidence of negative side effects, but the mechanism remains unclear. This study aimed to investigate whether postoperative cartoon viewing after awakening from sevoflurane anesthesia in the postanesthesia care unit reduces the incidence of emergence delirium in young children, and to examine relevant electroencephalography findings.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This was a single-center, randomized controlled trial. One hundred thirty-eight children aged 2–7 years who underwent elective tonsillectomy and/or adenoidectomy under sevoflurane anesthesia and who were classified as American Society of Anesthesiologists physical status I or II were included. Patients were randomized to receive a standard recovery protocol (control group) or to view a cartoon video (cartoon group) after awakening from anesthesia in the postanesthesia care unit. The primary outcome was the incidence of emergence delirium. The secondary outcomes included the Pediatric Anesthesia Emergence Delirium Scale, Watcha Scale, and the Faces, Legs, Activity, Cry, and Consolability Scale scores; side effects; length of stay; differences in frontal electroencephalographic asymmetry measured in the postanesthesia care unit; and post hospitalization behavior questionnaire for ambulatory surgery scores.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The incidence of emergence delirium in the postanesthesia care unit was lower in the cartoon group (n = 69) than in the control group (n = 69) (8.7 % vs. 26.1 %, &lt;em&gt;p&lt;/em&gt; = 0.012). In addition, the Pediatric Anesthesia Emergence Delirium Scale scores at 5 (median difference = 2, 95 % confidence interval 1 to 3, &lt;em&gt;p&lt;/em&gt; &lt; 0.001), 15 (median difference = 1, 95 % confidence interval 0 to 2, &lt;em&gt;p&lt;/em&gt; &lt; 0.001) and 25 min (median difference = 1, 95 % confidence interval 0 to 1, &lt;em&gt;p&lt;/em&gt; &lt; 0.001), as well as the maximal score (median difference = 2, 95 % confidence interval 1 to 3, &lt;em&gt;p&lt;/em&gt; &lt; 0.001), were greater in the control group than in the cartoon group. Eighty stable electroencephalography datasets revealed frontal asymmetry differences before and after awakening, which were lower (median difference = −&lt;!--&gt; &lt;!--&gt;1.208, 95 % confidence interval −&lt;!--&gt; &lt;!--&gt;1.450 to −&lt;!--&gt; &lt;!--&gt;0.965, &lt;em&gt;p&lt;/em&gt; &lt; 0.001) in the control group (n = 41) than in the cartoon group (n = 39) and moderately negatively correlated with emergence delirium (&lt;em&gt;r&lt;/em&gt; = −&lt;!--&gt; &lt;!--&gt;0.30, &lt;em&gt;p&lt;/em&gt; = 0.014).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Young children who viewed a cartoon video after awakening from sevoflurane anesthesia in the postanesthesia care unit demonstrated a lower incidence of emergence delirium. A considerable difference in frontal electroencephalographic asymmetry may help to explain this effect.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;This trial was registered at Chinese Clinical Trial ","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105141"},"PeriodicalIF":7.5,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271624","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}
引用次数: 0
Using nursing data for machine learning-based prediction modeling in intensive care units: A scoping review 在重症监护室使用护理数据进行基于机器学习的预测建模:范围综述
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-06-07 DOI: 10.1016/j.ijnurstu.2025.105133
Yesol Kim , Mihui Kim , Yeonju Kim , Mona Choi
{"title":"Using nursing data for machine learning-based prediction modeling in intensive care units: A scoping review","authors":"Yesol Kim ,&nbsp;Mihui Kim ,&nbsp;Yeonju Kim ,&nbsp;Mona Choi","doi":"10.1016/j.ijnurstu.2025.105133","DOIUrl":"10.1016/j.ijnurstu.2025.105133","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Nursing data can help detect patient deterioration early and predict patient outcomes. Moreover, rapid advancements in machine learning have highlighted the need for clinical prognosis prediction models for intensive care unit patients. Although prediction models that incorporate nursing data generated during the care of critically ill patients are increasing, a comprehensive understanding of the specific types of nursing data utilized and these models to predict health outcomes has not yet been achieved.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This scoping review aimed to identify the current state of research on machine learning-based models that utilize nursing data to predict health outcomes of intensive care unit patients, focusing on the types of nursing data in these models.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This scoping review was conducted with a systematic literature search until December 2023 across seven databases. Literature that utilized machine learning using nursing data to predict the prognosis of adult patients hospitalized in the intensive care unit was included. Data were organized into the study, model-related, and nursing data characteristics.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 151 studies were included, which were published between 2004 and 2023, with an upward trend since 2018. More than half of the studies developed prediction models using open access data, with Medical Information Mart for Intensive Care data being the most frequently used. Most studies employed supervised learning, followed by deep learning and neural networks, while other methods were rarely used. Among supervised learning techniques, regression was the most commonly used, followed by boosting and random forests. Nursing-sensitive outcomes (13.0 %) were chosen less frequently than clinical ones (87.0 %) in prediction models. In this review, nursing data were classified into nursing scales (n = 150), nursing assessment records (n = 83), nursing activity records (n = 13), and nursing notes (n = 23), with nursing scales being the most frequent. Nursing scales and notes exhibited an increasing trend recently.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;This scoping review identified the various utilization of nursing data in models to predict the prognoses of critically ill patients. Overall, nursing scales, structured data that objectively show specific health conditions of patients, were the most utilized. As other types of nursing data also have the potential to predict patients' clinical prognoses, future research should explore the development of prediction models incorporating various nursing data. These findings may contribute to providing insights into the use of nursing data and could aid healthcare providers and researchers aiming to develop prediction models related to clinical prognoses in the intensive care unit setting.&lt;/div&gt;&lt;div&gt;&lt;strong&gt;Social media abstract&lt;/strong&gt;: This scoping review identified th","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105133"},"PeriodicalIF":7.5,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330989","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}
引用次数: 0
Preconception educational interventions for women, present landscape, gaps, and future directions: A scoping review 妇女孕前教育干预,现状,差距和未来方向:范围综述
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-06-05 DOI: 10.1016/j.ijnurstu.2025.105134
Shuxian Liu , Gessica Augustin , Ni Ning , Erika Ota
{"title":"Preconception educational interventions for women, present landscape, gaps, and future directions: A scoping review","authors":"Shuxian Liu ,&nbsp;Gessica Augustin ,&nbsp;Ni Ning ,&nbsp;Erika Ota","doi":"10.1016/j.ijnurstu.2025.105134","DOIUrl":"10.1016/j.ijnurstu.2025.105134","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;To summarize studies on educational interventions in preconception care for non-pregnant women of reproductive age.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;","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}
引用次数: 0
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’ 对Yang等人(2025)“为冠心病患者家庭心脏康复的自我管理量身定制的人物角色:一项定性研究”的评论
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-05-30 DOI: 10.1016/j.ijnurstu.2025.105132
Ruxia Qiu
{"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}
引用次数: 0
Efficacy of different digital interventions in patients with mild cognitive impairment or dementia: A systematic review and network meta-analysis 不同数字干预对轻度认知障碍或痴呆患者的疗效:系统综述和网络荟萃分析
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-05-29 DOI: 10.1016/j.ijnurstu.2025.105129
Xin Lin , Guangyi Xu , Mengjiao Zhao , Yunxia Jiang
{"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}
引用次数: 0
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 父母干预对早产儿父母自我效能感、焦虑、压力和抑郁的影响:随机对照试验的系统回顾和荟萃分析
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-05-29 DOI: 10.1016/j.ijnurstu.2025.105128
Dyah Tri Kusuma Dewi , Cai Thi Thuy Nguyen , Su-Ru Chen , Gabrielle T. Lee , Shao-Yu Tsai , Mega Hasanul Huda , Shu-Yu Kuo
{"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}
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