International Journal of Nursing Studies最新文献

{"title":"Effectiveness of nurse-led smoking cessation interventions in smoking patients: A systematic review and network meta-analysis of randomized controlled trials","authors":"Guowen Zhang ,&nbsp;Jie Zhou ,&nbsp;Yuling Xu ,&nbsp;Hui Ding ,&nbsp;Tzu Tsun Luk ,&nbsp;Aaron Wanjia He ,&nbsp;Man Ping Wang ,&nbsp;Sophia Siu Chee Chan ,&nbsp;Yee Tak Derek Cheung","doi":"10.1016/j.ijnurstu.2025.105201","DOIUrl":"10.1016/j.ijnurstu.2025.105201","url":null,"abstract":"<div><h3>Background</h3><div>Tobacco use reduces quality of life and life expectancy in all patients. Nurse is the largest group of healthcare professionals, and nurse-led smoking cessation interventions are effective for smoking patients.</div></div><div><h3>Objective</h3><div>To evaluate and compare the effectiveness of various nurse-led interventions on smoking cessation among patients.</div></div><div><h3>Methods</h3><div>PubMed, Web of Science, CINAHL, Embase, PsycINFO, Scopus, and the Cochrane Central Register of Controlled Trials were searched from inception until May 10, 2025. Randomized controlled trials (RCTs) conducted in smoking patients who received nurse-led smoking cessation interventions were included. Primary outcome was self-reported or validated tobacco abstinence prevalence at the last follow-up. Secondary outcomes included abstinence within or beyond 6 months. The revised Cochrane risk-of-bias tool was used to assess the risk of bias and the credibility of evidence using the CINeMA. Risk ratios (RR) were used to compare the effect sizes of different comparisons. Network meta-analyses were performed with random-effect models. This study was reported following the PRISMA Extension Statement for Reporting of Systematic Reviews Incorporating Network Meta-analyses of Health Care Interventions.</div></div><div><h3>Results</h3><div>Of 3512 studies initially identified, 26 RCTs with 14,367 smoking patients were included, and eight intervention combinations were identified. Intensive counseling + varenicline (RR = 2.78, 95 % CI [1.95, 3.95], moderate certainty), intensive counseling + family-based intervention (RR = 2.68, 95 % CI [1.63, 4.39], moderate certainty), intensive counseling + nicotine replacement therapy (RR = 1.38, 95 % CI [1.08, 1.77], low certainty), and intensive counseling (RR = 1.17, 95 % CI [1.01, 1.36], very low certainty) were superior to brief advice. Brief advice (RR = 1.51, 95 % CI [1.12, 2.02]) and brief counseling (RR = 1.54, 95 % CI [1.13, 2.09]) were superior to usual care with low evidence. The surface under the cumulative ranking curve showed that intensive counseling + varenicline (99.6 %) and intensive counseling + family-based intervention (99.7 %) are the strongest intervention to increase tobacco abstinence prevalence within and beyond 6 months, respectively.</div></div><div><h3>Conclusions</h3><div>Nurses should incorporate brief advice or brief counseling in their routine care for smoking patients. Intensive counseling plus varenicline, nicotine replacement therapy or family-based intervention are the optimal nurse-led interventions for smoking cessation. The certainty of evidence for these interventions was generally very low to moderate. More high-quality research is warranted to ascertain the findings.</div></div><div><h3>Registration</h3><div>The study protocol was registered at PROSPERO (Registration number: CRD42023479985).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"171 ","pages":"Article 105201"},"PeriodicalIF":7.1,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144932946","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":"Priorities for ‘out-of-hours’ home-based palliative care for professionals, patients, and family caregivers: A qualitative interview study","authors":"Joanna Goodrich ,&nbsp;Alice M. Firth ,&nbsp;Inez Gaczkowska ,&nbsp;Richard Harding ,&nbsp;Fliss E.M. Murtagh ,&nbsp;Catherine J. Evans","doi":"10.1016/j.ijnurstu.2025.105193","DOIUrl":"10.1016/j.ijnurstu.2025.105193","url":null,"abstract":"<div><h3>Background</h3><div>People with advanced illness at home, and their families, rely on ‘out-of-hours’ services provided by community, primary and specialist palliative care services. Home is commonly expressed as the preferred place to be cared for and die, and an increasing proportion of people are dying at home, but what constitutes ‘good’ care is poorly understood from the combined perspectives of healthcare professionals and patients and family caregivers.</div></div><div><h3>Objective</h3><div>To understand the convergence and divergence of the perspectives of healthcare professionals with those of patients and family caregivers, on priorities for home-based palliative care in the ‘out-of-hours’ period in the UK.</div></div><div><h3>Design</h3><div>Qualitative interview study. Two data sets integrated and analysed using reflexive thematic analysis.</div></div><div><h3>Setting/participants</h3><div>20 community palliative care services. Participants: 1) community, primary and specialist healthcare professionals (n = 39), and 2) patients and family caregivers, current and bereaved (n = 47).</div></div><div><h3>Results</h3><div>Four common themes across participant groups, with varied interpretation. 1. ‘Good’ care: defined by professionals in transactional terms of being timely, responsive and accessible. Conversely, patients and caregivers valued the quality of relational compassionate care; 2. Care coordination, integration and continuity: professionals emphasised the importance of shared patient records, while for patients and caregivers, feeling known to the service fostered a sense of safety; 3. Access to medicines: professionals spoke of the challenges of accessing, prescribing and administering medicines out-of-hours, while caregivers described the hard work of forward planning for out-of-hours; 4. Timely, responsive and accessible care within stretched resources: professionals suffered moral distress when struggling to provide high-quality care, conversely patients and family caregivers reported reluctance to ‘bother’ services out-of-hours.</div></div><div><h3>Conclusions</h3><div>Priorities for palliative and end-of-life community care out-of-hours centre on good relational care and support for staff to deliver both relational and transactional care. Distress for healthcare professionals when unable to provide the level of care needed is marked in the out-of-hours period, with timely care often impeded by resource constraints. Prioritisation of systems for care coordination between specialist and community and primary care teams is required to meet patient priorities of timely management of distressing symptoms and access to medicines. Systematic assessment of the support needs of family caregivers is essential for them to manage care out-of-hours when professional care is often limited.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"171 ","pages":"Article 105193"},"PeriodicalIF":7.1,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144899447","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":"Impact of a nurse-led and a web-based psychoeducational program for advanced cancer patients and their caregivers: Results of a three-arm randomized controlled trial","authors":"Aline De Vleminck ,&nbsp;Orphé Matthys ,&nbsp;Elena Turola ,&nbsp;Sigrid Dierickx ,&nbsp;Laure Dombrecht ,&nbsp;Vincent Van Goethem ,&nbsp;Luc Deliens ,&nbsp;Lore Lapeire ,&nbsp;Peter Hudson ,&nbsp;Kim Eecloo ,&nbsp;Kevin Brazil ,&nbsp;Mogens Groenvold ,&nbsp;Silvia Di Leo ,&nbsp;Agnes van der Heide ,&nbsp;Charles Normand ,&nbsp;Richard Harding ,&nbsp;Monika Pilch ,&nbsp;Laurel Northouse ,&nbsp;DIAdIC Team ,&nbsp;Joachim Cohen","doi":"10.1016/j.ijnurstu.2025.105192","DOIUrl":"10.1016/j.ijnurstu.2025.105192","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Advanced cancer impacts the lives of both patients and their family caregivers. They often experience substantial declines in quality of life and physical, emotional, and spiritual distress that generate significant unmet psychosocial care needs. These effects are interrelated. Dyadic psychoeducational interventions, helping dyads to manage the impact of the disease and maintain their quality of life, demonstrate benefits by concurrently addressing challenges for oncology patients and family caregivers. The aim of this study was to evaluate the effects of a face-to-face nurse-led and a web-based psychoeducational intervention for patients with advanced cancer and their family caregivers on primary (emotional function and self-efficacy) and secondary endpoints.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This international multicenter three-arm parallel-group superiority randomized controlled trial was conducted in 6 European countries (Belgium, Denmark, Italy, Netherlands, Ireland and UK). Between February 2021 and August 2023, dyads formed by patients with advanced solid cancer and their primary family caregiver were randomly assigned without blinding to a face-to-face psychoeducational intervention, a web-based psychoeducational intervention, or standard care.&lt;/div&gt;&lt;div&gt;The two primary endpoints were 1) emotional functioning (10-item European Organization for Research and Treatment of Cancer short form), and 2) self-efficacy (Cancer Self-efficacy Scale) for patients with advanced cancer and their family caregivers at 12 weeks. Secondary outcomes included quality of life, benefits of illness appraisal, coping, and dyad communication at 12 weeks and 24 weeks.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;In total, 431 dyads were randomized to the face-to-face group (n=140), the web-based group (n=148) or standard care (n=143). Neither the face-to-face group nor the web-based group showed significant improvements compared to control group in emotional functioning for patients (−&lt;!--&gt; &lt;!--&gt;0.27; 95%CI −&lt;!--&gt; &lt;!--&gt;2.11 to 0.76 and.12; 95 % CI −&lt;!--&gt; &lt;!--&gt;1.65 to 1.89) or caregivers (30; 95 % CI −&lt;!--&gt; &lt;!--&gt;1·41 to 2·00 and 0.17; 95 % CI −&lt;!--&gt; &lt;!--&gt;1.45 to 1.79); a significant improvement of patients' self-efficacy (9.02; 95 % CI 2.45 to 15.58) in the face-to-face group was found. Further analysis indicated a positive effect at 12 weeks for the face-to-face group on patients' dyadic coping and ways of giving support, and on caregivers' problem-focused coping. There were no significant effects for the web-based group.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Our trial showed neutral findings for emotional function in both a face-to-face nurse-led and a web-based psychoeducational dyadic support program. Positive findings were found for patients' self-efficacy and several secondary outcomes in patients and caregivers for the face-to-face program. Why the face-to-face but not the web-based program led to positive findings for several outcom","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"171 ","pages":"Article 105192"},"PeriodicalIF":7.1,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144899588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “Effectiveness of a nurse-led hybrid self-management program for community-dwelling older people with urinary incontinence: A randomized controlled trial” [Int. J. Nurs. Stud., 170 (2025) 105157]","authors":"Fang Yan ,&nbsp;Lily Xiao ,&nbsp;Chongmei Huang ,&nbsp;Siyuan Tang ,&nbsp;Li Li","doi":"10.1016/j.ijnurstu.2025.105189","DOIUrl":"10.1016/j.ijnurstu.2025.105189","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"171 ","pages":"Article 105189"},"PeriodicalIF":7.1,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144852488","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 dementia literacy interventions for caregivers of people with dementia: A meta-analysis of randomized controlled trials","authors":"Widiyaningsih ,&nbsp;Anung Ahadi Pradana ,&nbsp;Herry Susanto ,&nbsp;Huei-Ling Chiu","doi":"10.1016/j.ijnurstu.2025.105191","DOIUrl":"10.1016/j.ijnurstu.2025.105191","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Dementia is a significant global health challenge, placing a considerable burden on caregivers. Dementia literacy encompasses the ability to seek, evaluate, and apply dementia-related information, influencing dementia prevention and care. Interventions aimed at improving dementia literacy among caregivers have the potential to support caregiving by enhancing knowledge, confidence, and coping strategies. However, the effectiveness of these interventions in reducing caregiver burden remains unclear.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To evaluate the effectiveness of dementia literacy interventions for caregivers of people with dementia.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Systematic review and meta-analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Randomized controlled trials of dementia literacy interventions were searched comprehensively in PubMed, Embase, and Web of Science up to July 12, 2024. Trials included family caregivers of people with dementia. Primary outcomes were caregiver burden; secondary outcomes included knowledge, attitudes toward dementia, and self-efficacy. Two authors independently reviewed the eligible studies, evaluated their quality, and extracted relevant data. The risk of bias was assessed using the Cochrane Risk-of-Bias 2 tool for randomized trials. Meta-analysis was conducted using Comprehensive Meta-Analysis vers. 3.0, while narrative synthesis was applied when meta-analysis was not suitable.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;40 eligible studies, comprising a total of 4336 caregivers were analyzed. Interventions varied in structure, delivery modes, durations, and frequencies and included education on dementia, caregiving techniques, stress management, and communication skills. The findings revealed that dementia literacy interventions significantly reduced caregivers' burden (Hedges' g = −&lt;!--&gt; &lt;!--&gt;0.446, &lt;em&gt;p&lt;/em&gt; &lt; 0.001) and improved caregivers' knowledge (Hedges' g = 0.806, &lt;em&gt;p&lt;/em&gt; &lt; 0.001), attitudes toward dementia (Hedges' g = 0.621, &lt;em&gt;p&lt;/em&gt; = 0.002), and self-efficacy (Hedges' g = 0.272, &lt;em&gt;p&lt;/em&gt; &lt; 0.001). Subgroup analyses and meta-regression indicated that the different intervention characteristics influenced caregiver burden, knowledge, and attitudes toward dementia, such as session duration, intervention frequency, mode of delivery, use of technology, total intervention duration, and number of sessions. However, significant heterogeneity and risks of bias were observed across studies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;This study highlights the potential of dementia literacy interventions to address caregiver challenges and improve outcomes, emphasizing the importance of structured and sustained programs tailored to caregivers' needs. Future research should focus on optimizing intervention designs, such as session length and delivery methods, to maximize their impact and ensure long-term effectiveness.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;The pro","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"171 ","pages":"Article 105191"},"PeriodicalIF":7.1,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144912834","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":"Time to care for newborns and nurses: the HIGH Q project in Kenya (guest editorial)","authors":"Sarah G. Moxon ,&nbsp;Louise T. Day ,&nbsp;Edith Gicheha ,&nbsp;Karen Edmond","doi":"10.1016/j.ijnurstu.2025.105175","DOIUrl":"10.1016/j.ijnurstu.2025.105175","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"171 ","pages":"Article 105175"},"PeriodicalIF":7.1,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857809","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":"Omission of regular medications in aged care facilities: a retrospective observational study","authors":"Stephanie M. Garratt ,&nbsp;Maneesh Prasad ,&nbsp;Kelly Ottosen ,&nbsp;Elizabeth Manias","doi":"10.1016/j.ijnurstu.2025.105187","DOIUrl":"10.1016/j.ijnurstu.2025.105187","url":null,"abstract":"<div><h3>Background</h3><div>In aged care facilities, medications are typically administered to older adults by authorized aged care workers. Medication dose omissions may occur during this process, where a prescribed dose is not administered before the next scheduled dose time. Published research on medication dose omissions almost exclusively focuses on hospital settings, with dose omissions described as mistakes or a form of administration error. There is very little empirical evidence about medication dose omissions in aged care facilities, how they occur, the medications omitted, and why.</div></div><div><h3>Aim</h3><div>The aim of this study was to characterize medication dose omissions in the context of Australian aged care facilities, outlining the prevalence of omissions, most commonly omitted medications, omission categories, timing of omissions, and reasons behind medication dose omissions.</div></div><div><h3>Methods</h3><div>A retrospective observational study was conducted using de-identified secondary medication administration data from two national electronic medication chart providers, spanning from March 17th 2023 to March 18th 2024. All regular medication dose omission events over the timeframe were included. Data included resident demographics, aged care workers role permissions, and free-typed reasons and rationales aged care workers had recorded for each dose omission. Data were analyzed using descriptive statistics, independent sample t-tests, activity pattern analysis, and Spearman's correlation.</div></div><div><h3>Results</h3><div>In total, 12,438 residents lived in aged care facilities during the timeframe, across 287 aged care facilities. Residents experienced a median of one dose omission per 100 doses dispensed (IQR 0.45–2.66). Certified nursing staff were the primary recorders of omitted doses (60 %). The Anatomical Therapeutic Chemical classifications most omitted were alimentary tract and metabolism medications (one dose omission per 26.84 doses), and nervous system medications (one dose omission per 53.65 doses). The most omitted medications included forms of paracetamol, laxatives, and lubricating eye drops. In all, 56 % of medication omission records lacked corresponding details about the factors or decision-making that led to the omission.</div></div><div><h3>Conclusions</h3><div>Regular medications were omitted, but inconsistently recorded in Australian aged care facilities. Standardization and education around managing and recording omissions may improve resident-centric medication administration in aged care facilities, better support aged care workers' clinical decision-making, and help to inform more nuanced medication reviews.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"171 ","pages":"Article 105187"},"PeriodicalIF":7.1,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144889320","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":"Emotions as social informational cues: A multi-source diary study explaining how nurses' perceptions of patients' relatives shape patients experiences of missed nursing care","authors":"Mirit Cohen ,&nbsp;Anat Drach-Zahavy ,&nbsp;Einav Srulovici","doi":"10.1016/j.ijnurstu.2025.105190","DOIUrl":"10.1016/j.ijnurstu.2025.105190","url":null,"abstract":"<div><h3>Background</h3><div>Patient-reported missed nursing care is a critical indicator of care quality, while existing research focuses on nurses' workload and resource constraints as primary triggers, the role of emotional and interpersonal factors during nurse–patient encounters remains underexplored.</div></div><div><h3>Objectives</h3><div>To examine how nurses' emotions and perceptions of patients' families jointly influence patient-reported missed nursing care, using the Emotions as Social Information (EASI) model.</div></div><div><h3>Design</h3><div>A multi-source, nested, diary study design.</div></div><div><h3>Setting</h3><div>The study was conducted in internal medicine, surgical, orthopedic, and geriatric wards across two public hospitals.</div></div><div><h3>Participants</h3><div>142 registered nurses and 638 patients formed 638 nurse–patient dyads.</div></div><div><h3>Methods</h3><div>Over 3–5 morning shifts, nurses completed surveys assessing their perceptions of families and emotions during specific encounters. Patients concurrently reported on missed nursing care. Mixed linear models analyzed the nested data.</div></div><div><h3>Results</h3><div>Significant interaction emerged: (1) High positive emotions combined with perceiving families as a resource increased missed care (β = 0.028, p &lt; 0.05); (2) High negative emotions combined with perceiving families as a burden increased missed care (β = 0.086, p &lt; 0.05); and (3) High negative emotions combined with viewing families as their own resource decreased missed care (β = −<!--> <!-->0.235, p &lt; 0.01).</div></div><div><h3>Conclusions</h3><div>This study introduces the emotions as social information model to healthcare, revealing how nurses' emotions and perceptions of families jointly shape patient-reported missed care. Findings underscore the need for healthcare organizations to support nurses in managing their emotions and optimizing family involvement to enhance care delivery and patient satisfaction.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"171 ","pages":"Article 105190"},"PeriodicalIF":7.1,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145004125","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":"Identifying risk prediction models and predictors for hospital readmission in patients with medical conditions: A systematic review and meta-analysis","authors":"Nanna Selmer ,&nbsp;Connie Berthelsen ,&nbsp;Bastiaan Van Grootven ,&nbsp;Gabriele Meyer ,&nbsp;Mia Ingerslev Loft","doi":"10.1016/j.ijnurstu.2025.105188","DOIUrl":"10.1016/j.ijnurstu.2025.105188","url":null,"abstract":"<div><h3>Background</h3><div>Hospital readmission is a frequent adverse outcome among patients with medical conditions, with approximately 20% being readmitted within 30 days of discharge. However, the factors that significantly influence early readmission remain poorly understood, and it is unclear how to comprehensively evaluate predictors to identify patients at higher risk of readmission effectively.</div></div><div><h3>Objective</h3><div>To identify internally validated prediction models for all-cause readmission within 28-31 days of patients with medical conditions and to summarize the types of candidate and final predictors as well as the predictive performance of the models.</div></div><div><h3>Design</h3><div>Systematic review and meta-analysis of observational studies.</div></div><div><h3>Methods</h3><div>Electronic databases (CINAHL, MEDLINE, and EMBASE) were searched until January 2024, along with the reference lists on the included studies from the search. Data from the included studies were extracted using the CHARMS checklist for prediction models. The PROBAST toll for prediction models assessed the risk of bias and applicability.</div></div><div><h3>Results</h3><div>24,322 studies were retrieved, and after the selection process, 16 prediction studies were included in the review. 12 of the studies were retrospective cohorts and exclusively used administrative data. The most commonly reported predictors with a significant impact on 28-31 day readmissions are age, higher Charlson index score, congestive heart failure, chronic obstructive lung disease, chronic renal insufficiency, arrhythmia and atrial fibrillation, length of stay, emergency department visits within six months, number of admissions last year, cancer and oncology services, polypharmacy, low sodium level, low hemoglobin level, and lower albumin level. Most studies had a high risk of bias, primarily in the analysis domain. 13 models reported the AUC, and the pooled AUC value was 0.71 (0.68, 0.74), indicating a moderate performance.</div></div><div><h3>Conclusion</h3><div>Although most of the included studies demonstrated moderate to good discrimination, many models exhibited a high overall risk of bias. Assessing key predictors can be challenging, as they are often not routinely captured in administrative data.</div></div><div><h3>Registration</h3><div>The protocol was registered in Open Science Framework (OSF) on March 2024 (<span><span>doi.org/10.17605/OSF.IO/PDSH5</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"171 ","pages":"Article 105188"},"PeriodicalIF":7.1,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144887469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to “The relationship between specialty nurse certification and patient, nurse and organizational outcomes: A systematic review” [Int. J. Nurs. Stud. 93 (2019) 1–11]","authors":"Lisa Whitehead,&nbsp;Manonita Ghosh,&nbsp;Deborah Kirk Walker,&nbsp;Dianne Bloxsome,&nbsp;Caroline Vafeas,&nbsp;Anne Wilkinson","doi":"10.1016/j.ijnurstu.2025.105184","DOIUrl":"10.1016/j.ijnurstu.2025.105184","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"171 ","pages":"Article 105184"},"PeriodicalIF":7.1,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144810263","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}