International Journal of Nursing Studies最新文献

{"title":"Provision of pain care services for people with Parkinson's disease from the perspective of healthcare providers: A qualitative descriptive study","authors":"Anthony Mezzini ,&nbsp;Saravana Kumar ,&nbsp;Sue Sharrad ,&nbsp;Joanne Harmon ,&nbsp;Marion Eckert","doi":"10.1016/j.ijnurstu.2026.105364","DOIUrl":"10.1016/j.ijnurstu.2026.105364","url":null,"abstract":"<div><h3>Purpose</h3><div>Pain is a common, complex, and debilitating non-motor symptom of Parkinson's disease that often requires a multidisciplinary and multimodal approach to care. However, little is known about how healthcare providers experience and navigate pain care provision in Parkinson's disease, particularly within the Australian healthcare context. This study aimed to explore the perspectives of Australian healthcare providers involved in the management of pain in people with Parkinson's disease.</div></div><div><h3>Methods</h3><div>A qualitative descriptive research methodology was used to underpin this study. Healthcare providers involved in the management of pain in people with Parkinson's disease were recruited using a quota sampling strategy. Data were collected using semi-structured interviews and analyzed thematically.</div></div><div><h3>Results</h3><div>Nineteen healthcare providers participated, including five from nursing, five from neurology, five from physiotherapy, three from exercise physiology, and one from general practice. Analysis of the data resulted in six themes: (1) collaborating for holistic pain management; (2) determining etiology; (3) screening and managing the non-motor symptoms of Parkinson's disease that interact with pain and its treatment; (4) provider focus drives nuanced pain therapy; (5) involving carers in the assessment and treatment of pain; and (6) educating patients and healthcare providers to achieve effective pain management. Within these themes, participants highlighted the central role of Parkinson's nurse specialists in coordinating care, facilitating communication across disciplines, and supporting both patients and healthcare providers through education and guidance.</div></div><div><h3>Conclusion</h3><div>This study offers the first in-depth exploration of healthcare providers' perspectives on pain care in Parkinson's disease within Australia. The findings highlight the need for a collaborative, multidisciplinary approach supported by targeted patient and healthcare provider education to enhance communication and continuity of care, with Parkinson's nurse specialists playing a pivotal role in coordinating services and serving as a resource across the care network. Strengthening these elements presents a clear pathway for advancing the provision of pain care services in people with Parkinson's disease.</div></div><div><h3>Reporting method</h3><div>Standards for Reporting Qualitative Research (SRQR) guidelines.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"177 ","pages":"Article 105364"},"PeriodicalIF":7.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109988","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 of a classification system for long-term care service needs among the elderly based on cluster analysis and machine learning: A multi-center, cross-sectional study in central China","authors":"Fang Li ,&nbsp;Weihong Huang ,&nbsp;Yuting Zeng ,&nbsp;Yanfang Long ,&nbsp;Jing Peng ,&nbsp;Jianzhong Hu ,&nbsp;Jing Li ,&nbsp;Xi Chen ,&nbsp;Li Li","doi":"10.1016/j.ijnurstu.2026.105344","DOIUrl":"10.1016/j.ijnurstu.2026.105344","url":null,"abstract":"<div><h3>Background</h3><div>Rapid global aging has led to an increasing demand for long-term care services for the elderly; however, current long-term care systems are underdeveloped and under-resourced. It is essential to develop an effective classification system to guide resource allocation that is tailored to the needs of the elderly.</div></div><div><h3>Objectives</h3><div>This study aimed to construct a classification system for long-term care service needs among the elderly based on cluster analysis and machine learning.</div></div><div><h3>Design</h3><div>Multi-center, cross-sectional study.</div></div><div><h3>Settings</h3><div>Community and nursing homes in Changsha, Hunan Province, China.</div></div><div><h3>Participants</h3><div>1270 elderly aged ≥<!--> <!-->65 years, who were randomly divided into the training set (70%) and test set (30%).</div></div><div><h3>Methods</h3><div>Cluster analysis was conducted based on service time from caregivers, nurses, and doctors. Machine learning approaches were used to determine classification criteria based on sociodemographic information and 17 secondary indicators of long-term care service needs. The best model was selected based on its accuracy and area under the curve in the test set and was then interpreted using Shapley Additive exPlanations.</div></div><div><h3>Results</h3><div>Five clusters of needs for long-term care services were identified, with the number and proportion of participants in each cluster as follows: 612 (48.2%), 299 (23.5%), 172 (13.5%), 150 (11.8%), and 37 (2.9%), respectively. The five clusters varied significantly in sociodemographic characteristics and long-term care service needs. The random forest model demonstrated the best predictive performance among the five models tested. The Shapley Additive exPlanations method identified the 10 most influential features that impacted the random forest model predictions.</div></div><div><h3>Conclusions</h3><div>The classification system for long-term care service needs can accurately distinguish among the elderly with varying levels of long-term care needs, guiding optimal service allocation and promoting the sustainable development of the long-term care service system.</div></div><div><h3>Trial registration</h3><div>The trial is registered at the Ethics Committee of Xiangya Hospital, Central South University (No. 202105083). Registration date 05/2021. First recruitment 06/2021.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"177 ","pages":"Article 105344"},"PeriodicalIF":7.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145995297","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":"Why primary caregivers fail to report pediatric pain: A qualitative study","authors":"Qiao Shen ,&nbsp;Xiaoqiong Wei ,&nbsp;Dong Roman Xu ,&nbsp;Xiaoping Jiang ,&nbsp;Hangyang Li ,&nbsp;Hongyao Leng ,&nbsp;Xianlan Zheng","doi":"10.1016/j.ijnurstu.2026.105339","DOIUrl":"10.1016/j.ijnurstu.2026.105339","url":null,"abstract":"<div><h3>Background</h3><div>In many East Asian hospital settings where family members are closely involved in bedside care, caregivers play a crucial role in recognizing and reporting children's pain during hospitalization. Yet they often fail to inform healthcare providers, leading to inadequate interventions and prolonged suffering. While previous studies focused on whether pain is reported, the psychological mechanisms underlying non-reporting remain poorly understood, limiting the development of effective support strategies.</div></div><div><h3>Objective</h3><div>To explore why primary caregivers failed to report pediatric pain to healthcare providers, focusing on their decision-making process and influencing factors.</div></div><div><h3>Design</h3><div>Qualitative descriptive study.</div></div><div><h3>Setting(s)</h3><div>Multiple medical and surgical wards of a tertiary pediatric hospital in Chongqing, China.</div></div><div><h3>Participants</h3><div>Seventeen primary caregivers who observed their child in pain but did not report it to healthcare providers were purposively recruited.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted between January and March 2025. Data were analyzed using directed content analysis guided by Protection Motivation Theory.</div></div><div><h3>Results</h3><div>Five themes and 17 subthemes were identified, revealing that caregivers' failure to report pediatric pain is a dynamic process shaped by attention activation, threat appraisal, coping appraisal, individual factors, and environmental factors. The process often begins with attentional filtering, where pain cues are overlooked due to competing demands or perceived normality. Once attention is activated, caregivers engage in threat and coping appraisals, which may involve underestimating the threat of pain, valuing pain tolerance, doubting reporting efficacy, holding strong self-management beliefs, or anticipating costs. These dual-path appraisals are influenced by personal traits and prior experiences, along with environmental factors like verbal persuasion, observational learning, and healthcare constraints, with some directly impeding communication. Together, these elements interact to suppress reporting, often accompanied by alternative soothing strategies.</div></div><div><h3>Conclusions</h3><div>Caregivers' failure to report pediatric pain is not a simple omission but a result of complex cognitive and contextual processes. Attentional disengagement and biased appraisals, shaped by personal beliefs and environmental cues, jointly suppress reporting behaviors. Understanding these mechanisms offers a foundation for targeted interventions that enhance caregiver awareness, reshape pain perceptions, and promote supportive communication in pediatric care.</div></div><div><h3>Registration</h3><div>Not registered.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"177 ","pages":"Article 105339"},"PeriodicalIF":7.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145961706","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":"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}

{"title":"Predictors of oral anticoagulant adherence in patients with atrial fibrillation: A cross-sectional study in China","authors":"Zhaokang Wan ,&nbsp;Xinyi Chen ,&nbsp;Xi Cao","doi":"10.1016/j.ijnurstu.2026.105475","DOIUrl":"10.1016/j.ijnurstu.2026.105475","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"178 ","pages":"Article 105475"},"PeriodicalIF":7.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826589","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}