International Journal of Nursing Studies最新文献

{"title":"Author's response to “Comment on Wang et al. (2025) ‘The effectiveness of yoga on menopausal symptoms: A systematic review and meta-analysis of randomized controlled trials’”","authors":"Hongjuan Wang , Siyuan Tang , Mei Sun","doi":"10.1016/j.ijnurstu.2025.105070","DOIUrl":"10.1016/j.ijnurstu.2025.105070","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105070"},"PeriodicalIF":7.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062681","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 effectiveness of cultural competence interventions in nursing: A systematic review and meta-analysis","authors":"Selvedina Osmancevic , Laura Maria Steiner , Franziska Großschädl , Christa Lohrmann , Daniela Schoberer","doi":"10.1016/j.ijnurstu.2025.105079","DOIUrl":"10.1016/j.ijnurstu.2025.105079","url":null,"abstract":"<div><h3>Background</h3><div>The growing need to provide culturally competent nursing care has increased the importance of implementing and evaluating cultural competence interventions in healthcare settings. Previous research showed that increasing healthcare professionals' cultural competence can reduce racism and inequalities and enhance their ability to navigate cultural diversity. Whilst some evidence shows that educational interventions can improve cultural competence of healthcare professionals, a summary of this evidence is lacking, especially regarding the effectiveness of such interventions on nurses' cultural competence and patient-related outcomes.</div></div><div><h3>Objectives</h3><div>In this systematic review, the effectiveness of cultural competence interventions on nurses' levels of cultural competence and patient-related outcomes is assessed.</div></div><div><h3>Design</h3><div>A systematic review and a meta-analysis were conducted.</div></div><div><h3>Methods</h3><div>We searched in MEDLINE, Embase, CINAHL, PsychINFO, ERIC and CENTRAL up to September 2023 for studies using a quasi-experimental or experimental design. We used the Cochrane Handbook for Systematic Reviews of Interventions and PRISMA guideline for methodological and reporting guidance. Two researchers independently assessed the eligibility of the studies and their methodological quality. We assessed the quality of experimental studies using the Revised Cochrane Risk of Bias Assessment Tool for Randomized Trials (RoB 2), and the quality of quasi-experimental studies with the Risk of Bias in Nonrandomized Studies – of Interventions tool (ROBINS-I).</div></div><div><h3>Results</h3><div>Overall, 17 studies, three randomised controlled trials and 14 pre-test/posttest studies, were included in this review. Of these 17 studies, 12 provided sufficient, appropriate data for inclusion in the meta-analysis. Cultural competence interventions were offered through education and training (including lectures, presentations, case studies, discussions, or various reflection activities) or technology-based applications and support (mobile app, online database, or web-based training). Education and training were shown to slightly increase nurses' levels of cultural competence, with a low certainty of the evidence. Technology-based applications and support may increase nurses' levels of cultural competence, but the evidence is very uncertain. No pooling of studies was possible for the patient-related outcomes.</div></div><div><h3>Conclusion</h3><div>Education and training can improve the level of nurses' cultural competence; therefore, they should be offered as continuing education for nurses. However, our confidence in the underlaying evidence for cultural competence interventions is low due to the imprecision and risk of bias of included studies; thus, the results should be interpreted with caution. Despite the growing interest in and body of research on nurses' cultural competence ","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105079"},"PeriodicalIF":7.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143856064","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 used by healthcare professionals to increase the human papillomavirus vaccine uptake among adolescents in Ireland: A qualitative study","authors":"Margaret Efua Sackey ,&nbsp;Kathleen Markey ,&nbsp;Annmarie Grealish","doi":"10.1016/j.ijnurstu.2025.105080","DOIUrl":"10.1016/j.ijnurstu.2025.105080","url":null,"abstract":"<div><h3>Background</h3><div>Adolescent human papillomavirus vaccine uptake in Ireland dropped to 50–60 % between 2016 and 2021. Healthcare professionals play a vital role in increasing the uptake of human papillomavirus vaccine among adolescents. This is the first study that sought to identify the key opportunities for healthcare professionals to get adolescent vaccination uptake to optimal rate.</div></div><div><h3>Objective</h3><div>To explore the strategies healthcare professionals in Ireland use to promote vaccine uptake among adolescents and to understand how they are addressing vaccine hesitancy.</div></div><div><h3>Design</h3><div>A qualitative descriptive study.</div></div><div><h3>Setting(s)</h3><div>Three community health organisations in Ireland.</div></div><div><h3>Participants</h3><div>A purposive sample of 17 healthcare professionals involved in the delivery of the human papillomavirus vaccination programme in Ireland was recruited.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted between November 2022 and July 2023. Reflexive thematic analysis method was used to analyse the interview data.</div></div><div><h3>Results</h3><div>Four themes emerged from the data: Attitudes towards the human papillomavirus vaccine; Strategies used to promote the vaccine's uptake; Organisational and structural enablers and barriers; and Future improvement strategies. Healthcare professionals reported that there are still concerns about the safety and efficacy of human papillomavirus vaccine especially among marginalised populations. Healthcare professionals reported that increased uptake was more likely if they adopted flexible approaches to delivering the vaccine, easily accessible drop-in clinics, and proving more opportunities to educate adolescents and parents about the importance of the vaccine. Despite these efforts, healthcare professionals are faced with organisational barriers that hinder effective delivery. Policy reform to support and educate stakeholders could improve the vaccine uptake. In addition, more work is needed to address unproven negative testimonies on social media, to reduce concerns among the public regarding the safety and potential side effects of the vaccine.</div></div><div><h3>Conclusions</h3><div>Human papillomavirus vaccine is one of the best preventative measures that public health care has to offer in preventing and reducing human papillomavirus related cancers and infections. Healthcare professionals demonstrated several interventions they adopt to improve the uptake of the human papillomavirus vaccine for adolescents. The findings suggest that adopting better multi-setting approaches to vaccination programmes and multi-system collaborative efforts would significantly increase the uptake of the vaccine.</div><div><strong>Tweetable abstract</strong>: Strategies used by healthcare professionals to increase the human papillomavirus vaccine uptake among adolescents in Ireland.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105080"},"PeriodicalIF":7.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824142","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 effectiveness of plant-based topical agents for the prevention of pressure injuries: Systematic review of randomised controlled trials","authors":"Hsiao-Ching Lin,&nbsp;Li-Yu Yang,&nbsp;Yi-Ching Su,&nbsp;Bih-O Lee","doi":"10.1016/j.ijnurstu.2025.105069","DOIUrl":"10.1016/j.ijnurstu.2025.105069","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Pressure injuries (PIs) are a major global health challenge. As PI-related healthcare costs continue to rise and patient safety is increasingly impacted, nurses are actively working to design and implement effective prevention strategies, particularly focusing on skin care, to prevent PIs in high-risk patients. Recent advances in incorporating plant-based topical agents into comprehensive care bundles for PI prevention have shown promising potential, though the results remain somewhat variable.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To evaluate effectiveness of plant-based topical agents in preventing PIs and their impact on PI incidence, time to PI formation and adverse events.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A systematic review was performed and reported according to the PRISMA guidelines. PubMed, Cochrane Library, EMBASE, PROQUEST Health Research Premium Collection, Clinical Key, MEDLINE, CINAHL, Google Scholar, and Airiti Library from database inception to May 2024.Two researchers independently screened randomised controlled trials published in Chinese and English. Screening, data extraction, and quality evaluation were independently performed by two reviewers using the Cochrane RoB 2.0 tool and GRADE to assess the strength of evidence. Disagreements were resolved by a third reviewer. Due to the heterogeneity of the intervention, a meta-analysis was not feasible; consequently, the findings were synthesised narratively.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Ten randomised controlled trials were included, consisting of 2364 patients without PI and no sensitivity to plant-based topical agents. The plant-based topical agents used in the interventions included olive oil (n = 6), sweet almond oil (n = 1), aloe vera gel (n = 2), aloe vera gel–olive oil compound (n = 1), peppermint oil gel (n = 1), and henna paste (n = 1). PI incidence was lower in the intervention groups compared to control groups, but the time to PI formation was inconsistent. No or mild adverse events were reported. The overall risk of bias was categorised as ‘some concerns’ (n = 5) and ‘high risk’ (n = 5).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;This review found that different plant-based topical agents can be effective in preventing PI and can be an option for PI prevention. Higher-quality studies are needed to validate effectiveness of plant-based topical agents in preventing PI and to clarify their mechanisms of action. We suggest incorporating plant-based topical agents into PI care protocols and in-service education to ensure consistent usage. Implementation can start with high-risk PI patients in critical/home care settings to prevent PI occurrence.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;PROSPERO Registration Number CRD42024567522.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Tweetable abstract&lt;/h3&gt;&lt;div&gt;Plant-based topical agents like olive oil and aloe vera show potential in preventing pressure injuries in high-risk patients, but more high-quality research is ","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105069"},"PeriodicalIF":7.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143822640","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 an integrated platform-based intervention for promoting psychosocial safety climate and mental health in nursing staff: A pragmatic cluster randomised controlled trial","authors":"Leif Boß ,&nbsp;Jennifer Ross ,&nbsp;Dorota Reis ,&nbsp;Sarah Pischel ,&nbsp;Tim Mallwitz ,&nbsp;Hanna Brückner ,&nbsp;Grit Tanner ,&nbsp;Helge Nissen ,&nbsp;Lina Kalon ,&nbsp;Marlies Schümann ,&nbsp;Thomas Lennefer ,&nbsp;Monique Janneck ,&nbsp;Jörg Felfe ,&nbsp;Antje Ducki ,&nbsp;Dirk Lehr","doi":"10.1016/j.ijnurstu.2025.105076","DOIUrl":"10.1016/j.ijnurstu.2025.105076","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Organisational and individual factors cause strain in the daily lives of nurses and other healthcare professionals, who have a high prevalence of stress-related disorders. Accordingly, there is a strong need for integrated occupational health promotion interventions that include both work-directed and person-directed interventions. The psychosocial safety climate is seen as an overarching occupational health objective and can potentially be improved by implementing integrated mental health interventions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;Following an integrated approach, we developed an occupational e-mental health platform, Care4Care, which integrates both work- and person-directed interventions for promoting mental health in nurses. We evaluated the effects of the platform compared with those of an extended care-as-usual control condition.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Clustered randomised controlled trial.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;Healthcare service facilities in Germany nationwide.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;347 nursing staff members (intervention: 211, control: 136) from 33 healthcare service facilities.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The participants received either immediate access to the platform or access to two short subcomponents of the platform plus routine occupational health promotion offerings as well as delayed access to the whole platform after 6 months. The primary outcome was improvement in the psychosocial safety climate after 6 months. The secondary outcomes included perceived stress, depressive symptoms, and other strain-related indicators.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Bayesian multilevel analyses revealed an improvement of approximately 2 points (Cohen's d = 0.25) in the psychosocial safety climate in the intervention group compared with the control group. Applying a 95 % credible interval, this effect contained zero (−&lt;!--&gt; &lt;!--&gt;0.32, 4.44), which indicated uncertainty about the effectiveness of the intervention on the psychosocial safety climate. The analyses of the secondary outcomes revealed effects in the expected direction with high credibility for a decreasing effect on perceived stress and considerable uncertainty with regard to all other secondary and tertiary outcomes. A total of 85 (40 %) participants in the intervention group used Care4Care, whereas 37 (27 %) participants in the control group used the two subcomponents of the platform.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;This study highlights the potential of an occupational e-mental health platform that combines work- and person-directed interventions with face-to-face components for nursing staff. The findings emphasise the necessity of conducting more in-depth implementation studies to identify the factors that facilitate the successful implementation and uptake of occupational e-mental health platforms.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;German Clinical Trials Regist","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105076"},"PeriodicalIF":7.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815769","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":"Staff outcomes and the work environment in Green Care Farms and traditional nursing homes: A comparative study","authors":"Katharina Rosteius ,&nbsp;Bram de Boer ,&nbsp;Ramona Backhaus ,&nbsp;Jan de Jonge ,&nbsp;Hilde Verbeek","doi":"10.1016/j.ijnurstu.2025.105078","DOIUrl":"10.1016/j.ijnurstu.2025.105078","url":null,"abstract":"<div><h3>Introduction</h3><div>Green Care Farms are an alternative long-term care setting for people with dementia. Organizing daily life around a shared household and integrating nature and animals, they emphasize resident participation and activation. Such a radically different care environment not only affects residents, but also nursing staff who provide the care.</div></div><div><h3>Objective</h3><div>To explore nursing staff outcomes and work environment characteristics of Green Care Farms and compare them with traditional nursing homes for people with dementia.</div></div><div><h3>Design</h3><div>A comparative study based on a cross-sectional survey design<span><span>¹</span></span>.</div></div><div><h3>Setting(s)</h3><div>Green Care Farms for people with dementia, which provide care in an archetypical household, where nature and animals are an integrated part of daily life and where staff has integrated tasks (experimental group). Traditional psychogeriatric nursing homes for residents with dementia, where residents live in large wards, organizational routines determine daily life, and staff has differentiated tasks (comparison group).</div></div><div><h3>Participants</h3><div>All staff working direct resident care. The total sample included 262 staff members from 10 Green Care Farms and 380 staff members from 21 traditional nursing homes in the Netherlands.</div></div><div><h3>Methods</h3><div>A questionnaire with eight measures was distributed online. Data were analyzed using regression analysis.</div></div><div><h3>Results</h3><div>Both groups reported similar work demands and expected a similar sustainable work performance in the future. However, staff in Green Care Farms experienced better work satisfaction (mean = 4.28; 95 % CI = 4.14–4.43) than those working in traditional nursing homes (mean = 3.67; 95 % CI = 3.54–3.8). Furthermore, they reported more work resources, more vitality, better recovery after work, and a better team climate than staff in traditional nursing homes.</div></div><div><h3>Conclusions</h3><div>Knowing that work dissatisfaction, stress and burnout are predictors for staff turnover, the findings suggest that elements from the Green Care environment might provide a healthier work environment for staff compared to traditional nursing homes. More research is needed on these elements, to guide other nursing homes to improve their work environment.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105078"},"PeriodicalIF":7.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824141","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 social norm feedback on adherence to clinical practice guidelines among healthcare workers and its characteristics in behavior change techniques: A systematic review and meta-analysis","authors":"Shiyin Wu,&nbsp;Lingjie Wang,&nbsp;Changle Li,&nbsp;Wenbin Liu","doi":"10.1016/j.ijnurstu.2025.105073","DOIUrl":"10.1016/j.ijnurstu.2025.105073","url":null,"abstract":"<div><h3>Background</h3><div>Poor adherence to clinical practice guidelines among healthcare workers could have negative impacts on the effectiveness of care, patient health outcomes, and healthcare costs. Social norm feedback can be an essential means of achieving the intended intervention goals by providing information to the intervention target regarding the values, attitudes, or behaviors of the reference group or individual. However, there is a lack of consensus on the effectiveness of social norm feedback in improving adherence to clinical practice guidelines among healthcare workers. Therefore, this systematic review aimed to assess the effects of social norm feedback on adherence to clinical practice guidelines among healthcare workers and its characteristics in behavior change techniques.</div></div><div><h3>Methods</h3><div>Searches of PubMed, Web of Science, Cochrane Central Register of Controlled Trials (via CENTRAL), EMBASE (via OVID), MEDLINE (via OVID), and Scopus were preformed to identify peer-reviewed studies published until February 29, 2024. Randomized controlled trials reporting social norm feedback interventions (social comparison, information about others' approval, credible source, social reward, and social incentive) to support compliance with clinical practice guidelines were included. The risk of bias of individual studies was assessed using the Cochrane Risk of Bias 2.0 tool and the certainty of evidence was rated using the GRADE method. Pooled data were analyzed in Stata 17.0 using a random effects model meta-analysis.</div></div><div><h3>Results</h3><div>A total of 31 articles (30 studies) were identified. Fifteen behavior change techniques were tested in the included studies. The three most commonly used behavior change techniques in clinical practice guidelines were social comparison, feedback on the outcome of behavior, and social support. A meta-analysis showed that social norm feedback appeared to be an effective strategy to improve adherence to clinical practice guidelines among healthcare workers, with a rate difference (RD) of 0.04 (95 % confidence interval [CI] 0.02–0.06). Credible source (RD 0.12, 95 % CI 0.06–0.19) and multiple social norms behavioral change techniques (RD 0.05, 95 % CI 0.04–0.06) seemed effective when combined with other behavioral change techniques, compared to the control condition. The certainty of evidence across the outcomes ranged from very low to high based on the GRADE approach.</div></div><div><h3>Conclusion</h3><div>Social norm feedback appears to be an effective method for improving adherence to clinical practice guidelines among healthcare workers. This review provides a broad understanding of how social norm feedback can be applied to improve adherence of healthcare workers to clinical practice guidelines, ultimately improving patient health and quality of care.</div><div><em>Trial registration</em>: PROSPERO CRD42023411582.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105073"},"PeriodicalIF":7.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815712","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":"Insulin errors and contributing factors affecting people with diabetes in hospital: A scoping review","authors":"Christina Lange Ferreira ,&nbsp;Angus Forbes ,&nbsp;Rahab Hashim ,&nbsp;Kirsty Winkley","doi":"10.1016/j.ijnurstu.2025.105074","DOIUrl":"10.1016/j.ijnurstu.2025.105074","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Whilst insulin therapy errors are commonly reported in hospital and can cause significant negative outcomes for people with diabetes, there is no standardised approach to identifying when and why these errors occur within complex inpatient settings.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This scoping review was conducted to explore and map the types and classification of reported insulin errors in the care of people with diabetes in hospital inpatient settings and to identify potential interacting components/factors associated with these errors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Research design and methods&lt;/h3&gt;&lt;div&gt;The review followed the methodological approach of the Joanna Briggs Institute for scoping reviews. Published and unpublished literature (grey) in the English language were searched from January 2000 to July 2024 on Medline, CINAHL, Embase and other relevant websites. Eligible studies were those reporting insulin errors occurring in hospital during the treatment of people who had diabetes. A new framework was developed for examining insulin errors (RESILIENT - interacting-components-in-insulin-use-in-hospital). This was applied to categorise incidents and interacting components identified. Results were summarised graphically and descriptively.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 124 peer-reviewed publications and reports were included. Only forty-nine studies attempted to classify the type of errors reported and they varied considerably in terminology and focus. Insulin errors were most frequently reported at the prescribing, administration, communication/documentation and medication review stages. Common factors associated with reported insulin errors included: time-critical coordination of insulin related tasks (for example coordination of glucose monitoring, meal delivery and mealtime insulin administration; prescribing and medication review; intravenous insulin infusion management); capability at point of care, staff knowledge, non-adherence to guidelines/recommendations; teamwork, communication gaps or errors; patient factors; organisational processes/systems, education and training; equipment (e.g. lack off system integration, right equipment at point of care).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The review highlighted considerable heterogeneity in approaches to identifying and classifying insulin errors in the literature. This review identified incidents occurring in areas of the insulin process which have been previously rarely explored. Further studies are needed, using standardised approaches which capture the complexity of insulin errors within the hospital system, to support the development of interventions which improve insulin safety. Use of RESILIENT Framework could offer a more standardised method of data collection and analysis of insulin errors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;The protocol was registered at the Centre for Open Science (&lt;span&gt;&lt;span&gt;https://osf.io/nmd8a&lt;/span&gt;&lt;s","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105074"},"PeriodicalIF":7.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835222","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 impacts of a mHealth platform-enabled lifestyle-integrated multicomponent exercise program on reversing pre-frailty in community-dwelling older adults: A randomized controlled trial","authors":"Na Li ,&nbsp;Nan Wang ,&nbsp;Yuqing Xu ,&nbsp;Siyang Lin ,&nbsp;Yin Yuan ,&nbsp;Feng Huang ,&nbsp;Pengli Zhu","doi":"10.1016/j.ijnurstu.2025.105072","DOIUrl":"10.1016/j.ijnurstu.2025.105072","url":null,"abstract":"<div><h3>Background</h3><div>Multicomponent exercise has robust evidence supporting their effectiveness in preventing pre-frailty/frailty. However, a generalizable model for managing frailty through exercise in real-world settings is still not well defined. A promising approach is to incorporate exercise into daily life. We have developed a lifestyle-integrated multicomponent exercise program supported by a mHealth platform. The objective of this research was to assess its effectiveness and elucidate its potential mechanisms for reversing pre-frailty in community-dwelling older adults.</div></div><div><h3>Methods</h3><div>In this prospective, two-arm parallel randomized controlled trial, 134 pre-frail older adult were enrolled from the <em>Fujian Prospective Ageing Cohort</em>. Participants were randomly assigned to either the intervention group (integrating multicomponent exercise into daily life through a mHealth platform) or control group (health education). The primary outcome was the proportion of participants exhibiting pre-frailty after a 6-month intervention. Secondary outcomes included changes in functional fitness, body composition, bone mineral density, physical activity, and sedentary behavior.</div></div><div><h3>Result</h3><div>Of the 134 participants, 52 (77 %) from the intervention group and 54 (81 %) from the control group completed the study. After 6 months, the proportion of pre-frailty was significantly lower in the intervention group compared to the control group (32.8 % vs 98.5 %, <em>P</em> &lt; .001). Improvements were observed in all five frailty components, except for unintentional weight loss. The intervention group also demonstrated significant enhancement in functional fitness, bone mineral density, and body composition (<em>P</em> &lt; .05). Additionally, the intervention group experienced a decrease in sedentary time and an increase in light physical activity, although there was no statistically significant difference in moderate-to-vigorous physical activity.</div></div><div><h3>Conclusion</h3><div>The lifestyle-integrated multicomponent exercise program, facilitated through a mHealth platform, shows promising beneficial effects on reversing pre-frailty, improving functional fitness and body composition, and decreasing sedentary behavior in community-dwelling older adults.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105072"},"PeriodicalIF":7.5,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk prediction models for frailty in older adults: A systematic review and critical appraisal","authors":"Ling-Na Kong ,&nbsp;Li Yang ,&nbsp;Qiong Lyu ,&nbsp;Dun-Xiu Liu ,&nbsp;Jun Yang","doi":"10.1016/j.ijnurstu.2025.105068","DOIUrl":"10.1016/j.ijnurstu.2025.105068","url":null,"abstract":"<div><h3>Background</h3><div>Frailty can lead to increased adverse health outcomes in older adults. Risk prediction models for frailty have benefits in guiding the prevention. Studies have increasingly focused on the development of risk prediction models for frailty in older adults. The quality and clinical applicability of these models remain unknown.</div></div><div><h3>Objectives</h3><div>To systematically review and critically appraise the current risk prediction models for frailty in older adults.</div></div><div><h3>Methods</h3><div>PubMed, Embase, CINAHL, and Cochrane Library were searched from inception to June, 2024 to identify published studies focusing on developing or validating risk prediction models for frailty in older adults. Data extraction was independently conducted by two reviewers based on the checklist for Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modelling Studies. The quality of included models was assessed using the Prediction Model Risk of Bias Assessment Tool.</div></div><div><h3>Results</h3><div>Of 5421 retrieved studies, 19 studies with 22 risk prediction models for frailty were included. The included models focused on community-dwelling and hospitalized older adults. Logistic regression and machine learning methods were employed to develop risk prediction models. The frequently used predictors were age (77.3 %), cognitive function (31.8 %), self-rated health (27.3 %), sex (22.7 %), activities of daily living (22.7 %), and depression (22.7 %). Internal and external validation were conducted in 17 (77.3 %) and four (18.2 %) models, respectively. Twenty-one (95.5 %) models evaluated model discrimination, with the AUC or c-index ranging from 0.707 to 0.920 in the internal validation and from 0.612 to 0.889 in the external validation. Fifteen (68.2 %) models assessed model calibration using the calibration curve, Hosmer-Lemeshow test, and Brier score and showed good calibration. All risk prediction models had high risk of bias primarily due to problems in the analysis domain and nine (40.9 %) models had high concern regarding applicability.</div></div><div><h3>Conclusions</h3><div>Current risk prediction models for frailty in older adults demonstrated poor validation and evaluation. Future research should focus on improving current models to aid their implementation and developing and validating new models with rigorous methodology.</div></div><div><h3>PROSPERO registration</h3><div>CRD42024582883.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105068"},"PeriodicalIF":7.5,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143761210","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}