International Journal of Nursing Studies最新文献

{"title":"Comment on Rheindorf et al. (2024) 'Getting midwives back to hospitals: A discrete choice experiment'","authors":"Yin Li , John Howell , Desireé Clement","doi":"10.1016/j.ijnurstu.2024.104984","DOIUrl":"10.1016/j.ijnurstu.2024.104984","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104984"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872874","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 nurse-delivered stepwise swallowing training on dysphagia in patients with Alzheimer's disease: A multi-center randomized controlled trial” [Int. J. Nurs. Stud. 150 (2024) 104649]","authors":"Junrong Ye , Chenxin Wu , Jiao Chen , Haoyun Wang , Yuanxin Pan , Xingxiao Huang , Jialan Wu , Xiaomei Zhong , Huarong Zhou , Wen Wang , Shengwei Wu , Tingwei Zhou , Li Wang , Peilan Lu , Chunrui Ruan , Jianxiong Guo , Yuping Ning , Aixiang Xiao","doi":"10.1016/j.ijnurstu.2024.104966","DOIUrl":"10.1016/j.ijnurstu.2024.104966","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104966"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142888109","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":"Mentors' and supervisors' perspectives regarding newly qualified nurses' practice in digitally enabled workplaces: A qualitative study","authors":"Manal Kleib ,&nbsp;Antonia Arnaert ,&nbsp;Rebecca Sugars ,&nbsp;Lynn M. Nagle","doi":"10.1016/j.ijnurstu.2024.104968","DOIUrl":"10.1016/j.ijnurstu.2024.104968","url":null,"abstract":"<div><h3>Background</h3><div>Contemporary healthcare environments are becoming increasingly reliant on digital health technologies, presenting new opportunities and challenges for the nursing profession and nurses across practice settings and roles. Little is known about newly qualified Canadian nurses' experiences as they transition from academic settings to digitally enabled healthcare workplaces.</div></div><div><h3>Objective</h3><div>To explore (1) perceptions of nurse managers, clinical preceptors and educators regarding newly qualified nurses' practice with digital health, and (2) identify strategies to enhance new nurses' practice with digital health technologies as they transition to the workplace.</div></div><div><h3>Methods</h3><div>A descriptive qualitative design was used. Fifteen participants representing nurse managers, clinical preceptors, and educators from two Canadian provinces participated in semi-structured interviews. Thematic analysis was applied to analyze the data.</div></div><div><h3>Results</h3><div>Three themes were identified: 1) Onboarding upon joining the workplace, 2) Factors influencing new hires' practice with technology, and 3) Improving the transition experience to the workplace. Newly qualified nurses have strong digital skills and access to technology training; however, they also face challenges that affect their overall transition and practice. Having a broader understanding of digital health during formal education and in the workplace, mentorship and support from mentors and colleagues, user-friendly technologies, and stable nursing practice environments are key for safe practice and can facilitate the transitional experience and professional growth of new nurses.</div></div><div><h3>Conclusion</h3><div>Clearly, digital health is here to stay and will further advance in the years to come. Considering global nursing shortages and the demand for a digitally capable workforce, it is imperative to address gaps and challenges that newly qualified nurses and all nurses face when providing care in digitally enabled healthcare environments.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104968"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of postpartum interventions on healing and pain in women with perineal trauma: A systematic review and meta-analysis","authors":"Döndü Kurnaz,&nbsp;Gamze Fışkın Siyahtaş,&nbsp;Meltem Demirgöz Bal","doi":"10.1016/j.ijnurstu.2024.104976","DOIUrl":"10.1016/j.ijnurstu.2024.104976","url":null,"abstract":"<div><h3>Introduction</h3><div>Interventions aimed at perineal healing and pain relief can have a positive impact on postpartum experiences in women who experience perineal trauma during childbirth.</div></div><div><h3>Objective</h3><div>The aim of this systematic review and meta-analysis was to compare various methods applied for healing and pain relief from perineal trauma based on primary studies.</div></div><div><h3>Methods</h3><div>The study protocol was developed following PRISMA guidelines, and Meta-Analyses guidelines. Searches were conducted between March and April 2024. Registration was completed using PROSPERO. Searches were performed using PubMed, the Cochrane Library, EBSCO, Embase, Web of Science, PsycINFO, Scopus, National Thesis Center, TR Dizin, Türkiye Klinikleri, and DergiPark Academic search engines. The methodological quality of the studies was assessed using the RoB-1 and RoB-2. Data were aggregated through meta-analysis, and a GRADE evidence profile was created.</div></div><div><h3>Results</h3><div>Nineteen studies involving 1899 participants were included in the meta-analysis. The results showed that interventions performed within the first 24 h after episiotomy did not reduce pain. However, the effects of the interventions were observed on the second day, with cold application identified as the most effective method. Additionally, interventions did not affect healing during the first three days, but a more pronounced improvement was noted in the intervention group by the fifth day. Healing began around the 7th–10th days even without intervention. The REEDA (redness, edema, ecchymosis, discharge, and approximation) score decreased most significantly in the group that received perineal education (diet, Kegel exercise, infection symptoms, and perineal hygiene).</div></div><div><h3>Conclusion</h3><div>Cold application is recommended on the second day to reduce pain following perineal trauma. Interventions were found to accelerate the healing process by initiating healing at least two days earlier, with perineal education being the most effective method. However, further research on topical herbal treatments and perineal hygiene education is needed to strengthen this evidence.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104976"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142825319","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":"Comparative effectiveness of delirium recognition with and without a clinical decision assessment system on outcomes of hospitalized older adults: Cluster randomized controlled trial","authors":"Jiamin Wang ,&nbsp;Ying Wu ,&nbsp;Yongjun Huang ,&nbsp;Fangyu Yang","doi":"10.1016/j.ijnurstu.2024.104979","DOIUrl":"10.1016/j.ijnurstu.2024.104979","url":null,"abstract":"<div><h3>Background</h3><div>Early recognition of delirium is essential for effective management, but it often goes unrecognized, resulting in adverse outcomes. Clinical decision support systems can enhance adherence to guidelines and improve patient outcomes. We developed a mobile-based clinical decision assessment tool (3D-DST) based on the 3-minute diagnostic interview for confusion assessment method-defined delirium (3D-CAM). Implementing the 3D-DST may enhance delirium recognition and adherence to interventions among healthcare professionals, potentially improving outcomes in older adults.</div></div><div><h3>Objective</h3><div>To test whether improved recognition of delirium could lead to better clinical outcomes in older adults.</div></div><div><h3>Design</h3><div>A cluster randomized controlled trial with pair-matching.</div></div><div><h3>Setting</h3><div>A tertiary geriatric hospital.</div></div><div><h3>Participants</h3><div>Patients aged ≥<!--> <!-->65 years.</div></div><div><h3>Methods</h3><div>Four general wards were paired and randomly assigned to the intervention group (two wards) or the control group (two wards). The intervention included routine delirium assessments by nurses using either the 3D-DST or the 3D-CAM, along with delirium prevention and intervention measures carried out by a multidisciplinary team. Outcomes measured included delirium incidence, duration, severity, length of stay, and adherence to the delirium assessment, prevention, and treatment protocol. A trained nursing researcher collected data on demographics, clinical characteristics, and primary and secondary outcomes.</div></div><div><h3>Results</h3><div>211 eligible patients participated (106 in the intervention group and 105 in the control group), with 21 identified as delirium-positive using the 3D-DST. The median Charlson comorbidity index score among older adults in the intervention group was 1 (1–2), compared to 2 (1–3) in the control group (<em>P</em> = 0.032). Nurses' adherence to delirium assessment was significantly higher in the intervention group than in the control group (73 % vs. 31 %). The recognition rate of delirium among nurses was 89 % in the intervention group and 42 % in the control group. There were no statistically significant differences in delirium duration (6 [3–9] vs. 7 [2–14], <em>P</em> = 0.967), incidence (8.5 % vs. 11.4 %, <em>P</em> = 0.500), severity (2 [1–3] vs. 2 [1–4], <em>P</em> = 0.891) or length of hospital stay (15 [14–18] vs. 18 [13–22], <em>P</em> = 0.568) between the intervention and control groups.</div></div><div><h3>Conclusions</h3><div>The 3D-DST enhanced adherence to routine delirium recognition by nurses. However, effective strategies are urgently needed to strengthen multidisciplinary collaboration and enhance adherence to delirium management among healthcare professionals.</div></div><div><h3>Registration</h3><div>Chinese Clinical Trial Registry, Identifier: ChiCTR1900028402.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104979"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866064","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":"Efficacy of skin-to-skin contact between mother and infant on maternal outcomes during the third stage of labour: A systematic review and meta-analysis","authors":"Sandra Martínez-Rodríguez ,&nbsp;Julián Rodríguez-Almagro ,&nbsp;Alberto Bermejo-Cantarero ,&nbsp;Estíbaliz Laderas-Díaz ,&nbsp;Noelia Sanchez-Millan ,&nbsp;Antonio Hernández-Martínez","doi":"10.1016/j.ijnurstu.2024.104981","DOIUrl":"10.1016/j.ijnurstu.2024.104981","url":null,"abstract":"<div><h3>Background</h3><div>Postpartum haemorrhage is a preventable cause of maternal mortality that commonly occurs during the third stage of labour. Skin-to-skin contact is an intervention that can support the physiological processes of labour by increasing oxytocin levels, which can accelerate placental expulsion and enhance uterine contractions, thereby contributing to the prevention of postpartum haemorrhage.</div></div><div><h3>Objective</h3><div>This systematic review aims to evaluate the impact of skin-to-skin contact on key maternal variables during the third stage of labour, including the duration of this stage, placental integrity, the need for manual placental extraction, the administration of therapeutic uterotonics, and the position of the uterine fundus.</div></div><div><h3>Methods</h3><div>A systematic review with meta-analysis of randomised controlled trials and prospective quasi-experimental studies was conducted. Studies were searched in PubMed, Scopus, Cochrane, CINAHL, Google Scholar, and Web of Science. Statistical analysis was performed using STATA version 18. The results of the meta-analysis were reported using relative risk (RR) for dichotomous data and mean difference (MD) for continuous data, both with 95 % confidence intervals (CI). A random-effects model was employed due to the anticipated heterogeneity among the included studies. Sensitivity analyses were performed to assess the robustness of the findings, and a subgroup analysis was conducted based on the type of birth, study design, and country economic level.</div></div><div><h3>Results</h3><div>Twenty-five trials were included. Skin-to-skin contact significantly reduced the duration of the third stage of labour (MD: −<!--> <!-->4.26; 95 %; CI: −<!--> <!-->5.70, −<!--> <!-->2.81), increased the likelihood of complete placental integrity (RR: 1.09; 95 % CI: 1.02, 1.16), and significantly reduced both the likelihood of a supraumbilical position of the uterine fundus (RR: 0.39; 95 % CI: 0.20, 0.76) and the need for uterotonic administration (RR: 0.24; 95 % CI: 0.12, 0.48).</div></div><div><h3>Conclusions</h3><div>Skin-to-skin contact is a simple practice that can favourably influence the physiological processes of labour and improve various maternal outcomes. These benefits include reducing the duration of the third stage of labour, ensuring complete birth of the placenta, decreasing the need for uterotonic administration, and increasing the likelihood of a proper uterine fundal position. Therefore, it is recommended to include this practice in labour care protocols.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104981"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866068","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":"Family members' experiences of surrogate decision-making in hospice care: A systematic review of qualitative studies","authors":"Ting Yu ,&nbsp;Yijing Li ,&nbsp;Ziyi Hu ,&nbsp;Shanshan Liu ,&nbsp;Cong Wang ,&nbsp;Qian Chen ,&nbsp;Yan Jiang","doi":"10.1016/j.ijnurstu.2024.104987","DOIUrl":"10.1016/j.ijnurstu.2024.104987","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Surrogate decision-makers play a key role in determining whether end-of-life patients receive hospice care. There is a need to better understand families' experiences of surrogate decision-making in hospice care for end-of-life patients to provide a basis for developing targeted interventions, such as decision support tools or counseling, to help family members navigate the decision-making process.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Aim&lt;/h3&gt;&lt;div&gt;The aim was to analyze and synthesize global qualitative data on family members' experiences of surrogate decision-making regarding whether to receive hospice care for end-of-life patients.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;This was a systematic review of qualitative studies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Data sources&lt;/h3&gt;&lt;div&gt;The PubMed, Web of Science, Cochrane Library, Embase, Cumulated Index to Nursing and Allied Health Literature, Chinese Biomedical Literature Service System, China National Knowledge Infrastructure, WanFang and China Science and Technology Journal databases were searched from inception to September 2024. Studies related to family members making surrogate decisions about whether to receive hospice care for end-of-life patients were included.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Review methods&lt;/h3&gt;&lt;div&gt;This review was guided by the Joanna Briggs Institute Manual for Systematic reviews of qualitative evidence. Two reviewers independently screened the studies and extracted the data. The eligible studies were assessed via the Joanna Briggs Institute critical appraisal instrument for qualitative research. Thematic synthesis was guided by the method developed by Thomas and Harden.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of nine studies were included. The synthesis of qualitative data resulted in three themes: (1) Decision motivation between rationality and emotion. The reasons surrogate decision-makers considered hospice care for patients involved multiple aspects and were a result of both objective and subjective factors. (2) Decision preparation stemmed from knowledge and experience. A knowledge-based foundation and experiential grounding were needed to ensure that surrogate decision-makers make informed decision. (3) Decision reflection through looking back and forward. Surrogate decision-makers expressed satisfaction with the decision to choose hospice care for patients, coupled with serious consideration of personal future end-of-life decisions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Determining whether patients receive hospice care at end of life is complex for family members. This process begins with the coexistence of rational and emotional motives for decision-making, involves preparation for decision-making through the acquisition of knowledge and experience about hospice care, and culminates in reflection on the entire decision-making process. These findings underscore the importance of providing sufficient informational and emotional support to family decision-makers, which can impro","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104987"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899965","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 effects of a facilitator-enabled online multicomponent iSupport for dementia programme: A multicentre randomised controlled trial” [Int. J. Nurs. Stud. 159 (2024) 104868]","authors":"Lily Xiao ,&nbsp;Shahid Ullah ,&nbsp;Rujun Hu ,&nbsp;Jing Wang ,&nbsp;Huali Wang ,&nbsp;Chia-Chi Chang ,&nbsp;Timothy Kwok ,&nbsp;Mingxia Zhu ,&nbsp;Julie Ratcliffe ,&nbsp;Henry Brodaty ,&nbsp;Bianca Brijnath ,&nbsp;Hui-Chen (Rita) Chang ,&nbsp;Bel Wong ,&nbsp;Yunrui Zhou ,&nbsp;Jinjie He ,&nbsp;Mengmeng Xia ,&nbsp;Jhih-Yang Hong ,&nbsp;Shirley Che ,&nbsp;Rachel Milte","doi":"10.1016/j.ijnurstu.2024.104960","DOIUrl":"10.1016/j.ijnurstu.2024.104960","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104960"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a nurse practitioner-led collaborative health care model on self-care, functional status, rehospitalization and medical costs in heart failure patients: A randomized controlled trial","authors":"Chih-Wen Chen ,&nbsp;Tsae-Jyy Wang ,&nbsp;Chieh-Yu Liu ,&nbsp;Yeu-Hui Chuang ,&nbsp;Ching-Chuan Su ,&nbsp;Shu-Fang Vivienne Wu","doi":"10.1016/j.ijnurstu.2024.104980","DOIUrl":"10.1016/j.ijnurstu.2024.104980","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Heart failure is a serious and common condition that has garnered significant attention in the global public health domain. It often results in impaired function and reduced cardiac function status, leading to difficulties in self-care and diminished quality of life. To effectively address these complex challenges, the collaborative health care model has been proposed. This approach has proven effective in reducing rehospitalization and lowering medical costs.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To evaluate the effects of a nurse practitioner-led collaborative health care model on the self-care, functional status, rehospitalization and medical costs of patients with heart failure.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A randomized controlled trial design.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;Cardiology department of a regional teaching hospital in Southern Taiwan.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;100 patients diagnosed with heart failure.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Patients diagnosed with heart failure were recruited through random allocation and.&lt;/div&gt;&lt;div&gt;randomly assigned to two groups. The control group included 50 patients who received routine nursing guidance; the experimental group also included 50 patients who participated in a 12-week collaborative health care program. Key outcomes, including self-care, functional status, rehospitalization, and medical costs, which were evaluated at 12, 16, and 20 weeks post-discharge.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The intervention of the collaborative healthcare program significantly impacted self-care, functional status, rehospitalization, and medical costs. Significant improvements in self-care and functional status were observed at 20 weeks (Self-Care: β = 31.52, 95 % CI: 25.96 to 37.07, &lt;em&gt;p&lt;/em&gt; &lt; 0.001; Functional Status: χ&lt;sup&gt;2&lt;/sup&gt; = 22.42, &lt;em&gt;p&lt;/em&gt; &lt; 0.001). Regarding rehospitalization, the average rehospitalization duration for the experimental group significantly increased compared to 1.45 months for the control group, with the experimental group averaging 3.00 months at the 20-week follow-up. Moreover, the experimental group also demonstrated a reduction in rehospitalization medical costs, particularly with significant effects observed in the early stages of intervention (β = −&lt;!--&gt; &lt;!--&gt;6147.94, 95 % CI: −&lt;!--&gt; &lt;!--&gt;10,763.99 to −&lt;!--&gt; &lt;!--&gt;1531.88, &lt;em&gt;p&lt;/em&gt; = 0.009).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The use of a nurse practitioner-led collaborative health care model significantly improved self-care, function status and reduced rehospitalization while effectively lowering medical costs for patients with heart failure. Through professional team communication and collaboration, this approach provides more effective and comprehensive care, enhances patient self-management capabilities, and improves overall treatment outcomes. These results hold significant implications for clinical practice and provide empirical suppor","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104980"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142874801","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":"Factors influencing nurses and nursing students' attitudes towards vaccinations: A cross-sectional study","authors":"Jeremia Keisala ,&nbsp;Erika Jarva ,&nbsp;Dania Comparcini ,&nbsp;Valentina Simonetti ,&nbsp;Giancarlo Cicolini ,&nbsp;John Unsworth ,&nbsp;Marco Tomietto ,&nbsp;Kristina Mikkonen","doi":"10.1016/j.ijnurstu.2024.104963","DOIUrl":"10.1016/j.ijnurstu.2024.104963","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Vaccination hesitancy remains the main obstacle to improving vaccination coverage. Influenza and COVID-19 vaccination coverage among healthcare professionals is essential. It is crucial to study the vaccination attitudes of healthcare professionals as they significantly influence the vaccination attitudes and behaviour of the rest of the population.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;The aim of this study was to describe the attitudes of Finnish nurses and nursing students towards COVID-19 and Influenza vaccination and explain what factors influence these attitudes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A cross-sectional study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting and participants&lt;/h3&gt;&lt;div&gt;A total of 1353 nurses from five hospital organisations and 580 nursing students from eight Universities of Applied Sciences participated in the survey. Participants were invited to complete the questionnaire through Webropol between March and September 2023.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;To collect data anonymously, a self-reported web-based questionnaire combining the Vaccination Attitude Examination (VAX) scale and Bergen's Social Media Addiction (BSMA) scale was used. K-means cluster analysis was performed to describe vaccination attitude profiles.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Four distinct vaccination attitude profiles were identified: Profile A - Confident Pro-Vaccine (n = 605) exhibited low hesitancy, with high confidence in vaccine safety and effectiveness; Profile B – Cautiously Pro-Vaccine (n = 764) showed moderate hesitancy, mainly concerned about unforeseen future effects; Profile C - Hesitant with Mistrust (n = 405) expressed high hesitancy, with significant worries about vaccine safety and mistrust in health authorities; and Profile D – Strongly Vaccine-Hesitant (n = 159) demonstrated very high hesitancy, marked by strong beliefs in potential long-term negative effects of vaccination. Significant differences in VAX-scale mean scores were found between the profiles, ranging from 1.27 for Profile A to 6.65 for Profile D. Overall, nursing students were more hesitant than practising nurses, with students being overrepresented in the more hesitant profiles. Clinical training in a COVID-19 unit was associated with more favourable vaccination attitudes among nursing students. The uptake of the full series of COVID-19 and annual Influenza vaccines was generally high in the sample (90.8 % and 87 %, respectively). However, a clear pattern between specific social media use and vaccination attitudes was not found. Major concerns related to vaccine hesitancy focused on the uncertainty of vaccines' long-term effects.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;This study provides valuable insights into the complex nature of vaccination hesitancy among nurses and nursing students. These findings underscore the need for targeted interventions to address underlying concerns and promote vaccine acceptance within this demographic. In","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104963"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}