Julia Zuschnegg , Alfred Häussl , Gerald Lodron , Thomas Orgel , Silvia Russegger , Michael Schneeberger , Maria Fellner , Magdalena Holter , Dimitrios Prodromou , Anna Schultz , Regina Roller-Wirnsberger , Lucas Paletta , Marisa Koini , Sandra Schüssler
{"title":"Psychosocial effects of a humanoid robot on informal caregivers of people with dementia: A randomised controlled trial with nested interviews","authors":"Julia Zuschnegg , Alfred Häussl , Gerald Lodron , Thomas Orgel , Silvia Russegger , Michael Schneeberger , Maria Fellner , Magdalena Holter , Dimitrios Prodromou , Anna Schultz , Regina Roller-Wirnsberger , Lucas Paletta , Marisa Koini , Sandra Schüssler","doi":"10.1016/j.ijnurstu.2024.104967","DOIUrl":"10.1016/j.ijnurstu.2024.104967","url":null,"abstract":"<div><h3>Background</h3><div>Dementia rates are rising globally, impacting healthcare systems and society. The care of people with dementia is largely provided by informal caregivers (e.g., family, friends), which can present significant challenges and increase caregivers' burden. New technologies, such as humanoid socially assistive robots, show promise in reducing this burden, as such robots were considered to be supportive devices for both informal caregivers and people with dementia.</div></div><div><h3>Objective</h3><div>To explore the psychosocial effects of the humanoid social assistive robot Coach Pepper (equipped with functions like tablet-based multimodal training for people with dementia) compared to exclusively tablet-based multimodal training for people with dementia on informal caregivers. Additionally, informal caregivers' attitudes and experiences with Coach Pepper were examined.</div></div><div><h3>Design</h3><div>A randomised controlled parallel two-arm trial with a nested qualitative study was conducted.</div></div><div><h3>Setting</h3><div>The study took place in the home setting (i.e. private households).</div></div><div><h3>Participants</h3><div>Thirty-two informal caregivers of people with dementia participated in the study.</div></div><div><h3>Methods</h3><div>Informal caregivers (and their loved one with dementia) were randomly assigned to Coach Pepper (n = 16) or a solely tablet-based multimodal training (n = 16) for a three-week period. Data for caregivers were collected at baseline and after the intervention by standardised questionnaires for caregiver burden (primary outcome), quality of life, depressive symptoms and affect. Additionally, acceptance was measured in both groups and semi-structured interviews were conducted in the Coach Pepper group post-interventionally.</div></div><div><h3>Results</h3><div>No significant differences in mean changes between groups were identified in the outcomes, except that two domains of acceptance (usefulness and accessibility) were rated significantly higher for the control group. Qualitative findings showed mostly positive attitudes towards Coach Pepper in dementia care and neutral feelings on caregiver burden. Caregivers reported usefulness of Coach Pepper on being assistive in six components of human needs: ‘learning ability’, ‘recreational activities’, ‘contact with others’, ‘mobility/body posture’, ‘communication’ and ‘avoiding danger’. However, they recommended further improvement in all fourteen components of human needs.</div></div><div><h3>Conclusions</h3><div>Coach Pepper had no significant psychosocial effects on informal caregivers of people with dementia. Qualitative findings demonstrated the participants' positive attitudes but highlighted a need for improvements regarding Coach Pepper's usability.</div></div><div><h3>Registration</h3><div><span><span>NCT03818217</span><svg><path></path></svg></span> (date of registration: 09.01.2019; date of first recruitment: 04.02.","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104967"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866083","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":"Survivorship concerns among posttreatment cancer survivors in South Korea: A secondary analysis of a cross-sectional survey","authors":"Soo Hyun Kim","doi":"10.1016/j.ijnurstu.2024.104982","DOIUrl":"10.1016/j.ijnurstu.2024.104982","url":null,"abstract":"<div><h3>Background</h3><div>Cancer survivors may have a variety of survivorship concerns despite their cancer treatment having ended, with some negatively affecting their health-related quality of life. An in-depth understanding of survivorship concerns is essential for the development of survivorship care programs. However, previous findings have been limited to Western countries, and evidence from Asian countries is lacking.</div></div><div><h3>Objective</h3><div>This study aimed to examine the prevalence of survivorship concerns among posttreatment cancer survivors in South Korea, identify factors associated with survivorship concerns, and explore their relationship with health-related quality of life.</div></div><div><h3>Design</h3><div>Secondary analysis of a cross-sectional survey.</div></div><div><h3>Setting</h3><div>Data were collected through an online survey of five online communities of cancer survivors in South Korea.</div></div><div><h3>Participants</h3><div>Overall, 1019 cancer survivors diagnosed with breast, colorectal, lung, stomach, and thyroid cancer (top five cancers in South Korea) who completed their cancer treatment.</div></div><div><h3>Methods</h3><div>The survey collected data on demographic, disease- and treatment-related characteristics, survivorship concerns, and health-related quality of life. Survivorship concerns were measured using the checklist for survivorship concerns from the National Comprehensive Cancer Network Guidelines for Cancer Survivorship, which includes 12 survivorship concerns (e.g. cardiac toxicity, distress, cognitive dysfunction, fatigue, lymphoedema). Health-related quality of life was assessed using the Korean version of the 30-item European Organisation for Research and Treatment of Cancer Quality of Life Core Questionnaire. Data were analysed using descriptive statistics, the Chi-square test, and multiple regression.</div></div><div><h3>Results</h3><div>The prevalence of survivorship concerns ranged from 34.7 % to 78.4 %. Fatigue (78.4 %), unhealthy lifestyle (74.8 %), cognitive dysfunction (60.5 %), insomnia (58.9 %), and distress (52.9 %) were the five most frequent concerns. Survivors aged in their 50s, those diagnosed with stomach cancer, those with an elapsed time of ≥<!--> <!-->2 years but <<!--> <!-->5 years since diagnosis, and those who had received chemotherapy and/or radiotherapy were significantly more likely to report survivorship concerns. Regression analyses revealed that all survivorship concerns were significant predictors of one or more subscales of health-related quality of life. Distress was found to be a significant predictor of all six subscales of the European Organisation for Research and Treatment of Cancer Quality of Life Core Questionnaire.</div></div><div><h3>Conclusions</h3><div>This study revealed that posttreatment cancer survivors in South Korea had various survivorship concerns that decreased their health-related quality of life. To improve their health-rel","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104982"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866086","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":"Job satisfaction among hospital nurses: An updated literature review","authors":"Yang Zhao , Hong Lu , Xiu Zhu , Guihua Xiao","doi":"10.1016/j.ijnurstu.2024.104964","DOIUrl":"10.1016/j.ijnurstu.2024.104964","url":null,"abstract":"<div><h3>Background</h3><div>Nurses' job satisfaction has long been a global concern because of the critical significance it holds on nurse turnover and the quality and safety of patient care.</div></div><div><h3>Objectives</h3><div>To perform an updated literature review of the newly emerging studies on job satisfaction among hospital nurses.</div></div><div><h3>Design</h3><div>Literature review.</div></div><div><h3>Data sources</h3><div>Ten electronic database (PubMed, Web of Science, Embase, CINAHL, PsycINFO, Applied Social Sciences Index, CNKI, SinoMed, CQVIP, WanFang) were searched for studies published between September 2018 and May 2024.</div></div><div><h3>Review methods</h3><div>Studies were included if they published in English or Chinese and focused on job satisfaction of qualified general nurses working in acute care hospitals. Data extraction, synthesis and content analysis were performed.</div></div><div><h3>Results</h3><div>Of the 28,584 studies originally identified, 52 studies were included in the final review. Thirty-eight influencing factors and twenty-nine predictors of nurses' job satisfaction across the domains of demographic characteristics, individual cognition and behaviors, and working environment and management were newly added in this updated review. Sixty-five factors, which were further grouped into eight subcategorizations: demographic characteristics, personality traits, emotion, behaviors, psychological and cognitive factors, organizational climate, leadership and management, were additionally identified as related factors of nurses' job satisfaction. Factors relating to nurses' individual cognition and behaviors mainly played mediating roles in the mediating pathways linking various factors with job satisfaction.</div></div><div><h3>Conclusions</h3><div>This review provides improved understanding of nurses' job satisfaction. Future studies could further explore the mechanisms by which factors relating to working environment and management predict or affect nurses' job satisfaction. The newly identified intrinsic factors from the mediating or moderating pathways offered valuable intervention insights for the improvement of nurses' job satisfaction.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104964"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142790164","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}
Charlene Shihui LEE , Jessica Syn Yin TAN , Shawn Yong-Shian GOH , Ken Hok Man HO , Roger Yat-nork CHUNG , Ee Yuee CHAN , Sok Ying LIAW , Betsy SEAH
{"title":"Experiences of live-in migrant caregivers providing long-term care for older adults at home: A qualitative systematic review and meta-ethnography","authors":"Charlene Shihui LEE , Jessica Syn Yin TAN , Shawn Yong-Shian GOH , Ken Hok Man HO , Roger Yat-nork CHUNG , Ee Yuee CHAN , Sok Ying LIAW , Betsy SEAH","doi":"10.1016/j.ijnurstu.2025.105019","DOIUrl":"10.1016/j.ijnurstu.2025.105019","url":null,"abstract":"<div><h3>Background</h3><div>Live-in migrant caregivers have been employed in various developed countries to meet the growing demands of long-term care needs for older adults. Increasingly, nurses in these countries are involved in providing caregiving training to these live-in migrant caregivers. A comprehensive understanding of the caring experiences of these live-in migrant caregivers can better support their caregiving experiences and improve their quality of care.</div></div><div><h3>Aim</h3><div>To synthesise the experiences of live-in migrant caregivers for older adults requiring long-term home care.</div></div><div><h3>Design</h3><div>Qualitative systematic review using meta-ethnography.</div></div><div><h3>Methods</h3><div>PubMed, CINAHL, Embase, Google Scholar, PsycINFO, Scopus, ProQuest and Web of Science Core Collection were searched from inception to November 2024. Qualitative studies that explored the experiences of migrant caregivers providing live-in care to older adults requiring long-term care were included. Two reviewers screened the articles according to the eligibility criteria, appraised the articles using the Critical Appraisal Skills Programme Tool, and extracted qualitative data independently. Data synthesis was performed using Noblit and Hare's meta-ethnography.</div></div><div><h3>Results</h3><div>Five themes emerged from the 14 included studies: beyond caring for the older adult, compromising basic rights, being away, coping strategies, and being a better caregiver. These themes contributed to the overall line-of-argument synthesis: ‘Treat me as a human being’ so that I can grow and ‘give my all’ — beyond a transactional paid job to provide care. The synthesis revealed the vulnerabilities, challenges, opportunities, and capacity development encountered by live-in migrant caregivers in unleashing their potential to be better caregivers.</div></div><div><h3>Conclusion</h3><div>The findings highlighted the complexities of care intertwined in social structural bounded relationships between live-in migrant caregivers, older care recipients, and employers. Greater advocacy is needed to embrace live-in migrant workers as valued care providers of the eldercare workforce. Nurses have a role in promoting the development, delivery, uptake, and evaluation of structured, culturally contextualised and comprehensible long-term care training programs for live-in migrant caregivers and their employers. Significant opportunities could be provided to equip live-in migrant workers in caregiving roles, ensure and allocate time to rest, communicate their caregiving needs and moderate employers' expectations. Enhancing the quality of caregiving, improving their intertwined relationships and exercising cultural sensitivity contribute to better caregiving experiences and well-being for older adults, migrant caregivers, and employers.</div></div><div><h3>Registration and reporting checklist</h3><div>The study protocol of this review was registe","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105019"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420460","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}
Tove Nilsson , Abid Lashari , Per Gustavsson , Mikko Härmä , Carolina Bigert , Theo Bodin , Laura Maclachlan , Annika Lindahl Norberg , Emma Brulin
{"title":"Night and shift work and incidence of physician-diagnosed sleep disorders in nursing staff: A prospective cohort study","authors":"Tove Nilsson , Abid Lashari , Per Gustavsson , Mikko Härmä , Carolina Bigert , Theo Bodin , Laura Maclachlan , Annika Lindahl Norberg , Emma Brulin","doi":"10.1016/j.ijnurstu.2025.105017","DOIUrl":"10.1016/j.ijnurstu.2025.105017","url":null,"abstract":"<div><h3>Background</h3><div>Epidemiological studies provide evidence for an association between shift work and sleep problems but often lack precise exposure and outcome data.</div></div><div><h3>Objective</h3><div>To investigate the risk of first-time physician-diagnosed sleep disorder in nursing staff using register-based data of shift work and health outcomes.</div></div><div><h3>Design</h3><div>A prospective cohort study with a 4.5-year follow-up.</div></div><div><h3>Participants</h3><div>25,639 healthcare employees (nurses including midwives, nursing assistants, and related care professions) employed for at least six months between 2012 and 2016 by Region Stockholm were included.</div></div><div><h3>Methods</h3><div>Information on hour-by-hour and day-by-day working hours was obtained from a computerised employee register. Physician-diagnosed sleep disorders (N = 326) were obtained from an outpatient register from January 2013 to June 2017. Discrete time proportional hazards models were used to estimate hazard ratios (HR) adjusting for age, sex, country of birth and profession.</div></div><div><h3>Results</h3><div>An increased risk of physician-diagnosed sleep disorder was seen among those who, during the preceding six months, only or frequently (><!--> <!-->66 times) worked night shifts compared to those who did not work nights (HR 1.70, 95 % CI 1.17–2.43 and HR 1.77, 95 % CI 1.21–2.50 respectively). The associations were supported by a dose–response pattern (p = 0.0006). Among those who work night shifts, the risk associated with 9–12 times of three or more consecutive nights was of borderline statistical significance (HR 1.66, 95 % CI 0.98–2.81). Frequently (><!--> <!-->39 times the last six months) having quick returns from night shifts (<<!--> <!-->28 h) showed an almost 2-fold increased risk of physician-diagnosed sleep disorder compared to those who had few (<<!--> <!-->8 times in the last six months) quick returns from night shifts (HR 1.89, 95 % CI 1.05–3.52). Quick returns from afternoon shifts in non-night workers (<<!--> <!-->11 h) did not significantly increase the risk of physician-diagnosed sleep disorder.</div></div><div><h3>Conclusion</h3><div>The results indicate that intensive night shift work, especially frequent and consecutive night shifts, is associated with an increased risk of physician-diagnosed sleep disorder in nursing staff. This study raises awareness of the need to acknowledge objective in addition to subjective health outcomes in relation to shift work.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105017"},"PeriodicalIF":7.5,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143372703","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":"High specificity clinical signs of impending death: A scoping review","authors":"Catarina Simões , Rui Carneiro , Abílio CardosoTeixeira","doi":"10.1016/j.ijnurstu.2025.105015","DOIUrl":"10.1016/j.ijnurstu.2025.105015","url":null,"abstract":"<div><h3>Background</h3><div>Accurate diagnosis of impending death is essential to provide proper care in the last days and hours of life. Recognising the death situation immediately allows adjustment of care goals, ensuring that they suit the patient's condition, as well as tuning the team's and family's expectations.</div></div><div><h3>Objective</h3><div>To map and describe evidence on high specificity clinical signs of impending death in cancer and noncancer hospitalised patients over 18 years of age.</div></div><div><h3>Methods</h3><div>A comprehensive search of the published literature was conducted According to Joanna Briggs Institute's methodology for scoping reviews. Online databases, including MEDLINE, CINAHL complete, SCOPUS, WEB OF SCIENCE, and the Cochrane Database of Systematic Reviews, and the search for unpublished studies included OpenGrey, DART-Europe, and RCAAP. Publications in English, French, Portuguese, and Spanish were included, and no period was set. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis extensions to scoping review guidelines were used to report the results. The review protocol was registered in Open Science Framework (Simões et al., 2022).</div></div><div><h3>Results</h3><div>The 15 studies included in this review were published in English between 2013 and 2023. In addition to identifying the clinical signs of impending death, some researchers intend to develop accurate prognostic models for this clinical situation. Only two studies in the noncancer population met the inclusion criteria. Twelve articles were prospective observational studies (seven were multicentre studies), one was a retrospective cohort study, and two were narrative reviews. A clinical sign that is common to studies in both populations is respiration with mandibular movement, particularly in the last 12 h of life.</div></div><div><h3>Conclusions</h3><div>Clinical signs of impending death and prediction models can help clinicians identify impending death. However, they should not replace clinical judgement. Further research is required to understand whether the dying process differs among different patient populations and care settings.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105015"},"PeriodicalIF":7.5,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143377731","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}
Keyuan Peng, Pingting Zhu, Xinyue Gu, Chenglei Hu, Yi Teng
{"title":"Journey of touching death, nursing undergraduates' experiences in the simulated death graded exposure Programme: A qualitative descriptive study in China","authors":"Keyuan Peng, Pingting Zhu, Xinyue Gu, Chenglei Hu, Yi Teng","doi":"10.1016/j.ijnurstu.2025.105013","DOIUrl":"10.1016/j.ijnurstu.2025.105013","url":null,"abstract":"<div><h3>Background</h3><div>Nursing undergraduates receive inadequate training in death and end-of-life care within the education system, resulting in feelings of unpreparedness and inadequacy when confronted with their first death event in clinical practice, as well as a low willingness to engage in end-of-life care.</div></div><div><h3>Objective</h3><div>To explore the cognitive and emotional experiences of nursing undergraduate students participating in the simulated death graded exposure programme, and to evaluate the educational significance of the programme.</div></div><div><h3>Design</h3><div>A qualitative descriptive study design.</div></div><div><h3>Setting</h3><div>A comprehensive university in Jiangsu Province, China.</div></div><div><h3>Participants</h3><div>In October 2023, twenty-eight (age range, 19–21 years; 21 [75 %] female;) first-year nursing undergraduates were recruited to participate in the simulated death graded exposure programme.</div></div><div><h3>Methods</h3><div>The research team developed and implemented a systematic simulated death graded exposure programme, consisting of four parts: end-of-life farewell role-playing, simulated funeral experience, post-simulation recovery and death reflection. Semi-structured interviews were conducted after the experience, and the interview data were analysed using content analysis.</div></div><div><h3>Results</h3><div>The nursing students' experiences in the simulated death graded exposure programme could be divided into three phases through a longitudinal process: approaching death (dying), immersing in the world of death (death), and initiating the transformation of life's meaning (rebirth). In the first phase, participants felt integrated into the simulated roles, experienced the complex emotions of approaching death, and ultimately accepted the declaration of death. In the second phase, participants experienced a highly realistic simulation of death, guiding physical symptoms and emotional reactions. Additionally, their awareness of death began to awaken and disperse, leading to profound reflections on death. In the third phase, participants engaged in a process of self-examination which culminated in a self-proclaimed healing process from the experience of the simulated death. Through deep reflection, they were reacquainted with their values and professional mission.</div></div><div><h3>Conclusions</h3><div>The simulated death graded exposure programme enhances nursing students' psychological preparedness and emotional adjustment helping to prepare them for experiencing death in a clinical context, and deepens their understanding of life and death. This programme provides a practical example of nursing professionals' training and education in end-of-life care.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105013"},"PeriodicalIF":7.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143167493","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}
Zhenzhen Wang , Bingxin Zhao , Yao Li , Jiamei Jing , Lina Suo , Guozeng Zhang
{"title":"Comparison of the effects of 19 exercise interventions on symptoms, pain, balance, and muscular strength in patients with chemotherapy-induced peripheral neuropathy: A systematic review and network meta-analysis","authors":"Zhenzhen Wang , Bingxin Zhao , Yao Li , Jiamei Jing , Lina Suo , Guozeng Zhang","doi":"10.1016/j.ijnurstu.2025.105014","DOIUrl":"10.1016/j.ijnurstu.2025.105014","url":null,"abstract":"<div><h3>Background</h3><div>Exercise can improve the symptoms of chemotherapy-induced peripheral neuropathy. Traditional pairwise meta-analyses of exercise interventions can only identify the difference in effect between an exercise intervention and usual care. It is necessary to conduct network meta-analyses to establish evidence on the comparative effectiveness of all relevant exercise intervention strategies.</div></div><div><h3>Objective</h3><div>To evaluate the comparative effectiveness of all known exercise interventions for chemotherapy-induced peripheral neuropathy, rank the best exercise intervention and explore the influencing factors of exercise intervention.</div></div><div><h3>Design</h3><div>Systematic review and network meta-analysis.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted in 14 databases. Risk of bias assessment, quality of evidence, sensitivity analysis, subgroup analysis and meta-regression were performed on the included studies. A network meta-analysis was used to identify the optimal exercise intervention.</div></div><div><h3>Results</h3><div>Twenty-four eligible studies were included, and a total of 19 interventions were identified. Regular physical training combined with sensorimotor exercise, sensorimotor exercise, aerobic combined with resistance and balance training, aerobic exercise and resistance training had statistically significant differences in reducing CIPN symptoms with SMD and 95 % CI were − 1.06 (−<!--> <!-->1.77, −<!--> <!-->0.36), −<!--> <!-->0.61 (−<!--> <!-->1.08, −<!--> <!-->0.14), −<!--> <!-->1.88 (−<!--> <!-->2.81, −<!--> <!-->0.94), 0.94 (0.39, 1.49) and − 1.31 (−<!--> <!-->1.87, −<!--> <!-->0.74). For pain, the most effective interventions included hand-foot exercises, aerobic combined with resistance training, muscular strength combined with balance exercises, SMD and 95 % CI were − 1.99 (−<!--> <!-->2.85, −<!--> <!-->1.13), −<!--> <!-->1.13 (−<!--> <!-->1.58, −<!--> <!-->0.67) and − 1.04 (−<!--> <!-->1.66, −<!--> <!-->0.41). Endurance combined with strength training, endurance combined with resistance and balance training, regular physical training combined with sensorimotor exercise and balance training were found to be effective in treating balance with SMD and 95 % CI were 1.61 (0.74, 2.48), 1.10 (0.31, 1.88), 0.92 (0.23, 1.61), and 1.40 (0.59, 2.21). Nerve gliding exercises, aerobic combined with resistance and flexibility exercises, endurance combined with strength training, aerobic combined with resistance training and balance training were found to be effective in treating muscular strength with SMD and 95 % CI were 1.09 (0.48, 1.70), 0.94 (0.29, 1.60), 1.13 (0.32, 1.94), 0.75 (0.51, 1.00) and 1.00 (0.23, 1.76). Subgroup analysis showed that frequency of exercise, duration of exercise, exercise time per session, type of exercise supervision, types of cancer, types of chemotherapy drugs and age had a significant effect on CIPN patients.</div></div><div><h3>Co","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105014"},"PeriodicalIF":7.5,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386334","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":"Comment on Elk et al. (2024) ‘Effects and implementation of an intervention to improve sleep, fatigue and recovery among healthcare workers with night shifts: A pre- and post-test study’","authors":"Shu-yuan Shi, Ying Xu, Yu-jie Guo","doi":"10.1016/j.ijnurstu.2025.105012","DOIUrl":"10.1016/j.ijnurstu.2025.105012","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105012"},"PeriodicalIF":7.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076203","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":"Comment on Efstathiou et al. (2025) 'The prevalence of mental health issues among nursing students: An umbrella review synthesis of meta-analytic evidence'","authors":"Xuefan Zeng","doi":"10.1016/j.ijnurstu.2025.105011","DOIUrl":"10.1016/j.ijnurstu.2025.105011","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105011"},"PeriodicalIF":7.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076201","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}