International Journal of Nursing Studies最新文献

{"title":"Exploring the exercise experiences of lung transplant recipients during the waiting list period: A qualitative study","authors":"Qianyin Zhu ,&nbsp;Peipei Gu ,&nbsp;Yandie Wang ,&nbsp;Fei Zeng ,&nbsp;Meijuan Lan","doi":"10.1016/j.ijnurstu.2025.105160","DOIUrl":"10.1016/j.ijnurstu.2025.105160","url":null,"abstract":"<div><h3>Background</h3><div>Lung transplantation is a crucial intervention for end-stage lung disease. However, the shortage of donor lungs often results in prolonged waiting times, during which some patients may experience disease deterioration or even death. Exercise during the waiting list period has been shown to improve cardiopulmonary function and postoperative outcomes in lung transplant candidates. Nevertheless, existing studies primarily focus on physiological indicators, with limited exploration of patients' subjective experiences.</div></div><div><h3>Objective</h3><div>To explore the exercise experiences and perspectives of lung transplant recipients during the waiting list period.</div></div><div><h3>Design</h3><div>A descriptive qualitative design was used.</div></div><div><h3>Setting</h3><div>A tertiary hospital in Zhejiang Province, China.</div></div><div><h3>Participants</h3><div>Fourteen lung transplant recipients (mean age 53, range 25–74; mean wait time 54 days, range 23–123) participated in the study.</div></div><div><h3>Methods</h3><div>A purposive sampling method was used to select lung transplant recipients from a tertiary hospital in Zhejiang Province, China, between December 2024 and February 2025. A content analysis approach was conducted to analyze the qualitative data.</div></div><div><h3>Result</h3><div>Four main themes emerged. The first theme, the duality of exercise experiences, included cumulative benefits, adverse physiological responses, and anxiety regarding exercise risks. The second theme, drivers of sustained exercise, involved intrinsic motivation and extrinsic incentives. The third theme, needs for professional support, reflected expectations for personalized exercise plans, safety monitoring and symptom guidance. The final theme, needs for informal support networks, underscored the necessity of family presence, peer interaction, and accessible exercise settings for emotional and practical support.</div></div><div><h3>Conclusion</h3><div>Exercise among lung transplant candidates during the waiting period is shaped by diverse physical responses, emotional attitudes, and social influences. These findings underscore the importance of tailoring exercise interventions to individual capabilities, concerns, and support needs. Combining personalized professional guidance with flexible informal support may reduce perceived risks and improve engagement with physical activity.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"170 ","pages":"Article 105160"},"PeriodicalIF":7.5,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144611591","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":"Measurement properties of the Edmonton Frail Scale in older adults: A systematic review and meta-analysis","authors":"Zi Rong Lee ,&nbsp;Ling Jie Cheng ,&nbsp;Ying Yee Yeo ,&nbsp;Darryl Rolfson ,&nbsp;Xi Vivien Wu","doi":"10.1016/j.ijnurstu.2025.105161","DOIUrl":"10.1016/j.ijnurstu.2025.105161","url":null,"abstract":"<div><h3>Background</h3><div>Frailty is a clinical condition characterised by heightened vulnerabilities to stressors and negative health consequences. The Edmonton Frail Scale is a prominent multidimensional tool for assessing frailty across various settings.</div></div><div><h3>Objectives</h3><div>This review aimed to synthesise and evaluate the certainty of evidence and the quality of Edmonton Frail Scale in older adults aged 60 and above with respect to its reliability (test–retest, inter-rater) and construct validity (convergent, known-group).</div></div><div><h3>Design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Setting and participants</h3><div>Older adults across clinical and community settings.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted across eight databases from inception to 29 January 2024. An updated search in MEDLINE (PubMed) on 10 April 2025 identified no additional eligible articles. COSMIN risk-of-bias checklist was used for quality appraisal, and evidence synthesis followed COSMIN guidelines. Random-effects meta-analysis and univariate logistic regression was used to quantitatively synthesise evidence for reliability and construct validity, respectively.</div></div><div><h3>Results</h3><div>Twenty studies involving 3852 older adults were included. The original Edmonton Frail Scale demonstrated sufficient construct validity across most populations, supported by high certainty of evidence. However, construct validity was inconsistent in acute care populations and in studies using modified Edmonton Frail Scale versions, where content adaptations (e.g., omission of performance-based items) may have affected psychometric performance. Meta-regression revealed that modified versions were significantly less likely to yield positive validity ratings compared to the original Edmonton Frail Scale (OR = 0.29; 95 % CI: 0.09–0.95; p = 0.042). Test–retest and inter-rater reliability were sufficient, though heterogeneity was considerable, and certainty of evidence remained moderate.</div></div><div><h3>Conclusion</h3><div>The Edmonton Frail Scale shows good overall reliability and validity in assessing frailty among older adults, particularly in stable clinical or community settings. However, caution is warranted when using modified versions or applying the tool in acutely ill populations. Future studies should validate Edmonton Frail Scale adaptations and enhance the precision of reliability estimates, especially in underrepresented regions and high-risk subgroups.</div></div><div><h3>Registration</h3><div>The protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO) database (CRD42024504735).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"170 ","pages":"Article 105161"},"PeriodicalIF":7.5,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144613370","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 a nurse-led hybrid self-management program for community-dwelling older people with urinary incontinence: A randomized controlled trial","authors":"Fang Yan ,&nbsp;Lily Xiao ,&nbsp;Chongmei Huang ,&nbsp;Siyuan Tang ,&nbsp;Li Li","doi":"10.1016/j.ijnurstu.2025.105157","DOIUrl":"10.1016/j.ijnurstu.2025.105157","url":null,"abstract":"<div><h3>Background</h3><div>Evidence-based guidelines recommend multicomponent interventions including behavior interventions and lifestyle interventions to optimize effects on the urinary incontinence in older people. However, few studies have trialed these interventions led by nurses in primary care setting using hybrid (offline and online) self-management strategies for community-dwelling older people with urinary incontinence.</div></div><div><h3>Objectives</h3><div>To evaluate the effectiveness of a nurse-led hybrid self-management program on self-efficacy, severity of urinary incontinence, urinary incontinence related knowledge and attitude, quality of life, adherence to pelvic floor muscle training and anxiety and depression among community-dwelling older people with urinary incontinence, compared to the existing usual nursing care.</div></div><div><h3>Design</h3><div>A single-blind, two-arm parallel randomized controlled trial with a repeated measures design.</div></div><div><h3>Settings and participants</h3><div>We recruited community-dwelling older people with mild or moderate severity of urinary incontinence.</div></div><div><h3>Methods</h3><div>Eligible participants were randomly assigned (1:1) to either the intervention group (a nurse-led hybrid self-management program) or usual care group (usual nursing care) in the primary care. Outcomes were measured at baseline (T0), 3 months (T1) and 6-months (T2) post-baseline.</div></div><div><h3>Results</h3><div>Sixty-six participants were recruited and randomly assigned to the intervention group (N = 33) or the usual care group (N = 33). Of those, 95.5 % completed the 3-month follow-up after the completion of intervention. The intervention group demonstrated a statistically significant higher score of self-efficacy (Mean Difference (MD) = 45.3, 95 % CI: 38.9, 51.8, <em>p</em> &lt; 0.001), urinary incontinence related knowledge (MD = 10.5, 95 % CI: 8.8, 12.2, <em>p</em> &lt; 0.001), attitude (MD = 4.1, 95 % CI: 3.0, 5.1, <em>p</em> &lt; 0.001), quality of life (MD = 19.3, 95 % CI: 15.4, 23.2, <em>p</em> &lt; 0.001) and lower score of severity of urinary incontinence (MD = 4.1, 95 % CI: 2.8, 5.4, <em>p</em> &lt; 0.001) than the usual care group at T2. The proportion with high adherence to pelvic floor muscle training was statistically significant larger in the intervention group than in the usual care group (33.3 % vs. 12.1 %, Risk Difference (RD) = 0.21, 95 % CI: 1.0, 12.9; χ² = 4.23, <em>p</em> = 0.040) at T2. However, no statistically significant differences were observed in anxiety (MD = 0.3, 95 % CI: −<!--> <!-->1.6. 0.9, <em>p</em> = 0.600) and depression (<em>p</em> &gt; 0.05) at T2.</div></div><div><h3>Conclusion</h3><div>The nurse-led hybrid self-management program demonstrated positive effects on the self-efficacy, severity of urinary incontinence, urinary incontinence related knowledge and attitude, adherence to pelvic floor muscle training and quality of life for commun","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"170 ","pages":"Article 105157"},"PeriodicalIF":7.5,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144579509","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":"A nurse-led bedside diagnostic model using cervical tracheal breath sounds to detect silent aspiration in dysphagia patients: A prospective diagnostic accuracy study","authors":"Shen Chen ,&nbsp;Hairong Yu ,&nbsp;Jingyi Huang ,&nbsp;Yiting Yu ,&nbsp;Yaping Ding ,&nbsp;Mengchao Li ,&nbsp;Mengru Li ,&nbsp;Yuanyuan Zhang ,&nbsp;Yan Cui","doi":"10.1016/j.ijnurstu.2025.105154","DOIUrl":"10.1016/j.ijnurstu.2025.105154","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Silent aspiration poses significant clinical risks in dysphagia patients, contributing to recurrent respiratory infections and aspiration pneumonia that ultimately result in elevated hospitalization rates and increased mortality. While video fluoroscopic swallowing studies (VFSS) and fiberoptic endoscopic evaluation of swallowing (FEES) remain the diagnostic gold standards, their high costs create substantial barriers to efficient large-scale screening. Conventional bedside swallowing assessments demonstrate limited sensitivity for silent aspiration detection due to inherent subjectivity in evaluation process. This diagnostic dilemma presents nursing professionals with critical challenges in achieving timely and accurate identification of aspiration events.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To develop and validate a diagnostic model for detecting silent aspiration in dysphagia patients through acoustic analysis of breath sound parameters.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A prospective diagnostic accuracy study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Settings&lt;/h3&gt;&lt;div&gt;Four hospitals in Nanjing, China.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;A total of 212 patients with dysphagia were included in this study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Breath sounds were recorded with an electronic stethoscope, and acoustic parameters were extracted via Fourier transform spectral analysis. The relative change in acoustic parameters was quantified by comparing post-swallow measurements against baseline values. Based on VFSS/FEES findings, breath sounds were categorized into no aspiration, silent aspiration, and overt aspiration. Through computer-generated randomization, samples were stratified into modeling (70 %) and validation (30 %) groups. A logistic regression diagnostic model was developed in the modeling cohort, with subsequent evaluation of its performance in the validation group using receiver operating characteristic (ROC) curve analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Silent aspiration breath sounds demonstrated comparable prevalence between cohorts, occurring in 41.6 % (226/543; modeling group) and 41.8 % (97/232; validation group). The derived logistic model comprised three acoustic parameters with the following equation: logit(P) = −&lt;!--&gt; &lt;!--&gt;0.621 − (0.672 × change of aggregated entropy) + (0.279 × change of average power) + (0.632 × change of delta time). ROC analysis revealed comparable diagnostic performance between cohorts, with the modeling cohort demonstrating an AUC of 0.785 (95 % CI: 0.744–0.821) and the validation cohort achieving 0.746 (95 % CI: 0.679–0.806).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;A novel acoustic-based diagnostic model for silent aspiration risk stratification in dysphagia patients demonstrated good discriminatory power across both modeling and validated cohorts. This decision-support tool enables nursing staff to proactively identify high-risk patients through continuous monitoring, fac","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"170 ","pages":"Article 105154"},"PeriodicalIF":7.5,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144631951","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":"Comparisons of nonpharmacological caregiver interventions for behavioural and psychological symptoms of dementia: A systematic review and network meta-analysis","authors":"Xiangfei Meng ,&nbsp;Jiao Sun ,&nbsp;Zhen Du ,&nbsp;Wenxia Wang ,&nbsp;Dan Sun ,&nbsp;Yi Chen ,&nbsp;Shengze Zhi ,&nbsp;Sheng Wang","doi":"10.1016/j.ijnurstu.2025.105153","DOIUrl":"10.1016/j.ijnurstu.2025.105153","url":null,"abstract":"<div><h3>Background</h3><div>Nonpharmacological caregiver interventions are valuable for reducing the behavioural and psychological symptoms of dementia, but the most effective type of nonpharmacological intervention remains unknown.</div></div><div><h3>Objective</h3><div>The present study aimed to compare different caregiver interventions for behavioural and psychological symptoms of dementia and caregiver reactions to these symptoms.</div></div><div><h3>Methods</h3><div>We systematically searched PubMed, Embase, the Cochrane Library, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and PsycINFO from database inception to October 18, 2023. The risk of bias was assessed via the Revised Cochrane risk-of-bias assessment tool for randomised trials (RoB 2), and the credibility of evidence was assessed via Confidence in Network Meta-Analysis. Random-effects network meta-analysis within a frequentist framework was performed. The primary outcomes were behavioural and psychological symptoms of dementia, and caregiver reactions related to behavioural and psychological symptoms of dementia.</div></div><div><h3>Results</h3><div>Seventy-one randomised controlled trials involving 8336 dyads and 12 caregiver interventions were included. For behavioural and psychological symptoms of dementia, multicomponent interventions resulted in effective improvements at postintervention (SMD = −<!--> <!-->0.30; 95 % CI, −<!--> <!-->0.47 to −<!--> <!-->0.12; P = 0.001) and on follow-up (SMD = −<!--> <!-->0.61; 95 % CI, −<!--> <!-->1.05 to −<!--> <!-->0.18; P = 0.006). For caregiver reactions related to behavioural and psychological symptoms of dementia, multicomponent interventions (SMD = −<!--> <!-->0.37; 95 % CI, −<!--> <!-->0.58 to −<!--> <!-->0.16; P = 0.001), skills building (SMD = −<!--> <!-->0.26; 95 % CI, −<!--> <!-->0.42 to −<!--> <!-->0.10; P = 0.001), cognitive behavioural therapy (SMD = −<!--> <!-->0.22; 95 % CI, −<!--> <!-->0.41 to −<!--> <!-->0.03; P = 0.023), and education (SMD = −<!--> <!-->0.20; 95 % CI, −<!--> <!-->0.35 to −<!--> <!-->0.04; P = 0.017) resulted in effective improvements at postintervention. SUCRA analyses revealed that multicomponent interventions were the interventions with the highest ranking in reducing behavioural and psychological symptoms of dementia (SUCRA, 83.4 %) and improving caregiver reactions to these symptoms (SUCRA, 90.9 %). Meta-regression and subgroup analyses revealed that the covariables “continent”, “mean age” and “duration” affected the effect size of the multicomponent interventions.</div></div><div><h3>Conclusions</h3><div>Multicomponent interventions were the best interventions for reducing behavioural and psychological symptoms of dementia and caregiver reactions to these symptoms and produced sustainable treatment effects.</div></div><div><h3>Registration</h3><div>The systematic review and meta-analysis have been registered in PROSPERO (CRD42024544701).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"170 ","pages":"Article 105153"},"PeriodicalIF":7.5,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144588177","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":"Quality peer review","authors":"Jan Kottner ,&nbsp;Chiara Dall'Ora ,&nbsp;Peter Griffiths ,&nbsp;Ian Norman","doi":"10.1016/j.ijnurstu.2025.105155","DOIUrl":"10.1016/j.ijnurstu.2025.105155","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"170 ","pages":"Article 105155"},"PeriodicalIF":7.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565795","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 resilience-related interventions on resilience and stress for healthcare professionals: A network meta-analysis of randomized controlled trials","authors":"Fitria Endah Janitra ,&nbsp;Ruey Chen ,&nbsp;Chien-Mei Sung ,&nbsp;Chia-Hui Wang ,&nbsp;Yan Adi Wibawa ,&nbsp;Kondwani Joseph Banda ,&nbsp;Kai-Jo Chiang ,&nbsp;Kuei-Ru Chou","doi":"10.1016/j.ijnurstu.2025.105151","DOIUrl":"10.1016/j.ijnurstu.2025.105151","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Healthcare professionals face high workloads, emotional strain, and chronic stress, underscoring the need for effective strategies to enhance resilience. However, the comparative effectiveness of resilience-related interventions in this population remains unclear. This study aimed to evaluate and compare the effectiveness of various interventions in improving resilience and reducing stress among healthcare professionals.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A systematic search was conducted across eight databases (Cochrane Library, Embase, Ovid-MEDLINE, PubMed, Scopus, Web of Science, CINAHL, and ProQuest) on March 20, 2025, to identify randomized controlled trials of resilience-related interventions for healthcare professionals. Healthcare professionals included nurses, physicians, allied health professionals, and mixed clinical staff groups. A frequentist network meta-analysis was conducted in R using the &lt;em&gt;netmeta&lt;/em&gt; package, applying random-effects models and standardized mean differences (SMDs). This method estimates relative effects by combining direct and indirect comparisons across interventions. Heterogeneity was assessed using Cochrane's &lt;em&gt;Q&lt;/em&gt;, &lt;em&gt;τ&lt;/em&gt;&lt;sup&gt;&lt;em&gt;2&lt;/em&gt;&lt;/sup&gt;, and &lt;em&gt;I&lt;/em&gt;&lt;sup&gt;&lt;em&gt;2&lt;/em&gt;&lt;/sup&gt;. Subgroup analyses explored potential effect modifiers, and &lt;em&gt;P&lt;/em&gt;-scores ranked the comparative effectiveness of interventions. Risk of bias was assessed using the Cochrane Risk of Bias 2.0 tool. The primary outcomes were resilience and stress, measured post-intervention, with resilience additionally assessed at a 3-month follow-up.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Immediately after the intervention, positive psychology demonstrated the largest and significantly greater improvement in resilience (SMD = 0.57, 95 % CI: 0.36 to 0.78), followed by mindfulness (SMD = 0.50, 95 % CI: 0.24 to 0.76) and cognitive behavioral therapy (SMD = 0.47, 95 % CI: 0.23 to 0.71), all indicating moderate to large and statistically significant effects. At 3-month follow-up, positive psychology remained the most effective (SMD = 0.69, 95 % CI: 0.02 to 1.36), followed by mindfulness and cognitive behavioral therapy. For stress outcomes, positive psychology showed a significantly high effect (SMD = −&lt;!--&gt; &lt;!--&gt;0.69, 95 % CI: −&lt;!--&gt; &lt;!--&gt;1.08 to −&lt;!--&gt; &lt;!--&gt;0.29), as did cognitive behavioral therapy (SMD = −&lt;!--&gt; &lt;!--&gt;0.58, 95 % CI: −&lt;!--&gt; &lt;!--&gt;0.86 to −&lt;!--&gt; &lt;!--&gt;0.30) and mindfulness (SMD = −&lt;!--&gt; &lt;!--&gt;0.58, 95 % CI: −&lt;!--&gt; &lt;!--&gt;0.94 to −&lt;!--&gt; &lt;!--&gt;0.21). Sensitivity analyses confirmed the stability of the findings.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Positive psychology, mindfulness, and cognitive behavioral therapy were the most effective interventions for enhancing resilience and reducing stress among healthcare professionals, with some sustained effects at follow-up. These results support the implementation of structured, evidence-based resilience programs to improve mental well-being and job perfor","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"170 ","pages":"Article 105151"},"PeriodicalIF":7.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565796","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":"Is the PhD in nursing in terminal decline?","authors":"Hugh P. McKenna ,&nbsp;David R. Thompson","doi":"10.1016/j.ijnurstu.2025.105152","DOIUrl":"10.1016/j.ijnurstu.2025.105152","url":null,"abstract":"<div><div>This discussion paper critically examines the current state and future viability of the PhD in nursing, questioning whether it remains a sustainable and attractive terminal degree for the next generation of nurse researchers. Drawing on international evidence, it is argued that the nursing PhD is in crisis, undermined by structural, financial, and cultural challenges. These include declining enrolments, reduced funding, limited academic job prospects, and inequitable access, particularly affecting women, international students, and those from disadvantaged backgrounds. Toxic academic environments and a growing preference for alternative qualifications like the Doctor of Nursing Practice (DNP) further threaten the PhD pipeline. Despite these issues, the paper affirms the essential role of PhD-trained nurses in advancing healthcare through rigorous research and evidence-based practice. To reverse the decline, a coordinated action is required from universities, governments, and professional bodies to improve funding, supervision, inclusivity, and public perception of the nursing PhD. Strategies include early recruitment, better programme design, and structural reforms such as recognising PhD students as employees. The authors advocate for a renewed commitment to nurturing nurse scientists and collecting robust data to inform future planning, asserting that without such action, the academic and clinical contributions of nursing science may diminish significantly.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"170 ","pages":"Article 105152"},"PeriodicalIF":7.5,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144557040","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 accuracy of anesthesia-educated nurses in pre-anesthesia evaluation: A diagnostic accuracy study” [Int. J. Nurs. Stud. 169 (2025) 105126]","authors":"Lin Yin ,&nbsp;Bo Xu ,&nbsp;Danni Luo ,&nbsp;Dongmei Ma ,&nbsp;Jiale Hu ,&nbsp;Shuying Zhu ,&nbsp;Jiang Zou ,&nbsp;Limei Liao","doi":"10.1016/j.ijnurstu.2025.105150","DOIUrl":"10.1016/j.ijnurstu.2025.105150","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105150"},"PeriodicalIF":7.5,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144533378","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":"Addressing the research integrity crisis in nursing: A view from China","authors":"Wan-Qiong Zhou ,&nbsp;Cheng-Rui Zhang ,&nbsp;Ying Xing ,&nbsp;Wei Luan","doi":"10.1016/j.ijnurstu.2025.105149","DOIUrl":"10.1016/j.ijnurstu.2025.105149","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"171 ","pages":"Article 105149"},"PeriodicalIF":7.1,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144515873","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}