International Journal of Nursing Studies最新文献

{"title":"How do we co-produce care planning with people living with dementia: A scoping review","authors":"Inga Stewart ,&nbsp;Ellie Gray ,&nbsp;Maria Livanou","doi":"10.1016/j.ijnurstu.2025.104994","DOIUrl":"10.1016/j.ijnurstu.2025.104994","url":null,"abstract":"<div><h3>Background</h3><div>Legislation, policy and clinical guidance champions the values of co-production in good care planning; however, it is unclear what kind of information is available in the literature about how concepts of co-production have been applied in practice to care planning from the perspective of people living with dementia and their carers as experts-by-experience. A scoping review was conducted to map the current evidence addressing care planning co-production practice from the perspectives of people living with dementia and their carers across various settings of dementia care.</div></div><div><h3>Methods</h3><div>A two-phase process was employed. Phase 1 comprised of a systematic search of the literature exploring co-production of care planning with people living with dementia from the perspective of experts-by-experience, followed by a data charting process to extract the relevant information from the included studies and present in a table format. Phase 2 utilised a process of category construction to synthesise the outcome of the data charting and present the key care planning co-production categories from the included publications into a table format with an accompanying narrative.</div></div><div><h3>Results</h3><div>We identified eight international papers, published between 2001 and 2023, addressing care planning co-production practice from the perspectives of people living with dementia and their carers across various settings of dementia care. The synthesis of results revealed seven key care planning co-production categories: ‘preparedness’, ‘accessibility’, ‘active involvement of the person with dementia’, ‘active involvement of the carer’, ‘decision-making’, ‘outcomes and measurement’, and ‘care plan review’. Principles of co-production of care planning within dementia settings were established from the perspective of people living with dementia and their carers, as well as indicators of co-production of care planning having taken place.</div></div><div><h3>Conclusions</h3><div>Our scoping review has implications for change at all levels of healthcare provision. It highlights the lack of research in this area, but the learning that was uncovered pointed towards a largely absent voice of people with dementia and their carers in day-to-day care planning knowledge-exchanges and decision-making. This is despite this group's evident expertise on the subject of themselves and their loved ones from their own living experience.</div><div>The scoping review was registered with the Open Science Framework (OSF) on 3 February 2023 (doi:<span><span>10.17605/OSF.IO/KMR7G</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 104994"},"PeriodicalIF":7.5,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142990552","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 prevalence of mental health issues among nursing students: An umbrella review synthesis of meta-analytic evidence","authors":"Maria Efstathiou ,&nbsp;Varvara Kakaidi ,&nbsp;George Tsitsas ,&nbsp;Stefanos Mantzoukas ,&nbsp;Mary Gouva ,&nbsp;Elena Dragioti","doi":"10.1016/j.ijnurstu.2025.104993","DOIUrl":"10.1016/j.ijnurstu.2025.104993","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The ongoing global student mental health crisis indicates the urgent need for updated research specifically targeting nursing students. Considering their anticipated transition into healthcare professions, their mental well-being is critical, not only for their academic performance but also for the quality of care they will deliver in their professional roles.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To estimate the prevalence of mental health issues among nursing students by synthesizing data from systematic reviews and meta-analyses.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;An umbrella review of published prevalence meta-analyses.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Review methods&lt;/h3&gt;&lt;div&gt;Publication records were retrieved from four databases—PubMed, CINAHL, PsycINFO, and Scopus—up to September 2024. The methodological quality of each meta-analysis was assessed using the A Measurement Tool for the Assessment of Multiple Systematic Reviews (AMSTAR-2). Assessment followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guideline checklist. A random-effects model was used for the meta-analysis, and the &lt;em&gt;I&lt;/em&gt;&lt;sup&gt;2&lt;/sup&gt; index was employed to assess between-study heterogeneity. Additionally, the Risk of Bias in Systematic Reviews tool was used to assess review quality, including calculation of overlap between primary studies and adherence to GRADE criteria.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Twenty-five meta-analyses, comprising 375 primary studies and a total of 171,828 nursing students, were included, revealing an overall prevalence of mental health issues at 27 % (95 % CI: 25 % - 30 %). Sleep disturbances were the most prevalent at 50 % (95 % CI: 28 % - 72 %), followed by fear at 41 % (95 % CI: 7 % - 75 %), burnout at 32 % (95 % CI: 25 % - 38 %), and depression at 29 % (95 % CI: 21 % - 38 %). Nomophobia/smartphone addiction had a prevalence of 30 % (95 % CI: 12 % - 49 %), anxiety 29 % (95 % CI: 17 % - 40 %), and stress 27 % (95 % CI: 17 % - 37 %). Lower prevalence rates were observed for smoking, eating disorders, post-traumatic stress disorder, and suicidal ideation/attempts. Significant heterogeneity was noted, particularly in the meta-analyses for anxiety, nomophobia/smartphone addiction, and stress.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Our review identified eleven prevalent mental health issues among nursing students, with sleep disturbances, anxiety, depression, and burnout being the most common. Behavioral issues, such as nomophobia, are also rising concerns. These findings indicate the need for targeted interventions and further research into causal factors (e.g., geographical and cultural contexts), gender disparities (as most studies focused on female students), and resilience-building strategies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;The study protocol was uploaded to the Open Science Framework (OSF) at &lt;span&gt;&lt;span&gt;https://doi.org/10.17605/OSF.IO/EN7UX&lt;/span&gt;&lt;svg&gt;&lt;path&gt;&lt;/p","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 104993"},"PeriodicalIF":7.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985324","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 Gao and Gan (2024) ‘A novel nomogram for the prediction of subsyndromal delirium in patients in intensive care units: A prospective, nested case-controlled study’","authors":"Yongqi Dong ,&nbsp;Xiandong Lu","doi":"10.1016/j.ijnurstu.2024.104932","DOIUrl":"10.1016/j.ijnurstu.2024.104932","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"161 ","pages":"Article 104932"},"PeriodicalIF":7.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479630","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":"International panel of reviewers","authors":"","doi":"10.1016/S0020-7489(24)00288-8","DOIUrl":"10.1016/S0020-7489(24)00288-8","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"161 ","pages":"Article 104975"},"PeriodicalIF":7.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143154744","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":"Authors' response to “Comment on Gao and Gan (2024) ‘A novel nomogram for the prediction of subsyndromal delirium in patients in intensive care units: A prospective, nested case-controlled study’”","authors":"Yan Gao,&nbsp;Xiuni Gan","doi":"10.1016/j.ijnurstu.2024.104931","DOIUrl":"10.1016/j.ijnurstu.2024.104931","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"161 ","pages":"Article 104931"},"PeriodicalIF":7.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512224","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 impact of exercise during radiotherapy on treatment-related side effects in breast cancer patients: A systematic review and meta-analysis","authors":"XuFei Zheng ,&nbsp;PeiQiang Peng ,&nbsp;Yue Wang ,&nbsp;LinFang Bian ,&nbsp;KeXin Zhao ,&nbsp;AoWen Shi ,&nbsp;ZhongQi Jiang ,&nbsp;LiJing Zhao ,&nbsp;JunJie Jiang ,&nbsp;Shuang Zhang","doi":"10.1016/j.ijnurstu.2024.104990","DOIUrl":"10.1016/j.ijnurstu.2024.104990","url":null,"abstract":"<div><h3>Purpose</h3><div>Radiation therapy for breast cancer often causes side effects like cancer-related fatigue, depression, and sleep disorders, impacting health-related quality of life, psychosocial aspects, and physical function. Exercise therapy is commonly used to manage cancer-related fatigue, but its effectiveness remains uncertain due to varying patient conditions and adherence. This systematic review aims to assess exercise interventions during radiotherapy for their effects on physiological and psychological side effects in breast cancer patients, clarifying efficacy and exploring different intervention types.</div></div><div><h3>Methods</h3><div>Randomized controlled trials were searched in PubMed, EBSCO, Scopus, Web of Science, and the Cochrane Library up to April 24, 2024. Trials included breast cancer patients undergoing exercise therapy (e.g., running, yoga, Qi Gong, resistance training). Primary outcomes were cancer-related fatigue levels and quality of life; secondary outcomes included sleep quality and depressive symptoms.</div></div><div><h3>Results</h3><div>Sixteen trials with 1373 stage 0 to III breast cancer patients were analyzed. The results indicate that exercise during radiation therapy has a significant positive impact on reducing cancer-related fatigue compared to the control group (SMD = −0.29, 95% CL: −0.56 to −0.02, P = 0.032), subgroup analysis showed that compared to treadmill exercise, Tai Chi, and resistance training with equipment, yoga is more effective in improving cancer-related fatigue in breast cancer patients. Regarding improvement in quality of life (SMD = 0.29, 95 % CI: −0.08 to 0.66, P = 0.121), sleep quality (SMD: −0.27, 95 % CI: −0.62 to 0.07, P = 0.116), and depression (SMD: −0.01, 95 % CI: −0.35 to 0.34, P = 0.977), the three groups did not show significant statistical differences, but they demonstrated beneficial effects in alleviation, which require further studies for confirmation.</div></div><div><h3>Conclusion</h3><div>Exercise therapy can effectively alleviate cancer-related fatigue in breast cancer patients, with yoga being the most recommended form of exercise. Exercise therapy shows potential for improving quality of life, sleep, and depressive symptoms, necessitating more clinical studies for validation.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 104990"},"PeriodicalIF":7.5,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985321","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":"Conversational agents in physical and psychological symptom management: A systematic review of randomized controlled trials","authors":"Qingling Yang ,&nbsp;Kin Cheung ,&nbsp;Yan Zhang ,&nbsp;Yazhou Zhang ,&nbsp;Jing Qin ,&nbsp;Yao Jie Xie","doi":"10.1016/j.ijnurstu.2024.104991","DOIUrl":"10.1016/j.ijnurstu.2024.104991","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Effective management of physical and psychological symptoms is a critical component of comprehensive care for both chronic disease patients and apparently healthy individuals experiencing episodic symptoms. Conversational agents, which are dialog systems capable of understanding and generating human language, have emerged as a potential tool to enhance symptom management through interactive support.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To examine the characteristics and effectiveness of conversational agent-delivered interventions reported in randomized controlled trials (RCTs) in the management of both physical and psychological symptoms.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A systematic review.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A comprehensive search was performed in Pubmed, ACM Digital Library, CINAHL, EMBASE, PyscInfo, Web of Science, Scopus and gray literature sources from their inception to Oct 2024. Search terms included “conversational agent”, “symptom”, “randomized controlled trial” and their synonyms and hyponyms. Duplicates were identified by EndNote, and titles, abstracts and full texts were independently screened according to predefined criteria. Data extraction focused on basic study characteristics and conversational agent details, with The Cochrane Risk of Bias 2.0 tool employed for bias assessment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The search yielded 2756 articles and 29 were finally included for review. The included studies predominantly came from developed countries (n = 23) and were conducted between 2020 and 2024 (n = 24). The studies frequently evaluated the feasibility and acceptability of conversational agent interventions (n = 14), with a predominantly focus on psychological symptoms (depression, anxiety, etc.) (n = 17). A few studies focused on physical symptoms (pain, etc.) (n = 4), while others addressed both symptoms (n = 8). Twenty-five distinct conversational agents (Woebot, Tess, etc.) were evaluated, utilizing platforms ranging from proprietary applications to common messaging channels like WeChat and Facebook Messenger. Cognitive Behavioral Therapy (CBT) was a commonly integrated approach (n = 22), with rule-based dialogs (n = 22) as the most commonly dialog system methods and Natural Language Processing (NLP) (n = 15) as the predominant AI techniques. The median recruitment and completion rates were 72 % and 79 %, respectively. The majority of studies reported positive user experiences and significant symptom management improvements (n = 22). However, risk of bias was high in seventeen studies and presented some concerns in nine others.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Conversational agents have shown promise in enhancing both physical and psychological symptom management through positive user experiences and effectiveness. However, the high risk of bias identified in many studies warrants caution in interpreting these findings. Future research should prioritize the me","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 104991"},"PeriodicalIF":7.5,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973119","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":"Acknowledging: A classic grounded theory explaining how nurses' employ clinical judgement when complying with early warning system protocols","authors":"Justine Connor ,&nbsp;Tracy Flenady ,&nbsp;Trudy Dwyer ,&nbsp;Deb Massey","doi":"10.1016/j.ijnurstu.2024.104989","DOIUrl":"10.1016/j.ijnurstu.2024.104989","url":null,"abstract":"<div><h3>Background</h3><div>Recognition and response to clinical deterioration of hospitalised patients is a worldwide health priority area. In response to this concern, international bodies have implemented early warning systems to help clinicians keep people safe and prevent patient deterioration. Registered nurses hold a significant role in managing care provision and utilise early warning system tools to support their clinical judgement when making decisions about patient care.</div></div><div><h3>Objective</h3><div>To generate a theory explaining how registered nurses employ their clinical judgement when complying with an early warning system protocol.</div></div><div><h3>Design</h3><div>Classic grounded theory.</div></div><div><h3>Participants</h3><div>Participants included twenty registered nurses working with early warning systems who are currently employed in a state health care system within Australia. Data were collected via interviews generated from a grand tour question in line with classic grounded theory.</div></div><div><h3>Methods</h3><div>Classic grounded theory methodology and methods were used. This approach facilitated the identification of the participants main concern and supported the generation of a theory explaining how the participants resolved this issue.</div></div><div><h3>Results</h3><div>Analysis of data, including associated field notes and memos, identified participants often experienced unease when complying with an early warning system protocol and employing clinical judgement. The mental discomfort participants voiced in the interviews described internal conflicts that are reflective of the term ‘cognitive dissonance’. How the participants sought to resolve their cognitive dissonance, revealed participants' main concern as: Compliance with early warning systems is sometimes incongruent with nurses' use of clinical judgement. The outcome of this study is a grounded theory that explains how nurses resolve this concern through ‘Acknowledging’. Nurses acknowledge the efficacy of early warning systems, whilst valuing their clinical judgement and the importance of patient safety, through the subcategories of Acting and Pausing.</div></div><div><h3>Conclusion</h3><div>The Theory of Acknowledging explains how nurses overcome their main concern when employing clinical judgement and complying with early warning systems, whilst acknowledging the importance of ensuring patient safety. Reconciling the dissonance caused by trusting their clinical judgement and remaining compliant with early warning systems, enables nurse-led assessment of the patient, promoting patient safety.</div><div><strong>Tweetable abstract:</strong> The theory of Acknowledging – How nurses employ clinical judgement when complying with early warning systems @Jusconnor25</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 104989"},"PeriodicalIF":7.5,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015395","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":"Understanding the experiences of people who have Postural Orthostatic Tachycardia Syndrome (POTS) and the health professionals who care for them: A grounded theory study","authors":"H. Eftekhari ,&nbsp;G. Pearce ,&nbsp;S. Staniszewska ,&nbsp;K. Seers","doi":"10.1016/j.ijnurstu.2024.104986","DOIUrl":"10.1016/j.ijnurstu.2024.104986","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Understanding the experiences of people who have postural orthostatic tachycardia syndrome (POTS) and the health professionals who care for them: a grounded theory study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Postural orthostatic tachycardia syndrome (POTS) is an under recognised, predominantly female condition. Awareness of this condition has increased due its association with Long-COVID. Understanding experiences informs areas for future study. Research into the experience of POTS is emerging, with no currently published studies including the experiences of health professionals.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Aim&lt;/h3&gt;&lt;div&gt;This study aimed to understand experiences of POTS, its challenges, and aspects of care from the perspectives of people with the condition and health professionals who look after them.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A grounded theory approach was taken to develop a conceptual framework of the experience of POTS conceptualised through a critical realist lens.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;This United Kingdom based study included people with POTS from three national health care centres and a diverse range of health professionals.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Theoretical and purposive sampling recruited people with POTS, and snowball sampling recruited health professionals through a United Kingdom charity and arrhythmia nursing network. Health professionals were interviewed from a range of professions including nurses, secondary care consultants, primary care general practitioners, psychologists, physiotherapists, and an occupational therapist.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;Between September 2021 and September 2022 in-depth online semi-structured interviews were undertaken. Data were thematically analysed. Corbin and Strauss' Grounded Theory methods of constant comparison, memos, and a reflexive journal were used. Analysis moved from first open coding of health professional themes to more focused axial coding, data, and category linking. The study patient and public involvement group informed thematic development and theoretical sampling. The final themes were conceptualised through the critical realism's three layers of experience.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Forty-four participants were included, 19 people with POTS and 25 health professionals. Three core themes were found: 1) A challenging condition, 2) POTS healthcare provision - services by accident not design, and 3) The need to validate experiences. Health professionals experienced challenges in their clinical self-efficacy. POTS care was driven by individual human agency and interpersonal relationships. People with POTS took individual responsibility for their self-management but were impacted by gender inequalities, a medical model prioritising guidelines, and a poor evidence-base.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;This is the first qualitative study to explore both people with POTS and health professional experiences of loo","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 104986"},"PeriodicalIF":7.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143233921","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":"Efficacy of a vein visualisation device for facilitating peripheral venous line placement in adult patients with sickle cell disease: A randomised clinical trial","authors":"Anne Corbasson ,&nbsp;Eric Fischer ,&nbsp;Aurélie Vilfaillot ,&nbsp;Ana Bento Da Costa ,&nbsp;Marie Charmettan ,&nbsp;Maria Ferreira ,&nbsp;Carole Barthélémy ,&nbsp;Walid Namaoui ,&nbsp;Djamal Khimoud ,&nbsp;Annabelle Beaudoin ,&nbsp;Liliane Berkani ,&nbsp;Constance Guillaud ,&nbsp;Mehdi Khellaf ,&nbsp;Edouard Flamarion ,&nbsp;Adrien Michon ,&nbsp;Emmanuel Lafont ,&nbsp;Geoffrey Cheminet ,&nbsp;Gilles Chatellier ,&nbsp;Jacques Pouchot ,&nbsp;Brigitte Ranque ,&nbsp;Jean-Benoît Arlet","doi":"10.1016/j.ijnurstu.2024.104988","DOIUrl":"10.1016/j.ijnurstu.2024.104988","url":null,"abstract":"<div><h3>Background</h3><div>Intravenous (IV) access is often required for the treatment of vaso-occlusive crises in patients with sickle cell disease, but can be particularly challenging due to recurrent venous damage. The AccuVein® device, uses near-infrared light technology to visualise veins for easier venepuncture.</div></div><div><h3>Methods</h3><div>A randomised, controlled trial of the efficacy of the AccuVeinAV400® device in the replacement of peripheral venous lines during a vaso-occlusive crisis was conducted at two centres in France. Adult patients with sickle cell disease were randomised to the AccuVein® or routine IV cannulation procedures. The primary outcome was the number of cannulation attempts needed for effective replacement of the peripheral IV line.</div></div><div><h3>Results</h3><div>Between April 10th, 2018, and March 22nd, 2022, 127 patients were randomised and 126 were analysed (median age: 27.5 years [interquartile range-IQR: 21.3–33.8]; homozygous genotype: 106 (84.1 %)). Although patients in the AccuVein® group reported lower levels of procedure-related pain, use of the device was not associated with a lower median number of venepuncture attempts (2 [1–3], vs. 2 [1–4] in the routine procedure group: p = 0.49). There were no statistically significant intergroup differences in the time to IV line replacement (9.6 [4.1–20.8] in the AccuVein® group vs. 11.7 [4.2–24.7] minutes in the routine procedure group), changes in patient and nurse anxiety and satisfaction levels, or the complication rate.</div></div><div><h3>Conclusion</h3><div>Use of the AccuVeinAV400® device was not associated with a significant decrease of the number of venepuncture attempts or of the time needed for IV line replacement during the management of vaso-occlusive crises. The study's results highlight the complexity of IV access in this clinical context.</div></div><div><h3>Trial registration</h3><div><span><span>ClinicalTrial.gov</span><svg><path></path></svg></span> identifier: <span><span>NCT03477552</span><svg><path></path></svg></span></div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 104988"},"PeriodicalIF":7.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958164","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}