International Journal of Nursing Studies最新文献

{"title":"Comparative effect of nonpharmacological interventions on emergence delirium prevention in children following sevoflurane general anesthesia: A systematic review and network meta-analysis of randomized controlled trials","authors":"Yi-Chen Chen , Jann Foster , Iftitakhur Rohmah , Virginia Schmied , Anne Marks , Man-Ling Wang , Hsiao-Yean Chiu","doi":"10.1016/j.ijnurstu.2025.105035","DOIUrl":"10.1016/j.ijnurstu.2025.105035","url":null,"abstract":"<div><h3>Background</h3><div>Children receiving general anesthesia while undergoing surgery have a significantly high incidence of emergence delirium (ED). Nonpharmacological interventions yield beneficial effects on preventing pediatric ED. However, the relative effects of nonpharmacological interventions on pediatric ED prevention based on various perioperative phases remain unknown.</div></div><div><h3>Objective</h3><div>To compare the effects of nonpharmacological interventions on pediatric ED prevention at different surgical phases.</div></div><div><h3>Design</h3><div>A systematic review and network meta-analysis.</div></div><div><h3>Data sources</h3><div>A comprehensive search of five electronic databases (PubMed, CINAHL via EBSCOhost, Embase via Elsevier, Cochrane Trials, and ProQuest Dissertations and theses) for identifying randomized control trials published from inception to October 15, 2023.</div></div><div><h3>Methods</h3><div>Two reviewers independently screened, assessed, and extracted data from the eligible studies. A random-effects network meta-analysis was used to determine the comparative effect of nonpharmacological interventions on preventing pediatric ED.</div></div><div><h3>Results</h3><div>A total of 19 studies involving 2522 children were included in this network meta-analysis. Thirteen studies reported on the prevention of pediatric ED in the preoperative phase, and six studies reported on the prevention of pediatric ED in the intraoperative phases. Multimedia devices (OR 0.39, 95 % CIs 0.20–0.74), a multicomponent program (OR 0.20, 95 % CI 0.14–0.28) significantly reduced the incidence of pediatric ED during the preoperative phase compared with usual care. During the intraoperative phase, listening to regular heartbeat sounds significantly reduced the risk of pediatric ED compared with usual care (OR 0.06, 95 % CI 0.02–0.22), placebo (OR 0.11, 95 % CI 0.03–0.36), acupuncture (OR 0.17, 95 % CI 0.03–0.88), acupuncture with electrical stimulus (OR 0.16, 95 % CI 0.04–0.68), and acupuncture with midazolam (OR 0.04, 95 % CI 0.00–0.41).</div></div><div><h3>Conclusions</h3><div>Our study results suggest that the multicomponent program and listening to heartbeat sounds are relatively effective nonpharmacological interventions for preventing pediatric ED during the perioperative phase. This study compared the effectiveness and ranking of various interventions, and the findings can serve as a guide to assist health professionals in choosing the optimal strategy for preventing ED.</div></div><div><h3>Registration</h3><div>The study protocol was registered at PROSPERO (CRD42023459541).</div><div><strong>Tweetable abstract:</strong> Nonpharmacological interventions can reduce the high incidence of pediatric emergence delirium after surgery. Our systematic review highlights the efficacy of multicomponent programs and listening to heartbeat sounds intraoperatively in reducing ED risk. The findings aid health professionals in selecting ","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105035"},"PeriodicalIF":7.5,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578663","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 low-intensity nurse-led lifestyle intervention on glycaemic control in individuals with prediabetes: The PREDIPHONE randomized controlled clinical trial","authors":"María Arias-Fernández , Aina Huguet-Torres , Manuela Abbate , Sergio Fresneda , Marina Torres-Carballo , Ana Carvalho-Azevedo , Aina M. Yañez , Miquel Bennasar-Veny","doi":"10.1016/j.ijnurstu.2025.105034","DOIUrl":"10.1016/j.ijnurstu.2025.105034","url":null,"abstract":"<div><h3>Background</h3><div>Lifestyle changes can effectively prevent diabetes onset in individuals with prediabetes. Although nurse-led interventions have proven to be cost-effective and feasible in the management of diabetes and hypertension in primary care, low-intensity lifestyle interventions for people with prediabetes led by nurses remain poorly evaluated.</div></div><div><h3>Objective</h3><div>To assess whether a low-intensity nurse-led telephone lifestyle intervention is effective in reducing fasting plasma glucose levels in individuals with prediabetes.</div></div><div><h3>Design</h3><div>A two-arm, parallel, randomized controlled clinical.</div></div><div><h3>Settings</h3><div>Five Primary Care Centres in the Balearic Islands, Spain.</div></div><div><h3>Participants</h3><div>A total of 206 participants were enrolled, 103 in each group.</div></div><div><h3>Methods</h3><div>Consenting participants aged 25–75 years, with fasting plasma glucose levels of 100–125 mg/dL, and body mass index ≥<!--> <!-->27 and < 40 kg/m2 were randomly assigned (1:1) to either a 9-month nurse-led telephone lifestyle intervention (intervention) or short text messages with general lifestyle advice (control). Research staff and the statistician were masked to group allocation. The primary outcome was fasting plasma glucose at 9-month follow-up, analyzed per protocol and by intention-to-treat.</div></div><div><h3>Results</h3><div>Among the 206 participants (103 in each group), 189 (91·8 %; n = 91 in the intervention group, n = 98 in the control group) completed the 4-month follow-up and 181 (87·9 %; n = 87 in the intervention group, n = 94 in the control group) completed the 9-month follow-up. Among the 206 randomized participants, 52.9 % were women, 73.8 % were obese, and 69.4 % were of Spanish nationality. Differences in fasting plasma glucose between groups at 9-months were not statistically significant (Intervention group n = 85 mean 103·4 mg/dL [SD 9·6] vs Control group n = 91 mean 104·8 mg/dL [SD 9·7]; adjusted mean difference 1·1 mg/dL [95 % CI -1·6 to 3·8]; p-value = 0·43). Difference in waist circumference at 9 months were statistically significant (Intervention group n = 85 mean 100.6 cm [SD 10.2] vs Control group n = 91 mean 104.0 cm [SD 10.2]; adjusted mean difference 1.9 cm [95 % CI 0.6 to 3.3]; p-value <<!--> <!-->0.01). At 9-month follow-up, diet quality improved in the intervention group (intervention group n = 86 mean 8.4 points [SD 2.0] vs control group n = 93 mean 7.5 points [SD 2.1], adjusted mean difference − 1.3 points [95 CI -1.7 to −<!--> <!-->0.7]; p-value <<!--> <!-->0.01). Likewise, sedentary behavior presented statistically significant differences at 9-month follow-up (intervention group n = 86 mean 5.4 H/d [SD 1.8] vs control group n = 93 mean 6.3 H/d [SD 1.9], adjusted mean difference 1.0 H/d [95 CI 0.5 to 1.4]; p-value <<!--> <!-->0.01).</div></div><div><h3>Conclusions</h3><div>These results do not support the effectiven","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105034"},"PeriodicalIF":7.5,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578661","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":"Effects of acoustic stimulation on painful procedures in preterm and full-term infants: A systematic review and network meta-analysis","authors":"Shenglan Ding ,&nbsp;Qingxia Wang ,&nbsp;Xiujuan Fu ,&nbsp;Xiuhua Huang ,&nbsp;Luxi Liao ,&nbsp;Yilan Zhang","doi":"10.1016/j.ijnurstu.2025.105031","DOIUrl":"10.1016/j.ijnurstu.2025.105031","url":null,"abstract":"<div><h3>Aim</h3><div>This study aims to compare and rank the effects of acoustic stimulation on painful procedures in both preterm and full-term infants.</div></div><div><h3>Methods</h3><div>Six databases including Medline, Web of Science, the Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature, Embase, and SinoMed, were searched from inception to July, 2023. A Bayesian network meta-analysis with random effects models was performed using R software and Stata 15.0. The quality of included studies was assessed using the Cochrane Collaboration's tool. The study protocol was registered at PROSPERO (Registration number: CRD42023451102).</div></div><div><h3>Results</h3><div>A total of 28 studies involving 2624 preterm and full-term infants were included and 8 acoustic stimulation interventions were identified. Regarding pain levels during procedures, maternal voice, maternal voice plus, music therapy and maternal voice plus, music therapy plus, other pharmaceutical interventions, vocal music therapy, white noise, and white noise plus were significantly more effective than control group [standardized mean differences (SMD) ranged from −<!--> <!-->2.6 to −<!--> <!-->0.87]. White noise plus was the most effective intervention for reducing pain levels during procedures (90.6 %). Regarding pain levels after procedures (no specific time mentioned), maternal voice, maternal voice plus, music therapy and maternal voice plus, music therapy plus, other pharmaceutical interventions, other non-pharmaceutical interventions, routine care, vocal music therapy, and white noise plus were significantly more effective than control group (SMD ranged from −<!--> <!-->4.7 to −<!--> <!-->1.6). Music therapy and maternal voice plus was the most effective intervention for reducing pain levels after procedures, without specific time mentioned (95.29 %). Regarding pain levels 1 min after procedures, only music therapy plus and other pharmaceutical interventions were effective (SMD ranged from −<!--> <!-->4.5 to −<!--> <!-->4.9) and music therapy plus was the most effective intervention (93.41 %). No interventions had significant effects on pain levels 3, 5, and 10 min after procedures. Regarding heart rate, only white noise plus could provide a lower increase during procedures. For oxygen saturation, only vocal music therapy could provide a lower decrease after painful procedures (no specific time mentioned). No interventions had significant effects on stabilizing respiratory rate.</div></div><div><h3>Conclusion</h3><div>This review suggests that multiple acoustic stimulation interventions are effective for pain relief in both preterm and full-term infants undergoing painful procedures. More high quality studies with larger sample size are required to generate evidence regarding the short- and long-term effectiveness and safety of acoustic stimulation interventions on painful procedures.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105031"},"PeriodicalIF":7.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548502","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":"Effect of zero-time exercise on physically inactive adults with insomnia disorder: A randomized controlled trial","authors":"Wing-Fai Yeung ,&nbsp;Agnes Yuen-Kwan Lai ,&nbsp;Branda Yee-Man Yu ,&nbsp;Fiona Yan-Yee Ho ,&nbsp;Ka-Fai Chung ,&nbsp;Janice Yuen-Shan Ho ,&nbsp;Lorna Kwai-Ping Suen ,&nbsp;Lai-Ming Ho ,&nbsp;Tai-Hing Lam","doi":"10.1016/j.ijnurstu.2025.105033","DOIUrl":"10.1016/j.ijnurstu.2025.105033","url":null,"abstract":"<div><h3>Background</h3><div>Whether simple lifestyle-integrated exercise training can improve insomnia remains unclear. In this study, we examined whether zero-time exercise, a simple exercise incorporated into daily routines without extra time, can improve sleep in physically inactive adults with insomnia.</div></div><div><h3>Methods</h3><div>This was a single-blinded, parallel-group, randomized controlled trial. A total of 140 physically inactive adults (mean [SD] age, 46.7 [14.0] years; 115 [82.1 %] women; mean [SD] insomnia duration, 4.9 [6.7] years) with insomnia disorders were randomly allocated (1:1) to the zero-time exercise intervention group or the sleep hygiene education control group. They received two 2-h zero-time exercise training sessions or sleep hygiene education lessons within 2 weeks and two phone call reminders per week for 8 weeks to follow their respective programs. The outcomes were assessed at 8, 16, and 24 weeks. The primary outcome was the Insomnia Severity Index score at week 24.</div></div><div><h3>Results</h3><div>The intervention group showed a significantly greater decrease in the Insomnia Severity Index scores than those in the control group at weeks 16 (−<!--> <!-->1.59 points, 95 % CI -3.09 to −<!--> <!-->0.08; P = 0.039) and 24 (−<!--> <!-->2.59 points, 95 % CI -4.17 to −<!--> <!-->1.01; P = 0.001); however, the difference at week 8 was not significant (−<!--> <!-->1.23 points, 95 % CI -2.54 to 0.07; P = 0.065). No serious adverse events were observed.</div></div><div><h3>Conclusions</h3><div>Zero-time exercise effectively reduces insomnia severity in physically inactive adults and can be easily incorporated into daily routines to improve insomnia symptoms and daytime impairment.</div></div><div><h3>Trial registration</h3><div><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span>, <span><span>NCT04227587</span><svg><path></path></svg></span> (Registration date: January 13, 2020; The first participant was recruited on September 1, 2020). Word count: 240.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105033"},"PeriodicalIF":7.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479703","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 accuracy of osteoporosis risk assessment tools in postmenopausal women: A systematic review and network meta-analysis","authors":"Shu-Tong Wang ,&nbsp;Han-Yang Gu ,&nbsp;Zi-Chen Huang ,&nbsp;Chen Li ,&nbsp;Wen-Na Liu ,&nbsp;Rong Li","doi":"10.1016/j.ijnurstu.2025.105029","DOIUrl":"10.1016/j.ijnurstu.2025.105029","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The Fracture Risk Assessment Tool (FRAX, threshold ≥&lt;!--&gt; &lt;!--&gt;9.3 %), Osteoporosis Risk Assessment Instrument (ORAI, ≥&lt;!--&gt; &lt;!--&gt;9), Osteoporosis Index of Risk (OSIRIS, &lt;&lt;!--&gt; &lt;!--&gt;1), Osteoporosis Self-Assessment Tool (OST, &lt;&lt;!--&gt; &lt;!--&gt;2), and Simple Calculated Osteoporosis Risk Estimation (SCORE, ≥&lt;!--&gt; &lt;!--&gt;6) have been endorsed by the US Preventive Services Task Force for evaluating the need for bone mineral density measurement by dual-energy X-ray absorptiometry in postmenopausal women.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To systematically compare the sensitivity and specificity of the five osteoporosis risk assessment tools for detecting bone mineral density-defined osteoporosis.&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 the Cochrane Library, Embase, PubMed and Web of Science databases up to January 29, 2024, to identify observational studies that evaluated comparative accuracy of these tools in postmenopausal women. The Quality Assessment of Diagnostic Accuracy Studies-2 and its comparative extension were utilized to evaluate the risk of bias and applicability. Pooled odds ratios (ORs) and 95 % confidence intervals (CIs) for relative sensitivity and specificity were calculated using a multivariate random-effects model, with tool rankings determined by Surface Under the Cumulative Ranking (SUCRA).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;17 studies were included, involving 9669 postmenopausal women with bone mineral density-defined osteoporosis and 34,143 without the condition. The SCORE (OR = 12.11, 95 % CI [4.46–32.86]) exhibited significantly higher sensitivity than FRAX, followed by ORAI (OR = 7.01, 95 % CI [2.84–17.31]) and OST (OR = 6.90, 95 % CI [3.07–15.52]). Compared to OSIRIS, higher sensitivity was observed for SCORE (OR = 4.92, 95 % CI [2.41–10.05]), ORAI (OR = 2.85, 95 % CI [1.63–4.99]), and OST (OR = 2.80, 95 % CI [1.58–4.97]). However, specificity was lower for SCORE (OR = 0.16, 95 % CI [0.08–0.33]), ORAI (OR = 0.26, 95 % CI [0.13–0.51]), and OST (OR = 0.28, 95 % CI [0.15–0.53]) compared to FRAX. Similarly, SCORE (OR = 0.25, 95 % CI [0.15–0.41]), ORAI (OR = 0.40, 95 % CI [0.26–0.62]), and OST (OR = 0.44, 95 % CI [0.27–0.69]) showed significantly lower specificity than OSIRIS. Based on SUCRA values, SCORE (98.2 %) ranked as the most sensitive tool, followed by ORAI (64.2 %) and OST (62.6 %), whereas FRAX (96.7 %) was the most specific, followed by OSIRIS (78.3 %).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The risk assessment tools for identifying postmenopausal women with bone mineral density-defined osteoporosis, endorsed by the US Preventive Services Task Force, can be categorized into two groups. SCORE (≥&lt;!--&gt; &lt;!--&gt;6), ORAI (≥&lt;!--&gt; &lt;!--&gt;9), and OST (&lt;&lt;!--&gt; &lt;!--&gt;2) offer higher sensitivity, identifying more osteoporosis patients, whereas FRAX (≥&lt;!--&gt; &lt;!--&gt;9.3 %) and OSIRIS (&lt;&lt;!--&gt; &lt;!--&gt;1) provide higher specificity, identifying those without the cond","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105029"},"PeriodicalIF":7.5,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529300","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 Raya-Benítez et al. (2025) ‘Effectiveness of non-instrumental early mobilization to reduce the incidence of deep vein thrombosis in hospitalized patients’","authors":"Fangshi Xu ,&nbsp;Hongxin Ni ,&nbsp;Liwei Zhang,&nbsp;Jiancang Ma","doi":"10.1016/j.ijnurstu.2025.105030","DOIUrl":"10.1016/j.ijnurstu.2025.105030","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105030"},"PeriodicalIF":7.5,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463774","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":"What makes a local accreditation programme successful and how? A rapid realist review and in-depth consultation with senior nursing leaders","authors":"Ruth Harris,&nbsp;Sarah Sims,&nbsp;Mary Leamy","doi":"10.1016/j.ijnurstu.2025.105016","DOIUrl":"10.1016/j.ijnurstu.2025.105016","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Locally driven ward and unit accreditation programmes provide a comprehensive tool to assess the quality of care delivered to patients, bringing together several measures in a single overarching framework. Reported outcomes of locally driven ward accreditation include reduced variation in care delivery, increased assurance of care quality and improved staff motivation. However, there is little empirical research that clarifies the underlying assumptions about what causes outcomes or the theoretical basis to explain how ward accreditation programmes work.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A rapid realist review methodology with in-depth stakeholder consultation was adopted to explore the question “What are the key principles and processes of successfully implemented local ward accreditation programmes?”&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting(s)&lt;/h3&gt;&lt;div&gt;Six study sites (NHS Trusts) across England participated in this review.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Sixteen senior nurse leaders at six study sites participated in focus groups lasting 90–120 min to elicit detailed reflections on how their accreditation programmes had been designed and implemented, to test out initial programme theories identified in the literature. These theories were then further scrutinised through a consultation group of key stakeholders.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Ten databases were searched, after screening 186 papers for relevance, 43 remained. An additional 11 papers were identified via a Google Scholar search. The 54 papers were then appraised for ‘fitness for purpose’, and thematically analysed for context, mechanisms and outcomes. A rapid realist review approach was adopted to develop and iteratively refine programme theories of locally driven ward accreditation programmes through evidence review, expert focus groups, and in-depth stakeholder consultation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Seven initial programme theories were identified from the literature: 1) Performance assessment; 2) Public disclosure and/as incentivisation; 3) Strengthening the Nursing voice; 4) Standardisation, consistency, accountability and shared governance; 5) Cultures of improvement; 6) Leadership development and 7) Teamwork and communication. These were discussed in focus groups with senior nursing teams and through a consultation group of key stakeholders. There was evidence for all seven initial programme theories, although some had more resonance with the senior nursing teams and stakeholders than others. No new theories were identified, demonstrating that the review comprehensively captured the reasons why locally driven ward accreditation programmes are thought to generate actions that lead to the outcomes the programmes are designed to produce.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;This review provides an important and newly developed conceptual framework to underpin future empirical work and evaluate the effectiveness of locally driven","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105016"},"PeriodicalIF":7.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453477","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":"“I don't think I have been out of fight or flight. Ever.” transgender people's experiences in inpatient psychiatric treatment","authors":"Kristen D. Clark ,&nbsp;Jordon D. Bosse ,&nbsp;Kasey B. Jackman ,&nbsp;David Brown ,&nbsp;Jacob Dubay ,&nbsp;Jaylyn Jewell ,&nbsp;Shea Flanders ,&nbsp;Catherine Hardwick ,&nbsp;Carol Dawson-Rose","doi":"10.1016/j.ijnurstu.2025.105028","DOIUrl":"10.1016/j.ijnurstu.2025.105028","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Historically, marginalized groups have been deemed unwell and deserving of correction, resulting in disproportionate use of inpatient psychiatric institutionalization. Despite changes over the last hundred years, individuals from marginalized groups continue to experience poor treatment in inpatient psychiatric settings. Transgender people are marginalized in a society where it is assumed that all individuals exist solely as woman or man with predetermined roles influenced by innate biology based on their sex assigned at birth, i.e. gender essentialism. This contributes to mental health disparities (e.g., depression, anxiety, suicidal thoughts, and suicide attempts), which may result in higher acuity symptoms, leading to overrepresentation in inpatient psychiatric settings. Yet, little is known about transgender people's experiences during inpatient psychiatric treatment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To describe the experiences of transgender people in inpatient psychiatric treatment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A qualitative descriptive study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;Interviews were held in person or over Zoom.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Adults who self-identified as transgender and had been admitted to inpatient psychiatric treatment during the last five years were recruited to participate through community organizations, social media, and word of mouth.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Semi-structured interviews were conducted between March 2019 and June 2022. Data were analyzed using thematic analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Participants (&lt;em&gt;N&lt;/em&gt; = 15) described experiences within inpatient psychiatric treatment. The first theme, &lt;em&gt;gender essentialism causes stigmatizing experiences through structural and enacted power&lt;/em&gt;, was characterized by deliberate or accidental misgendering, gender treated as irrelevant to care, pathologized gender diversity, and withholding of gender-affirming needs. The second theme, &lt;em&gt;psychological and emotional strain as the price paid for enforced gender essentialism&lt;/em&gt;, included examples of drained emotional resources, powerlessness, and worsening of gender dysphoria. Lastly, the theme &lt;em&gt;actions in disruption of the structural gender essentialist power&lt;/em&gt; illustrated how the gender essentialist systems in place can be interrupted and resisted by transgender patients and healthcare professionals.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Power structures are embedded in psychiatric hospital policies and practices, as well as the physical layout of the hospital, operating under the assumption that all patients are either man or woman based on their sex assigned at birth. Healthcare professionals may unintentionally or deliberately reinforce these structures, further marginalizing transgender patients. Healthcare professionals have the opportunity to disrupt these harmful systems by advocating for and implement","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105028"},"PeriodicalIF":7.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535006","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 the nurse-led multi-component BRIDGE program on maternal competence and selected post-discharge outcomes of preterm babies: A randomized controlled trial","authors":"Kavitha K ,&nbsp;Mallanagouda M. Patil ,&nbsp;Basheerahamed J. Sikandar ,&nbsp;Vijaya Soraganvi","doi":"10.1016/j.ijnurstu.2025.105027","DOIUrl":"10.1016/j.ijnurstu.2025.105027","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Mothers require sufficient knowledge and skill in caring for a preterm newborn at home after discharge. Infant weight gain and other health parameters can be used to assess the quality of care received. A comprehensive early intervention program can help mothers through this transitional period.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To examine the effect of the BRIDGE Program versus standard care in improving maternal competence and the selected post-discharge outcomes of preterm newborns admitted to the tertiary-level hospital in India.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We conducted a single-blinded, two-arm, randomized controlled trial with a repeated measures design. Participants were recruited from a tertiary-level multi-specialty medical college hospital and research center in Vijayapur, India. Overall, 110 preterm babies aged 32 to 37 weeks of gestation and their mothers were randomly allocated to either intervention or control group (55 preterm infants and mother dyad in each group). The BRIDGE program included five phases: (I) family-centered health education on prematurity and preterm care; (II) demonstrations of preterm care procedures such as breastfeeding and burping techniques, kangaroo mother care, oil massage, and so on; (III), a home care guide on DO.s and DON'Ts of preterm care; (IV) a home visit on first day of discharge; and (V) digital based follow-up through video call for one-week post-discharge. Outcomes were measured in terms of mothers' competence, preterm newborn weight gain, hospital readmission rate, and neonatal death up to one month after discharge. Data on mothers' competence in preterm care was collected at baseline and 7th-day post-discharge of preterm infants. For newborns, measurements were taken at baseline, discharge, seventh-day post-discharge, 15th-day post-discharge, and 30th-day post-discharge.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;After the BRIDGE program intervention, mean knowledge (95 % CI = 23.96–24.57) and skill (95 % CI = 14.02–14.69) scores of mothers in the intervention group has improved significantly than the control group (knowledge: 95 % CI = 18.20–20.60; and skill: 95%CI = 9.96–11.66). Preterm infants exposed to the BRIDGE program weighed 130 g and 790 g more than controls on days 15 and 30 after discharge (p = 0.016). However, no statistically significant differences were observed in readmission rate and post-discharge mortality of preterm infants (p &gt; 0.05).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Although the BRIDGE program did not affect preterm infants' outcomes, the components of the intervention such as education, home visits, and digital follow-up empowered mothers allowing them to thrive in their surroundings and experience fewer consequences in newborn care.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;The study was registered at the Clinical Trial Registry of India (Trial No. CTRI/2021/03/032349), and data was gathered between August 2021 and Octobe","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"165 ","pages":"Article 105027"},"PeriodicalIF":7.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437697","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":"Why vital signs observations are delayed and interrupted on acute hospital wards: A multisite observational study","authors":"Joanna Hope ,&nbsp;Chiara Dall'Ora ,&nbsp;Oliver Redfern ,&nbsp;Julie L. Darbyshire ,&nbsp;Peter Griffiths","doi":"10.1016/j.ijnurstu.2025.105018","DOIUrl":"10.1016/j.ijnurstu.2025.105018","url":null,"abstract":"<div><h3>Background</h3><div>Vital signs monitoring is key to identifying deteriorating hospital patients. However, adherence to monitoring protocols is limited, with observations frequently missed or delayed. Previous studies of interruptions and delays to vital signs observations have been descriptive, with none attempting to conceptualise the types of tasks that are prioritised over vital signs observations.</div></div><div><h3>Objective</h3><div>This paper aims to explore how nursing teams perform vital sign observations on acute hospital wards and conceptualises which types of work delay or interrupt them.</div></div><div><h3>Design</h3><div>Non-participant observational study.</div></div><div><h3>Setting(s)</h3><div>Four hospitals in the south of England.</div></div><div><h3>Methods</h3><div>Eligible adult wards (surgical and medical) within each hospital were randomly sampled for inclusion. Four sets of two-hour daytime observation sessions were undertaken on each ward. Two observers recorded structured and unstructured observations (open comments, field notes) on a tablet with adapted QI Tool software. We collected data over 128 h, including 715 sets of vital signs observations and 1127 interruptions. We undertook a qualitative content analysis of interruptions and delays to planned vital signs observations using both structured and unstructured observations.</div></div><div><h3>Results</h3><div>We identified eight reasons why vital signs were delayed or interrupted: fixed routines, staff availability, bundled care, proximity-related activities, collaborative care, patient inaccessible or unavailable, requests for or responses to time-critical activities, or limited context available. We propose a new concept of ‘temporal status.’ Flexible care (vital signs observations, ‘bundled care’ and ‘proximity-related care’) has a low temporal status so is delayed in favour of higher temporal status activities (fixed routines and time-critical care).</div></div><div><h3>Conclusions</h3><div>Our findings could explain why vital signs taken early in the morning and evening are least likely to be postponed, as there may be fewer competing tasks with a higher temporal status at these times. Our work also challenges binary conceptualisations of interruptions as ‘beneficial’ or ‘detrimental’, recognising the complexity of nursing care decisions on a moment-by-moment basis. Our new framework suggests the lower temporal status of vital signs observations (and other flexible care) means they are delayed by higher temporal status tasks during daytime shifts in acute hospitals, regardless of their clinical priority.</div></div><div><h3>Registration</h3><div>10863045, ISRCTN (6/8/2019).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105018"},"PeriodicalIF":7.5,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386333","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}