International Journal of Nursing Studies最新文献

{"title":"Effect of horticultural activities on reducing depressive symptoms in community-dwelling adults: a systematic review and meta-analysis","authors":"Po Yan Sin, William Ho Cheung Li, Myrian Sze Nga Fan, Shuk Ching Ng, Kai Chow Choi","doi":"10.1016/j.ijnurstu.2025.105081","DOIUrl":"10.1016/j.ijnurstu.2025.105081","url":null,"abstract":"<div><h3>Objective</h3><div>To review and analyse randomised-controlled trials and controlled clinical trials on the effect of horticultural activities on alleviating depressive symptoms in community-dwelling adults.</div></div><div><h3>Eligibility criteria</h3><div>We included randomised controlled trials and controlled clinical trials that reported depressive symptoms as an outcome. Only community-dwelling adults are included. Involved interventions were horticultural activities with direct interactions with real plants. Excluded interventions include complete virtual-reality-based interventions and passive involvement in a natural environment. The comparison group must not include any horticultural elements.</div></div><div><h3>Data sources</h3><div>On 12/9/2024, 14 databases were searched: Academic Search Ultimate, APA PsycInfo, British Nursing Index, CINAHL, CENTRAL, Educational Resources Information Center, Embase, Epistemonikos, Global Health, MEDLINE, Ovid Emcare, Ovid Nursing Database, Scopus, and Web of Science. Citation Search was performed.</div></div><div><h3>Risk of bias</h3><div>The Risk of Bias-2 and the Risk-Of-Bias In Non-randomised Studies-of-Interventions tool were utilised.</div></div><div><h3>Result synthesis</h3><div>Data was synthesised using a random-effects meta-analyses model. Effect sizes were estimated as standardised mean differences.</div></div><div><h3>Results</h3><div>The systematic review covered 30 studies and 2071 participants. The meta-analysis covered 25 studies and indicated that horticultural activities had an overall moderate effect on depressive symptoms (SMD − 0.67, 95 % CI −<!--> <!-->0.86 to −<!--> <!-->0.47, I<sup>2</sup> 54 %). Subgroup analyses revealed that horticultural therapy and therapeutic horticulture had no significant difference in effects (horticultural therapy: SMD −<!--> <!-->0.74, 95 % CI −<!--> <!-->1.35 to −<!--> <!-->0.14, I<sup>2</sup> 79 %; therapeutic horticulture: SMD − 0.62, 95 % CI −<!--> <!-->0.80 to −<!--> <!-->0.45, I<sup>2</sup> 27 %). The effect of horticultural activities in reducing depressive symptoms was moderate among younger adults (SMD − 0.59, 95 % CI −<!--> <!-->0.83 to −<!--> <!-->0.36, I<sup>2</sup> 43 %), and older adults (SMD − 0.73, 95 % CI −<!--> <!-->1.05 to −<!--> <!-->0.40, I<sup>2</sup> 61 %). The interventions conducted indoors and outdoors showed no significant difference (Indoor: SMD −0.55, 95 % Cl −<!--> <!-->0.87 to −<!--> <!-->0.23, I<sup>2</sup> 61 %; Outdoor: SMD − 0.62, 95 % Cl −<!--> <!-->0.83 to −<!--> <!-->0.42, I<sup>2</sup> 6 %). The effects of interventions once a week (SMD − 0.61, 95 % Cl −<!--> <!-->0.92 to −<!--> <!-->0.30, I<sup>2</sup> 68 %) were similar to those twice a week (SMD − 0.72, 95 % Cl −<!--> <!-->1.05 to −<!--> <!-->0.39, I<sup>2</sup> 37 %). The effective components of horticultural activities included plant care, horticultural artwork, harvesting, food consumption, sensory stimulation, and starting rituals.</div></div><di","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105081"},"PeriodicalIF":7.5,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143881627","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":"Effects of exercise training on cognition in adults with depression: A systematic review and three-level meta-analysis","authors":"Fei-Fei Ren , Feng-Tzu Chen , Wen-Sheng Zhou , Meng-Yi Tian , Ruei-Hong Li , Dong-Shi Wang , Wen-Ming Liang , Yong Yang , Yu-Kai Chang","doi":"10.1016/j.ijnurstu.2025.105083","DOIUrl":"10.1016/j.ijnurstu.2025.105083","url":null,"abstract":"<div><h3>Background</h3><div>Cognitive impairment is a central feature of depression. Exercise training has enormous potential as a nonpharmacological intervention to improve cognition in depressed individuals.</div></div><div><h3>Objective</h3><div>This review aimed to evaluate and update the effect of exercise training on overall cognition and its subdomains, as well as whether moderators influence the effect of exercise training on cognition in depressed adults.</div></div><div><h3>Design</h3><div>Systematic review and three-level meta-analysis of randomized controlled trials.</div></div><div><h3>Methods</h3><div>We systematically searched Embase, Ovid MEDLINE, Web of Science, PubMed, and Scopus from their inception to February 14, 2024, and updated the search results on December 5, 2024. Randomized controlled trials investigating how exercise training affected cognition in depressed adults were included. The meta-analysis was performed using a random-effects model in R. We used the Physiotherapy Evidence Database scale to evaluate the study's quality.</div></div><div><h3>Results</h3><div>Twenty-two studies were included. Exercise training showed statistically significant improvements in overall cognition [<em>g</em> = 0.21; 95 % confidence interval (CI) = 0.12, 0.30] and cognitive subdomains of processing speed (<em>g</em> = 0.20; 95 % CI = 0.04, 0.36), attention (<em>g</em> = 0.21; 95 % CI = 0.06, 0.35), memory (<em>g</em> = 0.24; 95 % CI = 0.11, 0.38), and executive function (<em>g</em> = 0.21; 95 % CI = 0.09, 0.33) compared with comparison groups in depressed adults. The greater cognitive benefits were observed when participants exercised twice a week (<em>g</em> = 0.30; 95 % CI = 0.03, 0.56), at a low intensity (<em>g</em> = 0.26; 95 % CI = 0.08, 0.43), spent more than 60 min per session (<em>g</em> = 0.24; 95 % CI = 0.05, 0.44), 150 min or more per week (<em>g</em> = 0.27; 95 % CI = 0.09, 0.45), had a program duration more than 10 weeks (<em>g</em> = 0.25; 95 % CI = 0.12, 0.39), and engaged in mind–body exercise (<em>g</em> = 0.26; 95 % CI = 0.08, 0.43). The clinical setting, sample size, and comparison group for memory moderated the effects of exercise training on cognition.</div></div><div><h3>Conclusions</h3><div>Exercise training is an effective nonpharmacological intervention that enhances overall cognition and subdomains of processing speed, attention, memory, and executive function compared with comparison groups in depressed adults. This study only included English-language articles, which may have caused a language bias, and Egger's test revealed a possibility of publication bias.</div></div><div><h3>Registration number</h3><div>CRD42023457900 (PROSPERO).</div><div><strong>Tweetable abstract</strong>: Exercise training is an effective nonpharmacological intervention for adults with depression to improve overall cognition and cognitive subdomains of processing speed, attention, memory, and executive function compared with compari","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105083"},"PeriodicalIF":7.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143874911","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":"Skin care products to prevent pressure ulceration?","authors":"Jan Kottner","doi":"10.1016/j.ijnurstu.2025.105075","DOIUrl":"10.1016/j.ijnurstu.2025.105075","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105075"},"PeriodicalIF":7.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812316","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":"Experiences and perspectives regarding developmentally appropriate cancer services for adolescents and young adults with cancer: A mixed methods systematic review","authors":"Sheeja Perumbil Pathrose ,&nbsp;Kerry Sutcliffe ,&nbsp;Esther Davis ,&nbsp;Pandora Patterson ,&nbsp;Jane Ussher ,&nbsp;Lucie Ramjan","doi":"10.1016/j.ijnurstu.2025.105077","DOIUrl":"10.1016/j.ijnurstu.2025.105077","url":null,"abstract":"<div><h3>Background</h3><div>Providing developmentally appropriate cancer services for adolescents and young adults is a challenge for the health sector. Current service approaches are fragmented and diverse, with amalgamation of adolescents and young adults' perspectives lacking in the literature. Whilst there has been progress in delivering care focused on adolescents and young adults, contemporary evidence is warranted to understand their experience to establish sustainable developmentally focused cancer care.</div></div><div><h3>Objective</h3><div>To examine the experiences and perspectives regarding developmentally appropriate cancer services for adolescents and young adults with cancer.</div></div><div><h3>Design</h3><div>This systematic review was conducted in accordance with the Joanna Briggs Institute methodology for mixed methods systematic reviews using a convergent integrated approach. Studies focused on the care experiences of adolescents and young adults with a cancer diagnosis between the ages of 15 to 39 years were included in the review. A key word search of six relevant databases identified 2513 records and 57 full text records were screened for eligibility.</div></div><div><h3>Results</h3><div>16 qualitative studies, 12 quantitative studies and two mixed method studies were included in the analysis. Four synthesised findings were generated from 10 categories. Findings were conceptualised as: Developmentally appropriate information and communication, Decision-making process, Relationship, emotions and comfort, and Care environment. Findings highlighted information provided was inappropriate at the time of diagnosis and inadequate during treatment period and survivorship. They desired direct, open communication with healthcare providers and expected guidance in certain instances, however, also sought autonomy in decision-making. The support of family, peers and care-providers was considered invaluable to effectively cope with stressors. The need for cultivating an empathetic healthcare environment suitable for young people was also identified as a significant need.</div></div><div><h3>Conclusions</h3><div>This review affirmed that although significant effort has been invested, further work is needed to improve the cancer care experiences of adolescents and young people. The findings emphasise many preferences regarding how cancer services should be delivered, suggesting that services should be evaluated against these preferences. Ensuring developmental appropriateness is critical for the delivery of supportive cancer care.</div></div><div><h3>Registration number</h3><div>CRD42023413864 (PROSPERO).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105077"},"PeriodicalIF":7.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143830307","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 Wang et al. (2025) ‘The effectiveness of yoga on menopausal symptoms: A systematic review and meta-analysis of randomized controlled trials’","authors":"Linzi Chen ,&nbsp;Yuezhan Li","doi":"10.1016/j.ijnurstu.2025.105071","DOIUrl":"10.1016/j.ijnurstu.2025.105071","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105071"},"PeriodicalIF":7.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824963","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":"Author's response to “Comment on Wang et al. (2025) ‘The effectiveness of yoga on menopausal symptoms: A systematic review and meta-analysis of randomized controlled trials’”","authors":"Hongjuan Wang ,&nbsp;Siyuan Tang ,&nbsp;Mei Sun","doi":"10.1016/j.ijnurstu.2025.105070","DOIUrl":"10.1016/j.ijnurstu.2025.105070","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105070"},"PeriodicalIF":7.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062681","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 effectiveness of cultural competence interventions in nursing: A systematic review and meta-analysis","authors":"Selvedina Osmancevic ,&nbsp;Laura Maria Steiner ,&nbsp;Franziska Großschädl ,&nbsp;Christa Lohrmann ,&nbsp;Daniela Schoberer","doi":"10.1016/j.ijnurstu.2025.105079","DOIUrl":"10.1016/j.ijnurstu.2025.105079","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The growing need to provide culturally competent nursing care has increased the importance of implementing and evaluating cultural competence interventions in healthcare settings. Previous research showed that increasing healthcare professionals' cultural competence can reduce racism and inequalities and enhance their ability to navigate cultural diversity. Whilst some evidence shows that educational interventions can improve cultural competence of healthcare professionals, a summary of this evidence is lacking, especially regarding the effectiveness of such interventions on nurses' cultural competence and patient-related outcomes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;In this systematic review, the effectiveness of cultural competence interventions on nurses' levels of cultural competence and patient-related outcomes is assessed.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A systematic review and a meta-analysis were conducted.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;We searched in MEDLINE, Embase, CINAHL, PsychINFO, ERIC and CENTRAL up to September 2023 for studies using a quasi-experimental or experimental design. We used the Cochrane Handbook for Systematic Reviews of Interventions and PRISMA guideline for methodological and reporting guidance. Two researchers independently assessed the eligibility of the studies and their methodological quality. We assessed the quality of experimental studies using the Revised Cochrane Risk of Bias Assessment Tool for Randomized Trials (RoB 2), and the quality of quasi-experimental studies with the Risk of Bias in Nonrandomized Studies – of Interventions tool (ROBINS-I).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Overall, 17 studies, three randomised controlled trials and 14 pre-test/posttest studies, were included in this review. Of these 17 studies, 12 provided sufficient, appropriate data for inclusion in the meta-analysis. Cultural competence interventions were offered through education and training (including lectures, presentations, case studies, discussions, or various reflection activities) or technology-based applications and support (mobile app, online database, or web-based training). Education and training were shown to slightly increase nurses' levels of cultural competence, with a low certainty of the evidence. Technology-based applications and support may increase nurses' levels of cultural competence, but the evidence is very uncertain. No pooling of studies was possible for the patient-related outcomes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Education and training can improve the level of nurses' cultural competence; therefore, they should be offered as continuing education for nurses. However, our confidence in the underlaying evidence for cultural competence interventions is low due to the imprecision and risk of bias of included studies; thus, the results should be interpreted with caution. Despite the growing interest in and body of research on nurses' cultural competence ","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105079"},"PeriodicalIF":7.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143856064","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":"Strategies used by healthcare professionals to increase the human papillomavirus vaccine uptake among adolescents in Ireland: A qualitative study","authors":"Margaret Efua Sackey ,&nbsp;Kathleen Markey ,&nbsp;Annmarie Grealish","doi":"10.1016/j.ijnurstu.2025.105080","DOIUrl":"10.1016/j.ijnurstu.2025.105080","url":null,"abstract":"<div><h3>Background</h3><div>Adolescent human papillomavirus vaccine uptake in Ireland dropped to 50–60 % between 2016 and 2021. Healthcare professionals play a vital role in increasing the uptake of human papillomavirus vaccine among adolescents. This is the first study that sought to identify the key opportunities for healthcare professionals to get adolescent vaccination uptake to optimal rate.</div></div><div><h3>Objective</h3><div>To explore the strategies healthcare professionals in Ireland use to promote vaccine uptake among adolescents and to understand how they are addressing vaccine hesitancy.</div></div><div><h3>Design</h3><div>A qualitative descriptive study.</div></div><div><h3>Setting(s)</h3><div>Three community health organisations in Ireland.</div></div><div><h3>Participants</h3><div>A purposive sample of 17 healthcare professionals involved in the delivery of the human papillomavirus vaccination programme in Ireland was recruited.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted between November 2022 and July 2023. Reflexive thematic analysis method was used to analyse the interview data.</div></div><div><h3>Results</h3><div>Four themes emerged from the data: Attitudes towards the human papillomavirus vaccine; Strategies used to promote the vaccine's uptake; Organisational and structural enablers and barriers; and Future improvement strategies. Healthcare professionals reported that there are still concerns about the safety and efficacy of human papillomavirus vaccine especially among marginalised populations. Healthcare professionals reported that increased uptake was more likely if they adopted flexible approaches to delivering the vaccine, easily accessible drop-in clinics, and proving more opportunities to educate adolescents and parents about the importance of the vaccine. Despite these efforts, healthcare professionals are faced with organisational barriers that hinder effective delivery. Policy reform to support and educate stakeholders could improve the vaccine uptake. In addition, more work is needed to address unproven negative testimonies on social media, to reduce concerns among the public regarding the safety and potential side effects of the vaccine.</div></div><div><h3>Conclusions</h3><div>Human papillomavirus vaccine is one of the best preventative measures that public health care has to offer in preventing and reducing human papillomavirus related cancers and infections. Healthcare professionals demonstrated several interventions they adopt to improve the uptake of the human papillomavirus vaccine for adolescents. The findings suggest that adopting better multi-setting approaches to vaccination programmes and multi-system collaborative efforts would significantly increase the uptake of the vaccine.</div><div><strong>Tweetable abstract</strong>: Strategies used by healthcare professionals to increase the human papillomavirus vaccine uptake among adolescents in Ireland.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105080"},"PeriodicalIF":7.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824142","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 effectiveness of plant-based topical agents for the prevention of pressure injuries: Systematic review of randomised controlled trials","authors":"Hsiao-Ching Lin,&nbsp;Li-Yu Yang,&nbsp;Yi-Ching Su,&nbsp;Bih-O Lee","doi":"10.1016/j.ijnurstu.2025.105069","DOIUrl":"10.1016/j.ijnurstu.2025.105069","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Pressure injuries (PIs) are a major global health challenge. As PI-related healthcare costs continue to rise and patient safety is increasingly impacted, nurses are actively working to design and implement effective prevention strategies, particularly focusing on skin care, to prevent PIs in high-risk patients. Recent advances in incorporating plant-based topical agents into comprehensive care bundles for PI prevention have shown promising potential, though the results remain somewhat variable.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To evaluate effectiveness of plant-based topical agents in preventing PIs and their impact on PI incidence, time to PI formation and adverse events.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A systematic review was performed and reported according to the PRISMA guidelines. PubMed, Cochrane Library, EMBASE, PROQUEST Health Research Premium Collection, Clinical Key, MEDLINE, CINAHL, Google Scholar, and Airiti Library from database inception to May 2024.Two researchers independently screened randomised controlled trials published in Chinese and English. Screening, data extraction, and quality evaluation were independently performed by two reviewers using the Cochrane RoB 2.0 tool and GRADE to assess the strength of evidence. Disagreements were resolved by a third reviewer. Due to the heterogeneity of the intervention, a meta-analysis was not feasible; consequently, the findings were synthesised narratively.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Ten randomised controlled trials were included, consisting of 2364 patients without PI and no sensitivity to plant-based topical agents. The plant-based topical agents used in the interventions included olive oil (n = 6), sweet almond oil (n = 1), aloe vera gel (n = 2), aloe vera gel–olive oil compound (n = 1), peppermint oil gel (n = 1), and henna paste (n = 1). PI incidence was lower in the intervention groups compared to control groups, but the time to PI formation was inconsistent. No or mild adverse events were reported. The overall risk of bias was categorised as ‘some concerns’ (n = 5) and ‘high risk’ (n = 5).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;This review found that different plant-based topical agents can be effective in preventing PI and can be an option for PI prevention. Higher-quality studies are needed to validate effectiveness of plant-based topical agents in preventing PI and to clarify their mechanisms of action. We suggest incorporating plant-based topical agents into PI care protocols and in-service education to ensure consistent usage. Implementation can start with high-risk PI patients in critical/home care settings to prevent PI occurrence.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;PROSPERO Registration Number CRD42024567522.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Tweetable abstract&lt;/h3&gt;&lt;div&gt;Plant-based topical agents like olive oil and aloe vera show potential in preventing pressure injuries in high-risk patients, but more high-quality research is ","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105069"},"PeriodicalIF":7.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143822640","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 an integrated platform-based intervention for promoting psychosocial safety climate and mental health in nursing staff: A pragmatic cluster randomised controlled trial","authors":"Leif Boß ,&nbsp;Jennifer Ross ,&nbsp;Dorota Reis ,&nbsp;Sarah Pischel ,&nbsp;Tim Mallwitz ,&nbsp;Hanna Brückner ,&nbsp;Grit Tanner ,&nbsp;Helge Nissen ,&nbsp;Lina Kalon ,&nbsp;Marlies Schümann ,&nbsp;Thomas Lennefer ,&nbsp;Monique Janneck ,&nbsp;Jörg Felfe ,&nbsp;Antje Ducki ,&nbsp;Dirk Lehr","doi":"10.1016/j.ijnurstu.2025.105076","DOIUrl":"10.1016/j.ijnurstu.2025.105076","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Organisational and individual factors cause strain in the daily lives of nurses and other healthcare professionals, who have a high prevalence of stress-related disorders. Accordingly, there is a strong need for integrated occupational health promotion interventions that include both work-directed and person-directed interventions. The psychosocial safety climate is seen as an overarching occupational health objective and can potentially be improved by implementing integrated mental health interventions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;Following an integrated approach, we developed an occupational e-mental health platform, Care4Care, which integrates both work- and person-directed interventions for promoting mental health in nurses. We evaluated the effects of the platform compared with those of an extended care-as-usual control condition.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Clustered randomised controlled trial.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;Healthcare service facilities in Germany nationwide.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;347 nursing staff members (intervention: 211, control: 136) from 33 healthcare service facilities.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The participants received either immediate access to the platform or access to two short subcomponents of the platform plus routine occupational health promotion offerings as well as delayed access to the whole platform after 6 months. The primary outcome was improvement in the psychosocial safety climate after 6 months. The secondary outcomes included perceived stress, depressive symptoms, and other strain-related indicators.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Bayesian multilevel analyses revealed an improvement of approximately 2 points (Cohen's d = 0.25) in the psychosocial safety climate in the intervention group compared with the control group. Applying a 95 % credible interval, this effect contained zero (−&lt;!--&gt; &lt;!--&gt;0.32, 4.44), which indicated uncertainty about the effectiveness of the intervention on the psychosocial safety climate. The analyses of the secondary outcomes revealed effects in the expected direction with high credibility for a decreasing effect on perceived stress and considerable uncertainty with regard to all other secondary and tertiary outcomes. A total of 85 (40 %) participants in the intervention group used Care4Care, whereas 37 (27 %) participants in the control group used the two subcomponents of the platform.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;This study highlights the potential of an occupational e-mental health platform that combines work- and person-directed interventions with face-to-face components for nursing staff. The findings emphasise the necessity of conducting more in-depth implementation studies to identify the factors that facilitate the successful implementation and uptake of occupational e-mental health platforms.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;German Clinical Trials Regist","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"167 ","pages":"Article 105076"},"PeriodicalIF":7.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815769","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}