International Journal of Nursing Studies最新文献

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From gift to mutilation: Exploring nursing Students' metaphorical conceptions of organ donation: A qualitative study 从赠予到残害:探讨护生器官捐献的隐喻概念:一项质性研究
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-02-07 DOI: 10.1016/j.ijnurstu.2025.105026
Halil Ibrahim Tasdemir , Deniz Tasdemir
{"title":"From gift to mutilation: Exploring nursing Students' metaphorical conceptions of organ donation: A qualitative study","authors":"Halil Ibrahim Tasdemir ,&nbsp;Deniz Tasdemir","doi":"10.1016/j.ijnurstu.2025.105026","DOIUrl":"10.1016/j.ijnurstu.2025.105026","url":null,"abstract":"<div><h3>Background</h3><div>Understanding nursing students' perspectives on organ donation is essential to foster positive attitudes and increase donation rates.</div></div><div><h3>Objective</h3><div>This study aimed to uncover the metaphors used by nursing students to describe organ donation, revealing their underlying perceptions and beliefs.</div></div><div><h3>Design</h3><div>A qualitative metaphor analysis study.</div></div><div><h3>Methods</h3><div>This study was conducted at Burdur Mehmet Akif Ersoy University, Bucak Health College with 318 nursing students in Turkey. Data were collected through written responses and analyzed using metaphor analysis. The surveys, composed of open-ended questions to elicit nursing students' metaphors of organ donation, were distributed to the participants. The collected data were named, classified, and categorized.</div></div><div><h3>Results</h3><div>In this study, students produced 311 valid metaphors related to organ donation. The metaphors revealing the students' perceptions of the concept of organ donation were grouped under 10 categories. Nursing students in this study expressed both positive metaphorical concepts, such as ‘gift box,’ ‘rainbow bridge,’ ‘Candle in the dark,’ and ‘new beginning,’ as well as negative metaphorical concepts, such as ‘soldier on the battlefield,’ ‘heavy load,’ and ‘disfigurement’ associated with organ donation.</div></div><div><h3>Conclusion</h3><div>The findings reveal a wide spectrum of metaphorical perceptions among nursing students, ranging from highly positive to very negative. This variability underscores the need for targeted educational strategies to address divergent attitudes and misconceptions, fostering more consistent and informed perspectives on organ donation in nursing education.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105026"},"PeriodicalIF":7.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143378972","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}
引用次数: 0
Authors' response to “Comment on Rheindorf et al. (2024) ‘Getting midwives back to hospitals: A discrete choice experiment’” 作者对“关于‘让助产士回到医院:一个离散选择实验’的评论”的回应。
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-02-01 DOI: 10.1016/j.ijnurstu.2024.104985
Jessica Rheindorf, Christian Schlereth, Christian Hagist
{"title":"Authors' response to “Comment on Rheindorf et al. (2024) ‘Getting midwives back to hospitals: A discrete choice experiment’”","authors":"Jessica Rheindorf,&nbsp;Christian Schlereth,&nbsp;Christian Hagist","doi":"10.1016/j.ijnurstu.2024.104985","DOIUrl":"10.1016/j.ijnurstu.2024.104985","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104985"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899963","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}
引用次数: 0
Comment on Rheindorf et al. (2024) 'Getting midwives back to hospitals: A discrete choice experiment' 评论Rheindorf et al. (2024)“让助产士回到医院:一个离散选择实验”。
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-02-01 DOI: 10.1016/j.ijnurstu.2024.104984
Yin Li , John Howell , Desireé Clement
{"title":"Comment on Rheindorf et al. (2024) 'Getting midwives back to hospitals: A discrete choice experiment'","authors":"Yin Li ,&nbsp;John Howell ,&nbsp;Desireé Clement","doi":"10.1016/j.ijnurstu.2024.104984","DOIUrl":"10.1016/j.ijnurstu.2024.104984","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104984"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872874","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}
引用次数: 0
Corrigendum to “Effectiveness of nurse-delivered stepwise swallowing training on dysphagia in patients with Alzheimer's disease: A multi-center randomized controlled trial” [Int. J. Nurs. Stud. 150 (2024) 104649] “护士指导的逐步吞咽训练对阿尔茨海默病患者吞咽困难的有效性:一项多中心随机对照试验”的更正[j]。j .孕育。螺杆。150(2024)104649]。
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-02-01 DOI: 10.1016/j.ijnurstu.2024.104966
Junrong Ye , Chenxin Wu , Jiao Chen , Haoyun Wang , Yuanxin Pan , Xingxiao Huang , Jialan Wu , Xiaomei Zhong , Huarong Zhou , Wen Wang , Shengwei Wu , Tingwei Zhou , Li Wang , Peilan Lu , Chunrui Ruan , Jianxiong Guo , Yuping Ning , Aixiang Xiao
{"title":"Corrigendum to “Effectiveness of nurse-delivered stepwise swallowing training on dysphagia in patients with Alzheimer's disease: A multi-center randomized controlled trial” [Int. J. Nurs. Stud. 150 (2024) 104649]","authors":"Junrong Ye ,&nbsp;Chenxin Wu ,&nbsp;Jiao Chen ,&nbsp;Haoyun Wang ,&nbsp;Yuanxin Pan ,&nbsp;Xingxiao Huang ,&nbsp;Jialan Wu ,&nbsp;Xiaomei Zhong ,&nbsp;Huarong Zhou ,&nbsp;Wen Wang ,&nbsp;Shengwei Wu ,&nbsp;Tingwei Zhou ,&nbsp;Li Wang ,&nbsp;Peilan Lu ,&nbsp;Chunrui Ruan ,&nbsp;Jianxiong Guo ,&nbsp;Yuping Ning ,&nbsp;Aixiang Xiao","doi":"10.1016/j.ijnurstu.2024.104966","DOIUrl":"10.1016/j.ijnurstu.2024.104966","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104966"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142888109","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}
引用次数: 0
Mentors' and supervisors' perspectives regarding newly qualified nurses' practice in digitally enabled workplaces: A qualitative study 导师和主管对数字化工作场所新合格护士实践的看法:一项定性研究。
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-02-01 DOI: 10.1016/j.ijnurstu.2024.104968
Manal Kleib , Antonia Arnaert , Rebecca Sugars , Lynn M. Nagle
{"title":"Mentors' and supervisors' perspectives regarding newly qualified nurses' practice in digitally enabled workplaces: A qualitative study","authors":"Manal Kleib ,&nbsp;Antonia Arnaert ,&nbsp;Rebecca Sugars ,&nbsp;Lynn M. Nagle","doi":"10.1016/j.ijnurstu.2024.104968","DOIUrl":"10.1016/j.ijnurstu.2024.104968","url":null,"abstract":"<div><h3>Background</h3><div>Contemporary healthcare environments are becoming increasingly reliant on digital health technologies, presenting new opportunities and challenges for the nursing profession and nurses across practice settings and roles. Little is known about newly qualified Canadian nurses' experiences as they transition from academic settings to digitally enabled healthcare workplaces.</div></div><div><h3>Objective</h3><div>To explore (1) perceptions of nurse managers, clinical preceptors and educators regarding newly qualified nurses' practice with digital health, and (2) identify strategies to enhance new nurses' practice with digital health technologies as they transition to the workplace.</div></div><div><h3>Methods</h3><div>A descriptive qualitative design was used. Fifteen participants representing nurse managers, clinical preceptors, and educators from two Canadian provinces participated in semi-structured interviews. Thematic analysis was applied to analyze the data.</div></div><div><h3>Results</h3><div>Three themes were identified: 1) Onboarding upon joining the workplace, 2) Factors influencing new hires' practice with technology, and 3) Improving the transition experience to the workplace. Newly qualified nurses have strong digital skills and access to technology training; however, they also face challenges that affect their overall transition and practice. Having a broader understanding of digital health during formal education and in the workplace, mentorship and support from mentors and colleagues, user-friendly technologies, and stable nursing practice environments are key for safe practice and can facilitate the transitional experience and professional growth of new nurses.</div></div><div><h3>Conclusion</h3><div>Clearly, digital health is here to stay and will further advance in the years to come. Considering global nursing shortages and the demand for a digitally capable workforce, it is imperative to address gaps and challenges that newly qualified nurses and all nurses face when providing care in digitally enabled healthcare environments.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104968"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814844","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}
引用次数: 0
The effect of postpartum interventions on healing and pain in women with perineal trauma: A systematic review and meta-analysis 产后干预对会阴创伤妇女愈合和疼痛的影响:一项系统回顾和荟萃分析
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-02-01 DOI: 10.1016/j.ijnurstu.2024.104976
Döndü Kurnaz, Gamze Fışkın Siyahtaş, Meltem Demirgöz Bal
{"title":"The effect of postpartum interventions on healing and pain in women with perineal trauma: A systematic review and meta-analysis","authors":"Döndü Kurnaz,&nbsp;Gamze Fışkın Siyahtaş,&nbsp;Meltem Demirgöz Bal","doi":"10.1016/j.ijnurstu.2024.104976","DOIUrl":"10.1016/j.ijnurstu.2024.104976","url":null,"abstract":"<div><h3>Introduction</h3><div>Interventions aimed at perineal healing and pain relief can have a positive impact on postpartum experiences in women who experience perineal trauma during childbirth.</div></div><div><h3>Objective</h3><div>The aim of this systematic review and meta-analysis was to compare various methods applied for healing and pain relief from perineal trauma based on primary studies.</div></div><div><h3>Methods</h3><div>The study protocol was developed following PRISMA guidelines, and Meta-Analyses guidelines. Searches were conducted between March and April 2024. Registration was completed using PROSPERO. Searches were performed using PubMed, the Cochrane Library, EBSCO, Embase, Web of Science, PsycINFO, Scopus, National Thesis Center, TR Dizin, Türkiye Klinikleri, and DergiPark Academic search engines. The methodological quality of the studies was assessed using the RoB-1 and RoB-2. Data were aggregated through meta-analysis, and a GRADE evidence profile was created.</div></div><div><h3>Results</h3><div>Nineteen studies involving 1899 participants were included in the meta-analysis. The results showed that interventions performed within the first 24 h after episiotomy did not reduce pain. However, the effects of the interventions were observed on the second day, with cold application identified as the most effective method. Additionally, interventions did not affect healing during the first three days, but a more pronounced improvement was noted in the intervention group by the fifth day. Healing began around the 7th–10th days even without intervention. The REEDA (redness, edema, ecchymosis, discharge, and approximation) score decreased most significantly in the group that received perineal education (diet, Kegel exercise, infection symptoms, and perineal hygiene).</div></div><div><h3>Conclusion</h3><div>Cold application is recommended on the second day to reduce pain following perineal trauma. Interventions were found to accelerate the healing process by initiating healing at least two days earlier, with perineal education being the most effective method. However, further research on topical herbal treatments and perineal hygiene education is needed to strengthen this evidence.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104976"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142825319","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}
引用次数: 0
Comparative effectiveness of delirium recognition with and without a clinical decision assessment system on outcomes of hospitalized older adults: Cluster randomized controlled trial 有和没有临床决策评估系统的谵妄识别对住院老年人结局的比较效果:整群随机对照试验。
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-02-01 DOI: 10.1016/j.ijnurstu.2024.104979
Jiamin Wang , Ying Wu , Yongjun Huang , Fangyu Yang
{"title":"Comparative effectiveness of delirium recognition with and without a clinical decision assessment system on outcomes of hospitalized older adults: Cluster randomized controlled trial","authors":"Jiamin Wang ,&nbsp;Ying Wu ,&nbsp;Yongjun Huang ,&nbsp;Fangyu Yang","doi":"10.1016/j.ijnurstu.2024.104979","DOIUrl":"10.1016/j.ijnurstu.2024.104979","url":null,"abstract":"<div><h3>Background</h3><div>Early recognition of delirium is essential for effective management, but it often goes unrecognized, resulting in adverse outcomes. Clinical decision support systems can enhance adherence to guidelines and improve patient outcomes. We developed a mobile-based clinical decision assessment tool (3D-DST) based on the 3-minute diagnostic interview for confusion assessment method-defined delirium (3D-CAM). Implementing the 3D-DST may enhance delirium recognition and adherence to interventions among healthcare professionals, potentially improving outcomes in older adults.</div></div><div><h3>Objective</h3><div>To test whether improved recognition of delirium could lead to better clinical outcomes in older adults.</div></div><div><h3>Design</h3><div>A cluster randomized controlled trial with pair-matching.</div></div><div><h3>Setting</h3><div>A tertiary geriatric hospital.</div></div><div><h3>Participants</h3><div>Patients aged ≥<!--> <!-->65 years.</div></div><div><h3>Methods</h3><div>Four general wards were paired and randomly assigned to the intervention group (two wards) or the control group (two wards). The intervention included routine delirium assessments by nurses using either the 3D-DST or the 3D-CAM, along with delirium prevention and intervention measures carried out by a multidisciplinary team. Outcomes measured included delirium incidence, duration, severity, length of stay, and adherence to the delirium assessment, prevention, and treatment protocol. A trained nursing researcher collected data on demographics, clinical characteristics, and primary and secondary outcomes.</div></div><div><h3>Results</h3><div>211 eligible patients participated (106 in the intervention group and 105 in the control group), with 21 identified as delirium-positive using the 3D-DST. The median Charlson comorbidity index score among older adults in the intervention group was 1 (1–2), compared to 2 (1–3) in the control group (<em>P</em> = 0.032). Nurses' adherence to delirium assessment was significantly higher in the intervention group than in the control group (73 % vs. 31 %). The recognition rate of delirium among nurses was 89 % in the intervention group and 42 % in the control group. There were no statistically significant differences in delirium duration (6 [3–9] vs. 7 [2–14], <em>P</em> = 0.967), incidence (8.5 % vs. 11.4 %, <em>P</em> = 0.500), severity (2 [1–3] vs. 2 [1–4], <em>P</em> = 0.891) or length of hospital stay (15 [14–18] vs. 18 [13–22], <em>P</em> = 0.568) between the intervention and control groups.</div></div><div><h3>Conclusions</h3><div>The 3D-DST enhanced adherence to routine delirium recognition by nurses. However, effective strategies are urgently needed to strengthen multidisciplinary collaboration and enhance adherence to delirium management among healthcare professionals.</div></div><div><h3>Registration</h3><div>Chinese Clinical Trial Registry, Identifier: ChiCTR1900028402.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104979"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866064","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}
引用次数: 0
Efficacy of skin-to-skin contact between mother and infant on maternal outcomes during the third stage of labour: A systematic review and meta-analysis 母婴皮肤接触对分娩第三阶段产妇结局的影响:一项系统回顾和荟萃分析。
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-02-01 DOI: 10.1016/j.ijnurstu.2024.104981
Sandra Martínez-Rodríguez , Julián Rodríguez-Almagro , Alberto Bermejo-Cantarero , Estíbaliz Laderas-Díaz , Noelia Sanchez-Millan , Antonio Hernández-Martínez
{"title":"Efficacy of skin-to-skin contact between mother and infant on maternal outcomes during the third stage of labour: A systematic review and meta-analysis","authors":"Sandra Martínez-Rodríguez ,&nbsp;Julián Rodríguez-Almagro ,&nbsp;Alberto Bermejo-Cantarero ,&nbsp;Estíbaliz Laderas-Díaz ,&nbsp;Noelia Sanchez-Millan ,&nbsp;Antonio Hernández-Martínez","doi":"10.1016/j.ijnurstu.2024.104981","DOIUrl":"10.1016/j.ijnurstu.2024.104981","url":null,"abstract":"<div><h3>Background</h3><div>Postpartum haemorrhage is a preventable cause of maternal mortality that commonly occurs during the third stage of labour. Skin-to-skin contact is an intervention that can support the physiological processes of labour by increasing oxytocin levels, which can accelerate placental expulsion and enhance uterine contractions, thereby contributing to the prevention of postpartum haemorrhage.</div></div><div><h3>Objective</h3><div>This systematic review aims to evaluate the impact of skin-to-skin contact on key maternal variables during the third stage of labour, including the duration of this stage, placental integrity, the need for manual placental extraction, the administration of therapeutic uterotonics, and the position of the uterine fundus.</div></div><div><h3>Methods</h3><div>A systematic review with meta-analysis of randomised controlled trials and prospective quasi-experimental studies was conducted. Studies were searched in PubMed, Scopus, Cochrane, CINAHL, Google Scholar, and Web of Science. Statistical analysis was performed using STATA version 18. The results of the meta-analysis were reported using relative risk (RR) for dichotomous data and mean difference (MD) for continuous data, both with 95 % confidence intervals (CI). A random-effects model was employed due to the anticipated heterogeneity among the included studies. Sensitivity analyses were performed to assess the robustness of the findings, and a subgroup analysis was conducted based on the type of birth, study design, and country economic level.</div></div><div><h3>Results</h3><div>Twenty-five trials were included. Skin-to-skin contact significantly reduced the duration of the third stage of labour (MD: −<!--> <!-->4.26; 95 %; CI: −<!--> <!-->5.70, −<!--> <!-->2.81), increased the likelihood of complete placental integrity (RR: 1.09; 95 % CI: 1.02, 1.16), and significantly reduced both the likelihood of a supraumbilical position of the uterine fundus (RR: 0.39; 95 % CI: 0.20, 0.76) and the need for uterotonic administration (RR: 0.24; 95 % CI: 0.12, 0.48).</div></div><div><h3>Conclusions</h3><div>Skin-to-skin contact is a simple practice that can favourably influence the physiological processes of labour and improve various maternal outcomes. These benefits include reducing the duration of the third stage of labour, ensuring complete birth of the placenta, decreasing the need for uterotonic administration, and increasing the likelihood of a proper uterine fundal position. Therefore, it is recommended to include this practice in labour care protocols.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104981"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866068","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}
引用次数: 0
Family members' experiences of surrogate decision-making in hospice care: A systematic review of qualitative studies 安宁疗护中家属替代决策的经验:质性研究的系统回顾。
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-02-01 DOI: 10.1016/j.ijnurstu.2024.104987
Ting Yu , Yijing Li , Ziyi Hu , Shanshan Liu , Cong Wang , Qian Chen , Yan Jiang
{"title":"Family members' experiences of surrogate decision-making in hospice care: A systematic review of qualitative studies","authors":"Ting Yu ,&nbsp;Yijing Li ,&nbsp;Ziyi Hu ,&nbsp;Shanshan Liu ,&nbsp;Cong Wang ,&nbsp;Qian Chen ,&nbsp;Yan Jiang","doi":"10.1016/j.ijnurstu.2024.104987","DOIUrl":"10.1016/j.ijnurstu.2024.104987","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Surrogate decision-makers play a key role in determining whether end-of-life patients receive hospice care. There is a need to better understand families' experiences of surrogate decision-making in hospice care for end-of-life patients to provide a basis for developing targeted interventions, such as decision support tools or counseling, to help family members navigate the decision-making process.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Aim&lt;/h3&gt;&lt;div&gt;The aim was to analyze and synthesize global qualitative data on family members' experiences of surrogate decision-making regarding whether to receive hospice care for end-of-life patients.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;This was a systematic review of qualitative studies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Data sources&lt;/h3&gt;&lt;div&gt;The PubMed, Web of Science, Cochrane Library, Embase, Cumulated Index to Nursing and Allied Health Literature, Chinese Biomedical Literature Service System, China National Knowledge Infrastructure, WanFang and China Science and Technology Journal databases were searched from inception to September 2024. Studies related to family members making surrogate decisions about whether to receive hospice care for end-of-life patients were included.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Review methods&lt;/h3&gt;&lt;div&gt;This review was guided by the Joanna Briggs Institute Manual for Systematic reviews of qualitative evidence. Two reviewers independently screened the studies and extracted the data. The eligible studies were assessed via the Joanna Briggs Institute critical appraisal instrument for qualitative research. Thematic synthesis was guided by the method developed by Thomas and Harden.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of nine studies were included. The synthesis of qualitative data resulted in three themes: (1) Decision motivation between rationality and emotion. The reasons surrogate decision-makers considered hospice care for patients involved multiple aspects and were a result of both objective and subjective factors. (2) Decision preparation stemmed from knowledge and experience. A knowledge-based foundation and experiential grounding were needed to ensure that surrogate decision-makers make informed decision. (3) Decision reflection through looking back and forward. Surrogate decision-makers expressed satisfaction with the decision to choose hospice care for patients, coupled with serious consideration of personal future end-of-life decisions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Determining whether patients receive hospice care at end of life is complex for family members. This process begins with the coexistence of rational and emotional motives for decision-making, involves preparation for decision-making through the acquisition of knowledge and experience about hospice care, and culminates in reflection on the entire decision-making process. These findings underscore the importance of providing sufficient informational and emotional support to family decision-makers, which can impro","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104987"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899965","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}
引用次数: 0
Corrigendum to “The effects of a facilitator-enabled online multicomponent iSupport for dementia programme: A multicentre randomised controlled trial” [Int. J. Nurs. Stud. 159 (2024) 104868] 一项多中心随机对照试验"[Int. J. Nurses Studios 159 (2024) 104868]的更正:多中心随机对照试验" [Int. J. Nurs. Stud. 159 (2024) 104868]。
IF 7.5 1区 医学
International Journal of Nursing Studies Pub Date : 2025-02-01 DOI: 10.1016/j.ijnurstu.2024.104960
Lily Xiao , Shahid Ullah , Rujun Hu , Jing Wang , Huali Wang , Chia-Chi Chang , Timothy Kwok , Mingxia Zhu , Julie Ratcliffe , Henry Brodaty , Bianca Brijnath , Hui-Chen (Rita) Chang , Bel Wong , Yunrui Zhou , Jinjie He , Mengmeng Xia , Jhih-Yang Hong , Shirley Che , Rachel Milte
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