International Journal of Nursing Studies最新文献

{"title":"Risk factors for pressure injuries in critical care patients: an updated systematic review","authors":"Jenny Alderden ,&nbsp;Katie R. Brooks ,&nbsp;Susan M. Kennerly ,&nbsp;Tracey L. Yap ,&nbsp;Ellie Dworak ,&nbsp;Jill Cox","doi":"10.1016/j.ijnurstu.2025.105127","DOIUrl":"10.1016/j.ijnurstu.2025.105127","url":null,"abstract":"<div><h3>Objective</h3><div>To update a previously published systematic review identifying independent risk factors of pressure injury development in critically ill patients.</div></div><div><h3>Design</h3><div>Systematic review.</div></div><div><h3>Methods</h3><div>Five indexing databases (CINAHL, Cochrane Library, Dissertations &amp; Theses Global, PubMed, and Scopus) were systematically searched for studies published between January 2017 and December 2024. Investigators independently screened studies, extracted data, and assessed study quality using an established appraisal tool. Evidence tables were created, and a narrative synthesis was conducted, organized by relevant domains and subdomains.</div></div><div><h3>Results</h3><div>This updated review included 33 studies (15 additional studies since the original review). Of these, 14 were rated as high quality, eight as moderate quality, nine as low quality, and 2 as very low quality. The most consistently identified independent risk factors were older age, limited mobility or activity, impaired perfusion, vasopressor use, and longer intensive care unit length of stay. Diabetes also emerged as a notable risk factor in several high-quality studies, although evidence was mixed. Inconsistent measurement approaches for nutrition and skin status continued to limit conclusive findings in these domains. Methodological heterogeneity across studies prevented meta-analysis and limited the generalizability of findings.</div></div><div><h3>Conclusions</h3><div>The new evidence found in this updated review reinforces previously identified risk factors – age, mobility limitations, poor perfusion, and vasopressor use – while identifying length of stay and diabetes as additional potential contributors to pressure injury risk. Comprehensive risk assessments for critically ill patients should prioritize these factors, especially in older adults with compromised mobility, poor perfusion, or receiving vasopressors. Future research should aim to standardize measurement approaches and explore how multiple risk factors interact to influence pressure injury development.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105127"},"PeriodicalIF":7.5,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271625","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 accuracy of anesthesia-educated nurses in pre-anesthesia evaluation: A diagnostic accuracy study","authors":"Lin Yin ,&nbsp;Bo Xu ,&nbsp;Danni Luo ,&nbsp;Dongmei Ma ,&nbsp;Jiale Hu ,&nbsp;Shuying Zhu ,&nbsp;Jiang Zou ,&nbsp;Limei Liao","doi":"10.1016/j.ijnurstu.2025.105126","DOIUrl":"10.1016/j.ijnurstu.2025.105126","url":null,"abstract":"<div><h3>Background</h3><div>The global shortage of anesthesiologists and increasing surgical demand have driven the adoption of task-shifting strategies, including delegating pre-anesthesia evaluations to registered nurses. While some results have been reported in high-income countries, limited evidence exists regarding the feasibility and safety of such practices in low- and middle-income countries with developing nurse education systems, such as China.</div></div><div><h3>Objective</h3><div>To evaluate the accuracy of pre-anesthesia evaluations conducted by nurses who had undertaken education in anesthesia in a specialized cancer hospital in China, using the assessment results of senior anesthesiologists as the reference standard. Secondary objectives included assessing the agreement on the American Society of Anesthesiologists classification and comparing the accuracy of pre-anesthesia evaluations by nurses with and without critical care experience.</div></div><div><h3>Methods</h3><div>This prospective cross-sectional study was conducted in a metropolitan teaching hospital in Southwest China. Pre-anesthesia evaluations performed by 24 anesthesia nurses were compared to those of five senior anesthesiologists for 1930 patients undergoing elective surgery with general anesthesia. Diagnostic accuracy metrics, including sensitivity, specificity, positive predictive value, and negative predictive value, were calculated. Agreement on the American Society of Anesthesiologists classification was assessed using the Kappa statistic.</div></div><div><h3>Results</h3><div>Anesthesia nurses achieved an overall accuracy of 97.7 % (95 % CI: 97.0 %–98.3 %) for determining surgical readiness, with a sensitivity of 70.7 % (95 % CI: 57.3 %–81.9 %) and specificity of 98.6 % (95 % CI: 97.9 %–99.0 %). Positive and negative predictive values were 60.3 % (95 % CI, 47.7 %–72.0 %) and 99.1 % (95 % CI, 98.5 %–99.5 %), respectively. Agreement on the American Society of Anesthesiologists classification was substantial (Kappa = 0.712). Nurses with prior critical care experience demonstrated higher values in all accuracy metrics, although differences were not statistically significant.</div></div><div><h3>Conclusions</h3><div>Nurses with education in anesthesia demonstrated high overall accuracy and substantial agreement with senior anesthesiologists in performing pre-anesthesia evaluations, supporting their potential role in task-shifting strategies. Further improvements in accuracy may be achieved through enhanced training in cardiovascular assessment and the integration of supportive technologies. These findings provide valuable evidence for implementing nurse-led pre-anesthesia evaluations in low- and middle-income countries, but broader studies are needed to generalize these results to diverse clinical settings.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105126"},"PeriodicalIF":7.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254052","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":"Community-driven research: Exploring the potential of citizen science in nursing","authors":"Giulia Villa ,&nbsp;Debora Rosa ,&nbsp;Ilaria Marcomini ,&nbsp;Andrea Poliani ,&nbsp;Pier Raffaele Spena ,&nbsp;Roberto Buccione ,&nbsp;Duilio F. Manara ,&nbsp;Maya Fedeli","doi":"10.1016/j.ijnurstu.2025.105125","DOIUrl":"10.1016/j.ijnurstu.2025.105125","url":null,"abstract":"<div><div>Citizen science, part of participatory science, emerged in the mid-1990s and involves volunteer non-professional scientists in developing and conducting research. The direct involvement of citizens can improve research outcomes, increase trust in science, and ensure that research and innovation align with societal values, expectations, and needs. Patients' and caregivers' participation in research can significantly enhance treatment adherence, self-care skills, adaptation to new living conditions, conscious use of healthcare systems, and reduction of side effects. In this article, we explore the concept of Citizen Science as applied to the nursing field and serves as an informed guide for nurses who wish to test or adopt this new approach to research: we summarize different types of citizen science approaches, define key principles for good practice, and outline the characteristics that a Citizen Science research project should have. We also illustrate how Citizen Science approaches can be incorporated into nursing research and highlight important factors to consider to ensure the effectiveness, reliability, and inclusiveness of Citizen Science projects.</div><div>The implementation of this methodology offers new perspectives to help nurses lead and contribute to initiatives that generate meaningful evidence and promote a collaborative, patient-centered approach to healthcare research. Introducing this community-driven research approach to nursing research could help create and guarantee value-based healthcare because of the intervention of patients' and caregivers' opinions and outcomes. It has the potential to make a significant contribution to the field of nursing by involving patients in research areas as co-authors and designers of research projects.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105125"},"PeriodicalIF":7.5,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194557","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 relationship between nurse staffing and financial performance of hospitals in Taiwan: Mediating and moderating effects of healthcare quality","authors":"Hao-Ju Chung ,&nbsp;Kuan-Chen Chen ,&nbsp;Chung-I Lin ,&nbsp;Sun-Weng Huang","doi":"10.1016/j.ijnurstu.2025.105124","DOIUrl":"10.1016/j.ijnurstu.2025.105124","url":null,"abstract":"<div><h3>Background</h3><div>The level of nursing staff is considered a decisive factor in healthcare quality and patient outcomes. However, the impact on hospital financial performance remains underexplored.</div></div><div><h3>Purpose</h3><div>This study examines the relationship between nursing staff assignment, financial performance, and healthcare quality.</div></div><div><h3>Method</h3><div>This study collected 495 data observations from 99 hospitals in Taiwan from 2015 to 2019. The research variables were patient-to-nurse ratio, financial performance, and healthcare quality. Data was collected from the National Health Insurance Administration of the Ministry of Health and Welfare and the National Health Insurance Medical Quality Information Disclosure Network. We conducted a multiple regression analysis to explore the relationship between nurse staffing and healthcare quality and between nurse staffing and financial performance. Furthermore, we examined the mediating and moderating effects of healthcare quality on the relationship between nurse staffing and financial performance.</div></div><div><h3>Result</h3><div>The results indicate that patient-to-nurse ratios had a statistically significant positive relationship with net operating profit margin, gross operating profit margin, and after-tax net profit margin. Patient-to-nurse ratios had a statistically significant positive relationship with “Percentage of unplanned rehospitalizations within 14 days post-discharge,” “Percentage of re-emergency visits to the same hospital within three days post-discharge,” and “Percentage of hospitalization days exceeding 30 days in acute beds.” Furthermore, the “Percentage of re-emergency visits to the same hospital within three days post-discharge” had a negative moderating effect on the relationships between patient-to-nurse ratios and return on assets, net operating profit margin, and gross operating profit margin. The “Percentage of hospitalization days exceeding 30 days in acute beds” had a negative moderating effect on the relationships between patient-to-nurse ratios and return on assets, net operating profit margin, and after-tax net profit margin.</div></div><div><h3>Conclusions</h3><div>The relationship between patient-to-nurse ratios and financial performance was positive but moderated by healthcare quality to some extent. Due to low healthcare quality, cost savings based on high patient-to-nurse ratios might not be achieved, thus reducing financial performance. This study suggests that when considering nursing staff assignment, hospital managers should consider whether the hospital's healthcare quality could play a moderating role in improving financial performance.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105124"},"PeriodicalIF":7.5,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144297507","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 analysis of the effectiveness of pharmacological and non-pharmacological interventions on arteriovenous fistula cannulation-related pain in patients receiving hemodialysis: A systematic review and network meta-analysis","authors":"Amir Masoud Sharifnia ,&nbsp;Ginger Chu ,&nbsp;Elizabeth Manias ,&nbsp;Patricia M. Davidson ,&nbsp;Ritin Fernandez","doi":"10.1016/j.ijnurstu.2025.105123","DOIUrl":"10.1016/j.ijnurstu.2025.105123","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Managing arteriovenous fistula cannulation pain in patients receiving hemodialysis is essential for ensuring patient comfort and promoting adherence to treatment. Various interventions have been proposed to alleviate this pain.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To evaluate the comparative effects of non-pharmacological and pharmacological interventions and to rank the best intervention options for cannulation-related pain.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A Systematic review and network meta-analysis were conducted. Five electronic English databases (Medline, CINAHL, EMBASE, Cochrane Trials, and Clinical trials.gov) were searched from inception until November 2023 to identify eligible randomized controlled trials. Screening, data abstraction, and quality assessment were performed by two independent reviewers. The Cochrane Collaboration risk of bias tool 2.0 was used to determine the risk of bias. Data were analyzed using RStudio with the netmeta package, employing a frequentist framework and random effects model.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Twenty-four randomized controlled trials published between 2014 and 2023, involving 1704 participants, were included. The studies comprised 25 interventions, categorized into alternative/complementary therapies and local anesthetics. Compared to usual care, 11 interventions statistically significantly improved AVF cannulation pain: cryotherapy combine with visual distraction (SMD = 4.32, 95 % CI: 1.87, 6.77), visual distraction (SMD = 3.95, 95 % CI: 2.12, 5.77), lavender inhalation aromatherapy (SMD = 3.68, 95 % CI 2.63, 4.73), arnica ointment (SMD = 2.83, 95 % CI: 0.81, 4.85), auricular acupressure combine with compound lidocaine cream (SMD = 2.70, 95 % CI: 0.90, 4.51), lavender topical aromatherapy (SMD = 2.51, 95 % CI: 0.88, 4.14), lidocaine tape (SMD = 2.36, 95 % CI: 0.15, 4.57), cooling spray (SMD = 2.17, 95 % CI: 0.59, 3.76), EMLA cream 5 % (SMD = 1.80, 95 % CI: 0.48, 3.12), auditory distraction (SMD = 1.78, 95 % CI: 0.01, 3.55), and Hegu point acupressure (SMD = 1.52, 95 % CI: 0.04, 3.01). The P-scores and SUCRA rankings indicated that cryotherapy combined with visual distraction, visual distraction alone, and lavender inhalation aromatherapy were the top three effective interventions, respectively.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Non-pharmacological interventions, particularly cryotherapy combined with visual distraction, visual distraction alone, and lavender inhalation aromatherapy, were determined to be effective in reducing arteriovenous fistula cannulation-related pain in hemodialysis patients. Integrating these interventions into clinical practice can enhance patient comfort during hemodialysis procedures. Further research is needed to explore individualized approaches and assess the long-term efficacy of these interventions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;The review protocol was registered at PROSPERO (CRD42023475975).&lt;/div&gt;&lt;/div","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105123"},"PeriodicalIF":7.5,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144189829","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":"Revisiting the Delphi technique - Research thinking and practice: A discussion paper","authors":"Felicity Hasson,&nbsp;Sinead Keeney,&nbsp;Hugh McKenna","doi":"10.1016/j.ijnurstu.2025.105119","DOIUrl":"10.1016/j.ijnurstu.2025.105119","url":null,"abstract":"<div><div>The Delphi technique is a research methodology which has traditionally been used to gain consensus among experts on complex issues characterised by uncertainty. Pioneered by the Rand Corporation in the 1950s for military applications, it has since been widely adopted across various fields, including nursing, health and social sciences and information systems on an array of multifaceted real-world issues. However, since its inception, the Delphi technique has undergone substantial methodological development and its use has now gone beyond its initial rationale.</div><div>In the last two decades there has been a growing body of work illustrating an increasing methodological diversity of the method. While such diversity presents possibilities, it also challenges traditional application and methodological rigour. In an attempt to preserve the integrity of the method, generic and discipline specific guidelines have emerged providing general principles and standards.</div><div>The aim of this paper is to present a much-needed critical reflection on the current application of the Delphi technique and its methodological development and to build on our paper from 2001 (Keeney et al., 2001). While the development of the Delphi method and its evolution are well recognised and reported in the literature, some controversies surrounding the approach remain and it is timely to revisit the method with a critical eye.</div><div>Ultimately, the Delphi technique's flexibility is its significant strength, enabling the exploration of novel lines of inquiry, but it also presents a challenge. Striking the right balance between flexibility and rigour can lead to more meaningful insights and actionable outcomes from a Delphi study. Yet to achieve this, some level of consensus may need to be reached on the Delphi technique itself. In recognition of its 60th birthday, it is an opportune time to re-examine its key aspects and methodological advances and reflect on ‘when is a Delphi not a Delphi?’</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105119"},"PeriodicalIF":7.5,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071835","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 Sharma et al. (2025) ‘Energy conservation education intervention for people with end-stage kidney disease receiving hemodialysis (EVEREST): A two-arm parallel-group study’","authors":"Juan Ye ,&nbsp;Kun Huang","doi":"10.1016/j.ijnurstu.2025.105120","DOIUrl":"10.1016/j.ijnurstu.2025.105120","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105120"},"PeriodicalIF":7.5,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144083294","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 digital cognitive behavioral therapy for insomnia in nurses with shift work sleep disorder: Results of a randomized controlled trial","authors":"Hanna A. Brückner ,&nbsp;Johanna Ell ,&nbsp;Lina Kalon ,&nbsp;Jana Strahler ,&nbsp;Antje Ducki ,&nbsp;Dieter Riemann ,&nbsp;Claudia Buntrock ,&nbsp;Kai Spiegelhalder ,&nbsp;Dirk Lehr","doi":"10.1016/j.ijnurstu.2025.105112","DOIUrl":"10.1016/j.ijnurstu.2025.105112","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Shift work is associated with many adverse effects on health and, in particular, affects sleep. In nurses, one of the most common forms of insomnia is shift work sleep disorder. Traditional face-to-face cognitive behavioral therapy for insomnia is often impractical for shift-working nurses due to irregular work schedules. Digital therapy presents a promising alternative to provide nurses with access to cognitive behavioral therapy for insomnia.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To investigate the effectiveness of the digital SleepCare intervention for reducing insomnia in nurses being affected by shift work sleep disorder.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Randomized controlled trial.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;74 nurses affected by shift work sleep disorder.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;In a two-armed randomized controlled trial, SleepCare was compared to shift work-specific psychoeducation published digitally by the German Sleep Society. The diagnosis of shift work sleep disorder was established through a clinical interview. The primary outcome was insomnia severity as measured by the Insomnia Severity Index at baseline before randomization, at 8 weeks, and 3 months after randomization. Further indicators of mental health and long-term hair cortisol concentration were evaluated as secondary endpoints.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Intention-to-treat analysis of covariance showed a greater reduction in insomnia severity in the intervention group versus psychoeducation, at both post-intervention (&lt;em&gt;d&lt;/em&gt; = 1.11[0.7–1.6]) and follow-up (&lt;em&gt;d&lt;/em&gt; = 0.97 [0.5–1.4]), corresponding to between-group differences of 5.0 and 5.3 points on the Insomnia Severity Index, respectively. 56 % completed at least five of the six sessions and results indicated larger effects for these intervention completers with &lt;em&gt;d&lt;/em&gt; = 1.49 and &lt;em&gt;d&lt;/em&gt; = 1.28, respectively. Statistically significant effects were observed for sleep-related, but not other mental health indicators, for example, stress and depression. Reduced hair cortisol levels were observed post-intervention in the SleepCare group (&lt;em&gt;V&lt;/em&gt; = 82, &lt;em&gt;p&lt;/em&gt; = .008; Δ = −&lt;!--&gt; &lt;!--&gt;1.8 pg/mg, 44 % reduction from baseline).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;SleepCare was effective in reducing insomnia symptoms to a clinically meaningful extent and is one of the first digitally delivered programs to adapt cognitive behavioral therapy for insomnia with specific exercises to address nurses' needs for shift work. The development of effective strategies to promote treatment adherence seems necessary, as substantially larger effects were observed for intervention completers.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;div&gt;German Clinical Trials Register – DRKS; DRKS00027411 (&lt;span&gt;&lt;span&gt;https://trialsearch.who.int/Trial2.aspx?TrialID=DRKS00027411&lt;/span&gt;&lt;svg&gt;&lt;path&gt;&lt;/path&gt;&lt;/svg&gt;&lt;/span&gt;).&lt;/div&gt;&lt;div&gt;Registration date: March 9, 2022. Start of rec","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"169 ","pages":"Article 105112"},"PeriodicalIF":7.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144099585","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 efficacy of interventions for promoting physical activity in people with type 2 diabetes: A systematic review and network meta-analysis","authors":"Xiaojing Guo ,&nbsp;Juhong Pei ,&nbsp;Yuting Wei ,&nbsp;Guotian Peng ,&nbsp;Ruiyi Sun ,&nbsp;Fanghong Yan ,&nbsp;Lin Han","doi":"10.1016/j.ijnurstu.2025.105104","DOIUrl":"10.1016/j.ijnurstu.2025.105104","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Increasing physical activity is recommended as a cornerstone of self-management strategies for diabetes prevention and management. While evidence supporting the effectiveness of various interventions to enhance physical activity in individuals with type 2 diabetes is expanding, there remains a lack of consensus regarding the most effective intervention.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To compare and rank the efficacy of different interventions in improving physical activity among individuals with type 2 diabetes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Systematic review and network meta-analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;PubMed, Cochrane Library, EMBASE, Web of Science, China Knowledge Resource Integrated Database, Wanfang Database, Weipu Database, and Chinese Biomedical Database were systematically searched for relevant studies published from the inception of databases until August 4, 2023. Randomized controlled trials evaluating any interventions aimed at improving physical activity (moderate-to-vigorous physical activity or steps per day measured objectively) in individuals with type 2 diabetes were included. The risk of bias was assessed according to the Revised Cochrane risk-of-bias tool for randomized trials (RoB2). A random-effects network meta-analysis model was employed to synthesize all available evidence. The registration number of this study is CRD42023432185.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;33 studies involving 6304 participants were included in the quantitative synthesis. In total, the studies assessed 12 different interventions. Sixteen of the 33 studies (48.5 %) met the adapted Cochrane ROB2 for low risk of bias, while five studies were considered to be at high overall risk of bias. Compared to minimal intervention, multi-component interventions (MD 6.43 min/day, 95 % CI 1.85–11.01) had statistically significant effects on improving moderate-to-vigorous physical activity. Additionally, physical activity programme, counselling plus self-help materials, counselling plus Biofeedback, self-help materials plus biofeedback, physical activity programme plus biofeedback, and multi-component interventions had statistically significant effects on improving daily step counts, with MDs ranging from 1672 to 2504 steps per day in individuals with type 2 diabetes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;A combination of more than two intervention components appears required to increase physical activity. Counselling, physical activity programme, and biofeedback may be effective ingredients of such combinations, especially to increase the daily step count, among individuals with type 2 diabetes. However, the findings should be interpreted cautiously due to the limited number of studies, small sample sizes, and inconsistencies between outcome measures and comparison types. Further research is needed to strengthen the evidence base for clinical decision-making and to identify the most effective inte","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"168 ","pages":"Article 105104"},"PeriodicalIF":7.5,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115790","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":"Should cognition be the fifth vital sign in nursing?","authors":"Sharmaine Pang ,&nbsp;Nicole Yun Ching Chen ,&nbsp;Yanhong Dong","doi":"10.1016/j.ijnurstu.2025.105101","DOIUrl":"10.1016/j.ijnurstu.2025.105101","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"170 ","pages":"Article 105101"},"PeriodicalIF":7.1,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095528","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}