International Journal of Nursing Studies最新文献

{"title":"Effects of a nurse-led peer support intervention on psychosocial outcomes of stroke survivors: A randomised controlled trial","authors":"Xiaojuan Wan , Dorothy Ngo Sheung Chan , Janita Pak Chun Chau , Yu Zhang , Yuexia Liao , Pinting Zhu , Kai Chow Choi","doi":"10.1016/j.ijnurstu.2024.104892","DOIUrl":"10.1016/j.ijnurstu.2024.104892","url":null,"abstract":"<div><h3>Background</h3><div>Living with stroke poses many psychosocial challenges. Interventions for improving stroke survivors' psychosocial outcomes are lacking. Peer support interventions may contribute to recovery after stroke. However, current evidence is insufficient to suggest their application in enhancing stroke survivors' psychosocial well-being.</div></div><div><h3>Objective</h3><div>This study aimed to evaluate the effectiveness of a nurse-led peer support intervention for improving the psychosocial outcomes of stroke survivors.</div></div><div><h3>Design</h3><div>An assessor-blinded two-arm randomised controlled trial with an attention control group.</div></div><div><h3>Settings</h3><div>A community health centre and a rehabilitation unit in Yangzhou, China.</div></div><div><h3>Participants</h3><div>First-ever or recurrent ischaemic or haemorrhagic stroke survivors.</div></div><div><h3>Methods</h3><div>A convenience sample of 120 stroke survivors was recruited with 60 participants randomly assigned to each of the intervention and control groups. Intervention group participants received the nurse-led peer support intervention. Control group participants received attention care. The primary outcomes were social participation and participation self-efficacy. The secondary outcomes were psychological distress, perceived social support, stigma towards diseases, and quality of life. Data were collected at baseline (T0), immediately post-intervention (T1) and three months post-intervention (T2). Generalised estimating equations models were used to determine the effects of the intervention on the outcomes.</div></div><div><h3>Results</h3><div>The intervention significantly improved social participation (T1: adjusted mean difference = −<!--> <!-->18.45, 95 % CI: −<!--> <!-->22.89 to −<!--> <!-->14.01, <em>p</em> < 0.001; T2: adjusted mean difference = −<!--> <!-->14.71, 95 % CI: −<!--> <!-->22.36 to −<!--> <!-->7.05, <em>p</em> < 0.001), participation self-efficacy (T1: adjusted mean difference = 47.92, 95 % CI: 37.56 to 58.27, <em>p</em> < 0.001; T2: adjusted mean difference = 39.58, 95 % CI: 17.88 to 61.28, <em>p</em> < 0.001) and perceived social support (T1: adjusted mean difference = 7.56, 95 % CI: 4.93 to 10.19, <em>p</em> < 0.001; T2: adjusted mean difference = 7.41, 95 % CI: 4.01 to 10.80, <em>p</em> < 0.001), and reduced psychological distress (T1: adjusted mean difference = −<!--> <!-->4.97, 95 % CI: −<!--> <!-->6.25 to −<!--> <!-->3.69, <em>p</em> < 0.001; T2: adjusted mean difference = −<!--> <!-->4.67, 95 % CI: −<!--> <!-->6.24 to −<!--> <!-->3.11, <em>p</em> < 0.001) and stigma towards diseases (T1: adjusted mean difference = −<!--> <!-->3.83, 95 % CI: −<!--> <!-->5.14 to −<!--> <!-->2.51, <em>p</em> < 0.001; T2: adjusted mean difference = −<!--> <!-->3.19, 95 % CI: −<!--> <!-->5.20 to −<!--> <!-->1.19, <em>p</em> < 0.001) at both T1 and T2. The intervention significantly improved quality of life a","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104892"},"PeriodicalIF":7.5,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299974","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":"Nursing interventions for pediatric patients with cancer and their families: A scoping review","authors":"Josefine Tang Rørbech ,&nbsp;Pia Dreyer ,&nbsp;Karin Enskär ,&nbsp;Helle Haslund-Thomsen ,&nbsp;Claus Sixtus Jensen","doi":"10.1016/j.ijnurstu.2024.104891","DOIUrl":"10.1016/j.ijnurstu.2024.104891","url":null,"abstract":"<div><h3>Background</h3><div>Clinical nursing care is an essential element in pediatric oncology. The body of research interventions targeting pediatric oncology patients and their families has grown in recent years. However, no reviews are currently available on nursing interventions for pediatric oncology.</div></div><div><h3>Aim</h3><div>The aim was to develop a comprehensive overview of the available nursing interventions for pediatric oncology patients and their families, outline the characteristics of the interventions, and identify any knowledge gaps.</div></div><div><h3>Methods</h3><div>This review was conducted in accordance with the JBI guidelines for scoping reviews. Citations were retrieved from the following databases: Scopus, PubMed, CINAHL, PsycINFO, and Embase. The following inclusion criteria were applied: peer-reviewed studies written in English, Danish, Norwegian, or Swedish from 2000 onward and reporting on pediatric patients with cancer and/or family members of a pediatric patient with cancer who received non-pharmacological and non-procedural nursing interventions provided by a pediatric oncology hospital service. Eligible studies were screened by title and abstract, and in full text by two independent reviewers. Critical appraisal was achieved using the Mixed Methods Appraisal Tool.</div></div><div><h3>Findings</h3><div>Among 2762 references, 26 studies met the inclusions criteria, comprising 25 unique nursing interventions. 89 % had been published from 2013 onward, reflecting the rapid changes occurring in pediatric oncology treatment. 36 % were qualitative, 58 % were quantitative and 8 % employed mixed methods. The studies were characterized by considerable diversity in terms of intervention content, components, timing of delivery, and delivery mode. 60 % of the interventions were targeted parents among whom mothers were highly overrepresented (75 %). 16 % adopted a family-centered focus.</div></div><div><h3>Conclusion</h3><div>This review contributes to building a more comprehensive understanding of the evidence base within pediatric oncology nursing research. This field is evolving and holds the potential to support families with childhood cancer across various phases of their treatment trajectory. However, a clear need exists to develop and test interventions with a genuinely family-centered focus, targeting both patients and family members. A considerable gap exists in reporting of the intervention development process and intervention characteristics. Improving the reporting of intervention development is needed to enhance research quality and facilitate subsequent adaptation or upscaling of interventions for use in other populations and contexts.</div><div><strong>Tweetable abstract</strong>: Nursing interventions can support families with childhood cancer but future intervention studies need to enhance transparency in reporting @IJNSjournal</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104891"},"PeriodicalIF":7.5,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0020748924002049/pdfft?md5=f702a2dc7150746d5a9e27f2fa2c8832&pid=1-s2.0-S0020748924002049-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299976","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":"Co-designing a digital family-led intervention for delirium prevention and management in adult critically ill patients: An application of the double diamond design process","authors":"Gideon U. Johnson ,&nbsp;Amanda Towell-Barnard ,&nbsp;Christopher McLean ,&nbsp;Glenn Robert ,&nbsp;Beverley Ewens","doi":"10.1016/j.ijnurstu.2024.104888","DOIUrl":"10.1016/j.ijnurstu.2024.104888","url":null,"abstract":"<div><h3>Background</h3><p>Co-designing healthcare interventions is gaining recognition as a novel and collaborative method. Co-design involves end-users from the start, ensuring that an intervention best meets their needs. Despite its potential benefits, this approach is not yet widely used in developing clinical interventions within intensive care units where the perspectives of patients, family members, and clinicians are crucial.</p></div><div><h3>Objective</h3><p>To describe the application, benefits and challenges of the Double Diamond model to co-design a digital family-led voice reorientation intervention for delirium prevention and management in critically ill adult patients.</p></div><div><h3>Methods</h3><p>The co-design process was guided by the Double Diamond model over a period of 12 months. Development involved patients, family members, and nursing and medical staff as co-designers and decision-makers in the iterative development of the intervention. Data from field notes and group meetings were audio recorded, transcribed verbatim, and content analysed at each phase, which were then presented to the co-designers for verification and refinement.</p></div><div><h3>Findings</h3><p>Co-designers included people with lived experience of the ICU as patients (n = 5) and family members (n = 1) and clinical experts (nursing staff n = 3; medical staff n = 3). Co-designers were highly engaged and reported positive experiences and collaboration in the co-design process. Sharing the diversity of their own personal ICU experiences was found to be beneficial as it not only validated individual feelings but also strengthened intervention development. Differences in interpretations and meanings of the voice messages proposed as part of the intervention were challenging. Maintaining sufficient focus on each phase of the Double Diamond was difficult due to the complexity of the context in which the intervention was being co-designed and the resulting challenges of maintaining the engagement of the co-designers throughout the process.</p></div><div><h3>Conclusions</h3><p>There were benefits and challenges of engaging people with lived experience in an intensive care unit as co-designers through the Double Diamond design process to develop a digital family-led intervention for delirium prevention and management. Overall, applying the Double Diamond to co-design a clinical intervention is recommended, whereby the collaboration process benefits patients, family members, and clinical staff.</p></div><div><h3>Registration number</h3><p>ACTRN12622001568707; <span><span>ANZCTR — Registration</span><svg><path></path></svg></span>.</p></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104888"},"PeriodicalIF":7.5,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0020748924002013/pdfft?md5=cc54221b09f0d98bd53e433939c8fb4c&pid=1-s2.0-S0020748924002013-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142243513","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 palliative care interventions on patient-reported outcomes and all-cause mortality in community-dwelling adults with heart failure: A systematic review and meta-analysis","authors":"Yuan Li ,&nbsp;Jie Li ,&nbsp;Mei R. Fu ,&nbsp;Rubén Martín Payo ,&nbsp;Xiaomeng Tian ,&nbsp;Yidan Sun ,&nbsp;Lisha Sun ,&nbsp;Jinbo Fang","doi":"10.1016/j.ijnurstu.2024.104887","DOIUrl":"10.1016/j.ijnurstu.2024.104887","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Current evidence that supports palliative care interventions predominantly focuses on individuals with cancer or hospitalized patients. However, the effectiveness of palliative care on patient-reported outcomes and mortality in community-dwelling adults with heart failure has not been evaluated.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;p&gt;We aimed to evaluate the effectiveness of palliative care interventions on patient-reported outcomes and all-cause mortality in community-dwelling adults with heart failure.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;p&gt;A systematic review and meta-analysis of randomized controlled trials.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;MEDLINE, Embase, Cochrane Library, and CINAHL databases were searched from inception to October 2023. Randomized controlled trials were considered if they compared palliative care interventions with usual care, attention control, or waiting-list control primarily in a community-dwelling heart failure patient population. The primary outcome was patient-reported generic health-related or heart failure-specific quality of life. Secondary outcomes were patient-reported symptom burden, psychological health (anxiety and depression), spiritual well-being, and all-cause mortality. Two independent reviewers screened the retrieved articles and extracted data from the included studies. A random-effects meta-analysis was performed to pool the data, followed by sensitivity analysis, subgroup analysis, and meta-regression. All analyses were performed using R version 4.2.2.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Eleven eligible studies were included in this review with a total of 1535 patients. Compared to usual care, palliative care interventions demonstrated statistically significant effects on improving generic health-related quality of life (SMD, 0.30 [95 % CI, 0.12 to 0.48]) and heart failure-specific quality of life (SMD, 0.17 [95 % CI, 0.03 to 0.31]). Palliative care interventions also reduced anxiety (SMD, −&lt;!--&gt; &lt;!--&gt;0.22 [95 % CI, −&lt;!--&gt; &lt;!--&gt;0.40 to −&lt;!--&gt; &lt;!--&gt;0.05]) and depression (SMD, −&lt;!--&gt; &lt;!--&gt;0.18 [95 % CI, −&lt;!--&gt; &lt;!--&gt;0.33 to −&lt;!--&gt; &lt;!--&gt;0.03]), and enhanced spiritual well-being (SMD, 0.43 [95 % CI, 0.05 to 0.81]), without adversely affecting all-cause mortality (RR, 1.00 [95 % CI, 0.76 to 1.33]). Yet, the interventions had no significant effects on symptom burden (SMD, −&lt;!--&gt; &lt;!--&gt;0.09 [95 % CI, −&lt;!--&gt; &lt;!--&gt;0.40 to 0.21]). The certainty of evidence across the outcomes ranged from very low to moderate based on the GRADE approach.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;p&gt;Palliative care interventions are beneficial for community-dwelling adults with heart failure in that the interventions improved patient-reported quality of life, psychological health, and spiritual well-being, and importantly, did not lead to higher mortality rates. Findings of this review support the implementation of palliative care for adults with heart failure in community settings.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Registration&lt;/h3&gt;&lt;p&gt;CRD4","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104887"},"PeriodicalIF":7.5,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142232362","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 handling of hazardous medications by nurses and midwives: A retrospective cohort study","authors":"Pheona van Huizen ,&nbsp;Paul Wembridge ,&nbsp;Philip L. Russo ,&nbsp;Elizabeth Manias ,&nbsp;Clifford J. Connell","doi":"10.1016/j.ijnurstu.2024.104889","DOIUrl":"10.1016/j.ijnurstu.2024.104889","url":null,"abstract":"<div><h3>Background</h3><div>Occupational exposure of healthcare workers to hazardous medications can be potentially harmful. Hazardous medications can be carcinogenic, developmentally toxic, reproductively toxic, genotoxic and/or toxic to organs at low doses. These hazardous medications can be used in many healthcare settings, but published research of occupational exposure has focused almost exclusively on cancer services.</div></div><div><h3>Aim</h3><div>To identify the healthcare settings where nurses and midwives are responsible for the administration of hazardous medications.</div></div><div><h3>Method</h3><div>A retrospective cohort study was undertaken of all medication administration events occurring during a two-week period at a public metropolitan health service in 2023. All medication administration events from six hospital sites were identified using the electronic (Oracle Health-Cerner-Millennium®) and paper (Chemotherapy Chart) medication administration records. From all of the medications administered, the subset of medications classified as hazardous were identified based on the Victorian Therapeutics Advisory Group Framework for Handling of Hazardous Medicines (2021) and other guidelines. Poisson regression modelling was used to explore associations between the number of hazardous medications and the healthcare area where they were administered (p &lt; 0.001).</div></div><div><h3>Results</h3><div>Of the 121,567 administration events, 6054 (5.0 %) involved hazardous medications. The healthcare areas with the highest rate of hazardous medication administration events, as a proportion of all medication administration events, were outpatient cancer service (301/695, 43.3 %), birth suite (13/86, 15.1 %) and mental health (404/4011, 10.1 %) areas. During the two-week period, 6054 hazardous medication administration events occurred, involving 117 different medications. The greatest number of these events took place in the medical (1729/6054, 28.6 %) and geriatric (1579/6054, 26.1 %) inpatient healthcare areas. A total of 1258 nurses and midwives were directly involved in either administering, or checking and witnessing the administration of hazardous medications to 996 patients (25.2 % of the total 3958 patients). Most hazardous medications administered to patients were in an oral dosage form (5426/6054, 89.6 %).</div></div><div><h3>Conclusion</h3><div>Hazardous medications were administered in all healthcare areas, with the exception of endoscopy services. Nurses and midwives were at risk of occupational exposure from hazardous medications.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104889"},"PeriodicalIF":7.5,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0020748924002025/pdfft?md5=dc1bde7bdf5ba37ccc56a49bb6b8fc58&pid=1-s2.0-S0020748924002025-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299980","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":"The Nursing Human Capital Value Model","authors":"Olga Yakusheva ,&nbsp;Kathryn A. Lee ,&nbsp;Marianne Weiss","doi":"10.1016/j.ijnurstu.2024.104890","DOIUrl":"10.1016/j.ijnurstu.2024.104890","url":null,"abstract":"<div><div>Nursing's economic value is presently framed within the dominant “outcomes-over-cost” value framework. Within this context, organizations employing nurses often use nursing budget reductions as a cost-minimization strategy, with the intent of retaining high quality outcomes. However, persistent issues such as nurse understaffing, burnout, and turnover threaten healthcare systems' capacity to deliver the quality, equitable, affordable patient care that the public requires. In this paper, we propose a new conceptual model and definition of nursing's economic value. The model development is guided by the convergence of three classic economic frameworks: human capital theory, production theory, and value theory. Grounded in these theories, we envision nursing as a value-adding human capital asset and explicitly link nursing staff characteristics and allocation to the production of healthcare services and organizational financial outcomes. We redefine nursing's economic value as the return on investment (ROI) in nursing human capital reflected in the improvement of consumer, nurse, and organizational outcomes. This new conceptual model, termed the Nursing Human Capital Value Model, presents a cycle of value creation that starts with investments in growing, developing and sustaining an organization's nursing human capital. Nurses, as a human capital asset, deliver nursing care—a foundational ingredient to the production of healthcare services and consumer outcomes. Improved outcomes, subsequently, drive organizational revenue growth. Finally, the accrued revenue is reinvested in nursing, further propelling the cycle's continuation. This innovative model, which is applicable across health systems financed through both governmental and private/non-governmental payor sources, highlights that investment in nursing human capital development is essential for sustainable value generation, identifying opportunities for optimizing nurses' contributions to the value cycle. By directly incorporating economic theories of human capital, production, and value, our model paves the way for future research on the dynamic scope of nursing's economic contribution within healthcare organizations and systems and underscores its necessity for the long-term sustainability and growth of the nursing profession.</div><div><strong>Tweetable abstract</strong>: The economic value of nursing lies in the return on investment in nursing human capital. #nurses #ROI #healthcare</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104890"},"PeriodicalIF":7.5,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0020748924002037/pdfft?md5=498ed7dbc11aab44984330358dc404dc&pid=1-s2.0-S0020748924002037-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311972","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":"Virtual reality-enhanced interventions on preoperative anxiety symptoms in adults undergoing elective surgery: A meta-analysis and meta-regression","authors":"Sin Lun Chan ,&nbsp;Janet Wing Hung Sit ,&nbsp;Wen Wei Ang ,&nbsp;Ying Lau","doi":"10.1016/j.ijnurstu.2024.104886","DOIUrl":"10.1016/j.ijnurstu.2024.104886","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Virtual reality exposure and distraction are recent novel technologies for reducing preoperative anxiety symptoms. However, the effectiveness of virtual reality-enhanced interventions in adults is still controversial and has yet to be evaluated in a systematic review.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;p&gt;The study aimed to (1) evaluate the effectiveness of virtual reality-enhanced interventions on preoperative anxiety symptoms in adults compared to comparators; and (2) identify the factors affecting the effectiveness of interventions.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;p&gt;Systematic review, meta-analysis, and meta-regression analysis of randomised controlled trials.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;We conducted a three-step systematic search from inception until May 1, 2024, using (1) eleven databases, (2) two clinical registries, and (3) citation and grey literature searches in either English or Chinese. The package &lt;em&gt;meta&lt;/em&gt; of R software version 4.3.1 was used to perform the meta-analysis, subgroup analysis, and meta-regression analyses. We adopted the restricted maximum likelihood estimator for random-effects meta-analysis and univariate random-effects meta-regression analyses. The Cochrane risk-of-bias tool version 2 and the Grading of Recommendations, Assessment, Development, and Evaluation criteria were used to examine quality assessment and the certainty of evidence.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;We selected 26 randomised controlled trials with 2357 participants from 12 different countries. Random-effects meta-analyses showed that virtual reality-enhanced interventions had a statistically significant reduction in preoperative anxiety symptoms (&lt;em&gt;t&lt;/em&gt; = −&lt;!--&gt; &lt;!--&gt;5.58, &lt;em&gt;p&lt;/em&gt; &lt; 0.001) with a moderate to large effect size (Hedges' &lt;em&gt;g&lt;/em&gt; = −&lt;!--&gt; &lt;!--&gt;0.76, 95 % confidence interval: −&lt;!--&gt; &lt;!--&gt;1.03 to −&lt;!--&gt; &lt;!--&gt;0.48) compared to usual care. Statistically significant subgroup differences were found for the nature of the intervention, geographical region, country, and type of surgery. The improvement in preoperative anxiety symptom outcomes was greater when the virtual reality-enhanced interventions were chosen by patients (&lt;em&gt;g&lt;/em&gt; = −&lt;!--&gt; &lt;!--&gt;2.55, 95 % CI: −&lt;!--&gt; &lt;!--&gt;3.08 to −&lt;!--&gt; &lt;!--&gt;2.02) when compared to virtual reality exposure interventions with educational content (&lt;em&gt;g&lt;/em&gt; = −&lt;!--&gt; &lt;!--&gt;0.72, 95%CI: −&lt;!--&gt; &lt;!--&gt;1.07 to −&lt;!--&gt; &lt;!--&gt;0.38) or virtual reality distraction interventions (&lt;em&gt;g&lt;/em&gt; = −&lt;!--&gt; &lt;!--&gt;0.64, 95 % CI: −&lt;!--&gt; &lt;!--&gt;1.04 to −&lt;!--&gt; &lt;!--&gt;0.23). Trials conducted in Asia had a greater effect on preoperative anxiety symptom outcomes (&lt;em&gt;g&lt;/em&gt; = −&lt;!--&gt; &lt;!--&gt;0.98, 95 % CI: −&lt;!--&gt; &lt;!--&gt;1.33 to −&lt;!--&gt; &lt;!--&gt;0. 62) in comparison with those conducted in non-Asia (&lt;em&gt;g&lt;/em&gt; = −&lt;!--&gt; &lt;!--&gt;0.23, 95 % CI: −&lt;!--&gt; &lt;!--&gt;0.54 to 0.07). The random-effects meta-regression identified sample size (&lt;em&gt;β&lt;/em&gt; = −&lt;!--&gt; &lt;!--&gt;0.008, &lt;em&gt;p&lt;/em&gt; = 0.031) as a statistically significant co","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104886"},"PeriodicalIF":7.5,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142172500","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":"Interventions and behaviour change techniques for improving physical activity level in working-age people (18–60 years) with type 2 diabetes: A systematic review and network meta-analysis","authors":"Xiaoyan Zhao ,&nbsp;Angus Forbes ,&nbsp;Haya Abu Ghazaleh ,&nbsp;Qianyu He ,&nbsp;Jing Huang ,&nbsp;Mariam Asaad ,&nbsp;Li Cheng ,&nbsp;Maria Duaso","doi":"10.1016/j.ijnurstu.2024.104884","DOIUrl":"10.1016/j.ijnurstu.2024.104884","url":null,"abstract":"<div><h3>Background</h3><p>The escalating prevalence of type 2 diabetes within the working-age population (18–60 years) imposes a substantial societal burden. Whilst physical activity is crucial for diabetes management, limited evidence exists to inform optimal strategies for promoting physical activity in this population. We aimed to evaluate and compare the effect of interventions for increasing physical activity in working-age adults with type 2 diabetes.</p></div><div><h3>Methods</h3><p>We searched Web of Science, the Cochrane Library, Medline, Embase, PsycINFO, <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span>, and ICTRP from inception to April 30, 2023. Randomised controlled trials that reported the effect of interventions (education, training or behavioural) to promote physical activity (either self-reported or objective) in people aged 18–60 years were included. Two independent reviewers conducted summary data extraction and quality assessment. Pairwise random-effects, Frequentist network meta-analyses, and subgroup analysis were used to obtain pooled effects.</p></div><div><h3>Results</h3><p>A total of 52 trials were included in this systematic review. Compared to control group, the physical activity interventions demonstrated statistically significant effects on objectively measured physical activity (SMD 0.77, 95 % CI 0.27–1.27), self-reported physical activity (SMD 0.88, 95 % CI 0.40–1.35), and overall physical activity (SMD 0.82, 95 % CI 0.48–1.16); a statistically and clinically meaningful reduction on glycated haemoglobin A1c (HbA1c) was also identified (MD –0.50 %, 95 % CI –0.66, −<!--> <!-->0.35). In terms of intervention types, education interventions exerted the largest effect on objectively measured physical activity; however, psychological interventions had the largest effects on overall physical activity compared to other intervention types. Four behaviour change techniques were related to statistically significant reduction in HbA1c: goal setting (outcome), information about health consequences, demonstration of the behaviour, and prompts/cues. Subgroup analysis showed that delivery mode, intervention setting, and facilitator were associated with statistically significant effect on physical activity and HbA1c.</p></div><div><h3>Conclusions</h3><p>Psychologically modelled education incorporating behaviour change techniques may be the most beneficial way to promote physical activity and glycaemic control in working-age adults with type 2 diabetes. Delivery mode, intervention setting, and facilitator type should be considered when designing interventions for improving physical activity level in working-age people with type 2 diabetes.</p></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104884"},"PeriodicalIF":7.5,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0020748924001974/pdfft?md5=f621c8397951f4b3213dcc2ed9e7b864&pid=1-s2.0-S0020748924001974-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142158454","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":"PRISMA-COSMIN 2024: New guidance aimed to enhance the reporting quality of systematic reviews of outcome measurement instruments","authors":"Ellen B.M. Elsman ,&nbsp;Ami Baba ,&nbsp;Martin Offringa ,&nbsp;PRISMA-COSMIN steering committee","doi":"10.1016/j.ijnurstu.2024.104880","DOIUrl":"10.1016/j.ijnurstu.2024.104880","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104880"},"PeriodicalIF":7.5,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142172562","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 and implementation of an intervention to improve sleep, fatigue and recovery among healthcare workers with night shifts: A pre- and post-test study","authors":"Fleur van Elk ,&nbsp;Heidi M. Lammers-van der Holst ,&nbsp;Suzan J.W. Robroek ,&nbsp;Alex Burdorf ,&nbsp;Karen M. Oude Hengel","doi":"10.1016/j.ijnurstu.2024.104881","DOIUrl":"10.1016/j.ijnurstu.2024.104881","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Previous intervention studies among night workers mainly focused on single interventions and found inconclusive evidence for effectiveness. A comprehensive intervention approach that includes individual and environmental components has been argued as important. Gaining insight into contributing factors for the implementation of interventions for night workers and effectiveness is important to distinguish between theory and programme failure.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;p&gt;To evaluate the effects and implementation of the PerfectFit@Night intervention to improve sleep, fatigue and recovery of night workers in healthcare, using the RE-AIM framework, which assesses reach, effectiveness, adoption, implementation and maintenance of interventions.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;p&gt;A prospective pre–post study design, with two measurements before and three and six months after the intervention.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;p&gt;Twelve different departments of a university hospital in the Netherlands.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;p&gt;Healthcare workers working night shifts (n = 210).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;PerfectFit@Night consisted of environmental (provision of a powernap bed and healthy food, and workshop healthy rostering) and individual elements (e-learning and sleep coaching) and was implemented for three months in a phased manner. Questionnaires, logbooks and interview data were used. Effects of the intervention on sleep, fatigue and recovery were evaluated with mixed-effects models, and implementation factors of reach, adoption, implementation and maintenance were evaluated.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Night shift-related insomnia (−&lt;!--&gt; &lt;!--&gt;11 %-points, 95 % CI: −&lt;!--&gt; &lt;!--&gt;19 %, −&lt;!--&gt; &lt;!--&gt;4 % at three months), need for recovery (β: −&lt;!--&gt; &lt;!--&gt;2.45, 95 % CI: −&lt;!--&gt; &lt;!--&gt;4.86, −&lt;!--&gt; &lt;!--&gt;0.03 at six months) and fatigue (OR: 0.46, 95 % CI: 0.25, 0.86 at six months) decreased significantly after the intervention. No changes were found for subjective sleep quality and sleep duration. Barriers and facilitators for implementation were identified for each intervention element at individual (e.g., dietary preferences), organisational (e.g., responsibilities at work) and workplace levels (e.g., location of power nap bed), and for the intervention itself (e.g., useful information in e-learning). Although satisfaction was high and continuation was preferred, embedding of the intervention in the daily routine was limited. Facilitators for future implementation include a positive attitude towards the intervention, clear guidelines regarding intervention elements, appointment of night workers as ambassadors, and suitable conditions in terms of work demands and for the intervention elements.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;p&gt;The multi-faceted PerfectFit@Night intervention reduced insomnia, fatigue and need for recovery in night workers in healthcare. The most important facilitators to improve the implem","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104881"},"PeriodicalIF":7.5,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0020748924001949/pdfft?md5=1d385c94e7524455682d077194376e0c&pid=1-s2.0-S0020748924001949-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164877","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}