Applied Nursing Research最新文献

{"title":"Development and validation of the Male Nurse Identity Scale","authors":"Luhao Liu ,&nbsp;Xueting Wang ,&nbsp;Renjie Zhang ,&nbsp;Yuanyuan Li ,&nbsp;Minmin Leng ,&nbsp;Lijuan Yang ,&nbsp;Guangzhao Li ,&nbsp;Changan Li ,&nbsp;Heng Sun ,&nbsp;Tengfei Jiang","doi":"10.1016/j.apnr.2025.152001","DOIUrl":"10.1016/j.apnr.2025.152001","url":null,"abstract":"<div><h3>Aim</h3><div>To develop the Male Nurse Identity Scale (MNIS) and further evaluate its validity and reliability.</div></div><div><h3>Background</h3><div>In a context where occupational gender stereotypes continue to influence the nursing profession, the male nurse population often experiences identity dilemmas. The Male Nurse Identity Scale (MNIS) focuses on measuring multidimensional identity; to our knowledge, no similar instrument exists.</div></div><div><h3>Methods</h3><div>The MNIS was constructed through a systematic scale development process in which the total sample(n=837) was randomly split in half: Sample 1(n=418) was subjected to exploratory factor analysis (EFA) and Sample 2(n=419) was subjected to validation factor analysis (CFA); the full sample was analyzed for reliability.</div></div><div><h3>Results</h3><div>An exploratory factor analysis (EFA) of Sample 1 yielded a 19-item MNIS scale consisting of four dimensions: self-identity, role-identity, occupational group-identity, and occupational cultural-identity. Structural equation modeling (SEM) showed good model fit. Reliability analyses showed excellent internal consistency, with Cronbach's alpha coefficients ranging from 0.901 to 0.961 for the four dimensions.</div></div><div><h3>Conclusion</h3><div>The MNIS has strong validity and reliability, and it provides a valuable tool for enhancing the career development of male nurses and their retention in the healthcare workforce.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"85 ","pages":"Article 152001"},"PeriodicalIF":2.2,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144865542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' intention to leave: A cross-sectional study in the northern Italy","authors":"Paola Pinotti ,&nbsp;Simone Cosmai ,&nbsp;Diego Lopane ,&nbsp;Beatrice Mazzoleni ,&nbsp;Gianluca Solitro","doi":"10.1016/j.apnr.2025.152000","DOIUrl":"10.1016/j.apnr.2025.152000","url":null,"abstract":"<div><h3>Introduction</h3><div>A growing number of nurses are expressing the intention to leave their current jobs or the nursing profession entirely. This trend poses a significant threat to healthcare systems, contributing to increased adverse events, reduced quality of care, poorer patient outcomes, and elevated healthcare costs due to staff turnover and organizational instability.</div></div><div><h3>Objective</h3><div>This study aimed to examine job satisfaction and the intention to leave both current employment and the nursing profession among registered nurses affiliated with the Provincial Order of Nurses (Ordine delle Professioni Infermieristiche, OPI) in Bergamo, Northern Italy.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted among all nurses registered with OPI Bergamo. A total of 1,167 nurses completed the questionnaire. The Italian validated version of the Practice Environment Scale of the Nursing Work Index (PES-NWI) was used to assess the quality of the nursing work environment. Descriptive statistics were employed to describe the sample and main variables. Logistic regression models were used to explore associations between job satisfaction and intention to leave.</div></div><div><h3>Results</h3><div>Overall, 56.4% of respondents (n = 659) reported an intention to leave their current job, while 46.6% considered leaving the nursing profession entirely. In both groups, the mean PES-NWI score was 2.18 (SD ± 0.46).</div></div><div><h3>Conclusions</h3><div>These findings indicate a high level of dissatisfaction among nurses in the Bergamo area, with substantial implications for workforce retention and healthcare system performance. Targeted strategies are urgently needed to improve work environments and reduce the risk of attrition among qualified nursing staff in Italy. Key words: Intention to leave, Job satisfaction, Work environment, PES-NWI (Practice Environment Scale of the Nursing Work Index), Hospital nurses.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"85 ","pages":"Article 152000"},"PeriodicalIF":2.2,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144841380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Italian validation of the Watson Caritas Co-Worker Score for nurses and health care professionals Italian validation of the WCCS","authors":"Marika Lo Monaco ,&nbsp;Laura Maniscalco ,&nbsp;Mariachiara Figura ,&nbsp;Alessandro Stievano ,&nbsp;Domenica Matranga ,&nbsp;Jean Watson ,&nbsp;Cirus Rinaldi ,&nbsp;Daniela Nigrelli ,&nbsp;Ella Domanskaya ,&nbsp;Vincenzo Cascino ,&nbsp;Giuliano Anastasi ,&nbsp;Silvia Oggioni ,&nbsp;Irene Zerilli ,&nbsp;Roberto Latina","doi":"10.1016/j.apnr.2025.151990","DOIUrl":"10.1016/j.apnr.2025.151990","url":null,"abstract":"","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"85 ","pages":"Article 151990"},"PeriodicalIF":2.7,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Voices from the intensive care unit: A qualitative study on communication between family members and nurses","authors":"Essa Majed Tadros MSN, RN ,&nbsp;Hekmat Yousef Al-Akash PhD, RN ,&nbsp;Anas Ababneh PhD, RN ,&nbsp;Mariam Kawafha PhD, RN ,&nbsp;Osama A. Al-Kouri PhD, RN ,&nbsp;Suhair Hussni Al-Ghabeesh PhD, RN ,&nbsp;Zyad T. Saleh PhD, RN ,&nbsp;Ahmed Yahya Ayoub RN, PhDc, Case Manager ,&nbsp;Ahmad Rajeh Saifan PhD, RN","doi":"10.1016/j.apnr.2025.151991","DOIUrl":"10.1016/j.apnr.2025.151991","url":null,"abstract":"<div><h3>Background</h3><div>Effective communication between ICU nurses and patients' families is essential in ensuring optimal care, reducing anxiety, and enhancing decision-making. However, communication difficulties persist globally, particularly in intensive care units (ICUs) where patients are in critical condition and their families are distressed.</div><div>Aim</div><div>To explore the lived experiences of ICU nurses and family members in Jordan to understand how nurse workload, emotional stress, and cultural expectations influence the quality, clarity, and emotional tone of communication in intensive care settings.</div></div><div><h3>Study design</h3><div>A qualitative exploratory design was used. Individual face-to-face semi-structured interviews were done with 15 ICU nurses and 15 family members in two tertiary hospitals in Jordan. Braun and Clark's thematic analysis was utilized to generate the main themes and subthemes.</div></div><div><h3>Results</h3><div>The study identified three major themes: (1) communication disconnect and information gaps, including inadequate or inconsistent updates across shifts; (2) emotional load and its impact on communication, driven by family emotional overload and nurse burnout; and (3) balancing families' needs with nurses' workload, involving tensions between frequent updates, transparency, emotional support, and professional boundaries.</div></div><div><h3>Conclusions</h3><div>The study shows that ICU nurses in Jordanian hospitals face barriers to communicating with family members owing to irregular information distribution, emotional turmoil within families, and nurse exhaustion. These problems overlap with time pressure and workload stress, creating gaps in information flow, trust erosion, and emotional overload. Families' experiences could be improved through an improved ICU structure, easier communication pathways, enhanced nurse education and support, and improved family satisfaction.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"85 ","pages":"Article 151991"},"PeriodicalIF":2.7,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144711100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating nurse-to-patient ratio legislation to improve patient safety and care quality: A mixed-methods policy study","authors":"Abdul-Monim Batiha","doi":"10.1016/j.apnr.2025.151989","DOIUrl":"10.1016/j.apnr.2025.151989","url":null,"abstract":"<div><h3>Background</h3><div>Insufficient nurse staffing is a global issue, especially in lower-resource settings. High workloads are linked to increased infection rates, readmissions, and adverse clinical events. Jordanian hospitals face chronic understaffing, nurse migration, and limited regulatory oversight.</div></div><div><h3>Objective</h3><div>This study aimed to assess the impact of implementing standardized nurse-to-patient ratios on patient outcomes and care quality in Jordanian hospitals, and to evaluate the feasibility of national legislation based on international models.</div></div><div><h3>Methods</h3><div>A mixed-methods design was employed. Quantitative analysis included administrative data from four acute care hospitals between 2021 and 2024, focusing on patient safety indicators such as infection rates, readmissions, and hospital stays. Semi-structured interviews were used to gather qualitative data from 22 administrative and clinical stakeholders. American Nurses Association values and the Centers for Disease Control and Prevention's Policy Analysis Framework were used in the study to direct evaluation.</div></div><div><h3>Results</h3><div>Units with staffing ratios of five or fewer patients per nurse had significantly better outcomes, including 55 % lower infection rates and nearly half the number of readmissions compared to poorly staffed units. Interview participants highlighted systemic barriers to safe staffing, including limited budgets, migration-driven shortages, and rigid hierarchical cultures. However, there was broad consensus in support of regulated staffing standards adapted to patient acuity and care setting.</div></div><div><h3>Conclusion</h3><div>The study suggests that standardizing nurse-to-patient ratios in Jordan can significantly enhance patient safety and care quality, but requires phased legislation, dynamic acuity adjustments, and workforce development investment for successful implementation.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151989"},"PeriodicalIF":2.7,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144678818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Compassionate self-care for nurses and midwives: A sequential explanatory mixed methods study","authors":"Mary Steen ,&nbsp;Shwikar Othman ,&nbsp;Jennifer Fereday ,&nbsp;Annette Briley ,&nbsp;Qunyan Xu ,&nbsp;Rachael Vernon","doi":"10.1016/j.apnr.2025.151986","DOIUrl":"10.1016/j.apnr.2025.151986","url":null,"abstract":"<div><h3>Background</h3><div>Awareness of being kind and compassionate to yourself is often overlooked despite emerging evidence that high levels of self-compassion decrease levels of anxiety and improves well-being.</div></div><div><h3>Aim</h3><div>To explore what being compassionate to yourself means to nurses and midwives and increase knowledge and understanding of how self-compassion may enhance well-being.</div></div><div><h3>Methods</h3><div>Mixed methods study design was utilised to investigate and explore the influence of self-compassion on nurses and midwives' well-being. Phase 1 involved quantitative data collection and analysis. Phase 2 qualitative data were collected to expand on quantitative results.</div></div><div><h3>Results</h3><div>Fifty-four participants responded to a pre-workshop questionnaire, 55 completed immediate post-questionnaire, 28 completed a follow-up questionnaire six-eight weeks later. Five participants were interviewed to gain more insights of their experiences. Quantitative results showed significant increase in self-compassion scores immediately post-workshop, with an estimated improvement of 0.26 points (95 % CI: 0.14, 0.38, P &lt; 0.001). Participants' anxiety significantly decreased by 0.5 units (95 % CI: −0.64, −0.36, P &lt; 0.001). Mood changes were not statistically significant. Reflexive thematic analysis of qualitative data provided further insight into these changes resulting in three key themes: (1) “Awareness of self-compassion was the first step”, (2) “Care for yourself, before caring for others” (3) “Self-compassion strategies with everyday living activities”.</div></div><div><h3>Conclusions</h3><div>Self-compassion education can enhance nurses' and midwives' knowledge and understanding. Education can increase self-compassion strategies and skills to reduce anxiety levels. However, qualitative data confirmed the need for sustained reinforcement of self-compassion practices. Further research is recommended to confirm these initial findings and explore long-term impacts.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151986"},"PeriodicalIF":2.7,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing documentation burden to improve nurse and midwife satisfaction: A mixed-methods study","authors":"Janie Brown ,&nbsp;Matthew A. Albrecht ,&nbsp;Suzanne Kelly ,&nbsp;Siobhan Eccles ,&nbsp;Alannah L. Cooper","doi":"10.1016/j.apnr.2025.151985","DOIUrl":"10.1016/j.apnr.2025.151985","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To examine midwife and nurse satisfaction pre- and post- an intervention designed to decrease documentation burden in a maternity setting.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The burden imposed on nurses and midwives by documentation demands are a source of dissatisfaction, resulting in missed care, worsening job dissatisfaction.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Study design and methods&lt;/h3&gt;&lt;div&gt;A convergent mixed-methods design (QUAN + Qual). Satisfaction was examined using a survey to collect quantitative data and focus groups to collect qualitative data. The intervention reviewed documentation for duplication, redundancy, and modification, resulting in the creation of streamlined, and user-friendly documentation. Data were collected using a validated tool developed to measure nursing and midwifery documentation burden, and via focus groups to explore satisfaction pre- and post-intervention and changes to documentation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Following integration of the data, feedback from the focus groups (&lt;em&gt;n&lt;/em&gt; = 17) confirmed the survey results from &lt;em&gt;n&lt;/em&gt; = 28 post-intervention respondents; participants were satisfied with many elements of the new documentation. The focus groups also highlighted areas where further refinements to the new documentation could be made. The intervention improved midwives' satisfaction with documentation with respect to ease, complexity, and relevance of the documentation. Issues with the time needed to complete documentation following the intervention remain.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Satisfaction with many elements of documentation was achieved, indicating that the focus on removing known sources of dissatisfaction with documentation, including duplication and unnecessary documentation, was effective in a maternity setting. Intervening to reduce duplication and redundancy, and modifying patient clinical documentation, can improve nurse and midwife satisfaction with this aspect of their job.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Reporting method&lt;/h3&gt;&lt;div&gt;This article follows the Good Reporting of a Mixed Methods Study (GRAMMS) guidelines.&lt;sup&gt;1&lt;/sup&gt;&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;No Patient or Public Contribution&lt;/h3&gt;&lt;div&gt;What is already known about documentation burden&lt;ul&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;Clinical documentation is a medicolegal requirement.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;There is a burden associated with clinical documentation that is a source of job dissatisfaction.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;/ul&gt;&lt;/div&gt;&lt;div&gt;What this paper adds&lt;ul&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;Focusing on removing known sources of dissatisfaction with patient clinical documentation, including duplication and unnecessary documentation, is effective in decreasing nurse and midwife dissatisfaction with this part of their job.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;How nurses and midwives perceive the continuity, consistency and quality of a maternity patient's care can be improved by removing ","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151985"},"PeriodicalIF":2.7,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144596370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing the quality of nursing care in public hospitals in low-and middle-income countries: an integrative literature review","authors":"Ba-Etilayoo Atinga ,&nbsp;Wilma ten Ham-Baloyi ,&nbsp;Nolundi Radana","doi":"10.1016/j.apnr.2025.151988","DOIUrl":"10.1016/j.apnr.2025.151988","url":null,"abstract":"<div><h3>Background</h3><div>Quality nursing care is essential for positive patient outcomes and satisfaction. Understanding quality nursing care in public hospitals in low-and middle-income countries is invaluable for developing contextualised strategies aimed at optimizing the delivery of nursing care.</div></div><div><h3>Purpose</h3><div>Summarize existing relevant literature on optimising quality nursing care in public hospitals of low- and middle-income countries.</div></div><div><h3>Methods</h3><div>An integrative literature review according to Whittemore and Knafl’s stages. An in-depth search of literature from January 1, 2014 to March 31, 2025 was conducted, including Web of Science, PubMed, Scopus, EBSCOhost (Academic Search Complete, CINAHL and MEDLINE), followed by a manual search on Google and citation search. The identified literature was critically appraised using the John Hopkins Nursing Evidence and Non-Research Evidence appraisal tools. Thematic analysis was used.</div></div><div><h3>Results</h3><div>Nine strategies on optimising quality nursing care under two themes were identified from 17 articles: “Daily nursing care-related strategies” and “Organizational-related strategies”. Five daily nursing care strategies relate to quality practice, interprofessional collaboration, cultural sensitivity, therapeutic communication, and family involvement. Five organizational strategies relate to culture and policy, work-life environment and technology, infrastructure and human resources, continuous education, and management support.</div></div><div><h3>Conclusion</h3><div>This review identifies strategies to optimize nursing care quality and provides insights for public hospital management to improve programs and interventions. Effective implementation can enhance patient outcomes and strengthen healthcare systems in LMICs, but requires systemic reforms, targeted investments, context-specific solutions, and further research to address gaps and explore innovations.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151988"},"PeriodicalIF":2.7,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence-assisted nursing in cancer care: A meta-analysis of its impact on pain, anxiety, and quality of life","authors":"Merve Gozde Sezgin RN, Ph.D, Lecturer,&nbsp;Hicran Bektas RN, Ph.D, Professor","doi":"10.1016/j.apnr.2025.151987","DOIUrl":"10.1016/j.apnr.2025.151987","url":null,"abstract":"<div><h3>Background</h3><div>In recent years, artificial intelligence (AI) applications have been recognized as a supportive technological method for effectively managing the challenges faced by patients with cancer. AI applications are anticipated to be beneficial in improving the quality of life (QoL) of patients with cancer by enhancing the management of pain and anxiety.</div></div><div><h3>Aim</h3><div>The aim of this study is to examine the effects of AI-assisted nursing practices on pain, anxiety, and QoL in patients with cancer.</div></div><div><h3>Design</h3><div>This study has been prepared and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 2020 checklist.</div></div><div><h3>Methods</h3><div>Randomized controlled trials (RCTs) were searched in nine databases and grey literature, without any year restriction, from the inception date until January 2025. Fixed-effect and random-effect models were used in the meta-analysis process. Cochran's Q chi-squared test and I² statistics were employed to assess heterogeneity. Data analysis was performed using the CMA 3 software.</div></div><div><h3>Results</h3><div>Six studies (567 patients) were included in this meta-analysis. AI-assisted nursing practices were found to have medium and positive effects on anxiety (Hedge's g = 0.46, <em>p</em> &lt; 0.001), pain (Hedge's g = 0.48, p &lt; 0.001), and in patients with cancer. High and positive effects were found on the QoL of patients with cancer (Hedge's g = 1.63, <em>p</em> = 0.020).</div></div><div><h3>Conclusion</h3><div>This study reveals that AI-assisted nursing practices have significant and beneficial effects on pain, anxiety, and QoL in patients with cancer.</div></div><div><h3>Implications for practice</h3><div>AI-assisted nursing practices have the potential to improve cancer patients' symptoms and QoL, which will enhance oncology nurses' awareness.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151987"},"PeriodicalIF":2.7,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144596368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metaverse technology use among patients undergoing hemodialysis: A systematic review and meta-analysis of randomized controlled trials","authors":"Hye Jin Chong ,&nbsp;Min Jung Kim ,&nbsp;Rebecca Raszewski ,&nbsp;Min Keong Jang","doi":"10.1016/j.apnr.2025.151983","DOIUrl":"10.1016/j.apnr.2025.151983","url":null,"abstract":"<div><h3>Aim</h3><div>To synthesize the effects of metaverse-related interventions on the physical and psychological outcomes of hemodialysis in adults.</div></div><div><h3>Background</h3><div>Owing to rapid digital healthcare development, metaverse technologies have emerged as novel approaches to patient management. Patients on hemodialysis may benefit from these technologies in terms of pain management, physical deconditioning, and psychological distress. However, evidence of their effectiveness is unclear.</div></div><div><h3>Methods</h3><div>The study protocol was registered with PROSPERO. Following PRISMA guidelines, we searched the CINAHL, Cochrane Library Central, Embase, PubMed, and Scopus electronic databases for randomized controlled trials investigating metaverse interventions in patients on hemodialysis from inception to November 2024. Two independent reviewers screened and extracted the data, with methodological quality assessed using the Revised Cochrane Risk of Bias tool. Data were pooled using random and fixed effects approaches.</div></div><div><h3>Results</h3><div>Fourteen studies (11 trials) met the inclusion criteria. The most common technology used among the studies was virtual-reality (VR) while the remainders used sensor-based exercise gamification. Meta-analytic findings indicated that VR significantly reduced arteriovenous fistula cannulation pain and moderately improved hemodynamics (oxygen saturation and heart rates), selected physical outcomes (6-min walk test, physical activity, and gait speed), and depressive symptoms.</div></div><div><h3>Conclusions</h3><div>VR-based interventions appear promising for pain management and some physical improvements in patients on hemodialysis. To maximize the clinical utility of metaverse interventions in hemodialysis care settings, future studies should investigate a wider variety of metaverse modalities (such as augmented and mixed realities) and establish standardized outcome measurement periods.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151983"},"PeriodicalIF":2.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144589124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}