The aim of the study was to comprehensively analyse the prevalence and factors associated with missed nursing care in acute care settings.
Methods
A systematic review was conducted to estimate the prevalence of missed nursing care, types of activities missed and associated factors in acute care hospital settings. Five electronic databases (CINAHL, Embase, Medline, PubMed and Scopus) were searched from inception to 14th December 2022. Type of missed care and associated factors were classified based on missed care concepts, definition and measurement. Random effects meta-analysis was performed to estimate proportions and levels of types of nursing activities missed.
Results
A total of 45 studies recruited 139 454 nurses reporting missed care activities. The most frequent activity missed was ambulation, with estimated prevalence of 46% (95%, CI [0.37, 0.55] I2 = 99.6), followed by mouthcare 36% (95% CI [0.30, 0.43], I2 = 99.7%), emotional support 33% (95% CI [0.26, 0.43], I2 = 99.5%), bathing 31% (95% CI [0.22, 0.41], I2 = 99.6%) and feeding 30% (95% CI [0.23, 0.38], I2 = 99.5%). Limited workforce capacity was a major contributor to missed care.
Conclusions
This study reports significant missed basic nursing activities in healthcare settings globally, suggesting greater odds of unsafe patient outcomes of hospitalisation. Targeted preventative strategies need to be tailored to specific missed care activities.
目的：本研究的目的是全面分析急症护理机构中护理缺失的发生率和相关因素。方法：进行系统回顾，以估计在急症护理医院设置错过护理的患病率，错过的活动类型和相关因素。五个电子数据库（CINAHL, Embase, Medline， PubMed和Scopus）从成立到2022年12月14日进行了检索。根据错过护理的概念、定义和测量方法对错过护理的类型和相关因素进行分类。进行随机效应荟萃分析以估计错过的护理活动类型的比例和水平。结果：45项研究共招募139454名报告错过护理活动的护士。最常错过的活动是步行，估计患病率为46% (95%,CI [0.37, 0.55] I2 = 99.6)，其次是口腔护理36% (95% CI [0.30, 0.43], I2 = 99.7%)，情绪支持33% (95% CI [0.26, 0.43], I2 = 99.5%)，沐浴31% （95% CI [0.22, 0.41], I2 = 99.6%）和喂养30% （95% CI [0.23, 0.38], I2 = 99.5%）。有限的劳动力能力是错过护理的主要原因。结论：本研究报告了全球医疗保健机构中严重遗漏的基本护理活动，表明住院患者不安全结果的可能性更大。有针对性的预防战略需要针对具体的错过护理活动进行调整。
{"title":"Missed Care Prevalence and Associated Factors in Acute Care Settings: A Systematic Review and Meta-Analysis","authors":"Afia Achiaa Sarpong, Lucy Gent, Amanda Towell-Barnard, Diana Arabiat","doi":"10.1111/ijn.70097","DOIUrl":"10.1111/ijn.70097","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of the study was to comprehensively analyse the prevalence and factors associated with missed nursing care in acute care settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review was conducted to estimate the prevalence of missed nursing care, types of activities missed and associated factors in acute care hospital settings. Five electronic databases (CINAHL, Embase, Medline, PubMed and Scopus) were searched from inception to 14th December 2022. Type of missed care and associated factors were classified based on missed care concepts, definition and measurement. Random effects meta-analysis was performed to estimate proportions and levels of types of nursing activities missed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 45 studies recruited 139 454 nurses reporting missed care activities. The most frequent activity missed was ambulation, with estimated prevalence of 46% (95%, CI [0.37, 0.55] <i>I</i><sup>2</sup> = 99.6), followed by mouthcare 36% (95% CI [0.30, 0.43], <i>I</i><sup>2</sup> = 99.7%), emotional support 33% (95% CI [0.26, 0.43], <i>I</i><sup>2</sup> = 99.5%), bathing 31% (95% CI [0.22, 0.41], <i>I</i><sup>2</sup> = 99.6%) and feeding 30% (95% CI [0.23, 0.38], <i>I</i><sup>2</sup> = 99.5%). Limited workforce capacity was a major contributor to missed care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study reports significant missed basic nursing activities in healthcare settings globally, suggesting greater odds of unsafe patient outcomes of hospitalisation. Targeted preventative strategies need to be tailored to specific missed care activities.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12789284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145943941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to determine the effectiveness of an online educational program on diabetes stigma, body image, and body image coping strategies in adults with T1D.
Methods
In this randomised clinical trial, 88 participants were selected using convenience sampling and randomly allocated into the intervention (n = 44) and control (n = 44) groups. The intervention group received four online educational sessions. Primary outcomes were the diabetes stigma, body image and body image coping strategies, which were measured before, immediately after and 1 month after the intervention using the Type 1 Diabetes Stigma Assessment Scale (DSAS-1), the Body Image Scale (BIS) and the Body Image Coping Strategies Inventory (BICSI). Data were analysed using independent samples t-test, ANOVA and repeated measures analysis of variance test.
Results
Compared with the control group, the intervention group had significantly lower posttest scores for DSAS-1, lower posttest and follow-up scores for BIS, as well as higher posttest and follow-up scores in BICSI (all p < 0.001).
Conclusion
A short-term educational program can effectively improve diabetes stigma awareness, body image and body image coping strategies in adults with T1D.
{"title":"Effectiveness of an Online Educational Program on Diabetes Stigma, Body Image and Body Image Coping Strategies in Adults With Type 1 Diabetes: A Randomised Clinical Trial","authors":"Negin Jamshidi, Omsalimeh Roudi RashtAbadi, Atefe Ahmadi, Saiedeh Haji Maghsoudi, Foozieh Rafati, Gholamreza Yosefzadeh","doi":"10.1111/ijn.70098","DOIUrl":"10.1111/ijn.70098","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to determine the effectiveness of an online educational program on diabetes stigma, body image, and body image coping strategies in adults with T1D.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this randomised clinical trial, 88 participants were selected using convenience sampling and randomly allocated into the intervention (<i>n</i> = 44) and control (<i>n</i> = 44) groups. The intervention group received four online educational sessions. Primary outcomes were the diabetes stigma, body image and body image coping strategies, which were measured before, immediately after and 1 month after the intervention using the Type 1 Diabetes Stigma Assessment Scale (DSAS-1), the Body Image Scale (BIS) and the Body Image Coping Strategies Inventory (BICSI). Data were analysed using independent samples <i>t</i>-test, ANOVA and repeated measures analysis of variance test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Compared with the control group, the intervention group had significantly lower posttest scores for DSAS-1, lower posttest and follow-up scores for BIS, as well as higher posttest and follow-up scores in BICSI (all <i>p</i> < 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A short-term educational program can effectively improve diabetes stigma awareness, body image and body image coping strategies in adults with T1D.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> IRCT Registration</h3>\u0000 \u0000 <p>IRCT registration number: IRCT20200421047161N2; registration date:2023-01-20; https://irct.behdasht.gov.ir/.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145900391","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}
Nicole Marsh, Sarah Berger, Elizabeth Culverwell, Emily Larsen, Catherine O'Brien, Mari Takashima, Jacqueline Cunninghame, Amanda Ullman, Stephanie Hall, Gillian Ray-Barruel, Amanda Corley
Aim
The study's aim is to describe workforce models and practices related to vascular access device (VAD) insertion, maintenance and monitoring across Australia and New Zealand.
Background
VAD failure is associated with device selection and insertion, factors typically determined by the inserting clinician. However, clinician training and skill in vascular assessment and insertion are often inconsistent and undervalued.
Design
A prospective, cross-sectional, internet-based survey of workforce models and vascular access specialist teams (VASTs).
Results
Among 237 participants (November 2023 to February 2024), most worked in metropolitan (n = 127; 54.0%) or regional hospitals (n = 54; 23%), caring for adult (n = 227; 95.8%) and/or paediatric (n = 170; 71.7%) patients. One-third (n = 78; 33.0%) had a VAST, primarily comprising clinical nurse specialist/consultants (n = 73; 93.6%), generalist nurses (n = 39; 50%) and anaesthetists (n = 15; 32%). VAD selection was most often performed by medical staff (n = 211; 89.0%), though 29.1% (n = 69) reported VAST-led selection. Escalation pathways for difficult vascular access (DIVA) were more common in facilities with a VAST (n = 65; 83.3%) than without (n = 55; 41.0%). Midline catheter use was higher where VAST were present (76.9% vs. 48.5%).
Conclusion
VAST presence was associated with greater use of escalation pathways and varied device type/technique such as ultrasound guided-PIVCs and midlines. However, limited staffing restricts the broader implementation of these benefits.
{"title":"Vascular Access Specialist Teams Across Australia and New Zealand: A Survey of Workforce Models and Clinical Practice","authors":"Nicole Marsh, Sarah Berger, Elizabeth Culverwell, Emily Larsen, Catherine O'Brien, Mari Takashima, Jacqueline Cunninghame, Amanda Ullman, Stephanie Hall, Gillian Ray-Barruel, Amanda Corley","doi":"10.1111/ijn.70096","DOIUrl":"10.1111/ijn.70096","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The study's aim is to describe workforce models and practices related to vascular access device (VAD) insertion, maintenance and monitoring across Australia and New Zealand.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>VAD failure is associated with device selection and insertion, factors typically determined by the inserting clinician. However, clinician training and skill in vascular assessment and insertion are often inconsistent and undervalued.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A prospective, cross-sectional, internet-based survey of workforce models and vascular access specialist teams (VASTs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 237 participants (November 2023 to February 2024), most worked in metropolitan (<i>n</i> = 127; 54.0%) or regional hospitals (<i>n</i> = 54; 23%), caring for adult (<i>n</i> = 227; 95.8%) and/or paediatric (<i>n</i> = 170; 71.7%) patients. One-third (<i>n</i> = 78; 33.0%) had a VAST, primarily comprising clinical nurse specialist/consultants (<i>n</i> = 73; 93.6%), generalist nurses (<i>n</i> = 39; 50%) and anaesthetists (<i>n</i> = 15; 32%). VAD selection was most often performed by medical staff (<i>n</i> = 211; 89.0%), though 29.1% (<i>n</i> = 69) reported VAST-led selection. Escalation pathways for difficult vascular access (DIVA) were more common in facilities with a VAST (<i>n</i> = 65; 83.3%) than without (<i>n</i> = 55; 41.0%). Midline catheter use was higher where VAST were present (76.9% vs. 48.5%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>VAST presence was associated with greater use of escalation pathways and varied device type/technique such as ultrasound guided-PIVCs and midlines. However, limited staffing restricts the broader implementation of these benefits.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145862777","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}
This review aimed to describe how nursing care is reported to prevent nutritional deficiencies in paediatric oncology care.
Background
Paediatric oncology patients are at risk of nutritional deficits due to several factors, such as the treatment, side effects, family situation, and well-being.
Methods
This review followed JBI methodology for scoping reviews and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Searches were conducted using the databases PubMed, EMBASE and CINAHL. The analysis was conducted according to deductive content methodology. Findings were categorised using an existing model for causes of nutritional deficit in paediatric oncology care.
Results
The search identified 1736 published articles, and 32 were included. Nurses can reduce nutritional deficits by conducting symptom assessment and screening, educating the family, planning, documenting, coordinating care, building a positive environment and helping the child to cope through playfulness.
Conclusions
Nutritional nursing care in paediatric oncology is complex and multifaceted. Several aspects must be considered to prevent nutritional deficits in paediatric cancer care. Nurses' approach and interventions in nutritional care in paediatric oncology involve a plethora of skills and knowledge, from assessment of symptoms to administration of drugs to patient and family collaboration and customised care.
{"title":"Nursing Approach and Interventions to Prevent Nutritional Deficiencies in Paediatric Oncology: a Scoping Review","authors":"Håkon Endal, Inger J. Danielsen, Inger P. Landsem","doi":"10.1111/ijn.70095","DOIUrl":"10.1111/ijn.70095","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This review aimed to describe how nursing care is reported to prevent nutritional deficiencies in paediatric oncology care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Paediatric oncology patients are at risk of nutritional deficits due to several factors, such as the treatment, side effects, family situation, and well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This review followed JBI methodology for scoping reviews and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Searches were conducted using the databases PubMed, EMBASE and CINAHL. The analysis was conducted according to deductive content methodology. Findings were categorised using an existing model for causes of nutritional deficit in paediatric oncology care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The search identified 1736 published articles, and 32 were included. Nurses can reduce nutritional deficits by conducting symptom assessment and screening, educating the family, planning, documenting, coordinating care, building a positive environment and helping the child to cope through playfulness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Nutritional nursing care in paediatric oncology is complex and multifaceted. Several aspects must be considered to prevent nutritional deficits in paediatric cancer care. Nurses' approach and interventions in nutritional care in paediatric oncology involve a plethora of skills and knowledge, from assessment of symptoms to administration of drugs to patient and family collaboration and customised care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145849966","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}
Whilst the costs of negative patient outcomes have been well researched, little is known about the cost of multiple ward transfers and the development of negative patient outcomes. Therefore, the aim was to systematically review available evidence exploring the cost of multiple intra-hospital transfers and/or the development of negative patient outcomes.
Methods
This scoping review and narrative synthesis was reported using the PRISMA-ScR checklist. Studies were identified through five electronic databases up to 2022: Medline (EBSCO), CINAHL (EBSCO), EMBASE, Web of Science, CRD and the International HTA Database.
Results
The database searches identified 4131 articles, and data were extracted for 13 studies. Included studies were published between 2001 and 2019 and conducted in five countries. The results suggested that multiple ward transfers result in an increase in negative patient outcomes, including medication errors, increased length of stay, falls, nosocomial infections, adverse occurrences, being discharged to a place other than their own home, and an increase in hospital costs.
Conclusions
The findings from this review indicate the limited literature on this topic. While patient outcomes may be improved by reducing the number of intra-hospital transfers per hospitalisation, more research is needed on this topic.
目的：虽然负面患者结果的成本已经得到了很好的研究，但对多次病房转移的成本和负面患者结果的发展知之甚少。因此，目的是系统地审查现有证据，探讨多次院内转移的成本和/或患者预后不良的发展。方法：使用PRISMA-ScR检查表进行范围回顾和叙述综合。截至2022年，研究通过五个电子数据库进行确定：Medline （EBSCO）、CINAHL （EBSCO）、EMBASE、Web of Science、CRD和国际HTA数据库。结果：数据库检索到4131篇文章，提取了13篇研究的数据。纳入的研究发表于2001年至2019年之间，在五个国家进行。结果表明，多次病房转移导致患者负面结果的增加，包括用药错误、住院时间延长、跌倒、医院感染、不良事件、出院到自己家以外的地方，以及医院费用的增加。结论：本综述的结果表明，关于该主题的文献有限。虽然通过减少每次住院的院内转院次数可以改善患者的预后，但需要对这一主题进行更多的研究。
{"title":"The Impact of Intra-Hospital Transfers on Patient Outcomes and/or Hospital Costs: A Scoping Review","authors":"Gemma Doleman, Di Twigg, Joanne Spetz","doi":"10.1111/ijn.70093","DOIUrl":"10.1111/ijn.70093","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Whilst the costs of negative patient outcomes have been well researched, little is known about the cost of multiple ward transfers and the development of negative patient outcomes. Therefore, the aim was to systematically review available evidence exploring the cost of multiple intra-hospital transfers and/or the development of negative patient outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This scoping review and narrative synthesis was reported using the PRISMA-ScR checklist. Studies were identified through five electronic databases up to 2022: Medline (EBSCO), CINAHL (EBSCO), EMBASE, Web of Science, CRD and the International HTA Database.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The database searches identified 4131 articles, and data were extracted for 13 studies. Included studies were published between 2001 and 2019 and conducted in five countries. The results suggested that multiple ward transfers result in an increase in negative patient outcomes, including medication errors, increased length of stay, falls, nosocomial infections, adverse occurrences, being discharged to a place other than their own home, and an increase in hospital costs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings from this review indicate the limited literature on this topic. While patient outcomes may be improved by reducing the number of intra-hospital transfers per hospitalisation, more research is needed on this topic.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145833803","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}
Mohammad Mehdi Mohammadi, Zakariya Fattahi, Parnia Zarei Ghobadi, Serwa Mohammadi
Aim
This study aimed to develop and validate a scale to measure innovation in clinical nursing education.
Background
Existing tools for measuring innovation in clinical nursing education often have limitations, capturing only partial aspects of innovation and typically focusing on specific cultural contexts and general employee populations rather than nursing students. Given the specific educational and clinical environment of Iran, a context-appropriate tool is necessary to accurately assess innovation among its nursing students.
Methods
This methodological study involved the design and validation of an innovation measurement tool for clinical education in nursing students in Iran. The tool's development and validation process occurred between December 2023 and July 2024. To assess the tool's validity, face, content and construct validity were examined, along with reliability using internal consistency and stability methods.
Results
The study yielded a 19-item tool with favourable validation characteristics which explained 61.49% of the total variance. Cronbach's alpha and McDonald's omega coefficients were 0.794 and 0.792, respectively, indicating good internal consistency. The intra-cluster correlation coefficient (ICC) was 0.997, with a 95% confidence interval of 0.995–0.999, suggesting high stability.
Conclusion
The developed tool provides a reliable and valid instrument for measuring innovation in the clinical education of nursing students. This study contributes to the field by offering researchers, educators and clinical trainers a foundation for establishing an innovation measurement system tailored to Iranian nursing students.
{"title":"Development and Psychometric Evaluation of a Scale to Measure Innovation in Clinical Nursing Education","authors":"Mohammad Mehdi Mohammadi, Zakariya Fattahi, Parnia Zarei Ghobadi, Serwa Mohammadi","doi":"10.1111/ijn.70089","DOIUrl":"10.1111/ijn.70089","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to develop and validate a scale to measure innovation in clinical nursing education.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Existing tools for measuring innovation in clinical nursing education often have limitations, capturing only partial aspects of innovation and typically focusing on specific cultural contexts and general employee populations rather than nursing students. Given the specific educational and clinical environment of Iran, a context-appropriate tool is necessary to accurately assess innovation among its nursing students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This methodological study involved the design and validation of an innovation measurement tool for clinical education in nursing students in Iran. The tool's development and validation process occurred between December 2023 and July 2024. To assess the tool's validity, face, content and construct validity were examined, along with reliability using internal consistency and stability methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study yielded a 19-item tool with favourable validation characteristics which explained 61.49% of the total variance. Cronbach's alpha and McDonald's omega coefficients were 0.794 and 0.792, respectively, indicating good internal consistency. The intra-cluster correlation coefficient (ICC) was 0.997, with a 95% confidence interval of 0.995–0.999, suggesting high stability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The developed tool provides a reliable and valid instrument for measuring innovation in the clinical education of nursing students. This study contributes to the field by offering researchers, educators and clinical trainers a foundation for establishing an innovation measurement system tailored to Iranian nursing students.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145833821","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}
The study was conducted to determine the effect of stress ball–squeezing and balloon inflation methods applied during vascular access in paediatric patients on pain, fear and physical parameters.
Methods
The study is a randomised controlled experimental trial. As a result of the power analysis, the sample of the study consisted of a total of 108 children (stress ball–squeezing = 36, balloon inflation = 36, control group = 36) between the ages of 6 and 10 who were hospitalised in a university hospital or needed intravenous fluids on admission to the emergency room.
Results
When the results of the research were evaluated, it was found that the pain and fear levels of the children in the stress ball–squeezing and balloon inflation groups were significantly lower during the procedure compared to the control group (p < 0.05). Pain and fear levels of the stress ball–squeezing group were significantly lower than those of the balloon inflation group (p < 0.05). It was determined that the physiological measurement values of the children in the experimental groups were positively affected (p < 0.05) and the most effective result was detected in the stress ball–squeezing group (p < 0.05).
Conclusion
It was observed that stress ball–squeezing and balloon inflation methods applied during peripheral vascular access alleviated the pain and fear of children and positively affected their vital signs. In line with these results, balloon inflation and stress ball can be used as distraction methods in order to reduce the pain and fear of children with peripheral vascular access and to regulate their physiological parameters.
{"title":"The Effect of Stress Ball–Squeezing and Balloon Inflation Methods on Pain, Fear and Physical Parameters During Peripheral Vascular Access in Children: A Randomised Controlled Trial","authors":"Reyhan Sakalli, Dilek Konuk Şener","doi":"10.1111/ijn.70094","DOIUrl":"10.1111/ijn.70094","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The study was conducted to determine the effect of stress ball–squeezing and balloon inflation methods applied during vascular access in paediatric patients on pain, fear and physical parameters.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study is a randomised controlled experimental trial. As a result of the power analysis, the sample of the study consisted of a total of 108 children (stress ball–squeezing = 36, balloon inflation = 36, control group = 36) between the ages of 6 and 10 who were hospitalised in a university hospital or needed intravenous fluids on admission to the emergency room.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>When the results of the research were evaluated, it was found that the pain and fear levels of the children in the stress ball–squeezing and balloon inflation groups were significantly lower during the procedure compared to the control group (<i>p</i> < 0.05). Pain and fear levels of the stress ball–squeezing group were significantly lower than those of the balloon inflation group (<i>p</i> < 0.05). It was determined that the physiological measurement values of the children in the experimental groups were positively affected (<i>p</i> < 0.05) and the most effective result was detected in the stress ball–squeezing group (<i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It was observed that stress ball–squeezing and balloon inflation methods applied during peripheral vascular access alleviated the pain and fear of children and positively affected their vital signs. In line with these results, balloon inflation and stress ball can be used as distraction methods in order to reduce the pain and fear of children with peripheral vascular access and to regulate their physiological parameters.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"32 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145833830","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}
Pataporn Bawornthip, Andrea Driscoll, Anastasia Hutchinson
Aim
This study aimed to evaluate the effect of non-pharmacological interventions on blood pressure for community-dwelling individuals with hypertension in Southeast Asia.
Background
Lifestyle modifications are the optimal first interventions to treat and prevent hypertension. Specific cultural contexts in Southeast Asia may make introducing and sustaining healthy lifestyle interventions difficult for people.
Design
A narrative systematic review was conducted.
Data Sources
A structured systematic search was undertaken using five databases (MEDLINE via PubMed, APA PsycInfo, Scopus, Web of Science and CINAHL) for studies conducted in Southeast Asia and published in English from 2003 to 2023.
Review Methods
References were imported into Covidence. Screening and data extraction were undertaken independently by two authors. Randomised controlled trials, non-randomised controlled trials, quasi-experimental studies, cohort studies, case–control studies, mixed methods and qualitative studies were included.
Results
A total of 39 studies were included in the review. Four studies found that dietary interventions decreased systolic blood pressure by 7 to 11 mmHg. Four of the eight studies found that exercise interventions decreased systolic blood pressure between 4 and 16 mmHg. Eight studies found that combined diet and exercise showed a clinical difference in systolic blood pressure from 9 to 17 mmHg. Six studies found that health education resulted in a clinically valuable (9–16 mmHg) reduction in systolic blood pressure.
Conclusion
Non-pharmacological interventions have the potential to improve blood pressure control. These interventions are feasible and acceptable to Southeast Asian populations and should be integrated into community and primary care health education programs.
目的：本研究旨在评估非药物干预对东南亚社区高血压患者血压的影响。背景：改变生活方式是治疗和预防高血压的首选干预措施。东南亚的特定文化背景可能使人们难以引入和维持健康的生活方式干预措施。设计：进行叙述性系统评价。数据来源：使用五个数据库（MEDLINE通过PubMed， APA PsycInfo, Scopus， Web of Science和CINAHL）进行结构化系统检索，检索2003年至2023年在东南亚进行的英文发表的研究。综述方法：将文献导入《covid》。筛选和数据提取由两位作者独立进行。包括随机对照试验、非随机对照试验、准实验研究、队列研究、病例对照研究、混合方法和定性研究。结果：本综述共纳入39项研究。四项研究发现，饮食干预可使收缩压降低7至11毫米汞柱。八项研究中有四项发现，运动干预可以将收缩压降低4至16毫米汞柱。八项研究发现，结合饮食和运动，收缩压在9到17毫米汞柱之间有临床差异。六项研究发现，健康教育导致临床有价值的收缩压降低（9-16 mmHg）。结论：非药物干预具有改善血压控制的潜力。这些干预措施对东南亚人群是可行和可接受的，应纳入社区和初级保健卫生教育计划。
{"title":"Non-Pharmacological Management of Hypertension for Community-Dwelling Adults in Southeast Asia: A Narrative Review","authors":"Pataporn Bawornthip, Andrea Driscoll, Anastasia Hutchinson","doi":"10.1111/ijn.70092","DOIUrl":"10.1111/ijn.70092","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to evaluate the effect of non-pharmacological interventions on blood pressure for community-dwelling individuals with hypertension in Southeast Asia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Lifestyle modifications are the optimal first interventions to treat and prevent hypertension. Specific cultural contexts in Southeast Asia may make introducing and sustaining healthy lifestyle interventions difficult for people.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A narrative systematic review was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data Sources</h3>\u0000 \u0000 <p>A structured systematic search was undertaken using five databases (MEDLINE via PubMed, APA PsycInfo, Scopus, Web of Science and CINAHL) for studies conducted in Southeast Asia and published in English from 2003 to 2023.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Review Methods</h3>\u0000 \u0000 <p>References were imported into Covidence. Screening and data extraction were undertaken independently by two authors. Randomised controlled trials, non-randomised controlled trials, quasi-experimental studies, cohort studies, case–control studies, mixed methods and qualitative studies were included.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 39 studies were included in the review. Four studies found that dietary interventions decreased systolic blood pressure by 7 to 11 mmHg. Four of the eight studies found that exercise interventions decreased systolic blood pressure between 4 and 16 mmHg. Eight studies found that combined diet and exercise showed a clinical difference in systolic blood pressure from 9 to 17 mmHg. Six studies found that health education resulted in a clinically valuable (9–16 mmHg) reduction in systolic blood pressure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Non-pharmacological interventions have the potential to improve blood pressure control. These interventions are feasible and acceptable to Southeast Asian populations and should be integrated into community and primary care health education programs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145768032","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}
This study aimed to evaluate the effect of the Physical Restraint Reduction Care Bundle (PRRCB) on the rate, duration and complications of physical restraint use in the intensive care unit of a university hospital in Turkey.
Methods
The research was a quasi-experimental preobservational and postobservational study. The i-PARIHS framework was used as a comprehensive model. A systematic review of the literature and modified Delphi methods were used to develop guidelines. After training, the unit nurses used the PRRCB including the guideline, care map, training, documentation form and decision support tools.
Results
Physical restraint was performed on 444 (48.1%) patients days before and 346 (39.7%) after the intervention, and this difference was statistically significant. The physical restraint rate in the postintervention group is 0.71 times less than before (OR = 0.71, 95% CI: 0.59–0.85; OR = 0.86, 95% CI: 0.76–0.96). The duration of physical restraint was 8.85 ± 8.21 days before and 7.27 ± 5.17 after the intervention, but there was no significant difference in this decrease (t = 1.048, p = 0.297, MD = −0.91, 95% CI: −8.50–6.67). There was a significant decrease in all complications, including colour, temperature, oedema, pitting and skin/tissue integrity of the restrained extremity (p = 0.005; p = 0.009; p < 0.001; p = 0.027; p < 0.001).
Conclusions
The i-PARIHS-guided care bundle, PRRB, successfully reduced the rate and complications of physical restraint but not the mean duration of patient restraint days.
{"title":"The Effect of a Care Bundle on Physical Restraint Rate, Duration and Complications in ICU Patients","authors":"Büşra Ertuğrul, Dilek Özden, Koen Milisen","doi":"10.1111/ijn.70091","DOIUrl":"10.1111/ijn.70091","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to evaluate the effect of the Physical Restraint Reduction Care Bundle (PRRCB) on the rate, duration and complications of physical restraint use in the intensive care unit of a university hospital in Turkey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The research was a quasi-experimental preobservational and postobservational study. The i-PARIHS framework was used as a comprehensive model. A systematic review of the literature and modified Delphi methods were used to develop guidelines. After training, the unit nurses used the PRRCB including the guideline, care map, training, documentation form and decision support tools.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Physical restraint was performed on 444 (48.1%) patients days before and 346 (39.7%) after the intervention, and this difference was statistically significant. The physical restraint rate in the postintervention group is 0.71 times less than before (OR = 0.71, 95% CI: 0.59–0.85; OR = 0.86, 95% CI: 0.76–0.96). The duration of physical restraint was 8.85 ± 8.21 days before and 7.27 ± 5.17 after the intervention, but there was no significant difference in this decrease (<i>t</i> = 1.048, <i>p</i> = 0.297, MD = −0.91, 95% CI: −8.50–6.67). There was a significant decrease in all complications, including colour, temperature, oedema, pitting and skin/tissue integrity of the restrained extremity (<i>p</i> = 0.005; <i>p</i> = 0.009; <i>p</i> < 0.001; <i>p</i> = 0.027; <i>p</i> < 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The i-PARIHS-guided care bundle, PRRB, successfully reduced the rate and complications of physical restraint but not the mean duration of patient restraint days.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145767441","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}
Napamon Pumsopa, Ann Jirapongsuwan, Surintorn Kalampakorn, Sukhontha Siri, Piyanee Klainin-Yobas
Aim
This study aimed to synthesise the best available evidence on the training methods used in community nurse training programs and examine the effectiveness of such programs on enhancing competency (knowledge, skills and traits) among nurses or nurse practitioners working in community healthcare units.
Methods
A search was conducted on 10 electronic databases to retrieve published and grey literature, specifically randomised controlled trials and clinical control trials. Two reviewers independently screened records, appraised article quality and extracted data from the included studies. Meta-analysis was performed using the RevMan 5.4 software. Effect measures were expressed as standardised mean differences (SMD) and confidence intervals. Subgroup analyses were also performed based on delivery methods.
Findings
Fourteen studies were included, 13 of which targeted knowledge as an outcome, 10 focused on nurses' skills and four examined nurses' traits. The analysis revealed that community nurse training programs improved nurses' knowledge via hybrid pedagogical (SMD = 0.15–2.21), online (SMD = 0.12–0.29) and onsite methods (SMD = −0.51 to 0.11) and enhanced their skills through hybrid (SMD = 0.90) and onsite training (SMD = 0.44). Furthermore, the programs improved nurses' traits in psychological empowerment, job productivity, professional development and affect dimensions.
Conclusions
Nursing schools and healthcare institutions may employ diverse pedagogical approaches, including hybrid methods, to achieve positive outcomes for community nurse training programs to improve clinical competencies.
{"title":"The Effectiveness of Community Nurse Training Programs to Improve Nurses' Competency in Community Settings: a Systematic Review and Meta-Analysis","authors":"Napamon Pumsopa, Ann Jirapongsuwan, Surintorn Kalampakorn, Sukhontha Siri, Piyanee Klainin-Yobas","doi":"10.1111/ijn.70090","DOIUrl":"10.1111/ijn.70090","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to synthesise the best available evidence on the training methods used in community nurse training programs and examine the effectiveness of such programs on enhancing competency (knowledge, skills and traits) among nurses or nurse practitioners working in community healthcare units.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A search was conducted on 10 electronic databases to retrieve published and grey literature, specifically randomised controlled trials and clinical control trials. Two reviewers independently screened records, appraised article quality and extracted data from the included studies. Meta-analysis was performed using the RevMan 5.4 software. Effect measures were expressed as standardised mean differences (SMD) and confidence intervals. Subgroup analyses were also performed based on delivery methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Fourteen studies were included, 13 of which targeted knowledge as an outcome, 10 focused on nurses' skills and four examined nurses' traits. The analysis revealed that community nurse training programs improved nurses' knowledge via hybrid pedagogical (SMD = 0.15–2.21), online (SMD = 0.12–0.29) and onsite methods (SMD = −0.51 to 0.11) and enhanced their skills through hybrid (SMD = 0.90) and onsite training (SMD = 0.44). Furthermore, the programs improved nurses' traits in psychological empowerment, job productivity, professional development and affect dimensions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Nursing schools and healthcare institutions may employ diverse pedagogical approaches, including hybrid methods, to achieve positive outcomes for community nurse training programs to improve clinical competencies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12706423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145762704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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