Yijia Luo, Yuyuan Han, Peimeng Teng, Jiayi Hou, Guijuan He
Aim
This review systematically evaluated the clinical effectiveness of direct swallowing training in patients with dysphagia.
Background
Dysphagia has a high prevalence rate and can seriously impair patients' quality of life. Although direct swallowing training within current rehabilitation frameworks demonstrates efficacy, there remains a lack of standardised protocols and an absence of comprehensive systematic reviews that incorporate multidimensional outcome measures.
Methods
Literature searches were conducted across CNKI, Wanfang Database, CBMdisc, PubMed, Web of Science, Embase, Cochrane Library, and CINAHL. The keywords employed included “Swallowing Training”, “Food Texture Modification”, “Deglutition Disorders” and “Nutritional Status”. The search period was from the establishment of each database to August 2025. Meta-analyses were executed using RevMan software.
Results
A total of 25 randomised controlled studies were included. The findings indicate that direct swallowing training significantly improves swallowing function, nutritional status, quality of life and reduces the incidence of complications in patients with dysphagia.
Conclusion
This review supports the development of standardised protocols for direct swallowing training interventions, providing evidence-based recommendations for clinical nursing practice aimed at optimising patient outcomes.
目的：本综述系统评价直接吞咽训练在吞咽困难患者中的临床效果。背景：吞咽困难的患病率高，严重影响患者的生活质量。尽管目前康复框架内的直接吞咽训练显示出疗效，但仍然缺乏标准化的方案，也缺乏包含多维结果测量的全面系统评价。方法：检索中国知网、万方数据库、CBMdisc、PubMed、Web of Science、Embase、Cochrane Library、CINAHL等文献。关键词包括“吞咽训练”、“食物质地改变”、“吞咽障碍”和“营养状况”。检索期为各数据库建立至2025年8月。meta分析采用RevMan软件进行。结果：共纳入25项随机对照研究。研究结果表明，直接吞咽训练可显著改善吞咽困难患者的吞咽功能、营养状况、生活质量，降低并发症的发生率。结论：本综述支持制定直接吞咽训练干预的标准化方案，为临床护理实践提供循证建议，旨在优化患者预后。
{"title":"The Clinical Efficacy of Direct Swallowing Training for Patients with Dysphagia: A Systematic Review","authors":"Yijia Luo, Yuyuan Han, Peimeng Teng, Jiayi Hou, Guijuan He","doi":"10.1111/ijn.70084","DOIUrl":"10.1111/ijn.70084","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This review systematically evaluated the clinical effectiveness of direct swallowing training in patients with dysphagia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Dysphagia has a high prevalence rate and can seriously impair patients' quality of life. Although direct swallowing training within current rehabilitation frameworks demonstrates efficacy, there remains a lack of standardised protocols and an absence of comprehensive systematic reviews that incorporate multidimensional outcome measures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Literature searches were conducted across CNKI, Wanfang Database, CBMdisc, PubMed, Web of Science, Embase, Cochrane Library, and CINAHL. The keywords employed included “Swallowing Training”, “Food Texture Modification”, “Deglutition Disorders” and “Nutritional Status”. The search period was from the establishment of each database to August 2025. Meta-analyses were executed using RevMan software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 25 randomised controlled studies were included. The findings indicate that direct swallowing training significantly improves swallowing function, nutritional status, quality of life and reduces the incidence of complications in patients with dysphagia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This review supports the development of standardised protocols for direct swallowing training interventions, providing evidence-based recommendations for clinical nursing practice aimed at optimising patient outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145723339","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}
Breast cancer-related lymphedema (BCRL) is a common postoperative complication that impairs arm function and diminishes quality of life. Consistent engagement in self-management practices is crucial for the early prevention of BCRL. Since risk perception is a key determinant of behaviour change, it may serve as a critical target for improving adherence to BCRL self-management among patients with breast cancer. This research aimed to evaluate the profiles and determinants of risk perception related to BCRL in women after breast cancer surgery.
Methods
A cross-sectional study involving 211 patients with breast cancer was carried out. Participants were recruited using convenience sampling from a tertiary hospital in Nanjing. Data were collected using a general information questionnaire, a self-designed and validated risk perception questionnaire, a lymphedema-related knowledge questionnaire, the Perceived Social Support Scale, and the General Self-Efficacy Scale. Latent profile analysis was carried out to determine subgroups of risk perception related to BCRL. Univariate and multivariate analyses were employed to examine factors influencing these subgroups.
Results
Latent profile analysis revealed three distinct risk perception subgroups: low-level risk perception (18.0%), medium-level risk perception (39.8%), and high-level risk perception (42.2%). Multinomial logistic regression revealed that factors such as age, employment status, education level, monthly household income, type of breast surgery, lymphedema-related knowledge, perceived social support, and self-efficacy significantly influenced these risk perception profiles (p < 0.05).
Conclusions
Substantial heterogeneity exists in risk perception levels regarding BCRL among patients with breast cancer after surgery. Healthcare providers should prioritize early identification of patients with low-risk perception tendencies and implement targeted interventions to address misperceptions. These efforts could enhance adherence to preventive strategies and mitigate the risk of BCRL.
{"title":"A Latent Profile Analysis of Risk Perception in Breast Cancer-Related Lymphedema Among Women With Breast Cancer","authors":"Yuqing Wu, Zhuyue Ma, Yanyan Shi, Shanshan Yao, Mingyao Zhou, Fang Cheng","doi":"10.1111/ijn.70088","DOIUrl":"10.1111/ijn.70088","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Breast cancer-related lymphedema (BCRL) is a common postoperative complication that impairs arm function and diminishes quality of life. Consistent engagement in self-management practices is crucial for the early prevention of BCRL. Since risk perception is a key determinant of behaviour change, it may serve as a critical target for improving adherence to BCRL self-management among patients with breast cancer. This research aimed to evaluate the profiles and determinants of risk perception related to BCRL in women after breast cancer surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study involving 211 patients with breast cancer was carried out. Participants were recruited using convenience sampling from a tertiary hospital in Nanjing. Data were collected using a general information questionnaire, a self-designed and validated risk perception questionnaire, a lymphedema-related knowledge questionnaire, the Perceived Social Support Scale, and the General Self-Efficacy Scale. Latent profile analysis was carried out to determine subgroups of risk perception related to BCRL. Univariate and multivariate analyses were employed to examine factors influencing these subgroups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Latent profile analysis revealed three distinct risk perception subgroups: low-level risk perception (18.0%), medium-level risk perception (39.8%), and high-level risk perception (42.2%). Multinomial logistic regression revealed that factors such as age, employment status, education level, monthly household income, type of breast surgery, lymphedema-related knowledge, perceived social support, and self-efficacy significantly influenced these risk perception profiles (<i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Substantial heterogeneity exists in risk perception levels regarding BCRL among patients with breast cancer after surgery. Healthcare providers should prioritize early identification of patients with low-risk perception tendencies and implement targeted interventions to address misperceptions. These efforts could enhance adherence to preventive strategies and mitigate the risk of BCRL.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145723308","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 aim of this study was to translate and assess the psychometric properties of the Self-care of Coronary Heart Disease Inventory Version 3.0 (SC-CHDI v3.0) in the Chinese population.
Methods
Following Beaton's cross-cultural adaptation guidelines, the Chinese version was developed and tested with 373 coronary artery disease (CAD) patients. Psychometric assessments included item analysis, construct validity, convergent validity and internal consistency reliability.
Results
The Chinese version of SC-CHDI v3.0, tailored to the Chinese linguistic context and clinical environment, comprised three sub-scales with a total of 23 items. Exploratory factor analysis extracted two factors for each sub-scale (self-care maintenance, monitoring and management), with cumulative variance contributions of 52.066%, 58.078% and 58.328%, respectively. Confirmatory factor analysis showed acceptable fit indices for all sub-scales (χ2/df 1.243, 2.178, 2.140; root mean square error of approximation (RMSEA) 0.034, 0.075, 0.073; standardised root mean square residual (SRMR) 0.044, 0.051, 0.049; comparative fit index (CFI) 0.973, 0.979, 0.965; and Tuck–Lewis index (TLI) 0.971, 0.950, 0.934). Cronbach's α for the self-care monitoring sub-scale was 0.825, and construct reliability for the self-care maintenance and self-care management sub-scales was 0.745 and 0.784, respectively.
Conclusion
The Chinese version of the SC-CHDI v3.0 has acceptable reliability and validity, providing an effective assessment tool for health providers to evaluate the self-care of patients with CAD in China.
{"title":"Psychometric Testing of the Self-Care of Coronary Heart Disease Inventory Version 3.0 in the Chinese Population","authors":"Chong Ma, Shuobing Lin, Xian Zhang, Minmin Lu","doi":"10.1111/ijn.70087","DOIUrl":"10.1111/ijn.70087","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The aim of this study was to translate and assess the psychometric properties of the Self-care of Coronary Heart Disease Inventory Version 3.0 (SC-CHDI v3.0) in the Chinese population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following Beaton's cross-cultural adaptation guidelines, the Chinese version was developed and tested with 373 coronary artery disease (CAD) patients. Psychometric assessments included item analysis, construct validity, convergent validity and internal consistency reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The Chinese version of SC-CHDI v3.0, tailored to the Chinese linguistic context and clinical environment, comprised three sub-scales with a total of 23 items. Exploratory factor analysis extracted two factors for each sub-scale (self-care maintenance, monitoring and management), with cumulative variance contributions of 52.066%, 58.078% and 58.328%, respectively. Confirmatory factor analysis showed acceptable fit indices for all sub-scales (<i>χ</i><sup>2</sup>/df 1.243, 2.178, 2.140; root mean square error of approximation (RMSEA) 0.034, 0.075, 0.073; standardised root mean square residual (SRMR) 0.044, 0.051, 0.049; comparative fit index (CFI) 0.973, 0.979, 0.965; and Tuck–Lewis index (TLI) 0.971, 0.950, 0.934). Cronbach's α for the self-care monitoring sub-scale was 0.825, and construct reliability for the self-care maintenance and self-care management sub-scales was 0.745 and 0.784, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Chinese version of the SC-CHDI v3.0 has acceptable reliability and validity, providing an effective assessment tool for health providers to evaluate the self-care of patients with CAD in China.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145707654","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 aims to evaluate whether an 8-week, nurse-led, home-based pulmonary rehabilitation programme improves walking capacity, anxiety and sleep quality in adults with chronic obstructive pulmonary disease.
Methods
This was a single-centre, open-label, parallel-group randomized controlled trial with assessments at baseline and week 8. Ninety adults with stable COPD (GOLD II–III) were enrolled and randomized 1:1 (fixed-block size = 2; SNOSE concealment); 84 completed week-8 assessments and were analysed (home-based rehabilitation, n = 43; standard care, n = 41). Participants' mean age was 67.71 years; 73.8% were male; mean baseline FEV1 was 55% predicted. The 8-week intervention comprised home-based breathing and full-body resistance exercises (3–5×/week, 25–30 min), initiated with a tele-monitored session to ensure correct technique and supported by weekly nurse-led calls, alongside structured nurse-delivered education. Prespecified primary outcomes were 6-min walk distance, anxiety (STAI) and sleep quality (PSQI); secondary outcomes were cardiopulmonary signs, dyspnoea and spirometric indices.
Results
At week 8, the intervention improved walking capacity versus control (p < 0.001). Anxiety decreased on STAI-I/II (p < 0.001), and overall sleep quality improved on PSQI (p = 0.001), with benefits on Subjective Sleep Quality and Daytime Dysfunction (both p < 0.001); effects on Sleep Disturbances and Sleep Medication were smaller. Dyspnoea (Borg) also improved (p < 0.001). Secondary outcomes were consistent, and no intervention-related adverse events occurred.
Conclusion
Nurse-led, home-based pulmonary rehabilitation is a feasible and safe approach that improves functional capacity as well as psychological and sleep outcomes in adults with chronic obstructive pulmonary disease.
{"title":"Effects of Home-Based Pulmonary Rehabilitation on Walking, Anxiety and Sleep in Patients With Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial","authors":"Sabahat Coşkun, Neriman Yükseltürk Şimşek, Yakup Arslan","doi":"10.1111/ijn.70085","DOIUrl":"https://doi.org/10.1111/ijn.70085","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aims to evaluate whether an 8-week, nurse-led, home-based pulmonary rehabilitation programme improves walking capacity, anxiety and sleep quality in adults with chronic obstructive pulmonary disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a single-centre, open-label, parallel-group randomized controlled trial with assessments at baseline and week 8. Ninety adults with stable COPD (GOLD II–III) were enrolled and randomized 1:1 (fixed-block size = 2; SNOSE concealment); 84 completed week-8 assessments and were analysed (home-based rehabilitation, <i>n</i> = 43; standard care, <i>n</i> = 41). Participants' mean age was 67.71 years; 73.8% were male; mean baseline FEV<sub>1</sub> was 55% predicted. The 8-week intervention comprised home-based breathing and full-body resistance exercises (3–5×/week, 25–30 min), initiated with a tele-monitored session to ensure correct technique and supported by weekly nurse-led calls, alongside structured nurse-delivered education. Prespecified primary outcomes were 6-min walk distance, anxiety (STAI) and sleep quality (PSQI); secondary outcomes were cardiopulmonary signs, dyspnoea and spirometric indices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>At week 8, the intervention improved walking capacity versus control (<i>p</i> < 0.001). Anxiety decreased on STAI-I/II (<i>p</i> < 0.001), and overall sleep quality improved on PSQI (<i>p</i> = 0.001), with benefits on Subjective Sleep Quality and Daytime Dysfunction (both <i>p</i> < 0.001); effects on Sleep Disturbances and Sleep Medication were smaller. Dyspnoea (Borg) also improved (<i>p</i> < 0.001). Secondary outcomes were consistent, and no intervention-related adverse events occurred.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nurse-led, home-based pulmonary rehabilitation is a feasible and safe approach that improves functional capacity as well as psychological and sleep outcomes in adults with chronic obstructive pulmonary disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>ClinicalTrials.gov identifier: NCT06862713</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145686193","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 explore the enablers of and barriers to exercise training among overweight or obese infertile women.
Method
Semistructured in-depth interviews were conducted with 35 overweight or obese infertile women undergoing treatment at a reproductive centre in 2023 and recruited via purposive sampling. A hybrid inductive-deductive thematic analysis was used, drawing on the theory of planned behaviour (TPB) model.
Results
A study identified 10 themes that affect exercise training, which can be categorized into three domains: attitudes, subjective norms and perceived behavioural control. Enablers include a strong desire to have a baby, perceived benefits of exercise training, support from friends, family and medical staff, access to exercise training information and effective behavioural regulation strategies based on positive past experiences. Barriers include negative emotions or thoughts about behaviour change, lack of knowledge and resources, low self-efficacy and control in exercise training and negative experiences related to weight loss and infertility.
Conclusion
This study highlights the need for tailored interventions that address psychological well-being, body image concerns and social support inadequacies among overweight or obese infertility patients. Providers can develop personalized exercise plans, involve patients' families and social networks and emphasize psychological and social aspects to promote long-term engagement in exercise.
{"title":"Enablers of and Barriers to Exercise Training Among Overweight or Obese Infertile Women: A Qualitative Study","authors":"Yang Mengye, Zhang Yan, Niu Fangfang","doi":"10.1111/ijn.70086","DOIUrl":"10.1111/ijn.70086","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aimed to explore the enablers of and barriers to exercise training among overweight or obese infertile women.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Semistructured in-depth interviews were conducted with 35 overweight or obese infertile women undergoing treatment at a reproductive centre in 2023 and recruited via purposive sampling. A hybrid inductive-deductive thematic analysis was used, drawing on the theory of planned behaviour (TPB) model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A study identified 10 themes that affect exercise training, which can be categorized into three domains: attitudes, subjective norms and perceived behavioural control. Enablers include a strong desire to have a baby, perceived benefits of exercise training, support from friends, family and medical staff, access to exercise training information and effective behavioural regulation strategies based on positive past experiences. Barriers include negative emotions or thoughts about behaviour change, lack of knowledge and resources, low self-efficacy and control in exercise training and negative experiences related to weight loss and infertility.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study highlights the need for tailored interventions that address psychological well-being, body image concerns and social support inadequacies among overweight or obese infertility patients. Providers can develop personalized exercise plans, involve patients' families and social networks and emphasize psychological and social aspects to promote long-term engagement in exercise.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145667557","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}
As artificial intelligence (AI) becomes increasingly prevalent in nursing education, understanding student attitudes is essential for its effective integration.
Aim
This study aimed to explore nursing students' attitudes towards AI and ChatGPT in the context of nursing education.
Design
This study employed a cross-sectional design.
Methods
A sample of Turkish nursing students (n = 347) was included in the study. Data were collected from August–October 2023 using the Student Introduction Form and the General Attitudes towards Artificial Intelligence Scale (GAAIS) through Google Forms. Descriptive statistics, t-tests, and ANOVA were used for data analysis. Correlation analysis was performed to examine the relationship between variables.
Results
Among the participants, 56.8% were aware of AI, 16.4% had previous experience using an AI application, 46.4% believed that AI is beneficial in nursing practices and 79.3% supported the use of AI in the nursing field. A weakly positive correlation was found between the positive and negative attitude subscales of the GAAIS (r = 0.274, p < 0.01).
Conclusions
This study reveals the complexity and variability of nursing students' attitudes towards AI and ChatGPT. Increased exposure to these technologies may improve future nursing practices. Educational institutions and policymakers need to promote positive attitudes towards AI and ChatGPT to facilitate their effective integration. To ensure ethical and responsible usage of AI, universities must carefully evaluate the risks and benefits associated with these technologies.
随着人工智能（AI）在护理教育中的应用越来越广泛，了解学生的态度对其有效整合至关重要。目的探讨护理教育背景下护生对AI和ChatGPT的态度。设计本研究采用横断面设计。方法选取土耳其护生347例为研究对象。数据于2023年8月至10月通过谷歌表格使用学生介绍表和对人工智能的一般态度量表（GAAIS）收集。数据分析采用描述性统计、t检验和方差分析。通过相关分析来检验变量之间的关系。结果56.8%的受访者了解人工智能，16.4%的受访者有使用人工智能应用的经验，46.4%的受访者认为人工智能在护理实践中有益，79.3%的受访者支持人工智能在护理领域的应用。GAAIS的积极态度分量表与消极态度分量表呈弱正相关（r = 0.274, p < 0.01）。结论本研究揭示了护生对AI和ChatGPT态度的复杂性和多变性。增加对这些技术的接触可能会改善未来的护理实践。教育机构和政策制定者需要促进对人工智能和ChatGPT的积极态度，以促进它们的有效整合。为了确保人工智能的道德和负责任的使用，大学必须仔细评估与这些技术相关的风险和收益。
{"title":"Nursing Students' Early Attitudes Towards the Use of Artificial Intelligence and ChatGPT: An Exploratory Study","authors":"Soner Berşe, Kamile Akça, Ezgi Dirgar, Ali Ağar","doi":"10.1111/ijn.70083","DOIUrl":"https://doi.org/10.1111/ijn.70083","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>As artificial intelligence (AI) becomes increasingly prevalent in nursing education, understanding student attitudes is essential for its effective integration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to explore nursing students' attitudes towards AI and ChatGPT in the context of nursing education.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This study employed a cross-sectional design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A sample of Turkish nursing students (<i>n</i> = 347) was included in the study. Data were collected from August–October 2023 using the Student Introduction Form and the General Attitudes towards Artificial Intelligence Scale (GAAIS) through Google Forms. Descriptive statistics, <i>t</i>-tests, and ANOVA were used for data analysis. Correlation analysis was performed to examine the relationship between variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the participants, 56.8% were aware of AI, 16.4% had previous experience using an AI application, 46.4% believed that AI is beneficial in nursing practices and 79.3% supported the use of AI in the nursing field. A weakly positive correlation was found between the positive and negative attitude subscales of the GAAIS (r = 0.274, <i>p</i> < 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study reveals the complexity and variability of nursing students' attitudes towards AI and ChatGPT. Increased exposure to these technologies may improve future nursing practices. Educational institutions and policymakers need to promote positive attitudes towards AI and ChatGPT to facilitate their effective integration. To ensure ethical and responsible usage of AI, universities must carefully evaluate the risks and benefits associated with these technologies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145626390","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}
Zhao Junya, Chen Yan, Shang Junting, Song Xueqing, Paulo Moreira, Xu Cuiping
<div> <section> <h3> Aim</h3> <p>To identify current knowledge on applying teaching models to foster creativity in nursing students through a systematic literature review and Bayesian network meta-analysis.</p> </section> <section> <h3> Background</h3> <p>Nursing requires adaptability while facing the challenge of the holistic patient care approach, expecting nurses to exhibit creative thinking beyond routine practice and predefined protocols. Studies advocate for innovative pedagogical methods to cultivate creativity in nursing, potentially surpassing conventional lectures in effectiveness. During at least two decades, various interrelated teaching models have emerged. Yet, their efficacy varies and requires validation. This study summarized randomized controlled trials comparing teaching models' efficacy in fostering creativity in nursing students.</p> </section> <section> <h3> Design</h3> <p>Network meta-analysis of randomized controlled pilot studies. In the literature review, PubMed, Embase, Scopus, Cochrane Library, Web of Science, ScienceDirect and major scientific websites were screened.</p> </section> <section> <h3> Method</h3> <p>Randomized controlled trials of students majoring in nursing (junior, undergraduate and graduate) were included. Studies including multiple treatments at the same time in the same group or comparing variants of the same intervention were excluded. The primary endpoint was the score of creativity. This meta-analysis adhered to the PRISMA statement, the PRISMA network meta-analysis extension statement and the Cochrane Collaboration recommendations (PRISMA checklist). WinBugs and Stata software were the primary tools employed for conducting network analyses, standardized pairwise comparisons and sensitivity analyses.</p> </section> <section> <h3> Results</h3> <p>Sixty-three studies, including 23 teaching models, were identified. Theory, drill, practice, combine (TDPC) (surface under the cumulative ranking curve [SUCRA] = 98.3%), Six Thinking Hats (SUCRA = 94.8%) and 3D printing models (SUCRA = 88.4%) than other teaching models were associated with a higher probability of scoring higher in creativity. Treatment ranking indicated that TDPC had the highest probability of being the most effective for scoring higher in creativity. However, the comparative efficacy of TDPC, Six Thinking Hats and 3D printing models was similar for scoring in creativity (mean difference 4.70, 95% credible interval −7.99 to 17.31; mean difference 9.18, 95% credible interval −3.54 to 21.72). Neither sensitivity analysis nor metaregression analys
{"title":"Exploring the Application of Teaching Models to Foster Creativity in Nursing Students: A Systematic Literature Review and Bayesian Network Meta-Analysis","authors":"Zhao Junya, Chen Yan, Shang Junting, Song Xueqing, Paulo Moreira, Xu Cuiping","doi":"10.1111/ijn.70078","DOIUrl":"10.1111/ijn.70078","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To identify current knowledge on applying teaching models to foster creativity in nursing students through a systematic literature review and Bayesian network meta-analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nursing requires adaptability while facing the challenge of the holistic patient care approach, expecting nurses to exhibit creative thinking beyond routine practice and predefined protocols. Studies advocate for innovative pedagogical methods to cultivate creativity in nursing, potentially surpassing conventional lectures in effectiveness. During at least two decades, various interrelated teaching models have emerged. Yet, their efficacy varies and requires validation. This study summarized randomized controlled trials comparing teaching models' efficacy in fostering creativity in nursing students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Network meta-analysis of randomized controlled pilot studies. In the literature review, PubMed, Embase, Scopus, Cochrane Library, Web of Science, ScienceDirect and major scientific websites were screened.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Randomized controlled trials of students majoring in nursing (junior, undergraduate and graduate) were included. Studies including multiple treatments at the same time in the same group or comparing variants of the same intervention were excluded. The primary endpoint was the score of creativity. This meta-analysis adhered to the PRISMA statement, the PRISMA network meta-analysis extension statement and the Cochrane Collaboration recommendations (PRISMA checklist). WinBugs and Stata software were the primary tools employed for conducting network analyses, standardized pairwise comparisons and sensitivity analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sixty-three studies, including 23 teaching models, were identified. Theory, drill, practice, combine (TDPC) (surface under the cumulative ranking curve [SUCRA] = 98.3%), Six Thinking Hats (SUCRA = 94.8%) and 3D printing models (SUCRA = 88.4%) than other teaching models were associated with a higher probability of scoring higher in creativity. Treatment ranking indicated that TDPC had the highest probability of being the most effective for scoring higher in creativity. However, the comparative efficacy of TDPC, Six Thinking Hats and 3D printing models was similar for scoring in creativity (mean difference 4.70, 95% credible interval −7.99 to 17.31; mean difference 9.18, 95% credible interval −3.54 to 21.72). Neither sensitivity analysis nor metaregression analys","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145512708","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}
Asthma is a prevalent chronic condition among children, significantly impacting their quality of life and imposing a burden on healthcare systems. Nursing interventions, encompassing education, care coordination and symptom management, are increasingly recognized as critical components of paediatric asthma care. This meta-analysis aims to evaluate the effectiveness of nursing interventions on various asthma-related outcomes.
Methods
A comprehensive search of PubMed, CINAHL, EMBASE, Cochrane Library, Scopus and Web of Science was conducted, identifying 35 studies involving over 6394 participants. Outcomes included asthma control, emergency department (ED) visits, hospitalizations, quality of life (QoL), acute asthma attacks, correct inhaler usage, medication adherence and symptom frequency. Random-effects models were used for pooling standardized mean differences (SMDs) and odds ratios (ORs), with heterogeneity assessed using I2 and τ2.
Results
Nursing interventions significantly reduced ED visits (SMD −1.741; OR 0.450) and hospitalizations (OR 0.378), improved QoL (SMD 1.013), reduced acute asthma attacks (SMD −2.149) and enhanced inhaler usage (SMD 1.254). Significant reductions in daytime and nighttime symptoms were observed (SMD −1.700 and −0.610, respectively). However, effects on asthma control (SMD 0.618; OR 3.011) and medication use (OR 0.970) were not statistically significant. Heterogeneity was high for several outcomes.
Conclusion
Nursing interventions significantly improve acute care utilization, symptom control and QoL in paediatric asthma management, highlighting their value in clinical practice. Standardized protocols and further research are needed to optimize and sustain these benefits.
背景：哮喘是儿童中一种常见的慢性疾病，严重影响儿童的生活质量，并给卫生保健系统带来负担。护理干预，包括教育，护理协调和症状管理，越来越被认为是儿科哮喘护理的关键组成部分。本荟萃分析旨在评估护理干预对各种哮喘相关结果的有效性。方法：综合检索PubMed、CINAHL、EMBASE、Cochrane Library、Scopus和Web of Science，共检索35项研究，涉及6394名受试者。结果包括哮喘控制、急诊就诊、住院、生活质量（QoL）、急性哮喘发作、正确使用吸入器、药物依从性和症状频率。随机效应模型用于合并标准化平均差异（SMDs）和优势比（ORs），并使用I2和τ2评估异质性。结果：护理干预显著减少ED就诊（SMD -1.741; OR 0.450）和住院（OR 0.378），改善生活质量（SMD - 1.013），减少急性哮喘发作（SMD -2.149），增加吸入器使用（SMD - 1.254）。观察到白天和夜间症状显著减少（SMD分别为-1.700和-0.610）。但对哮喘控制（SMD = 0.618; OR = 3.011）和用药（OR = 0.970）的影响无统计学意义。有几个结果的异质性很高。结论：护理干预可显著提高儿科哮喘的急性护理利用率、症状控制和生活质量，具有重要的临床应用价值。需要标准化的方案和进一步的研究来优化和维持这些益处。
{"title":"Effectiveness of Nursing Intervention for Managing Paediatric Asthma: A Meta-Analysis","authors":"Xiao ying Zhang, Xiao jun Wang, Juan Liu","doi":"10.1111/ijn.70074","DOIUrl":"10.1111/ijn.70074","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Asthma is a prevalent chronic condition among children, significantly impacting their quality of life and imposing a burden on healthcare systems. Nursing interventions, encompassing education, care coordination and symptom management, are increasingly recognized as critical components of paediatric asthma care. This meta-analysis aims to evaluate the effectiveness of nursing interventions on various asthma-related outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive search of PubMed, CINAHL, EMBASE, Cochrane Library, Scopus and Web of Science was conducted, identifying 35 studies involving over 6394 participants. Outcomes included asthma control, emergency department (ED) visits, hospitalizations, quality of life (QoL), acute asthma attacks, correct inhaler usage, medication adherence and symptom frequency. Random-effects models were used for pooling standardized mean differences (SMDs) and odds ratios (ORs), with heterogeneity assessed using <i>I</i><sup>2</sup> and <i>τ</i><sup>2</sup>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Nursing interventions significantly reduced ED visits (SMD −1.741; OR 0.450) and hospitalizations (OR 0.378), improved QoL (SMD 1.013), reduced acute asthma attacks (SMD −2.149) and enhanced inhaler usage (SMD 1.254). Significant reductions in daytime and nighttime symptoms were observed (SMD −1.700 and −0.610, respectively). However, effects on asthma control (SMD 0.618; OR 3.011) and medication use (OR 0.970) were not statistically significant. Heterogeneity was high for several outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nursing interventions significantly improve acute care utilization, symptom control and QoL in paediatric asthma management, highlighting their value in clinical practice. Standardized protocols and further research are needed to optimize and sustain these benefits.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145504424","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 was conducted to adapt the Colonoscopy Satisfaction and Safety Questionnaire into Turkish and evaluate its psychometric properties.
Method
The study was conducted with a methodological design recruiting a sample of 181 individuals scheduled for colonoscopy procedures.
Results
Content validity index for a single dimension yielded a satisfactory score of 0.95. The study also revealed strong and consistent time-dependent invariance correlation coefficients ranging from 0.82 to 0.97, indicating reliability over time. A robust and positive relationship was detected between the item scores recorded during the pretest and posttest assessments. After item analysis, three items were removed from the questionnaire, resulting in a 13-item scale that displayed good internal consistency with a Cronbach's alpha coefficient of 0.86.
Conclusion
The findings suggest that the Turkish version of the Colonoscopy Satisfaction and Safety Questionnaire is well-suited for use in research related to patients undergoing colonoscopy procedures. As a result of this study, it was determined that it is an appropriate tool for assessing the satisfaction of patients undergoing colonoscopy.
{"title":"Adaptation of the Colonoscopy Satisfaction and Safety Questionnaire to Turkish Language and Determination of Its Psychometric Properties","authors":"Hatice Merve Alptekin, İkbal Çavdar, Metin Keskin","doi":"10.1111/ijn.70081","DOIUrl":"10.1111/ijn.70081","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study was conducted to adapt the Colonoscopy Satisfaction and Safety Questionnaire into Turkish and evaluate its psychometric properties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The study was conducted with a methodological design recruiting a sample of 181 individuals scheduled for colonoscopy procedures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Content validity index for a single dimension yielded a satisfactory score of 0.95. The study also revealed strong and consistent time-dependent invariance correlation coefficients ranging from 0.82 to 0.97, indicating reliability over time. A robust and positive relationship was detected between the item scores recorded during the pretest and posttest assessments. After item analysis, three items were removed from the questionnaire, resulting in a 13-item scale that displayed good internal consistency with a Cronbach's alpha coefficient of 0.86.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings suggest that the Turkish version of the Colonoscopy Satisfaction and Safety Questionnaire is well-suited for use in research related to patients undergoing colonoscopy procedures. As a result of this study, it was determined that it is an appropriate tool for assessing the satisfaction of patients undergoing colonoscopy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145458711","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}
Ranran Liu, Yushan Xi, Yingmei Tang, Jingyuan Song
Background
Research has shown that providing high-quality supportive care to ischemic stroke survivors can promote their physical rehabilitation. Therefore, understanding the supportive care needs of this patient group is essential.
Aim
To investigate ischemic stroke survivors' supportive care needs at various rehabilitation stages.
Methods
This phenomenological study used purposive sampling to recruit ischemic stroke patients from a tertiary hospital in Xuzhou, China, between April 2023 and October 2023. Data were collected at four rehabilitation stages through in-depth interviews and observations of ischemic stroke survivors. Forty-eight semi-structured interviews were conducted, and data were analysed using Colaizzi's phenomenological method to identify study themes.
Results
The themes of ischemic stroke survivors' supportive care needs at various rehabilitation stages were as follows: (1) comprehensive stroke knowledge (acute hospitalisation stage), (2) comprehensive rehabilitation support (1 month after stroke onset), (3) continuity of care services (3 months after stroke onset) and (4) systemic social support (6 months after stroke onset).
Conclusion
Ischemic stroke patients' supportive care needs vary according to the stages of the disease. Healthcare providers and caregivers should deliver stage-specific holistic care to help enhance these patients' rehabilitation.
{"title":"Supportive Care Needs of Ischemic Stroke Survivors at Various Rehabilitation Stages: A Qualitative Longitudinal Study","authors":"Ranran Liu, Yushan Xi, Yingmei Tang, Jingyuan Song","doi":"10.1111/ijn.70075","DOIUrl":"10.1111/ijn.70075","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Research has shown that providing high-quality supportive care to ischemic stroke survivors can promote their physical rehabilitation. Therefore, understanding the supportive care needs of this patient group is essential.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To investigate ischemic stroke survivors' supportive care needs at various rehabilitation stages.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This phenomenological study used purposive sampling to recruit ischemic stroke patients from a tertiary hospital in Xuzhou, China, between April 2023 and October 2023. Data were collected at four rehabilitation stages through in-depth interviews and observations of ischemic stroke survivors. Forty-eight semi-structured interviews were conducted, and data were analysed using Colaizzi's phenomenological method to identify study themes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The themes of ischemic stroke survivors' supportive care needs at various rehabilitation stages were as follows: (1) comprehensive stroke knowledge (acute hospitalisation stage), (2) comprehensive rehabilitation support (1 month after stroke onset), (3) continuity of care services (3 months after stroke onset) and (4) systemic social support (6 months after stroke onset).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Ischemic stroke patients' supportive care needs vary according to the stages of the disease. Healthcare providers and caregivers should deliver stage-specific holistic care to help enhance these patients' rehabilitation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 6","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145444839","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}
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