Pub Date : 2025-12-04DOI: 10.1016/j.ijnsa.2025.100464
Yanan Leng , Meixian Li , Xiaodi Zhang , Haiwei Fu , Ying Wu , Zonghua Wang
<div><h3>Background</h3><div>With the development of evidence-based medicine, a large amount of high-quality evidence is constantly generated, but surgical nurses are still weak in terms of the knowledge sharing behavior. Organizational and individual factors will determine how surgical nurses share knowledge. However, few cross-sectional studies had based on the Capabilities, Opportunities, Motivations, Behavior (COM-B) model to explore the influence paths of individual internal and external factors on the knowledge sharing behavior of surgical nurses.</div></div><div><h3>Objective</h3><div>This paper aims to evaluate (1) the current status and factors influencing on knowledge sharing behavior and (2) the pathways to knowledge sharing behavior of surgical nurses based on COM-B model.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting(s)</h3><div>174 public hospitals in 31 provinces and municipalities of China.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted in the surgery department in China from May to June 2023. Convenience sampling and questionnaires were used to facilitate sampling and data collection. A total of 1388 surgical nurses were included in the study. The data was processed using univariate analysis and correlation analysis, the central hypotheses were tested using a structural equation model (SEM).</div></div><div><h3>Results</h3><div>Of the participants, the knowledge sharing behavior score was 54.98 ± 13.33, and compared with the average score, it was at a moderately low level. There was a positive correlation between the level of knowledge sharing behavior and each variable (<em>p</em> < 0.001). The knowledge sharing behavior was significantly positively correlated with evidence-based nursing competence (<em>r</em> = 0.399), creative self-efficacy (<em>r</em> = 0.496), nurse-physician collaboration (<em>r</em> = 0.288). Both evidence-based nursing competence and nurse-physician collaboration can have a direct effect on knowledge sharing behavior. The results confirmed that creative self-efficacy partially mediates the relationships between evidence-based nursing competence and knowledge sharing behavior (<em>β</em> = 0.038, 95 % confidence interval [0.029, 0.049]). Meanwhile, creative self-efficacy also plays a partial mediating role between the nurse-physician collaboration and knowledge sharing behavior (<em>β</em> = 0.083, 95 % confidence interval [0.065, 0.104]).</div></div><div><h3>Conclusions</h3><div>According to the COM-B model, the multiple effective paths of evidence-based nursing competence, innovative motivation, and organizational collaboration for knowledge sharing behavior were verified. Surgical nurses have extensive experience in the care of perioperative patients and critically ill patients. If they can actively share knowledge by themselves or with the support of the team, it is crucial for improving the quality of care and ensuring patient saf
{"title":"Innovative motivation as a pathway from evidence-based nursing competence and nurse-physician collaboration to knowledge sharing behavior among surgical nurses : A structural equation modeling study based on the COM-B model","authors":"Yanan Leng , Meixian Li , Xiaodi Zhang , Haiwei Fu , Ying Wu , Zonghua Wang","doi":"10.1016/j.ijnsa.2025.100464","DOIUrl":"10.1016/j.ijnsa.2025.100464","url":null,"abstract":"<div><h3>Background</h3><div>With the development of evidence-based medicine, a large amount of high-quality evidence is constantly generated, but surgical nurses are still weak in terms of the knowledge sharing behavior. Organizational and individual factors will determine how surgical nurses share knowledge. However, few cross-sectional studies had based on the Capabilities, Opportunities, Motivations, Behavior (COM-B) model to explore the influence paths of individual internal and external factors on the knowledge sharing behavior of surgical nurses.</div></div><div><h3>Objective</h3><div>This paper aims to evaluate (1) the current status and factors influencing on knowledge sharing behavior and (2) the pathways to knowledge sharing behavior of surgical nurses based on COM-B model.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting(s)</h3><div>174 public hospitals in 31 provinces and municipalities of China.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted in the surgery department in China from May to June 2023. Convenience sampling and questionnaires were used to facilitate sampling and data collection. A total of 1388 surgical nurses were included in the study. The data was processed using univariate analysis and correlation analysis, the central hypotheses were tested using a structural equation model (SEM).</div></div><div><h3>Results</h3><div>Of the participants, the knowledge sharing behavior score was 54.98 ± 13.33, and compared with the average score, it was at a moderately low level. There was a positive correlation between the level of knowledge sharing behavior and each variable (<em>p</em> < 0.001). The knowledge sharing behavior was significantly positively correlated with evidence-based nursing competence (<em>r</em> = 0.399), creative self-efficacy (<em>r</em> = 0.496), nurse-physician collaboration (<em>r</em> = 0.288). Both evidence-based nursing competence and nurse-physician collaboration can have a direct effect on knowledge sharing behavior. The results confirmed that creative self-efficacy partially mediates the relationships between evidence-based nursing competence and knowledge sharing behavior (<em>β</em> = 0.038, 95 % confidence interval [0.029, 0.049]). Meanwhile, creative self-efficacy also plays a partial mediating role between the nurse-physician collaboration and knowledge sharing behavior (<em>β</em> = 0.083, 95 % confidence interval [0.065, 0.104]).</div></div><div><h3>Conclusions</h3><div>According to the COM-B model, the multiple effective paths of evidence-based nursing competence, innovative motivation, and organizational collaboration for knowledge sharing behavior were verified. Surgical nurses have extensive experience in the care of perioperative patients and critically ill patients. If they can actively share knowledge by themselves or with the support of the team, it is crucial for improving the quality of care and ensuring patient saf","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100464"},"PeriodicalIF":3.1,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145797380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-04DOI: 10.1016/j.ijnsa.2025.100462
Xianliang Liu , Mubei Yang , Yuhua Ma
Background
Over the long term, breast cancer is associated with multiple symptoms and comorbidities that often cluster and intensify one another. Long-term breast cancer survivors face the challenge of transitioning from treatment-focused care to a non-treatment-oriented life.
Objective
To explore long-term breast cancer survivors’ experiences of managing cancer-related symptoms and provide insights to inform survivorship care.
Design
A qualitative descriptive study.
Methods
A purposive sampling approach was used to recruit long-term breast cancer survivors from a tertiary hospital in Guangzhou, China. Semi-structured interviews were conducted between June and July 2025, audio-recorded and transcribed verbatim. Data were analyzed using thematic analysis, with NVivo 12 software employed for data management.
Results
Eighteen female breast cancer survivors participated. Three themes emerged: (1) The persistent shadow – manifestations and burden of long-term symptoms; (2) Navigating the new normal: self-management strategies and adaptations; and (3) Enablers and obstacles in the self-management journey.
Conclusion
Long-term breast cancer survivors face ongoing symptom burdens and employ diverse self-management strategies, yet their understanding of self-management varies, and effective self-management should address psychological well-being alongside physical health. Tailored education and technological tools may help overcome barriers, particularly among older survivors with lower health literacy.
{"title":"Living beyond survival: Experiences of self-management among long-term breast cancer survivors – A qualitative study","authors":"Xianliang Liu , Mubei Yang , Yuhua Ma","doi":"10.1016/j.ijnsa.2025.100462","DOIUrl":"10.1016/j.ijnsa.2025.100462","url":null,"abstract":"<div><h3>Background</h3><div>Over the long term, breast cancer is associated with multiple symptoms and comorbidities that often cluster and intensify one another. Long-term breast cancer survivors face the challenge of transitioning from treatment-focused care to a non-treatment-oriented life.</div></div><div><h3>Objective</h3><div>To explore long-term breast cancer survivors’ experiences of managing cancer-related symptoms and provide insights to inform survivorship care.</div></div><div><h3>Design</h3><div>A qualitative descriptive study.</div></div><div><h3>Methods</h3><div>A purposive sampling approach was used to recruit long-term breast cancer survivors from a tertiary hospital in Guangzhou, China. Semi-structured interviews were conducted between June and July 2025, audio-recorded and transcribed verbatim. Data were analyzed using thematic analysis, with NVivo 12 software employed for data management.</div></div><div><h3>Results</h3><div>Eighteen female breast cancer survivors participated. Three themes emerged: (1) The persistent shadow – manifestations and burden of long-term symptoms; (2) Navigating the new normal: self-management strategies and adaptations; and (3) Enablers and obstacles in the self-management journey.</div></div><div><h3>Conclusion</h3><div>Long-term breast cancer survivors face ongoing symptom burdens and employ diverse self-management strategies, yet their understanding of self-management varies, and effective self-management should address psychological well-being alongside physical health. Tailored education and technological tools may help overcome barriers, particularly among older survivors with lower health literacy.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100462"},"PeriodicalIF":3.1,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145748041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-04DOI: 10.1016/j.ijnsa.2025.100463
Caroline Berbon , Gabor Abellan Van Kan , Yves Rolland , Laurent Balardy , Catherine TAKEDA , Néda Tavassoli , Véronique Bezombes , Bruno Vellas , Sandrine Andrieu , Maria Eugenia Soto
Background
The Integrated Care for Older People program is a recommendation from the World Health Organization (WHO) to prevent functional decline. It is carried out in four steps, including Step1 screener, Step2 comprehensive assessment in case of anomalies detected in Step1, Step3, which is a prevention plan and Step4, involving long-term follow-up of intrinsic capacity and the implementation of the care plan. In order to meet this evaluation, need and given the constraints of healthcare professional, it is important to specify which older people are most at risk of decline (pre-frail/frail people according to Linda Fried's score).
Objective
to assess if Integrated Care for Older People WHO Step1 can segregate pre-frail/frail older adults from robust in primary care setting.
Method
This cross-sectional study concerned participants registered on the ICOPE MONITOR platform of the Toulouse University Hospital. The results from Step1, which help identify participants most at risk of pre-frailty/frailty, were selected through regression analysis followed by a Classification and Regression Trees approach.
Results
Between January 1, 2020, and June 30, 2024, 3,118 participants were included in this study. Pre-frailty/frailty was associated with mobility alert alone (84.7 %), nutrition alert alone (88.9 %) and with the two associated (96.7 %). For the oldest participants (over 76 years), a psychology alert was also strongly associated with pre-frailty/frailty (63.9 %).
Discussion
This study allows healthcare professional to prioritize participants with impaired mobility and/or nutrition at Step1 for the next steps in Integrated Care for Older People program. This approach addresses the needs of participants by providing the appropriate response to the right clinical profile and facilitates the interpretation of Integrated Care for Older People Step1 in the community.
{"title":"Identification of pre-frail/frail older adults using the Integrated Care for Older People WHO Step1 screening tool: a cross sectional study","authors":"Caroline Berbon , Gabor Abellan Van Kan , Yves Rolland , Laurent Balardy , Catherine TAKEDA , Néda Tavassoli , Véronique Bezombes , Bruno Vellas , Sandrine Andrieu , Maria Eugenia Soto","doi":"10.1016/j.ijnsa.2025.100463","DOIUrl":"10.1016/j.ijnsa.2025.100463","url":null,"abstract":"<div><h3>Background</h3><div>The Integrated Care for Older People program is a recommendation from the World Health Organization (WHO) to prevent functional decline. It is carried out in four steps, including Step1 screener, Step2 comprehensive assessment in case of anomalies detected in Step1, Step3, which is a prevention plan and Step4, involving long-term follow-up of intrinsic capacity and the implementation of the care plan. In order to meet this evaluation, need and given the constraints of healthcare professional, it is important to specify which older people are most at risk of decline (pre-frail/frail people according to Linda Fried's score).</div></div><div><h3>Objective</h3><div>to assess if Integrated Care for Older People WHO Step1 can segregate pre-frail/frail older adults from robust in primary care setting.</div></div><div><h3>Method</h3><div>This cross-sectional study concerned participants registered on the ICOPE MONITOR platform of the Toulouse University Hospital. The results from Step1, which help identify participants most at risk of pre-frailty/frailty, were selected through regression analysis followed by a Classification and Regression Trees approach.</div></div><div><h3>Results</h3><div>Between January 1, 2020, and June 30, 2024, 3,118 participants were included in this study. Pre-frailty/frailty was associated with mobility alert alone (84.7 %), nutrition alert alone (88.9 %) and with the two associated (96.7 %). For the oldest participants (over 76 years), a psychology alert was also strongly associated with pre-frailty/frailty (63.9 %).</div></div><div><h3>Discussion</h3><div>This study allows healthcare professional to prioritize participants with impaired mobility and/or nutrition at Step1 for the next steps in Integrated Care for Older People program. This approach addresses the needs of participants by providing the appropriate response to the right clinical profile and facilitates the interpretation of Integrated Care for Older People Step1 in the community.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100463"},"PeriodicalIF":3.1,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145748016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-03DOI: 10.1016/j.ijnsa.2025.100465
Saeko Kutsunugi , Satoko Ono , Misae Ito , Kaho Suda , Siu Ling Chan , John Tai Chun Fung , Claudia Kam Yuk Lai , Kyoko Murakami
Background
Nurses face various ethical dilemmas and conflicts in end-of-life care; however, there is no evidence of effective undergraduate ethics education on the topic settings to address them.
Objectives
This review aimed to describe educational interventions for end-of-life care focused on ethical content in undergraduate nursing education and their outcomes for students.
Design
This review used Arksey and O'Malley’s five-stage scoping process.
Methods
This study used the Ovid (CINAHL and MEDLINE) and PubMed bibliographic databases from 2012 to 2023. We included literature on qualitative, quantitative, and mixed-methods research that could provide information about ethical end-of-life care (EOLC) education interventions in undergraduate nursing programs. We excluded review articles to avoid duplication. The search string included ("education, nursing" OR "education, nursing, baccalaureate") AND ("ethics") OR ("terminal care" OR "hospice care" OR "end of life care" OR "palliative care"). The scope of this study was limited to studies on educational interventions for EOLC ethics in undergraduate nursing education.
Results
The search yielded 4190 articles, of which 25 were included in the analysis. Fourteen of the 25 studies were conducted in the USA, whereas the others were conducted in various parts of the world. No intervention research articles were found that focused on EOLC ethics itself, which was either incorporated as part of the nursing education for EOLC or included in ethics education as an EOLC case study. Of these, 17 studies included lectures to teach EOLC ethics, and four used scenarios and case studies as teaching methods. Twelve studies used scenarios for simulation education. Seven studies combined lectures and simulations. The lectures improved students' knowledge and attitudes toward death, and their confidence in EOLC. As a result of the simulation intervention, in addition to improvements in knowledge and attitudes, participants gained communication skills, comfort with caregiving, confidence, self-efficacy, and the ability to reflect on their attitudes.
Conclusions
The results suggest that while lectures are effective for acquiring ethical knowledge and attitudes related to EOLC based on ethical competency, simulations are more effective for acquiring practical skills such as communication, self-efficacy, and reflection. Incorporating ethical issues in simulations is hoped to broadly develop ethical practice competencies.
{"title":"Ethics based educational interventions on end-of-life care for undergraduate nursing students: A scoping review","authors":"Saeko Kutsunugi , Satoko Ono , Misae Ito , Kaho Suda , Siu Ling Chan , John Tai Chun Fung , Claudia Kam Yuk Lai , Kyoko Murakami","doi":"10.1016/j.ijnsa.2025.100465","DOIUrl":"10.1016/j.ijnsa.2025.100465","url":null,"abstract":"<div><h3>Background</h3><div>Nurses face various ethical dilemmas and conflicts in end-of-life care; however, there is no evidence of effective undergraduate ethics education on the topic settings to address them.</div></div><div><h3>Objectives</h3><div>This review aimed to describe educational interventions for end-of-life care focused on ethical content in undergraduate nursing education and their outcomes for students.</div></div><div><h3>Design</h3><div>This review used Arksey and O'Malley’s five-stage scoping process.</div></div><div><h3>Methods</h3><div>This study used the Ovid (CINAHL and MEDLINE) and PubMed bibliographic databases from 2012 to 2023. We included literature on qualitative, quantitative, and mixed-methods research that could provide information about ethical end-of-life care (EOLC) education interventions in undergraduate nursing programs. We excluded review articles to avoid duplication. The search string included (\"education, nursing\" OR \"education, nursing, baccalaureate\") AND (\"ethics\") OR (\"terminal care\" OR \"hospice care\" OR \"end of life care\" OR \"palliative care\"). The scope of this study was limited to studies on educational interventions for EOLC ethics in undergraduate nursing education.</div></div><div><h3>Results</h3><div>The search yielded 4190 articles, of which 25 were included in the analysis. Fourteen of the 25 studies were conducted in the USA, whereas the others were conducted in various parts of the world. No intervention research articles were found that focused on EOLC ethics itself, which was either incorporated as part of the nursing education for EOLC or included in ethics education as an EOLC case study. Of these, 17 studies included lectures to teach EOLC ethics, and four used scenarios and case studies as teaching methods. Twelve studies used scenarios for simulation education. Seven studies combined lectures and simulations. The lectures improved students' knowledge and attitudes toward death, and their confidence in EOLC. As a result of the simulation intervention, in addition to improvements in knowledge and attitudes, participants gained communication skills, comfort with caregiving, confidence, self-efficacy, and the ability to reflect on their attitudes.</div></div><div><h3>Conclusions</h3><div>The results suggest that while lectures are effective for acquiring ethical knowledge and attitudes related to EOLC based on ethical competency, simulations are more effective for acquiring practical skills such as communication, self-efficacy, and reflection. Incorporating ethical issues in simulations is hoped to broadly develop ethical practice competencies.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100465"},"PeriodicalIF":3.1,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145748017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.ijnsa.2025.100453
Signe Østrem , Anna Strömberg , Kari Hanne Gjeilo , Marianne Storm , Ingvild M. Morken
{"title":"Erratum to “The process of self-care in patients with heart failure after nurse-assisted remote patient monitoring: A qualitative longitudinal approach”","authors":"Signe Østrem , Anna Strömberg , Kari Hanne Gjeilo , Marianne Storm , Ingvild M. Morken","doi":"10.1016/j.ijnsa.2025.100453","DOIUrl":"10.1016/j.ijnsa.2025.100453","url":null,"abstract":"","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100453"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.ijnsa.2025.100441
Joana Teixeira , Celeste Bastos , Maria do Rosário Pinto
Background
Peripheral intravenous catheters are widely used in emergency departments for intravenous treatment. However, peripheral intravenous catheter practices supported by the latest evidence remain suboptimal, negatively affecting patient outcomes.
Objective
To identify the determinants influencing adherence to peripheral intravenous catheter guidelines in the emergency department (the insertion technique, maintenance protocols, and timely removal) and to analyse strategies for improving adherence.
Methods
A systematic review was conducted from August to September 2025, in the Cochrane Central Register of Controlled Trials, CINAHL Complete, MEDLINE Complete databases (via EBSCOhost), and SCOPUS and included eligible papers published from 2018, according to eligibility criteria: studies involving emergency department nurses or clinicians, focusing on peripheral intravenous catheter adherence determinants and related strategies. This approach followed the methodological guidelines of the Joanna Briggs Institute and the PRISMA Statement reporting guidelines for Systematic Reviews.
Results
The six studies included in this review identified individual, organisational, and clinical decision-making determinants that influence emergency nurses’ adherence to peripheral intravenous catheter infection prevention guidelines, including limited knowledge, training gaps, lack of institutional support, and inconsistent practices. Effective strategies included ongoing education, ultrasound-guided training, the involvement of vascular access teams, and quality improvement approaches like the Plan-Do-Study-Act cycle.
Conclusions
This review identified key determinants and strategies that influence and enhance emergency nurses’ adherence to infection prevention guidelines for peripheral intravenous catheter care. The importance of integrating technical training with supportive environments and effective clinical leadership is emphasised throughout multimodal intervention programs. Future interventions should prioritise team empowerment, alignment with institutional goals, and promoting nurses’ motivation and self-efficacy, ideally through participatory approaches.
Registration
PROSPERO Registration ID CRD42024506801, registered 03/09/2024.
{"title":"Adherence to peripheral venous catheters’ guidelines by emergency nurses: A systematic review","authors":"Joana Teixeira , Celeste Bastos , Maria do Rosário Pinto","doi":"10.1016/j.ijnsa.2025.100441","DOIUrl":"10.1016/j.ijnsa.2025.100441","url":null,"abstract":"<div><h3>Background</h3><div>Peripheral intravenous catheters are widely used in emergency departments for intravenous treatment. However, peripheral intravenous catheter practices supported by the latest evidence remain suboptimal, negatively affecting patient outcomes.</div></div><div><h3>Objective</h3><div>To identify the determinants influencing adherence to peripheral intravenous catheter guidelines in the emergency department (the insertion technique, maintenance protocols, and timely removal) and to analyse strategies for improving adherence.</div></div><div><h3>Methods</h3><div>A systematic review was conducted from August to September 2025, in the Cochrane Central Register of Controlled Trials, CINAHL Complete, MEDLINE Complete databases (via EBSCOhost), and SCOPUS and included eligible papers published from 2018, according to eligibility criteria: studies involving emergency department nurses or clinicians, focusing on peripheral intravenous catheter adherence determinants and related strategies. This approach followed the methodological guidelines of the Joanna Briggs Institute and the PRISMA Statement reporting guidelines for Systematic Reviews.</div></div><div><h3>Results</h3><div>The six studies included in this review identified individual, organisational, and clinical decision-making determinants that influence emergency nurses’ adherence to peripheral intravenous catheter infection prevention guidelines, including limited knowledge, training gaps, lack of institutional support, and inconsistent practices. Effective strategies included ongoing education, ultrasound-guided training, the involvement of vascular access teams, and quality improvement approaches like the Plan-Do-Study-Act cycle.</div></div><div><h3>Conclusions</h3><div>This review identified key determinants and strategies that influence and enhance emergency nurses’ adherence to infection prevention guidelines for peripheral intravenous catheter care. The importance of integrating technical training with supportive environments and effective clinical leadership is emphasised throughout multimodal intervention programs. Future interventions should prioritise team empowerment, alignment with institutional goals, and promoting nurses’ motivation and self-efficacy, ideally through participatory approaches.</div></div><div><h3>Registration</h3><div>PROSPERO Registration ID CRD42024506801, registered 03/09/2024.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100441"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.ijnsa.2025.100363
Maria Zink , Johannes Wendsche , Steffi G. Riedel-Heller , Franziska Jung , Marlen Melzer
{"title":"Corrigendum to “Organizational interventions and strategies for COVID-19 pandemic management in acute care setting: A qualitative interview study with nurse leaders in German hospitals” [International Journal of Nursing Studies Advances, Volume 8 (2025) 100336]","authors":"Maria Zink , Johannes Wendsche , Steffi G. Riedel-Heller , Franziska Jung , Marlen Melzer","doi":"10.1016/j.ijnsa.2025.100363","DOIUrl":"10.1016/j.ijnsa.2025.100363","url":null,"abstract":"","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100363"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.1016/j.ijnsa.2025.100407
Mohammad Salehpour , Sina Sharifi , Akram Parandeh
Background and Aims
Spirituality and spiritual self-care are vital for addressing patients’ needs, yet their meaning and scope remain poorly-defined in nursing. We aimed to provide an integrative review of spiritual self-care among clinical nurses.
Methods
This study was an integrative review. Articles were searched using the keywords related to self-care and spirituality in nursing. The search covered the period from 1960 to early March 2024 across databases including PubMed, ISI Web of Science, Scopus, ProQuest, Cochrane Library, and Science Direct, as well as the Google Scholar search engine. The initial search resulted in 12,302 articles. Finally, data were collected and analyzed using the Broome method.
Results
Sixteen studies were included and covered diverse designs, such as qualitative research, reviews, randomized controlled and quasi-experimental studies, opinion articles, and conceptual/theoretical papers. The analysis identified three overarching themes: (1) antecedents, definitions, and dimensions of spiritual self-care; (2) practices; and (3) outcomes, highlighting improvements in nurses’ physical, emotional, social, and spiritual well-being.
Conclusion
We have underscored the critical role of spiritual self-care in enhancing nurses’ well-being and professional development. By clarifying its key antecedents, dimensions, and practices, we have highlighted how spiritual self-care not only strengthened nurses’ physical, emotional, social, and spiritual health but also improved care quality and patient outcomes. These insights may provide a foundation for developing targeted interventions and supportive policies to foster spiritual well-being among clinical nurses.
背景和目的精神和精神自我保健对于满足患者的需求至关重要，但其意义和范围在护理中仍然定义不清。我们的目的是提供一个综合检讨精神自我保健的临床护士。方法本研究为综合综述。文章以护理中的自我照顾和灵性相关的关键词进行检索。该搜索涵盖了从1960年到2024年3月初的数据库，包括PubMed、ISI Web of Science、Scopus、ProQuest、Cochrane Library和Science Direct，以及谷歌Scholar搜索引擎。最初的搜索结果是12302篇文章。最后，采用Broome法对数据进行收集和分析。结果共纳入16项研究，涵盖了定性研究、综述、随机对照和准实验研究、观点文章和概念/理论论文等多种设计。分析确定了三个总体主题：(1)精神自我照顾的前提、定义和维度；(2)实践;(3)结果，强调护士身体、情感、社会和精神健康的改善。结论精神自我护理在提高护士幸福感和专业发展中的重要作用。通过澄清其关键的前提、维度和实践，我们强调了精神自我护理不仅加强了护士的身体、情感、社会和精神健康，而且提高了护理质量和患者的治疗效果。这些见解可能为制定有针对性的干预措施和支持性政策提供基础，以促进临床护士的精神健康。
{"title":"Spiritual self-care in clinical nursing: An integrative review","authors":"Mohammad Salehpour , Sina Sharifi , Akram Parandeh","doi":"10.1016/j.ijnsa.2025.100407","DOIUrl":"10.1016/j.ijnsa.2025.100407","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Spirituality and spiritual self-care are vital for addressing patients’ needs, yet their meaning and scope remain poorly-defined in nursing. We aimed to provide an integrative review of spiritual self-care among clinical nurses.</div></div><div><h3>Methods</h3><div>This study was an integrative review. Articles were searched using the keywords related to self-care and spirituality in nursing. The search covered the period from 1960 to early March 2024 across databases including PubMed, ISI Web of Science, Scopus, ProQuest, Cochrane Library, and Science Direct, as well as the Google Scholar search engine. The initial search resulted in 12,302 articles. Finally, data were collected and analyzed using the Broome method.</div></div><div><h3>Results</h3><div>Sixteen studies were included and covered diverse designs, such as qualitative research, reviews, randomized controlled and quasi-experimental studies, opinion articles, and conceptual/theoretical papers. The analysis identified three overarching themes: (1) antecedents, definitions, and dimensions of spiritual self-care; (2) practices; and (3) outcomes, highlighting improvements in nurses’ physical, emotional, social, and spiritual well-being.</div></div><div><h3>Conclusion</h3><div>We have underscored the critical role of spiritual self-care in enhancing nurses’ well-being and professional development. By clarifying its key antecedents, dimensions, and practices, we have highlighted how spiritual self-care not only strengthened nurses’ physical, emotional, social, and spiritual health but also improved care quality and patient outcomes. These insights may provide a foundation for developing targeted interventions and supportive policies to foster spiritual well-being among clinical nurses.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100407"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145622920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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