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Ageism toward older adults among healthcare workers and students: A scoping review 卫生保健工作者和学生对老年人的年龄歧视:范围审查
IF 3.1 Q1 NURSING Pub Date : 2025-12-08 DOI: 10.1016/j.ijnsa.2025.100468
Quynh Thuong Huynh, Aletheia Xuanyu Lai, Tiow Shen Chua, Yan Ling Phoon, Kang Lynn Wong, Yi En Ng, Margaret Mei Ling Soon

Introduction

Ageism, particularly against older adults, is widespread in different settings, including public policies, healthcare institutions, workplaces and media. Its pervasive presence, especially in healthcare settings, has caused a significant impact on the economics and healthcare expenses and has become a growing concern. Older adults' health outcomes are impacted by both positive and negative ageism displayed by healthcare workers and students. Although multiple reviews have studied ageism in healthcare, literature mapping the presence of both positive and negative ageism among healthcare workers and students while synthesizing current interventions remains lacking.

Objective

This scoping review aims to map the presence of both positive and negative ageism among healthcare workers and students as well as synthesise the current types of interventions that address ageism among HCWs and students and its outcome.

Methods

This scoping review followed Arksey and O’Malley’s five-step methodology. A total of 156 studies were included.

Results

The included studies comprise 134 quantitative, 14 qualitative and 8 mixed-method studies. Most studies are conducted in high-income countries, while none of them are conducted in low-income countries. The majority are mainly focusing on the nursing profession and nursing students. Furthermore, almost two-thirds of the included studies are particularly looking at healthcare students. The findings show that almost half of the healthcare workers and students have positive ageism toward older adults. Surprisingly, only about 10 % reported negative ageism. Mixed, neutral and inconclusive presence of ageism are also reported. Various interventions have been adopted to tackle ageism, such as courses and curriculum interventions, clinical experience, intergenerational interaction, mentoring, simulation and psychological training. In addition, this scoping review highlights the need to develop a comprehensive scale to measure ageism accurately and evaluate existing interventions.

Implication

Future studies should focus more on underrepresented regions such as low-income countries, Southeast Asia, and Africa. At the same time, to improve comparability across different studies, a widely accepted tool for evaluating both positive and negative ageism needs to be developed.
年龄歧视,特别是针对老年人的歧视,在不同的环境中普遍存在,包括公共政策、卫生保健机构、工作场所和媒体。它的普遍存在,特别是在医疗保健环境中,对经济和医疗保健费用造成了重大影响,并已成为一个日益关注的问题。老年人的健康结果受到保健工作者和学生表现出的积极和消极年龄歧视的影响。虽然已有多项综述研究了医疗保健中的年龄歧视,但在综合当前干预措施的同时,还缺乏文献描绘出医疗工作者和学生中存在的积极和消极年龄歧视。目的:本综述旨在了解卫生保健工作者和学生中存在的积极和消极年龄歧视,并综合目前针对卫生保健工作者和学生中年龄歧视的干预措施及其结果。方法本综述遵循Arksey和O 'Malley的五步方法。共纳入156项研究。结果纳入的研究包括134项定量研究、14项定性研究和8项混合方法研究。大多数研究是在高收入国家进行的,而没有一项研究是在低收入国家进行的。大多数主要集中在护理专业和护理学生。此外,近三分之二的纳入研究特别关注医疗保健专业的学生。调查结果显示,近一半的医护人员和学生对老年人有积极的年龄歧视。令人惊讶的是,只有大约10%的人报告了负面的年龄歧视。也有报道称存在混合、中性和不确定的年龄歧视。采取了各种干预措施来解决年龄歧视问题,例如课程和课程干预、临床经验、代际互动、指导、模拟和心理训练。此外,这项范围审查强调需要制定一个全面的量表来准确衡量年龄歧视并评估现有的干预措施。未来的研究应更多地关注代表性不足的地区,如低收入国家、东南亚和非洲。同时,为了提高不同研究之间的可比性,需要开发一种被广泛接受的评估积极和消极年龄歧视的工具。
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引用次数: 0
Women' and midwives' experiences of perinatal mental health care: A qualitative study 妇女和助产士的围产期心理保健经验:一项定性研究
IF 3.1 Q1 NURSING Pub Date : 2025-12-06 DOI: 10.1016/j.ijnsa.2025.100467
Raquel Navarro Maldonado , Antonio R. Moreno-Poyato , Nuria María Albacar Rioboó

Background

Perinatal mental health problems affect one in five women during pregnancy and the first postpartum year, negatively impacting maternal and infant health. Despite its importance, healthcare remains focused on physical aspects, whereas mental health is neglected, highlighting the need for comprehensive and effective approaches.

Aim

To explore the current status of perinatal mental healthcare from the perspective of women and midwives, and to identify needs, challenges, and potential solutions to improve comprehensive care during pregnancy and the postpartum period.

Methods

An exploratory qualitative study in which 20 midwives from different care settings and 30 women at different stages of pregnancy and postpartum participated in individual semi-structured interviews. Reflexive thematic analysis assisted by Nvivo12 was used for data analysis.

Results

Four main themes emerged from the data analysis: (I) Challenges in Emotional Care: Cultural stigma identified as a significant barrier. Culturally sensitive care and strong therapeutic relationships highlighted as essential for emotional support. Need for dedicated time and safe spaces to facilitate emotional openness. (II) Significance of Perinatal Mental Health: Importance widely recognized but rarely addressed effectively. Mental health closely linked to emotional well-being, yet often neglected in daily practice. (III) Training-related challenges: Midwives report feeling unprepared. Need for ongoing, specific mental health training and standardized assessment tools. (IV) Challenges in Clinical Practice: Absence of clear protocols. High workloads hinder emotional care. Inconsistent approaches contribute to fragmented care.

Conclusions

This study highlights key priorities to improve perinatal mental healthcare: including culturally sensitive training, validated and standardised assessment tools, clear clinical protocols, and sufficient time for emotional support. Strengthening therapeutic relationships between midwives and pregnant and postpartum women emerged as essential for effective care. Findings support implementing structured support groups, multidisciplinary collaboration, and a more responsive, holistic care model.
五分之一的妇女在怀孕期间和产后第一年受到围产期心理健康问题的影响,对母婴健康产生负面影响。尽管它很重要,但医疗保健仍然侧重于身体方面,而忽视了精神健康,这突出表明需要采取全面有效的办法。目的从妇女和助产士的角度探讨围产期心理保健的现状,找出孕期和产后综合护理的需求、挑战和可能的解决方案。方法采用探索性质的研究方法,对来自不同护理机构的20名助产士和30名处于妊娠和产后不同阶段的妇女进行半结构化访谈。数据分析采用Nvivo12辅助的反身性专题分析。结果从数据分析中得出了四个主要主题:(1)情感护理的挑战:文化耻辱感被认为是一个重大障碍。文化敏感的护理和强有力的治疗关系被强调为情感支持的必要条件。需要专门的时间和安全的空间来促进情感的开放。(二)围产期心理健康的重要性:其重要性得到广泛承认,但很少得到有效处理。心理健康与情感健康密切相关,但在日常实践中往往被忽视。(三)与培训相关的挑战:助产士报告感到措手不及。需要持续的、具体的心理健康培训和标准化评估工具。(四)临床实践中的挑战:缺乏明确的方案。高工作量会阻碍情感关怀。不一致的治疗方法导致护理支离破碎。结论:本研究强调了改善围产期心理保健的关键优先事项:包括文化敏感性培训,有效和标准化的评估工具,明确的临床方案,以及充足的情感支持时间。加强助产士与孕妇和产后妇女之间的治疗关系对有效护理至关重要。研究结果支持实施结构化的支持小组、多学科合作和更具响应性的整体护理模式。
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引用次数: 0
Indonesian immigrant nurses' stress, distress, and coping: A qualitative study 印尼移民护士的压力、苦恼与应对:一项质性研究
IF 3.1 Q1 NURSING Pub Date : 2025-12-05 DOI: 10.1016/j.ijnsa.2025.100466
Mundakir Mundakir , Ferry Efendi , Hema Malini , Reliani Reliani , Diah Priyantini , Chlara Yunita Prabawati , Rifky Octavia Pradipta

Background

The experience of nurses migrating abroad to work clinically can have a significant impact on their mental health. Stress factors can include adjusting to a new work system, language challenges, and adaptation.

Purpose

The aim was to analyse the stress, distress, and coping conditions of Indonesian nurses returning home after working abroad.

Methods

This was a qualitative descriptive and interpretative phenomenological approach with 30 nurses who returned home after working abroad, recruited using snowball sampling. Data collection was carried out in Indonesia through semi-structured interviews with the participants. Interviews were conducted in Indonesian and lasted approximately 60 minutes. The data were analysed using reflective thematic analysis.

Results

There were three themes. The first was feeling stressed with the work, consisting of sub-themes feeling a high mental burden, experiences that made one cry, difficulty in adapting, overwork in the field, and feeling alone in a foreign country. The second theme was mental health and its impact on life, with the sub-themes of feeling afraid, feeling traumatised, thinking about losing weight, inability to express feelings, and often being a victim of bullying. The third theme was coping mechanisms while working abroad, consisting of the sub-themes of coping was not good enough, feeling relieved to return to Indonesia, surrendering to the situation, being able to manage oneself and one’s mentality, always having to be ready to learn, relieving stress with entertainment, finding a place to express feelings, and strengthening commitment and planning.

Conclusions

Indonesian nurses working abroad faced a number of complex challenges as migrant nurses.
护士出国临床工作的经历会对其心理健康产生重大影响。压力因素包括适应新的工作系统、语言挑战和适应。目的分析印尼护士海外工作回国后的压力、困扰及应对情况。方法采用滚雪球抽样方法,对30名在国外工作后回国的护士进行定性描述和解释性现象学研究。数据收集是在印度尼西亚通过与参与者的半结构化访谈进行的。采访以印尼语进行,持续了大约60分钟。使用反思性专题分析对数据进行了分析。结果有三个主题。第一种是工作压力大,包括精神负担大、经历哭、适应困难、野外劳累、在异国他乡感到孤独等。第二个主题是心理健康及其对生活的影响,次主题是感到害怕、感到受到创伤、考虑减肥、无法表达情感以及经常成为欺凌的受害者。第三个主题是在国外工作的应对机制,包括应对不够好、回到印尼就放心、向形势屈服、能够管理好自己和自己的心态、时刻准备学习、以娱乐释放压力、找到表达情感的地方、加强承诺和规划等子主题。结论印尼护士作为流动护士,在国外工作面临着许多复杂的挑战。
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引用次数: 0
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 创新动机:外科护士从循证护理能力、护医合作到知识共享行为的路径:基于COM-B模型的结构方程建模研究
IF 3.1 Q1 NURSING Pub Date : 2025-12-04 DOI: 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
随着循证医学的发展,大量高质量的证据不断产生,但外科护士在知识共享行为方面仍然薄弱。组织和个人因素将决定外科护士如何分享知识。然而,基于能力、机会、动机、行为(COM-B)模型的横断面研究很少探讨个体内外部因素对外科护士知识共享行为的影响路径。目的基于COM-B模型评价外科护士知识共享行为的现状及影响因素,探讨外科护士知识共享行为的途径。DesignCross-sectional研究。中国31个省市的174所公立医院。方法于2023年5 - 6月在中国外科进行横断面研究。采用方便抽样和问卷调查,方便抽样和数据收集。研究共纳入1388名外科护士。采用单因素分析和相关分析对数据进行处理,采用结构方程模型(SEM)对中心假设进行检验。结果被试的知识共享行为得分为54.98±13.33分,与平均得分相比处于中低水平。知识共享行为水平与各变量之间存在正相关关系(p < 0.001)。知识共享行为与循证护理能力(r = 0.399)、创新自我效能感(r = 0.496)、护医协作(r = 0.288)呈显著正相关。循证护理能力和护医合作对知识共享行为有直接影响。结果证实,创新自我效能感在循证护理能力与知识共享行为之间具有部分中介作用(β = 0.038, 95%可信区间[0.029,0.049])。同时,创新自我效能感在护医协作与知识共享行为之间也起部分中介作用(β = 0.083, 95%置信区间[0.065,0.104])。结论根据COM-B模型,验证了循证护理能力、创新动机和组织协作对知识共享行为的多重有效路径。外科护士在护理围手术期病人和危重病人方面有丰富的经验。如果他们能够自己或在团队的支持下积极分享知识,这对于提高护理质量和确保患者安全至关重要。
{"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 ,&nbsp;Meixian Li ,&nbsp;Xiaodi Zhang ,&nbsp;Haiwei Fu ,&nbsp;Ying Wu ,&nbsp;Zonghua Wang","doi":"10.1016/j.ijnsa.2025.100464","DOIUrl":"10.1016/j.ijnsa.2025.100464","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;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.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Cross-sectional study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting(s)&lt;/h3&gt;&lt;div&gt;174 public hospitals in 31 provinces and municipalities of China.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;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).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;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 (&lt;em&gt;p&lt;/em&gt; &lt; 0.001). The knowledge sharing behavior was significantly positively correlated with evidence-based nursing competence (&lt;em&gt;r&lt;/em&gt; = 0.399), creative self-efficacy (&lt;em&gt;r&lt;/em&gt; = 0.496), nurse-physician collaboration (&lt;em&gt;r&lt;/em&gt; = 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 (&lt;em&gt;β&lt;/em&gt; = 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 (&lt;em&gt;β&lt;/em&gt; = 0.083, 95 % confidence interval [0.065, 0.104]).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;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}
引用次数: 0
Living beyond survival: Experiences of self-management among long-term breast cancer survivors – A qualitative study 超越生存的生活:长期乳腺癌幸存者的自我管理经验-一项定性研究
IF 3.1 Q1 NURSING Pub Date : 2025-12-04 DOI: 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.
长期来看,乳腺癌与多种症状和合并症有关,这些症状和合并症往往相互聚集和加剧。长期乳腺癌幸存者面临着从以治疗为中心的护理过渡到以非治疗为导向的生活的挑战。目的探讨长期乳腺癌幸存者处理癌症相关症状的经验,为幸存者护理提供参考。设计定性描述性研究。方法采用有目的的抽样方法,在广州某三级医院招募长期乳腺癌幸存者。在2025年6月至7月期间进行了半结构化访谈,录音和逐字抄写。数据采用专题分析,数据管理采用NVivo 12软件。结果共有18名女性乳腺癌幸存者参与。出现了三个主题:(1)长期症状的持续阴影表现和负担;(2)驾驭新常态:自我管理策略与适应;(3)自我管理过程中的推动因素和障碍。结论长期乳腺癌幸存者面临持续的症状负担,采用多种自我管理策略,但对自我管理的理解各不相同,有效的自我管理应兼顾心理健康和身体健康。量身定制的教育和技术工具可能有助于克服障碍,特别是在卫生知识水平较低的老年幸存者中。
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引用次数: 0
Identification of pre-frail/frail older adults using the Integrated Care for Older People WHO Step1 screening tool: a cross sectional study 使用世卫组织Step1老年人综合护理筛查工具识别体弱/体弱老年人:一项横断面研究
IF 3.1 Q1 NURSING Pub Date : 2025-12-04 DOI: 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.
背景:老年人综合护理计划是世界卫生组织(WHO)提出的一项预防功能衰退的建议。它分为四个步骤,包括Step1筛查,Step2发现异常时的综合评估,Step1为预防计划,Step3为内在能力的长期随访,Step4为护理计划的实施。为了满足这一评估,需要和考虑到医疗保健专业人员的限制,重要的是要明确哪些老年人最容易衰退(根据Linda Fried的评分,体弱前/体弱者)。目的评估老年人综合护理WHO Step1是否可以在初级保健环境中将体弱/体弱老年人与健全人分开。方法本横断面研究涉及在图卢兹大学医院ICOPE MONITOR平台上注册的参与者。Step1的结果通过回归分析和分类回归树方法进行选择,这有助于确定最有可能处于脆弱前期/脆弱状态的参与者。在2020年1月1日至2024年6月30日期间,3118名参与者被纳入本研究。虚弱前/虚弱与单独的活动警报(84.7%)、单独的营养警报(88.9%)以及两者相关(96.7%)相关。对于年龄最大的参与者(76岁以上),心理警报也与前期虚弱/脆弱密切相关(63.9%)。本研究允许医疗保健专业人员在第1步优先考虑行动能力受损和/或营养不良的参与者,以便进行老年人综合护理计划的下一步。这种方法通过对正确的临床特征提供适当的反应来解决参与者的需求,并促进了社区对老年人综合护理Step1的解释。
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引用次数: 0
Ethics based educational interventions on end-of-life care for undergraduate nursing students: A scoping review 基于伦理学的本科护生临终关怀教育干预:范围综述
IF 3.1 Q1 NURSING Pub Date : 2025-12-03 DOI: 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.
护士在临终关怀中面临着各种伦理困境和冲突;然而,没有证据表明有效的本科伦理教育的主题设置来解决这些问题。目的本综述旨在描述以本科护理教育中的伦理内容为重点的临终关怀教育干预措施及其对学生的影响。本综述采用了Arksey和O'Malley的五阶段范围界定过程。方法本研究使用2012 - 2023年的Ovid (CINAHL和MEDLINE)和PubMed文献数据库。我们纳入了定性、定量和混合方法研究的文献,这些文献可以提供有关本科护理课程中伦理临终关怀(EOLC)教育干预的信息。我们排除了综述性文章以避免重复。搜索字符串包括(“教育,护理”或“教育,护理,学士学位”)和(“伦理”)或(“临终关怀”或“临终关怀”或“临终关怀”或“临终关怀”或“姑息治疗”)。本研究仅限于本科护理教育中EOLC伦理的教育干预研究。结果共检索到4190篇文献,其中25篇纳入分析。25项研究中有14项是在美国进行的,而其他研究则是在世界各地进行的。未发现针对EOLC伦理本身的干预研究文章,这些文章要么作为EOLC护理教育的一部分,要么作为EOLC案例研究纳入伦理教育。其中,17项研究包括讲授EOLC伦理,4项研究使用情景和案例研究作为教学方法。12项研究使用场景进行模拟教育。七项研究结合了讲座和模拟。讲座提高了学生对死亡的认识和态度,增强了他们对EOLC的信心。模拟干预的结果是,除了知识和态度的改善之外,参与者还获得了沟通技巧、对照顾的舒适、自信、自我效能和反思自己态度的能力。结论:讲座能有效地培养基于伦理能力的伦理知识和伦理态度,而模拟则能更有效地培养沟通、自我效能和反思等实践技能。将伦理问题纳入模拟有望广泛发展伦理实践能力。
{"title":"Ethics based educational interventions on end-of-life care for undergraduate nursing students: A scoping review","authors":"Saeko Kutsunugi ,&nbsp;Satoko Ono ,&nbsp;Misae Ito ,&nbsp;Kaho Suda ,&nbsp;Siu Ling Chan ,&nbsp;John Tai Chun Fung ,&nbsp;Claudia Kam Yuk Lai ,&nbsp;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}
引用次数: 0
Erratum to “The process of self-care in patients with heart failure after nurse-assisted remote patient monitoring: A qualitative longitudinal approach” 对“护士辅助远程监护心衰患者自我护理过程的定性纵向研究”的勘误
IF 3.1 Q1 NURSING Pub Date : 2025-12-01 DOI: 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 ,&nbsp;Anna Strömberg ,&nbsp;Kari Hanne Gjeilo ,&nbsp;Marianne Storm ,&nbsp;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}
引用次数: 0
Corrigendum to “Factors associated with nursing care rationing in Poland: A cross-sectional observational study” [International Journal of Nursing Studies Advances, 9 (2025) 100413] “波兰护理配给相关因素的更正:一项横断面观察研究”[国际护理研究进展杂志,9 (2025)100413]
IF 3.1 Q1 NURSING Pub Date : 2025-12-01 DOI: 10.1016/j.ijnsa.2025.100419
Daria Schneider-Matyka , Kamila Rachubińska , Anna Maria Cybulska , Mariusz Panczyk , Przemysław Ustianowski , Ireneusz Walaszek , Dorota Ćwiek , Elżbieta Grochans , Małgorzata Szkup
{"title":"Corrigendum to “Factors associated with nursing care rationing in Poland: A cross-sectional observational study” [International Journal of Nursing Studies Advances, 9 (2025) 100413]","authors":"Daria Schneider-Matyka ,&nbsp;Kamila Rachubińska ,&nbsp;Anna Maria Cybulska ,&nbsp;Mariusz Panczyk ,&nbsp;Przemysław Ustianowski ,&nbsp;Ireneusz Walaszek ,&nbsp;Dorota Ćwiek ,&nbsp;Elżbieta Grochans ,&nbsp;Małgorzata Szkup","doi":"10.1016/j.ijnsa.2025.100419","DOIUrl":"10.1016/j.ijnsa.2025.100419","url":null,"abstract":"","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100419"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623102","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}
引用次数: 0
Quality peer review 高质量的同行评审
IF 3.1 Q1 NURSING Pub Date : 2025-12-01 DOI: 10.1016/j.ijnsa.2025.100382
Jan Kottner , Chiara Dall’Ora , Peter Griffiths , Ian Norman
{"title":"Quality peer review","authors":"Jan Kottner ,&nbsp;Chiara Dall’Ora ,&nbsp;Peter Griffiths ,&nbsp;Ian Norman","doi":"10.1016/j.ijnsa.2025.100382","DOIUrl":"10.1016/j.ijnsa.2025.100382","url":null,"abstract":"","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100382"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145622921","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}
引用次数: 0
期刊
International Journal of Nursing Studies Advances
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