International Journal of Nursing Studies Advances最新文献

{"title":"Adherence to peripheral venous catheters’ guidelines by emergency nurses: A systematic review","authors":"Joana Teixeira ,&nbsp;Celeste Bastos ,&nbsp;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}

{"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 ,&nbsp;Johannes Wendsche ,&nbsp;Steffi G. Riedel-Heller ,&nbsp;Franziska Jung ,&nbsp;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}

{"title":"Spiritual self-care in clinical nursing: An integrative review","authors":"Mohammad Salehpour ,&nbsp;Sina Sharifi ,&nbsp;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}

{"title":"Measurement of professional nursing communication competence: Psychometric properties of the Nursing Communication Competence Measurement Instrument","authors":"Samuel Freitas Soares ,&nbsp;Aida Maris Peres ,&nbsp;Elaine Cristina Carvalho Moura","doi":"10.1016/j.ijnsa.2025.100428","DOIUrl":"10.1016/j.ijnsa.2025.100428","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Effective communication plays a crucial role in improving nursing practices and health outcomes, leading to higher patient satisfaction and enhanced safety. The Nursing Communication Competence Measurement Instrument was developed to address gaps in evaluating communication competence. This tool is applicable for both simulation-based education and real-world clinical practice, providing a valuable framework for assessment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To assess the psychometric properties of the Nursing Communication Competence Measurement Instrument, focusing on its components of knowledge, skills, and attitudes. The study aims to standardize and normalize its administration while also conducting a cross-cultural adaptation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Methodological study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Settings&lt;/h3&gt;&lt;div&gt;The study was conducted at the Simulation Laboratories of the Federal University of Piauí (northeastern Brazil), the Federal University of Paraná, and the Pequeno Príncipe College (both in southern Brazil).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;A total of 249 senior undergraduate nursing students participated in the study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;The study was conducted in three phases: (a) planning educational interventions, which included delivering classes and applying simulation-based education focused on the targeted competency; (b) conducting psychometric analyses to assess dimensionality, item difficulty, discrimination, and internal consistency reliability; and (c) establishing the standardization and normalization of the instrument. Data were collected at three points: before the communication competence class, immediately after the clinical simulation scenario, and after the simulation debriefing.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Participants (n = 249) had a mean age of 24.4 years (SD = 4.6), with 87.6 % identifying as women. Most were in the final year of undergraduate nursing education, and over half (53.8 %) had recent experience with advanced clinical simulation. Confirmatory Factor Analysis confirmed the three-dimensional structure of the instrument— knowledge (ω = 0.928), skills (ω = 0.927), and attitudes (ω = 0.939) — with excellent model fit (CFI = 1.00, TLI = 1.00, GFI = 0.98, RMSEA = 0.000, SRMR = 0.059) and high overall internal consistency (ω = 0.972). Item Response Theory analysis revealed strong psychometric performance, with discrimination values ranging from moderate (1.21) to very high (3.13); 69.6 % of the items demonstrated very high discrimination, and items covered a wide range of difficulty levels across the latent trait continuum. The normalization process transformed raw scores into a percentage-based effectiveness index, facilitating participant classification into five levels of communication competence: non-effective, slightly effective, moderately effective, very effective, and extremely effective. These findings support the validity,","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100428"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623105","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}

{"title":"Erratum to “The mediating role of caregiver guilt in the relationship between stroke patients’ functional status and caregiver burden: A correlational study”","authors":"Le Zhou ,&nbsp;Yaofeng Zhu ,&nbsp;Shuo Liu ,&nbsp;Lisha Tang ,&nbsp;Wenya He ,&nbsp;Huihong Zhong ,&nbsp;Min Tian ,&nbsp;Ru Tian ,&nbsp;Ping Li","doi":"10.1016/j.ijnsa.2025.100454","DOIUrl":"10.1016/j.ijnsa.2025.100454","url":null,"abstract":"","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100454"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623101","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}

{"title":"The association of leadership with nurses' turnover intention: A two-wave cross-sectional study","authors":"Shahbaz Masih ,&nbsp;Mohammad Nisar Khattak ,&nbsp;Tariq Iqbal Khan","doi":"10.1016/j.ijnsa.2025.100459","DOIUrl":"10.1016/j.ijnsa.2025.100459","url":null,"abstract":"<div><h3>Background</h3><div>Destructive leadership, particularly exploitative leadership (leaders benefiting themselves at the expense of followers), has received limited attention in nursing research. Moreover, the fundamental mechanisms and boundary conditions associated with exploitative leadership that trigger turnover intention have also been neglected.</div></div><div><h3>Aim</h3><div>Based on the conservation of resources theory, we explored how exploitative leadership was associated with nurses’ turnover intention through emotional exhaustion and further looked into the moderating effect of emotional intelligence on the relationship between emotional exhaustion and turnover intention.</div></div><div><h3>Methods</h3><div>This was a cross-sectional study, with a survey carried out between January and March 2024.</div></div><div><h3>Setting(s)</h3><div>Data were gathered at two intervals from nurses (<em>N</em> = 361) across 10 hospitals, both public and private, in five cities (four provincial capitals and one federal capital) in Pakistan. Structural equation modeling was carried out to evaluate the proposed mediation and moderation effects.</div></div><div><h3>Results</h3><div>We identified a statistically-significant positive association between exploitative leadership and both turnover intention and emotional exhaustion among nurses. Furthermore, emotional exhaustion partially mediated the relationship between exploitative leadership and turnover intention, and emotional intelligence weakened the relationship between emotional exhaustion and turnover intention.</div></div><div><h3>Conclusions</h3><div>Exploitative leadership was associated with adverse effects among nurses, manifested as emotional exhaustion and turnover intention; nevertheless, these detrimental events may be mitigated through nurses’ emotional intelligence.</div></div><div><h3>Implications for Nursing Management</h3><div>Training programs might be considered, arranged for nursing leaders with a focus on cultivating leadership abilities, and for nurses with a focus on emotional intelligence and stress management to equip them to combat emotional exhaustion.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100459"},"PeriodicalIF":3.1,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145691862","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}

{"title":"Patient outcomes of a post-anaesthesia fast-track pathway after outpatient surgery: A systematic review","authors":"Ella Hermie ,&nbsp;Nicky Van Der Vekens ,&nbsp;Hannelore Hofman ,&nbsp;Annelies Van Damme ,&nbsp;Alexander Verheggen ,&nbsp;Ann Van Hecke ,&nbsp;Dimitri Beeckman","doi":"10.1016/j.ijnsa.2025.100458","DOIUrl":"10.1016/j.ijnsa.2025.100458","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Advances in surgical and anaesthetic techniques have enabled some outpatients to meet the criteria for discharge from the Post-Anaesthetic Care Unit while still in the operating room. These patients may benefit from being transferred directly from the operating room to a dedicated recovery area designed to expedite discharge home—a concept known as fast-tracking. Although this innovative approach to postoperative nursing care has already been implemented in clinical practice, its impact on patient outcomes and patient safety remains uncertain.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This systematic review aims to evaluate the effectiveness of a fast-track pathway compared to the standard recovery pathway after outpatient surgery.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Information sources&lt;/h3&gt;&lt;div&gt;The databases MEDLINE, Embase, Web of Science, CINAHL, Cochrane and Scopus were searched until January 2025.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The review included randomised-controlled trials, case-control studies, prospective and retrospective cohort studies that reported on fast-tracking of adult patients undergoing outpatient surgical procedures. Two reviewers independently assessed the eligibility of the articles identified with the search strategy. The risk of bias was assessed with the Risk of Bias 2 tool for randomised-controlled trials and the Risk of Bias in Non-randomised studies of Interventions for non-randomised controlled trials. Due to the heterogeneity of the included studies, a narrative synthesis was conducted to systematically summarise and interpret the findings across studies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The literature search identified 5226 unique records, with 7 studies of low quality and high risk of bias included in this review. 5 of the 7 studies were published before 2005. Bypass rates varied from 30 % to 87 %. All included studies reported a shorter postoperative length of stay for the fast-track group compared to the standard recovery pathway. The studies indicated that fast-tracked patients had similar, or in some cases, even better outcomes regarding readmission rates and the incidence of postoperative adverse effects compared to the standard recovery pathway.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Not all patients require admission to the Post-Anaesthetic Care Unit after outpatient surgery. Fast-tracking certain patients may offer benefits, such as a shorter postoperative length of stay, without negatively impacting patient outcomes. By reducing length of stay, improving patient flow and optimising resource utilisation, fast-tracking has the potential to enhance the efficiency and organisation of care while maintaining the quality. However, high-quality studies are needed to evaluate the safety and effectiveness of fast-tracking. As fast-tracking combines the care environments of the Post-Anaesthetic Care Unit and phase II recovery units, tailored nursing care for fast-track patients may be necessary","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100458"},"PeriodicalIF":3.1,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624854","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}

{"title":"Promoting and impeding factors for exercise in patients with osteopenia or osteoporosis: A systematic review","authors":"Yi Liu ,&nbsp;Chenxin Zhang ,&nbsp;Liping Zhang ,&nbsp;Xian Ma ,&nbsp;Zhenghui Dong","doi":"10.1016/j.ijnsa.2025.100456","DOIUrl":"10.1016/j.ijnsa.2025.100456","url":null,"abstract":"<div><h3>Background</h3><div>Osteopenia and osteoporosis are pressing public health issues associated with aging.</div></div><div><h3>Objective</h3><div>To systematically identify and synthesize the facilitators and barriers to exercise intervention adherence among individuals with osteopenia or osteoporosis.</div></div><div><h3>Design</h3><div>Systematic review</div></div><div><h3>Data Sources</h3><div>PubMed, Cochrane, EMBASE, Medline (Ovid), and Web of Science from inception to 31 March 2025.</div></div><div><h3>Methods</h3><div>Inclusion criteria: (1) Population: individuals with osteopenia/osteoporosis; (2) Intervention: exercise interventions targeting osteopenia/osteoporosis-related impairments; (3) Comparison: clear control group; (4) Outcomes: primary (adherence facilitators/barriers, e.g., pedometer/log data); secondary (dropout/adherence, adherence-promotion strategies, participant views); (5) Study type: randomized controlled trials. Exclusion criteria: (1) studies that were duplicates or had overlapping datasets; (2) incomplete publications/insufficient extractable data; (3) non-English literature. Two reviewers independently extracted data in duplicate and assessed bias risk.</div></div><div><h3>Results</h3><div>Thirty randomized controlled trials tested median 31-week programs (aerobic, balance, resistance, flexibility, impact, or functional training). Participants adhered to 83 % (59–100 %) of sessions; \"lack of time\" was the primary barrier (<em>n</em>=11/30) . Nine trials had low overall bias risk; allocation concealment or participant blinding was infrequently reported.</div></div><div><h3>Conclusion</h3><div>For individuals with osteopenia or osteoporosis, key barriers to activity were lack of time and existing health issues. Conversely, facilitators included expert coaching, engaging routines, group camaraderie, accessible facilities, and safety precautions. Future researchers should explore bone health-optimized exercises, identify activity facilitators/barriers, and develop tailored approaches to sustain patients’ fitness regimens.</div></div><div><h3>Registration</h3><div>The review protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO registration CRD420251013691).</div></div><div><h3>Tweetable Abstract</h3><div>Exercise boosts bone health but poor adherence limits efficacy. Our systematic review identifies top facilitators and barriers to optimize adherence.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100456"},"PeriodicalIF":3.1,"publicationDate":"2025-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938983","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}

{"title":"Health perspectives after intensive care unit-discharge: Insights from patient and family interviews","authors":"Marisa Onrust ,&nbsp;Ingeborg van der Meulen ,&nbsp;Marie Louise Luttik ,&nbsp;Wolter Paans ,&nbsp;Peter H.J. van der Voort ,&nbsp;Fredrike Blokzijl","doi":"10.1016/j.ijnsa.2025.100457","DOIUrl":"10.1016/j.ijnsa.2025.100457","url":null,"abstract":"<div><h3>Background</h3><div>The long-term consequences after an intensive care unit (ICU) hospitalization can be significant for both ICU survivors and their family members. Research in the past decades has shown that patients may develop new onset or worsened impairments in the physical, mental and cognitive domain and family members are known to experience psychological problems following ICU discharge. Furthermore, these impairments may affect daily functioning as well as family functioning.</div></div><div><h3>Aim</h3><div>To gain insight into the way ICU survivors and their family members experience their health, three months after ICU discharge and to what extend this affects their roles and relationships within the family system.</div></div><div><h3>Design</h3><div>An exploratory, qualitative study with in-depth interviewing.</div></div><div><h3>Setting(s)</h3><div>A large 38-bed ICU in a University Hospital in the Netherlands.</div></div><div><h3>Participants</h3><div>Ten ICU-survivors and ten family members.</div></div><div><h3>Methods</h3><div>ICU nurses performed in-depth interviews with ICU-survivors and family members, three months following discharge. Interviews were audio recorded and transcribed verbatim. Analysis was performed iteratively in accordance with the steps of inductive content analysis.</div></div><div><h3>Findings</h3><div>Ten ICU-survivors and ten family members participated. We found four main themes: <strong>personal autonomy, narrative reconstruction, relationship dynamics and empathetic concern,</strong> which manifest different for ICU-survivors and family members, highlighting the distinct nature of their experiences. Physical recovery was a primary concern for ICU-survivors as well as family members, in order to regain personal autonomy. The different ICU-narratives of survivors and family members was hindering emotional recovery. Relationship dynamics occurred due to feelings of connection and disconnection intertwining, and empathetic concern was shaped by feelings of guilt and ambivalence.</div></div><div><h3>Conclusions</h3><div>This study provides a deeper understanding of health perceptions of ICU-survivors and their family members, highlighting their contrasting experiences and the relational dynamics this can trigger. The findings of our study can be used to enhance the current approach of care after ICU discharge in any way, by actively involving the family system. Diagnostic, intervention, and outcome classification systems for nurses can be helpful in incorporating family-related aspects into the ICU context and aligning them with established family interventions, such as ‘the family health conversation’ and the ICU-diary.</div></div><div><h3>Registration</h3><div>Not registered.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"10 ","pages":"Article 100457"},"PeriodicalIF":3.1,"publicationDate":"2025-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145584588","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}