Pub Date : 2025-10-04DOI: 10.1016/j.ijnsa.2025.100432
Joy Sessa , Lauri Bishop , Carolina M. Gutierrez , Hannah Gardener , Judith Krigman , Christina Ampie , Valynncea Butler , Ashley Bolling , Farya Fakoori , Tara Hylton , Evie Sobczak , Negar Asdaghi , Tatjana Rundek , Jose G. Romano , Gillian Gordon Perue , Florida Stroke Registry
Background
Optimization of stroke care plays a critical role in post-stroke outcomes. The stroke coordinator role includes leadership of stroke care teams, education of staff, patients, and emergency personnel, and stroke care quality improvement initiatives. The current study aimed to characterize Florida stroke coordinator responsibilities, stroke coordinators roles, and resources available and job satisfaction through a statewide hospital survey.
Methods
We report on a 20-item Stroke Coordinator Roles and Responsibility Survey that was administered to stroke coordinators from participating Florida hospitals. Topics included description of stroke center (i.e., size and type); experience of stroke coordinator; roles/responsibilities (data abstraction details, number of sites covered, description of additional duties); resources available; adequacy of training; satisfaction with compensation. We characterized various roles and resources available to coordinators and examined their variations by center type, size, and additionally by years in current position using the Chi square test.
Results
Surveys were deployed to 148 stroke coordinators covering 180 stroke hospitals from August to December 2023. A total of 55 responses (response rate 37 %) were available for analysis from 25 comprehensive/thrombectomy capable and 24 primary stroke centers with some coordinators covering multiple sites. Stroke coordinators who have been in their current role >5 years were more likely to work in large (63 % vs 29 %, p = 0.02), comprehensive (75 % vs 33 % p = 0.03) stroke centers. Coordinators reported spending on average 45 to 60 min per chart for data abstraction, which was unrelated to center type (p = 0.57), size (p = 0.99) or coordinator experience (p = 0.81). The longer the stroke coordinator was in their role (>5 years vs. <5 years) the more likely they had additional duties (>2 additional duties, 69 % vs 49 %, p = 0.04), and less likely to have extra resources (88 % vs 67 % p = 0.05). The majority (61 %) of stroke coordinators indicated dissatisfaction with their training and compensation.
Conclusions
Stroke coordinators face challenges with chart abstraction workload, fulfilling multiple roles, and limited available resources. Dissatisfaction is present with perceptions of inadequate training and compensation. Organizations should focus on addressing these concerns to stabilize and strengthen the stroke coordinator role, enhancing the quality and performance of the stroke program.
脑卒中护理优化在脑卒中后预后中起着至关重要的作用。脑卒中协调员的角色包括脑卒中护理团队的领导，对工作人员、患者和急救人员的教育，以及脑卒中护理质量改善计划。目前的研究旨在通过全州范围的医院调查来描述佛罗里达州卒中协调员的职责、卒中协调员的角色、可用资源和工作满意度。方法我们报告了一项包含20个项目的卒中协调员角色和责任调查，该调查是对来自佛罗里达州参与医院的卒中协调员进行的。主题包括笔画中心的描述（即笔画的大小和类型）；脑卒中协调员经验；角色/职责（数据抽象细节、覆盖的站点数量、额外职责的描述）；可用资源;培训是否充分；对补偿的满意度。我们描述了协调员可用的各种角色和资源，并使用卡方检验按中心类型、大小和在职年限检查了他们的变化。结果于2023年8月至12月对180家卒中医院的148名卒中协调员进行了调查。共有55个应答（应答率37%）可用于分析，这些应答来自25个具有综合/取栓能力的中心和24个主要卒中中心，其中一些协调员覆盖多个部位。在目前职位上工作了5年的中风协调员更有可能在大型（63% vs 29%, p = 0.02）和综合性（75% vs 33% p = 0.03）中风中心工作。协调员报告说，每个图表平均花费45到60分钟用于数据抽象，这与中心类型（p = 0.57）、规模（p = 0.99）或协调员经验（p = 0.81）无关。卒中协调员在其岗位上的时间越长（>；5年vs <；5年），他们承担额外职责的可能性就越大（>；2个额外职责，69% vs 49%, p = 0.04），获得额外资源的可能性就越小（88% vs 67% p = 0.05）。大多数（61%）中风协调员表示对他们的培训和薪酬不满意。结论脑卒中协调员面临着图表抽象工作量、多重角色和有限资源的挑战。人们对培训和补偿不足的看法感到不满。各组织应集中精力解决这些问题，以稳定和加强中风协调员的作用，提高中风项目的质量和绩效。
{"title":"Stroke coordinators perceived roles, responsibilities, & resources: Florida Stroke Registry insights","authors":"Joy Sessa , Lauri Bishop , Carolina M. Gutierrez , Hannah Gardener , Judith Krigman , Christina Ampie , Valynncea Butler , Ashley Bolling , Farya Fakoori , Tara Hylton , Evie Sobczak , Negar Asdaghi , Tatjana Rundek , Jose G. Romano , Gillian Gordon Perue , Florida Stroke Registry","doi":"10.1016/j.ijnsa.2025.100432","DOIUrl":"10.1016/j.ijnsa.2025.100432","url":null,"abstract":"<div><h3>Background</h3><div>Optimization of stroke care plays a critical role in post-stroke outcomes. The stroke coordinator role includes leadership of stroke care teams, education of staff, patients, and emergency personnel, and stroke care quality improvement initiatives. The current study aimed to characterize Florida stroke coordinator responsibilities, stroke coordinators roles, and resources available and job satisfaction through a statewide hospital survey.</div></div><div><h3>Methods</h3><div>We report on a 20-item Stroke Coordinator Roles and Responsibility Survey that was administered to stroke coordinators from participating Florida hospitals. Topics included description of stroke center (i.e., size and type); experience of stroke coordinator; roles/responsibilities (data abstraction details, number of sites covered, description of additional duties); resources available; adequacy of training; satisfaction with compensation. We characterized various roles and resources available to coordinators and examined their variations by center type, size, and additionally by years in current position using the Chi square test.</div></div><div><h3>Results</h3><div>Surveys were deployed to 148 stroke coordinators covering 180 stroke hospitals from August to December 2023. A total of 55 responses (response rate 37 %) were available for analysis from 25 comprehensive/thrombectomy capable and 24 primary stroke centers with some coordinators covering multiple sites. Stroke coordinators who have been in their current role >5 years were more likely to work in large (63 % vs 29 %, <em>p</em> = 0.02), comprehensive (75 % vs 33 % <em>p</em> = 0.03) stroke centers. Coordinators reported spending on average 45 to 60 min per chart for data abstraction, which was unrelated to center type (<em>p</em> = 0.57), size (<em>p</em> = 0.99) or coordinator experience (<em>p</em> = 0.81). The longer the stroke coordinator was in their role (>5 years vs. <5 years) the more likely they had additional duties (>2 additional duties, 69 % vs 49 %, <em>p</em> = 0.04), and less likely to have extra resources (88 % vs 67 % <em>p</em> = 0.05). The majority (61 %) of stroke coordinators indicated dissatisfaction with their training and compensation.</div></div><div><h3>Conclusions</h3><div>Stroke coordinators face challenges with chart abstraction workload, fulfilling multiple roles, and limited available resources. Dissatisfaction is present with perceptions of inadequate training and compensation. Organizations should focus on addressing these concerns to stabilize and strengthen the stroke coordinator role, enhancing the quality and performance of the stroke program.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100432"},"PeriodicalIF":3.1,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145332297","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}
Self-care practices are vital for managing high blood pressure. Four systematic reviews and meta-analysis in Ethiopia have shown inconsistent prevalence rates and varying quality scores for hypertensive self-care. This umbrella review aims to unify these findings into a comprehensive document for better comparison. It is the first of its kind in Ethiopia and seeks to support clinicians and policymakers in preventing hypertension-related complications.
Methods
This umbrella review incorporated four systematic reviews and meta-analyses identified through a literature search across PubMed, ScienceDirect, Web of Science, the Cochrane Database of Systematic Reviews, and the Database of Abstracts of Reviews of Effects, specifically targeting systematic reveiw and meta-analysis) studies on hypertension self-care practices in Ethiopia. Data from the included systematic review and meta-analysis studies were extracted using a standardized data abstraction form created in an Excel spreadsheet. The quality of all relevant systematic reviews and meta-analyses was assessed using the AMSTAR-2 (Assessment of Multiple Systematic Reviews) tool. R software version 4.3.2 was used to perform overall data synthesis and statistical analysis. The overall pooled prevalence and effect sizes were analyzed using a random-effects model.
Results
Four studies with 21,479 hypertensive patients were included. The overall pooled prevalence of good self-care practice among hypertensive patients in Ethiopia is 41 % (95 % CI 38 %, 44 %, I2 =96 %, P = 0.001). Attending formal education (OR=1.56, 95 % CI: 1.23, 2.74), good knowledge of hypertension (OR=1.98, 95 % CI: 1.45, 3.01) were significantly associated with self-care practice among hypertensive patients in Ethiopia.
Conclusions
This umbrella review revealed low self-care practices among hypertensive patients in Ethiopia, with the poorest adherence in physical activity and the highest in smoking cessation. Education and knowledge about hypertension were key influences on self-care. The review suggests promoting physical activity, targeted education, and integrating these strategies into public health policies, alongside conducting nationwide studies to improve interventions.
自我保健实践对于控制高血压至关重要。埃塞俄比亚的四项系统综述和荟萃分析显示，高血压自我保健的患病率和质量评分不一致。这一总括性审查旨在将这些发现统一成一份全面的文件，以便更好地进行比较。这是埃塞俄比亚首个此类项目，旨在支持临床医生和政策制定者预防高血压相关并发症。方法本综述纳入了四个系统综述和荟萃分析，通过PubMed、ScienceDirect、Web of Science、Cochrane系统综述数据库和效果综述摘要数据库的文献检索确定，特别针对埃塞俄比亚高血压自我保健实践的系统综述和荟萃分析研究。从纳入的系统评价和荟萃分析研究中提取数据，使用在Excel电子表格中创建的标准化数据抽象表。使用AMSTAR-2（多系统评价评估）工具评估所有相关系统评价和荟萃分析的质量。采用R软件4.3.2版本进行整体数据综合和统计分析。使用随机效应模型分析总体合并患病率和效应大小。结果纳入4项研究，21479例高血压患者。埃塞俄比亚高血压患者良好自我保健实践的总体总流行率为41% （95% CI 38%, 44%, I2 = 96%, P = 0.001）。埃塞俄比亚高血压患者接受正规教育（OR=1.56, 95% CI: 1.23, 2.74）、了解高血压（OR=1.98, 95% CI: 1.45, 3.01）与自我保健实践显著相关。结论：该综述揭示了埃塞俄比亚高血压患者的自我保健实践水平较低，坚持体育锻炼的程度最低，戒烟的程度最高。高血压教育和知识是影响自我保健的关键因素。该审查建议促进体育活动，有针对性的教育，并将这些战略纳入公共卫生政策，同时开展全国性研究以改进干预措施。
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Pub Date : 2025-10-01DOI: 10.1016/j.ijnsa.2025.100431
Yolanda López_de_Audícana_Jimenez_de_Aberasturi , Ana Vallejo_De_la_Cueva , Naiara Parraza_Diez
Background
Effective pain management in sedated, mechanically ventilated patients is essential in intensive care, particularly before invasive procedures. The relationship between pain and biological stress is well established, but its manifestation depends on the patient's clinical state, calling for individualised and effective interventions. The Pupillary Dilation Reflex (PDR) has emerged as a potential objective tool for assessing nociceptive responses and guiding preemptive analgesia (Pre-A) before interventions.
Objective
To evaluate the PDR as a physiological indicator of pain and its utility in guiding Pre-A before endotracheal aspiration (ETA) in sedated and ventilated ICU patients. We compare the incidence of pain, measured using PDR by video pupillometry, the Behavioural Pain Scale (BPS), and the Pain Indicator Behavioural Scale (ESCID), as well as the proportion of patients receiving Pre-A, between a pupillometry-guided group and a control group receiving standard care.
Methods
In this multicenter, randomised controlled study, 82 critically ill, sedated patients with an estimated 10% oversampling to compensate for possible attrition will be enrolled and randomised (1:1) into intervention or control groups. In the intervention group, PDR will be measured after a 20 mA stimulus. Patients exhibiting a PDR ≥ 11.5%, a threshold indicating insufficient analgesia, as determined in precursor study (López de Audícana-Jimenez de Aberasturi Y et al., 2024a), will receive Pre-A according to established ICU protocols. The control group will receive Pre-A based on routine clinical assessment. Pain will be assessed using PDR by video pupillometry and behavioural pain scales (BPS and ESCID) after ETA by blinded researchers. Only the pupillometry researcher will be aware of the Pre-A decision. Group differences will be analysed using Chi-square and bivariate statistical methods to explore associations between pain and related clinical variables.
Results
The primary outcome will be post-intervention pain, assessed by pupillometry as well as BPS and ESCID scale scores. The second outcome will be the proportion of patients requiring Pre-A in the groups.
Conclusion
Pupillometry-guided analgesia may offer a simple and effective bedside method for individualised pain management in sedated, mechanically ventilated ICU patients, potentially reducing pain-related complications.
Clinical trial registration number
Phase 2 of the project PUPIPAIN ClinicalTrials.gov Identifier: NCT04078113
背景：对镇静、机械通气患者进行有效的疼痛管理在重症监护中是必不可少的，特别是在侵入性手术之前。疼痛与生物应激之间的关系是明确的，但其表现取决于患者的临床状态，需要个性化和有效的干预。瞳孔扩张反射（PDR）已成为评估伤害性反应和指导干预前先发制人镇痛（Pre-A）的潜在客观工具。目的评价PDR作为疼痛的生理指标及其在ICU镇静通气患者气管内吸入（ETA）前Pre-A指导中的应用价值。我们比较了PDR通过视频瞳孔测量、行为疼痛量表（BPS）和疼痛指标行为量表（ESCID）测量的疼痛发生率，以及接受Pre-A治疗的患者比例，在瞳孔测量指导组和接受标准治疗的对照组之间。方法在这项多中心随机对照研究中，82名重症镇静患者将被纳入，估计有10%的过采样以补偿可能的损耗，并随机（1:1）分为干预组或对照组。干预组在20 mA刺激后测量PDR。根据前体研究（López de Audícana-Jimenez de Aberasturi Y et al., 2024a）， PDR≥11.5%的患者将根据既定的ICU方案接受Pre-A治疗。对照组在常规临床评估的基础上给予Pre-A。通过视频瞳孔测量和行为疼痛量表（BPS和ESCID）在盲法研究人员进行ETA后使用PDR评估疼痛。只有瞳孔测量研究人员才会知道Pre-A的决定。将使用卡方和双变量统计方法分析组间差异，以探索疼痛和相关临床变量之间的关联。通过瞳孔测量、BPS和ESCID评分评估干预后疼痛。第二个结果将是各组中需要Pre-A的患者比例。结论瞳孔测量引导下的镇痛可为镇静、机械通气ICU患者的个体化疼痛管理提供一种简单有效的床边镇痛方法，有可能减少疼痛相关并发症。临床试验注册号：PUPIPAIN ClinicalTrials.gov项目二期临床试验编号：NCT04078113
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Pub Date : 2025-09-25DOI: 10.1016/j.ijnsa.2025.100427
Simin Chi , Weiyi Wang , Mujun Wan , Sijia Xu , Fang He , Linyuan Zhang , Shanbo Hu , Xiwen Liu
<div><h3>Background</h3><div>Occupational burnout is defined as a state of physical and mental exhaustion resulting from prolonged exposure to work-related stress, which is particularly evident among healthcare workers. With the changing global health situation, nurses are experiencing increased work pressures, leading to a growing incidence of occupational burnout. This affects not only the physical and mental well-being of nurses but also the quality of nursing care provided. Therefore, research on occupational burnout among nurses is of great significance. Our objective was to review systematically the current research status, identify key hotspots, and analyze trends in this field through bibliometric analysis, thereby offering a reference for future research.</div></div><div><h3>Methods</h3><div>In this study, literature related to occupational burnout among nurses published between January 2004 and April 2024 in the Web of Science database was retrieved. For trend comparisons, 2024 publication volume was annualized by multiplying Jan-Apr counts by 3. A total of 977 articles were included for analysis. Tools such as the "bibliometrix" package in R software, Citespace 6.3.R1, and VOSviewer were used to conduct statistical analyses on the publication year, authors, journals, keywords, etc. of the literature.</div></div><div><h3>Results</h3><div>From our results, we demonstrated that the number of studies in this field had risen steadily, with a marked surge following the COVID-19 pandemic in 2020. In terms of research output, the United States (US) (204 articles) China (185 articles), and Spain (77 articles) were in the leading positions. Meanwhile, strong collaborative relationships were found between the US and China, as well as between Spain and Chile. Leading institutions included Universidad de Granada (22 articles), the University of Pennsylvania (20 articles), and Shandong University (17 articles). We identified two authors as having made foundational contributions, while <em>Nursing</em> and <em>Public Health</em> were core journals. Keyword evolution revealed three research phases: early emphasis on mental health correlations (2004–2010), mid-phase focus on job satisfaction predictors (2013–2019), and post-2020 systemic analyses addressing COVID- 19′s impact on intensive care unit burnout. Protective factors, such as structural empowerment, gained prominence after 2015, signaling a shift toward research on preventive approaches.</div></div><div><h3>Conclusion</h3><div>Through bibliometric analysis, we have presented stress, job satisfaction, and caregiving as enduring focal themes in research on burnout among nursing professionals. Recent trends have highlighted an escalated focus on pandemic-amplified factors. We have presented comprehensively the research status and trends in the field of occupational burnout among nurses, providing a reference basis for in-depth research. However, the study has limitations, such as data sources and
职业倦怠被定义为由于长期暴露于与工作有关的压力而导致的身体和精神疲惫状态，这在卫生保健工作者中尤为明显。随着全球卫生形势的变化，护士面临着越来越大的工作压力，导致职业倦怠的发生率越来越高。这不仅影响护士的身心健康，也影响所提供护理的质量。因此，对护士职业倦怠进行研究具有重要意义。我们的目的是通过文献计量学分析，系统回顾该领域的研究现状，找出关键热点，分析趋势，为今后的研究提供参考。方法检索Web of Science数据库2004年1月至2024年4月发表的护士职业倦怠相关文献。为了进行趋势比较，通过将1 - 4月的数量乘以3，将2024年的出版物年化。共纳入977篇文章进行分析。R软件中的“bibliometrix”包、Citespace 6.3等工具。R1和VOSviewer对文献的发表年份、作者、期刊、关键词等进行统计分析。从我们的研究结果中，我们证明了该领域的研究数量稳步上升，在2020年COVID-19大流行之后出现了明显的激增。在研究产出方面，美国（204篇）、中国（185篇）和西班牙（77篇）处于领先地位。与此同时，美国和中国、西班牙和智利之间的合作关系也很强。主要院校包括格拉纳达大学（22篇）、宾夕法尼亚大学（20篇）和山东大学（17篇）。我们确定了两位有基础贡献的作者，而护理和公共卫生是核心期刊。关键词演变揭示了三个研究阶段：早期强调心理健康相关性（2004-2010），中期关注工作满意度预测因子（2013-2019），以及2020年后针对COVID- 19对重症监护病房倦怠影响的系统分析。保护性因素，如结构性赋权，在2015年之后得到了重视，标志着对预防方法研究的转变。结论通过文献计量分析，我们发现压力、工作满意度和护理是护理专业人员职业倦怠研究的持久焦点主题。最近的趋势凸显了对大流行放大因素的日益重视。全面介绍了护士职业倦怠领域的研究现状和趋势，为深入研究提供参考依据。然而，这项研究也有局限性，比如数据来源和语言的限制。未来研究者可以进一步拓宽数据来源，关注不同文化背景下的职业倦怠问题。
{"title":"Knowledge mapping of burnout among nursing professionals: A bibliometric study","authors":"Simin Chi , Weiyi Wang , Mujun Wan , Sijia Xu , Fang He , Linyuan Zhang , Shanbo Hu , Xiwen Liu","doi":"10.1016/j.ijnsa.2025.100427","DOIUrl":"10.1016/j.ijnsa.2025.100427","url":null,"abstract":"<div><h3>Background</h3><div>Occupational burnout is defined as a state of physical and mental exhaustion resulting from prolonged exposure to work-related stress, which is particularly evident among healthcare workers. With the changing global health situation, nurses are experiencing increased work pressures, leading to a growing incidence of occupational burnout. This affects not only the physical and mental well-being of nurses but also the quality of nursing care provided. Therefore, research on occupational burnout among nurses is of great significance. Our objective was to review systematically the current research status, identify key hotspots, and analyze trends in this field through bibliometric analysis, thereby offering a reference for future research.</div></div><div><h3>Methods</h3><div>In this study, literature related to occupational burnout among nurses published between January 2004 and April 2024 in the Web of Science database was retrieved. For trend comparisons, 2024 publication volume was annualized by multiplying Jan-Apr counts by 3. A total of 977 articles were included for analysis. Tools such as the \"bibliometrix\" package in R software, Citespace 6.3.R1, and VOSviewer were used to conduct statistical analyses on the publication year, authors, journals, keywords, etc. of the literature.</div></div><div><h3>Results</h3><div>From our results, we demonstrated that the number of studies in this field had risen steadily, with a marked surge following the COVID-19 pandemic in 2020. In terms of research output, the United States (US) (204 articles) China (185 articles), and Spain (77 articles) were in the leading positions. Meanwhile, strong collaborative relationships were found between the US and China, as well as between Spain and Chile. Leading institutions included Universidad de Granada (22 articles), the University of Pennsylvania (20 articles), and Shandong University (17 articles). We identified two authors as having made foundational contributions, while <em>Nursing</em> and <em>Public Health</em> were core journals. Keyword evolution revealed three research phases: early emphasis on mental health correlations (2004–2010), mid-phase focus on job satisfaction predictors (2013–2019), and post-2020 systemic analyses addressing COVID- 19′s impact on intensive care unit burnout. Protective factors, such as structural empowerment, gained prominence after 2015, signaling a shift toward research on preventive approaches.</div></div><div><h3>Conclusion</h3><div>Through bibliometric analysis, we have presented stress, job satisfaction, and caregiving as enduring focal themes in research on burnout among nursing professionals. Recent trends have highlighted an escalated focus on pandemic-amplified factors. We have presented comprehensively the research status and trends in the field of occupational burnout among nurses, providing a reference basis for in-depth research. However, the study has limitations, such as data sources and","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100427"},"PeriodicalIF":3.1,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265287","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 : 2025-09-25DOI: 10.1016/j.ijnsa.2025.100430
Pil Lindgreen , Loa Clausen , Helle Nergaard Grønbæk , Charlotte Humble Andersen , Khalida Ismail , Bryan Cleal
Background
Binge eating disorder may affect one in four individuals with type 2 diabetes, potentially leading to negative health outcomes. However, binge eating often goes unaddressed in diabetes care due to the absence of screening tools and the reluctance of patients to seek help due to shame and guilt.
Objective
The study aim was to develop acceptable and feasible diabetes-specific dialogue tools to facilitate discussions about binge eating between patients with type 2 diabetes and clinicians, serving as a first step toward the detection and management of potential binge eating in this population.
Design
The development and evaluation of the dialogue tools were conducted according to the Medical Research Council’s complex interventions framework.
Setting
Individuals with type 2 diabetes and clinicians were recruited from a specialized regional diabetes hospital during March to September 2023. Researchers were recruited from the same hospital and relevant research networks.
Participants
The co-creation process consisted of 11 workshops and 16 individual feedback meetings with people with type 2 diabetes (n = 21), clinicians (n = 16), and researchers (n = 8). Three clinicians feasibility-tested the dialogue tools (n = 24).
Methods
Applying a design thinking approach, the dialogue tools were co-created with individuals with type 2 diabetes, diabetes clinicians, and researchers with diabetes and/or eating disorder expertise. The dialogue tools were feasibility tested consecutively in routine diabetes consultations.
Results
The study generated three dialogue tools aiming to facilitate discussions among clinicians and patients with type 2 diabetes about the patients’ i) daily thoughts about food and drink, and whether they find these burdensome, ii) eating and drinking patterns, and iii) overall eating habits. Each dialogue tool included three parts; in part one, potential eating challenges in everyday life with diabetes are described, and the purpose of the exercise embedded in the tool is described. In part two, the patient actively carries out the described exercise, and in part three, the patient and clinician discuss follow-up questions. Parts two and three were designed to help patients recognize and reflect on their eating behaviors. Potential binge eating behaviors were identified in 25 % of the consultations, while other eating challenges that could impact diabetes management were commonly discussed in the remaining consultations.
Conclusions
The dialogue tools may be effective in addressing not only binge eating but also other significant eating challenges in individuals with type 2 diabetes during routine diabetes consultations. Further research is encouraged to evaluate the tools in di
{"title":"Addressing binge eating in people with type 2 diabetes: Co-creating and feasibility testing dialogue tools based on a design thinking approach","authors":"Pil Lindgreen , Loa Clausen , Helle Nergaard Grønbæk , Charlotte Humble Andersen , Khalida Ismail , Bryan Cleal","doi":"10.1016/j.ijnsa.2025.100430","DOIUrl":"10.1016/j.ijnsa.2025.100430","url":null,"abstract":"<div><h3>Background</h3><div>Binge eating disorder may affect one in four individuals with type 2 diabetes, potentially leading to negative health outcomes. However, binge eating often goes unaddressed in diabetes care due to the absence of screening tools and the reluctance of patients to seek help due to shame and guilt.</div></div><div><h3>Objective</h3><div>The study aim was to develop acceptable and feasible diabetes-specific dialogue tools to facilitate discussions about binge eating between patients with type 2 diabetes and clinicians, serving as a first step toward the detection and management of potential binge eating in this population.</div></div><div><h3>Design</h3><div>The development and evaluation of the dialogue tools were conducted according to the Medical Research Council’s complex interventions framework.</div></div><div><h3>Setting</h3><div>Individuals with type 2 diabetes and clinicians were recruited from a specialized regional diabetes hospital during March to September 2023. Researchers were recruited from the same hospital and relevant research networks.</div></div><div><h3>Participants</h3><div>The co-creation process consisted of 11 workshops and 16 individual feedback meetings with people with type 2 diabetes (<em>n</em> = 21), clinicians (<em>n</em> = 16), and researchers (<em>n</em> = 8). Three clinicians feasibility-tested the dialogue tools (<em>n</em> = 24).</div></div><div><h3>Methods</h3><div>Applying a design thinking approach, the dialogue tools were co-created with individuals with type 2 diabetes, diabetes clinicians, and researchers with diabetes and/or eating disorder expertise. The dialogue tools were feasibility tested consecutively in routine diabetes consultations.</div></div><div><h3>Results</h3><div>The study generated three dialogue tools aiming to facilitate discussions among clinicians and patients with type 2 diabetes about the patients’ i) daily thoughts about food and drink, and whether they find these burdensome, ii) eating and drinking patterns, and iii) overall eating habits. Each dialogue tool included three parts; in part one, potential eating challenges in everyday life with diabetes are described, and the purpose of the exercise embedded in the tool is described. In part two, the patient actively carries out the described exercise, and in part three, the patient and clinician discuss follow-up questions. Parts two and three were designed to help patients recognize and reflect on their eating behaviors. Potential binge eating behaviors were identified in 25 % of the consultations, while other eating challenges that could impact diabetes management were commonly discussed in the remaining consultations.</div></div><div><h3>Conclusions</h3><div>The dialogue tools may be effective in addressing not only binge eating but also other significant eating challenges in individuals with type 2 diabetes during routine diabetes consultations. Further research is encouraged to evaluate the tools in di","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100430"},"PeriodicalIF":3.1,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265288","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 : 2025-09-24DOI: 10.1016/j.ijnsa.2025.100429
Sian Ingham , Alasdair Jubb , Monica Trivedi , Milena Georgieva , Catherine Yates , Jill Hyde , Joy McAdam , Robyn Davies , Petra Polgarova , Lisa Enoch , Olivia Bentham , Eleanor Ruffle , Joanne McPeake
Background
Following hospital discharge from a critical care-related admission, patients can experience multiple problems. There is limited data about how patients can effectively be supported during recovery from critical illness. As such, different services have emerged internationally with the aim of improving outcomes.
Objective
The objective was to understand the experience of patients who received a telephone follow-up call from an Intensive Care Unit Recovery Nurse Specialist following a critical care-related hospitalisation. We sought to understand what patients valued about these calls, alongside any improvements which could be made.
Methods
Patients from a single centre in the UK, who received a telephone call by the Intensive Care Unit Recovery Nurse Specialist team approximately one month following hospital discharge, were asked to provide feedback on the call via a pre-specified survey. This study employed a descriptive design to report findings from the survey, integrating quantitative and qualitative data to comprehensively explore participant experiences. In this analysis, qualitative feedback was analysed using Framework Analysis and descriptive statistics were used to analyse quantitative data.
Results
We analysed survey data from 125 patients; this represented a response rate of 28.5%. In total, 98.2% (n = 123) of respondents found the call very useful or somewhat useful and 97.1% (n = 121) of respondents stated that the telephone call addressed or somewhat addressed physical health needs and 96.2 % (n = 120) of respondents stated that the telephone call addressed or somewhat addressed emotional health needs. From the qualitative data we derived five themes related to the experience of those receiving these telephone follow-up calls: reassurance and validation; personalised care planning and signposting; access to expertise; family support and scheduling and planning. Potential improvements included: the ability to schedule the call and the purposeful involvement of family members in the process.
Conclusions
This single centre analysis has explored the experience of those receiving a telephone follow-up call from an Intensive Care Unit Recovery Nurse Specialist following critical illness. In the respondents of this evaluation, the call provided reassurance, alongside supporting navigation to appropriate services following hospital discharge. Future research should explore the effectiveness of this intervention, including its impact across diverse groups.
{"title":"Exploring the experience of patients who receive a telephone follow-up call from intensive care unit nurse specialists following hospital discharge: A descriptive survey","authors":"Sian Ingham , Alasdair Jubb , Monica Trivedi , Milena Georgieva , Catherine Yates , Jill Hyde , Joy McAdam , Robyn Davies , Petra Polgarova , Lisa Enoch , Olivia Bentham , Eleanor Ruffle , Joanne McPeake","doi":"10.1016/j.ijnsa.2025.100429","DOIUrl":"10.1016/j.ijnsa.2025.100429","url":null,"abstract":"<div><h3>Background</h3><div>Following hospital discharge from a critical care-related admission, patients can experience multiple problems. There is limited data about how patients can effectively be supported during recovery from critical illness. As such, different services have emerged internationally with the aim of improving outcomes.</div></div><div><h3>Objective</h3><div>The objective was to understand the experience of patients who received a telephone follow-up call from an Intensive Care Unit Recovery Nurse Specialist following a critical care-related hospitalisation. We sought to understand what patients valued about these calls, alongside any improvements which could be made.</div></div><div><h3>Methods</h3><div>Patients from a single centre in the UK, who received a telephone call by the Intensive Care Unit Recovery Nurse Specialist team approximately one month following hospital discharge, were asked to provide feedback on the call via a pre-specified survey. This study employed a descriptive design to report findings from the survey, integrating quantitative and qualitative data to comprehensively explore participant experiences. In this analysis, qualitative feedback was analysed using Framework Analysis and descriptive statistics were used to analyse quantitative data.</div></div><div><h3>Results</h3><div>We analysed survey data from 125 patients; this represented a response rate of 28.5%. In total, 98.2% (<em>n</em> = 123) of respondents found the call very useful or somewhat useful and 97.1% (<em>n</em> = 121) of respondents stated that the telephone call addressed or somewhat addressed physical health needs and 96.2 % (<em>n</em> = 120) of respondents stated that the telephone call addressed or somewhat addressed emotional health needs. From the qualitative data we derived five themes related to the experience of those receiving these telephone follow-up calls: reassurance and validation; personalised care planning and signposting; access to expertise; family support and scheduling and planning. Potential improvements included: the ability to schedule the call and the purposeful involvement of family members in the process.</div></div><div><h3>Conclusions</h3><div>This single centre analysis has explored the experience of those receiving a telephone follow-up call from an Intensive Care Unit Recovery Nurse Specialist following critical illness. In the respondents of this evaluation, the call provided reassurance, alongside supporting navigation to appropriate services following hospital discharge. Future research should explore the effectiveness of this intervention, including its impact across diverse groups.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100429"},"PeriodicalIF":3.1,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265292","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 : 2025-09-19DOI: 10.1016/j.ijnsa.2025.100426
Signe Østrem , Anna Strömberg , Kari Hanne Gjeilo , Marianne Storm , Ingvild M. Morken
<div><h3>Background</h3><div>Effective self-care, including symptom monitoring and treatment adherence, is essential for individuals with heart failure. It can enhance quality of life, improve survival, and reduce hospital admissions. The home is the primary setting where individuals with heart failure perform self-care. However, many struggle to recognize symptoms that indicate worsening of their condition. Remote patient monitoring allows nurses to track symptoms, weight, and blood pressure while supporting self-care behaviours that help prevent exacerbations. A clearer understanding of these interventions is needed, particularly regarding how they influence patients’ views on self-care over time.</div></div><div><h3>Objective</h3><div>This study explored short- and long-term experiences of self-care among individuals with heart failure after a six-week, nurse-assisted remote patient monitoring intervention.</div></div><div><h3>Setting</h3><div>Twelve participants were recruited from the intervention group in a randomised controlled trial. Clinical trial ID 301472.</div></div><div><h3>Methods</h3><div>This study employed a qualitative longitudinal approach. Eleven semi-structured interviews were conducted at two time points: at time one, immediately after participants had completed the nurse-assisted remote patient monitoring intervention; and at time two, six months post-discharge. One participant did not respond to the second interview, resulting in 23 interviews in total. A qualitative content analysis was undertaken to explore the evolving self-care process over time.</div></div><div><h3>Results</h3><div>‘Transition from digital dependence to independent self-care management’ emerged as the overarching theme describing participants’ experiences at both time points. This theme was illustrated by four subthemes identified at time one: (1) guidance to interpret symptoms and bodily signs; (2) establishing a daily routine in monitoring vital signs; (3) support for changes in lifestyle and medication adherence; and (4) sense of security. At time two, three subthemes were identified: (1) increased confidence in bodily awareness and symptom monitoring; (2) recognition of self-care routines; and (3) feeling in control due to prior feedback from a previous nurse navigator.</div></div><div><h3>Conclusions</h3><div>Individuals with heart failure experienced self-care as an evolving process. This was demonstrated by their transition from reliance on digital support from nurses and the remote patient monitoring intervention to increased independence and proactivity in managing their self-care. There is an urgent need to respond to the pressures facing overburdened health-care systems. These findings highlight the importance of developing a digital environment that supports sustainable transitional care from hospital to home for individuals with heart failure.</div></div><div><h3>Registration</h3><div>The main randomised controlled trial project, “eHealth
{"title":"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.2025.100426","DOIUrl":"10.1016/j.ijnsa.2025.100426","url":null,"abstract":"<div><h3>Background</h3><div>Effective self-care, including symptom monitoring and treatment adherence, is essential for individuals with heart failure. It can enhance quality of life, improve survival, and reduce hospital admissions. The home is the primary setting where individuals with heart failure perform self-care. However, many struggle to recognize symptoms that indicate worsening of their condition. Remote patient monitoring allows nurses to track symptoms, weight, and blood pressure while supporting self-care behaviours that help prevent exacerbations. A clearer understanding of these interventions is needed, particularly regarding how they influence patients’ views on self-care over time.</div></div><div><h3>Objective</h3><div>This study explored short- and long-term experiences of self-care among individuals with heart failure after a six-week, nurse-assisted remote patient monitoring intervention.</div></div><div><h3>Setting</h3><div>Twelve participants were recruited from the intervention group in a randomised controlled trial. Clinical trial ID 301472.</div></div><div><h3>Methods</h3><div>This study employed a qualitative longitudinal approach. Eleven semi-structured interviews were conducted at two time points: at time one, immediately after participants had completed the nurse-assisted remote patient monitoring intervention; and at time two, six months post-discharge. One participant did not respond to the second interview, resulting in 23 interviews in total. A qualitative content analysis was undertaken to explore the evolving self-care process over time.</div></div><div><h3>Results</h3><div>‘Transition from digital dependence to independent self-care management’ emerged as the overarching theme describing participants’ experiences at both time points. This theme was illustrated by four subthemes identified at time one: (1) guidance to interpret symptoms and bodily signs; (2) establishing a daily routine in monitoring vital signs; (3) support for changes in lifestyle and medication adherence; and (4) sense of security. At time two, three subthemes were identified: (1) increased confidence in bodily awareness and symptom monitoring; (2) recognition of self-care routines; and (3) feeling in control due to prior feedback from a previous nurse navigator.</div></div><div><h3>Conclusions</h3><div>Individuals with heart failure experienced self-care as an evolving process. This was demonstrated by their transition from reliance on digital support from nurses and the remote patient monitoring intervention to increased independence and proactivity in managing their self-care. There is an urgent need to respond to the pressures facing overburdened health-care systems. These findings highlight the importance of developing a digital environment that supports sustainable transitional care from hospital to home for individuals with heart failure.</div></div><div><h3>Registration</h3><div>The main randomised controlled trial project, “eHealth","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100426"},"PeriodicalIF":3.1,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145424326","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 : 2025-09-18DOI: 10.1016/j.ijnsa.2025.100425
Stefan Lukac , Viktoria Maria Kässens , Anne Barzel , Tabea Kloss , Ina Mayer , Wolfgang Janni , Katharina Hancke , Davut Dayan
Background
Like other chronic diseases, endometriosis also requires long-term, individualized and multidisciplinary care. The integration of specialized nursing care has already been proven in other chronic diseases, but it is unclear whether and in which areas the integration of an endometriosis nurse specialist (EndoNurse) would be welcomed by patients with endometriosis.
Objective
The aim of this study is to identify the need and acceptance of an integration of a nurse specialist into the care of patients with endometriosis and possible counselling topics.
Design
Cross-sectional study in Germany.
Setting and Participants
844 German-speaking patients with diagnosed endometriosis completed an online survey distributed via official platforms and social media.
Methods
The current satisfaction and needs of patients with endometriosis were evaluated in five dimensions (Physical and psychological symptoms, therapy, lifestyle, sexuality, partnership, fertility, treatment wishes) similar to the Endometriosis Impact Questionnaire. In addition, questions regarding the need for optimalization along with acceptance and preferred areas of care by an EndoNurse were included. The evaluation was based on the 5-point Likert-scale.
Results
844 participants were included in the final analysis. Only 138 (16.4 %) of them described their current care as good or very good. Fewer than one in five patients felt well or very well informed concerning the topics symptoms (200; 23.7 %), therapy (209; 24.8 %), sexuality and family planning (124; 14.7 %) as well as sport and nutrition (111; 13.1 %). 774 (91.7 %) of the participants would accept an integration of an EndoNurse in their treatment, particularly regarding the following topics: pain management (594; 70.4 %), nutrition (570; 67.5 %), sports and physiotherapy (567; 67.2 %), coping with everyday life (558; 65.8 %) and therapy options (547; 64.8 %). 474 (56.2 %) of the patients named physicians as their preferred source of information. Specially trained medical staff (EndoNurse) followed with 159 (18.8 %) votes, ahead of the internet (88; 10.4 %), self-help groups (41; 4.9 %), apps (37; 4.4 %) and others.
Conclusions
Our study demonstrates a significant need for improvement in supportive endometriosis care. The involvement of a specialised nurse, EndoNurse, into care of patients with endometriosis is a concept that is useful and desirable for those affected in all evaluated areas.
Registration
The study was approved by the Ethical Committee of the University of Ulm Nr. 364/23 and registered in the German Register of Clinical Studies under Nr. DRKS00033078.
{"title":"Evaluation of the need for the integration of a nurse specialist (EndoNurse) into the interdisciplinary care of patients with endometriosis: Cross-sectional study","authors":"Stefan Lukac , Viktoria Maria Kässens , Anne Barzel , Tabea Kloss , Ina Mayer , Wolfgang Janni , Katharina Hancke , Davut Dayan","doi":"10.1016/j.ijnsa.2025.100425","DOIUrl":"10.1016/j.ijnsa.2025.100425","url":null,"abstract":"<div><h3>Background</h3><div>Like other chronic diseases, endometriosis also requires long-term, individualized and multidisciplinary care. The integration of specialized nursing care has already been proven in other chronic diseases, but it is unclear whether and in which areas the integration of an endometriosis nurse specialist (EndoNurse) would be welcomed by patients with endometriosis.</div></div><div><h3>Objective</h3><div>The aim of this study is to identify the need and acceptance of an integration of a nurse specialist into the care of patients with endometriosis and possible counselling topics.</div></div><div><h3>Design</h3><div>Cross-sectional study in Germany.</div></div><div><h3>Setting and Participants</h3><div>844 German-speaking patients with diagnosed endometriosis completed an online survey distributed via official platforms and social media.</div></div><div><h3>Methods</h3><div>The current satisfaction and needs of patients with endometriosis were evaluated in five dimensions (Physical and psychological symptoms, therapy, lifestyle, sexuality, partnership, fertility, treatment wishes) similar to the Endometriosis Impact Questionnaire. In addition, questions regarding the need for optimalization along with acceptance and preferred areas of care by an EndoNurse were included. The evaluation was based on the 5-point Likert-scale.</div></div><div><h3>Results</h3><div>844 participants were included in the final analysis. Only 138 (16.4 %) of them described their current care as good or very good. Fewer than one in five patients felt well or very well informed concerning the topics symptoms (200; 23.7 %), therapy (209; 24.8 %), sexuality and family planning (124; 14.7 %) as well as sport and nutrition (111; 13.1 %). 774 (91.7 %) of the participants would accept an integration of an EndoNurse in their treatment, particularly regarding the following topics: pain management (594; 70.4 %), nutrition (570; 67.5 %), sports and physiotherapy (567; 67.2 %), coping with everyday life (558; 65.8 %) and therapy options (547; 64.8 %). 474 (56.2 %) of the patients named physicians as their preferred source of information. Specially trained medical staff (EndoNurse) followed with 159 (18.8 %) votes, ahead of the internet (88; 10.4 %), self-help groups (41; 4.9 %), apps (37; 4.4 %) and others.</div></div><div><h3>Conclusions</h3><div>Our study demonstrates a significant need for improvement in supportive endometriosis care. The involvement of a specialised nurse, EndoNurse, into care of patients with endometriosis is a concept that is useful and desirable for those affected in all evaluated areas.</div></div><div><h3>Registration</h3><div>The study was approved by the Ethical Committee of the University of Ulm Nr. 364/23 and registered in the German Register of Clinical Studies under Nr. DRKS00033078.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100425"},"PeriodicalIF":3.1,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265289","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 : 2025-09-13DOI: 10.1016/j.ijnsa.2025.100424
Nicole Williams , Walter Wittich , M.Kathleen Pichora-Fuller , Joseph B. Orange , Dawn M. Guthrie
Background
The current study evaluated the performance of the interRAI communication collaborative action plan (CAP) to flag individuals with sensory impairments who could benefit from intervention. Investigators also examined how the CAP can help facilitate client-centered care planning and service delivery by exploring three unique case studies.
Method
This retrospective cohort study utilized secondary data collected using the Resident Assessment Instrument for Home Care (RAI-HC) across Canada. The sample included individuals aged 65 years or older who had two RAI-HC assessments completed between 2008 and 2020 (n=508,856). At time 1, individuals were categorized into three mutually exclusive groups based on their CAP triggering level: not triggered, triggered to facilitate improvement, or triggered to prevent decline. The three groups were compared across demographic characteristics, sensory impairments, cognitive challenges, and disease diagnoses. Transitions between triggering levels from time 1 and time 2 were analyzed using Sankey diagrams. Three case studies were examined to identify the reasons why someone may no longer trigger on the CAP at time 2.
Results
The median time between an individual’s intake and most recent assessment was 21 months (standard deviation=24.7 months). The majority of individuals did not trigger on the CAP at time 1 (77.7 %; n=395,309), while 9.5 % (n=48,263) triggered to facilitate improvement and 12.5 % (n=65,284) triggered to prevent decline. For each of the sensory impairments, the majority of individuals were more likely to fall into the triggered to facilitate improvement group.
Conclusions
The communication CAP was robust in flagging individuals with sensory impairments as these individuals are more likely to fall into the triggered to facilitate improvement group. The three case studies highlight the importance of assessing all aspects of communication (e.g., cognitive, and sensory challenges, receptive and expressive communication), as they are all necessary components when considering decision-support tools and next steps.
{"title":"Examining the ability of the interRAI communication collaborative action plan to identify individuals with sensory challenges: A retrospective cohort study","authors":"Nicole Williams , Walter Wittich , M.Kathleen Pichora-Fuller , Joseph B. Orange , Dawn M. Guthrie","doi":"10.1016/j.ijnsa.2025.100424","DOIUrl":"10.1016/j.ijnsa.2025.100424","url":null,"abstract":"<div><h3>Background</h3><div>The current study evaluated the performance of the interRAI communication collaborative action plan (CAP) to flag individuals with sensory impairments who could benefit from intervention. Investigators also examined how the CAP can help facilitate client-centered care planning and service delivery by exploring three unique case studies.</div></div><div><h3>Method</h3><div>This retrospective cohort study utilized secondary data collected using the Resident Assessment Instrument for Home Care (RAI-HC) across Canada. The sample included individuals aged 65 years or older who had two RAI-HC assessments completed between 2008 and 2020 (n=508,856). At time 1, individuals were categorized into three mutually exclusive groups based on their CAP triggering level: not triggered, triggered to facilitate improvement, or triggered to prevent decline. The three groups were compared across demographic characteristics, sensory impairments, cognitive challenges, and disease diagnoses. Transitions between triggering levels from time 1 and time 2 were analyzed using Sankey diagrams. Three case studies were examined to identify the reasons why someone may no longer trigger on the CAP at time 2.</div></div><div><h3>Results</h3><div>The median time between an individual’s intake and most recent assessment was 21 months (standard deviation=24.7 months). The majority of individuals did not trigger on the CAP at time 1 (77.7 %; n=395,309), while 9.5 % (n=48,263) triggered to facilitate improvement and 12.5 % (n=65,284) triggered to prevent decline. For each of the sensory impairments, the majority of individuals were more likely to fall into the triggered to facilitate improvement group.</div></div><div><h3>Conclusions</h3><div>The communication CAP was robust in flagging individuals with sensory impairments as these individuals are more likely to fall into the triggered to facilitate improvement group. The three case studies highlight the importance of assessing all aspects of communication (e.g., cognitive, and sensory challenges, receptive and expressive communication), as they are all necessary components when considering decision-support tools and next steps.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100424"},"PeriodicalIF":3.1,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265291","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 : 2025-09-13DOI: 10.1016/j.ijnsa.2025.100423
Juan Roldan-Merino , Carmen Jerez-Molina , Olga Mestres-Soler , Lucia Muñoz-Narbona , Montserrat Gutiérrez-Juarez , Ainoa Biurrun-Garrido , Jéssica Gutiérrez-Martínez , Jurema Lopez-Monreal , Clara Expósito-Guanter , Martí Boix-Coll , Lucia Peñarrubia-San-Florencio , Ramon Mir-Abellan
Background
Maintaining dignity in hospitalized patients is fundamental in nursing care and healthcare quality. In Spain, there is no validated tool to quantitatively assess patient dignity during hospitalization. The Inpatient Dignity Scale has been developed and validated in other countries, but its cross-cultural adaptation and psychometric evaluation in Spanish have not yet been conducted.
Objective
To perform cross-cultural adaptation and psychometric validation of the Inpatient Dignity Scale in Spanish, evaluating its factorial structure, reliability, and validity.
Methods
A methodological study was conducted in two phases: (1) translation and cross-cultural adaptation following international standards, and (2) psychometric validation through confirmatory factor analysis and assessment of internal consistency using Cronbach's alpha (α) and McDonald's omega (Ω) coefficients. The sample included 553 hospitalized patients from four hospitals in Barcelona, Spain.
Results
The confirmatory factor analysis confirmed the original four-factor structure of the Inpatient Dignity Scale, maintaining the dimensions of respect as a human being, respect for personal feelings and time, respect for privacy, and respect for autonomy. Model fit indices were adequate (χ²/df = 5.7 for expectations, 4.3 for satisfaction; CFI ≥ 0.90; RMSEA ≤ 0.08). Internal consistency was high across all dimensions (α ≥ 0.88, Ω ≥ 0.92), indicating robust reliability.
Conclusions
The Spanish version of the Inpatient Dignity Scale in Spanish is a valid and reliable instrument for assessing expectations and satisfaction with dignity in hospitalized patients. Its use can facilitate research on dignity in healthcare and contribute to improving patient-centered care.
{"title":"Adaptation and validation of Spanish version of the Inpatient Dignity Scale in hospitalized patients: a psychometric study","authors":"Juan Roldan-Merino , Carmen Jerez-Molina , Olga Mestres-Soler , Lucia Muñoz-Narbona , Montserrat Gutiérrez-Juarez , Ainoa Biurrun-Garrido , Jéssica Gutiérrez-Martínez , Jurema Lopez-Monreal , Clara Expósito-Guanter , Martí Boix-Coll , Lucia Peñarrubia-San-Florencio , Ramon Mir-Abellan","doi":"10.1016/j.ijnsa.2025.100423","DOIUrl":"10.1016/j.ijnsa.2025.100423","url":null,"abstract":"<div><h3>Background</h3><div>Maintaining dignity in hospitalized patients is fundamental in nursing care and healthcare quality. In Spain, there is no validated tool to quantitatively assess patient dignity during hospitalization. The Inpatient Dignity Scale has been developed and validated in other countries, but its cross-cultural adaptation and psychometric evaluation in Spanish have not yet been conducted.</div></div><div><h3>Objective</h3><div>To perform cross-cultural adaptation and psychometric validation of the Inpatient Dignity Scale in Spanish, evaluating its factorial structure, reliability, and validity.</div></div><div><h3>Methods</h3><div>A methodological study was conducted in two phases: (1) translation and cross-cultural adaptation following international standards, and (2) psychometric validation through confirmatory factor analysis and assessment of internal consistency using Cronbach's alpha (α) and McDonald's omega (Ω) coefficients. The sample included 553 hospitalized patients from four hospitals in Barcelona, Spain.</div></div><div><h3>Results</h3><div>The confirmatory factor analysis confirmed the original four-factor structure of the Inpatient Dignity Scale, maintaining the dimensions of respect as a human being, respect for personal feelings and time, respect for privacy, and respect for autonomy. Model fit indices were adequate (χ²/df = 5.7 for expectations, 4.3 for satisfaction; CFI ≥ 0.90; RMSEA ≤ 0.08). Internal consistency was high across all dimensions (α ≥ 0.88, Ω ≥ 0.92), indicating robust reliability.</div></div><div><h3>Conclusions</h3><div>The Spanish version of the Inpatient Dignity Scale in Spanish is a valid and reliable instrument for assessing expectations and satisfaction with dignity in hospitalized patients. Its use can facilitate research on dignity in healthcare and contribute to improving patient-centered care.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100423"},"PeriodicalIF":3.1,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104557","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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