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}
Pub Date : 2025-09-12DOI: 10.1016/j.ijnsa.2025.100420
Tania Martins, Sarah N. Musy, Michael Simon
Introduction
Although shift work is inevitable in hospitals, some shift patterns and staffing levels are suggested to influence nurses’ workload more than others, which in turn can impact nurses’ health, quality of care, and patient safety. Despite the importance of workload in nursing practice, studies focusing on nurses’ work schedules, staffing levels and perceived workload are rare. The aims of this study were to describe key characteristics of nurses’ shift work patterns in acute care hospitals, and to investigate the association of shift work patterns and staffing levels with perceived workload.
Methods
This was a secondary analysis of an observational, cross-sectional, multicentre study conducted in 26 acute care hospitals in Switzerland. Registered nurses from 158 units completed the survey, covering questions about nurse staffing, the work environment and quality of care. We used sequenced data analysis to visualise nurses’ work schedules over the last seven days and identify shift characteristics and transitions. Clustering using Optimal Matching allowed us to group nurses with similar shift sequences and identify shift patterns. An observed-over-expected patient-to-nurse ratio (including patient acuity measures) was computed to assess staffing exposure. Perceived workload was measured with the NASA-Task Load Index instrument. A linear-mixed model was used to explore the association between identified shift work patterns, staffing and perceived workload.
Results
We analysed surveys of 1962 registered nurses. The sequence analysis identified 732 different sequences resulting in three clusters of different shift patterns. Backward rotations, quick returns and working more than five consecutive days were rare. Workload perception was on average 66.5 points (possible range 6–120). Low staffing (β=3.1, 95 % CI [0.5–5.6]), overtime in the last shift (β=8.8, 95 % CI [7.2–10.4]), higher percentage of days worked overtime in the previous seven days (β=3.9, 95 % CI [1.3–6.3]), number of days worked (β=6.4, 95 % CI [2.5–10.1]), last shift worked being a day shift (β=3.8, 95 % CI [1.8–5.8]), and longer shift length (β=1.4, 95 % CI [0.5–2.2]) were associated with higher perceived workload.
Conclusions
This study highlights the contribution of staffing and scheduling practices to nurses’ perceived workload. To reduce nurses’ perceived workload and improve healthcare performance—as previous research suggests—staffing and scheduling decisions must be increasingly prioritized by decision makers. The results suggest that avoiding or reducing e.g., overtime, reducing shift length and increasing staffing may be effective first strategies to reduce the perceived workload. Further research would benefit from analysing shift patterns using electronic rosters, real-time staffing measures, and repeated assessment of nurses’ workload perceptions.
{"title":"Nurse shift patterns, staffing and their association with perceived workload: Sequence analysis of multicentre data","authors":"Tania Martins, Sarah N. Musy, Michael Simon","doi":"10.1016/j.ijnsa.2025.100420","DOIUrl":"10.1016/j.ijnsa.2025.100420","url":null,"abstract":"<div><h3>Introduction</h3><div>Although shift work is inevitable in hospitals, some shift patterns and staffing levels are suggested to influence nurses’ workload more than others, which in turn can impact nurses’ health, quality of care, and patient safety. Despite the importance of workload in nursing practice, studies focusing on nurses’ work schedules, staffing levels and perceived workload are rare. The aims of this study were to describe key characteristics of nurses’ shift work patterns in acute care hospitals, and to investigate the association of shift work patterns and staffing levels with perceived workload.</div></div><div><h3>Methods</h3><div>This was a secondary analysis of an observational, cross-sectional, multicentre study conducted in 26 acute care hospitals in Switzerland. Registered nurses from 158 units completed the survey, covering questions about nurse staffing, the work environment and quality of care. We used sequenced data analysis to visualise nurses’ work schedules over the last seven days and identify shift characteristics and transitions. Clustering using Optimal Matching allowed us to group nurses with similar shift sequences and identify shift patterns. An observed-over-expected patient-to-nurse ratio (including patient acuity measures) was computed to assess staffing exposure. Perceived workload was measured with the NASA-Task Load Index instrument. A linear-mixed model was used to explore the association between identified shift work patterns, staffing and perceived workload.</div></div><div><h3>Results</h3><div>We analysed surveys of 1962 registered nurses. The sequence analysis identified 732 different sequences resulting in three clusters of different shift patterns. Backward rotations, quick returns and working more than five consecutive days were rare. Workload perception was on average 66.5 points (possible range 6–120). Low staffing (β=3.1, 95 % CI [0.5–5.6]), overtime in the last shift (β=8.8, 95 % CI [7.2–10.4]), higher percentage of days worked overtime in the previous seven days (β=3.9, 95 % CI [1.3–6.3]), number of days worked (β=6.4, 95 % CI [2.5–10.1]), last shift worked being a day shift (β=3.8, 95 % CI [1.8–5.8]), and longer shift length (β=1.4, 95 % CI [0.5–2.2]) were associated with higher perceived workload.</div></div><div><h3>Conclusions</h3><div>This study highlights the contribution of staffing and scheduling practices to nurses’ perceived workload. To reduce nurses’ perceived workload and improve healthcare performance—as previous research suggests—staffing and scheduling decisions must be increasingly prioritized by decision makers. The results suggest that avoiding or reducing e.g., overtime, reducing shift length and increasing staffing may be effective first strategies to reduce the perceived workload. Further research would benefit from analysing shift patterns using electronic rosters, real-time staffing measures, and repeated assessment of nurses’ workload perceptions.</div></div><","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100420"},"PeriodicalIF":3.1,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265290","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 : 2025-09-11DOI: 10.1016/j.ijnsa.2025.100422
Marcel Schmucker , Andreas Küpper , Laura Hahn , Cornelia Mahler , Astrid Elsbernd
Background
Care dependency and mobility restrictions often go hand in hand, increasing the risk of falls. Rollators are essential assistive devices that support individuals’ mobility and functioning, with globally varying usage rates. While overall user satisfaction is rated high, usability challenges persist. Beyond advocating for user needs, nursing science should also address the role of rollators in enabling individuals to remain at home despite care needs, ensuring safety, and shaping informal and formal care settings.
Purpose
This study examined usability aspects with a strong user-centred emphasis on subjective rollator satisfaction, using Amazon rollator reviews as data source. The aim was to validate previously found aspects and to explore unknown elements of human-rollator interaction.
Methods
A total 1.026 rollator reviews from three price categories (200 €) were analysed. A Qualitative Content Analysis was employed, combining deductive and inductive coding methods. Deductive analysis was conducted based on the Quebec User Evaluation of Satisfaction with assistive Technology (QUEST 2.0). Inductive analysis was based on the Grounded Theory Method to identify themes that were not fully considered in the deductive coding.
Results
A total of 2243 deductive codes were assigned, with Ease of Use (489) and Comfort (458) being the most frequently coded categories. The inductive analysis revealed that users' expectations differ depending on the objectives of the primary and secondary users, who often make the purchasing decisions. Aesthetic appeal influenced rollator acceptance and reducing stigma. Usability has been shown to evolve over time, with experience, adaptation, and wear affecting long-term satisfaction and maintenance needs.
Conclusions
This study highlights the complexity of rollator usability, shaped by material and non-materialistic user needs. Amazon reviews offer valuable insights, including secondary user perspectives. Nurses can play a key role in training and advising on rollator, contributing to better provision. As rollators shape care situations, it is essential for nursing science to address assistive technology to improve usability, safety, and overall quality of care.
{"title":"Rollator usability from a nursing science perspective: A parallel qualitative content analysis of customer reviews on Amazon","authors":"Marcel Schmucker , Andreas Küpper , Laura Hahn , Cornelia Mahler , Astrid Elsbernd","doi":"10.1016/j.ijnsa.2025.100422","DOIUrl":"10.1016/j.ijnsa.2025.100422","url":null,"abstract":"<div><h3>Background</h3><div>Care dependency and mobility restrictions often go hand in hand, increasing the risk of falls. Rollators are essential assistive devices that support individuals’ mobility and functioning, with globally varying usage rates. While overall user satisfaction is rated high, usability challenges persist. Beyond advocating for user needs, nursing science should also address the role of rollators in enabling individuals to remain at home despite care needs, ensuring safety, and shaping informal and formal care settings.</div></div><div><h3>Purpose</h3><div>This study examined usability aspects with a strong user-centred emphasis on subjective rollator satisfaction, using Amazon rollator reviews as data source. The aim was to validate previously found aspects and to explore unknown elements of human-rollator interaction.</div></div><div><h3>Methods</h3><div>A total 1.026 rollator reviews from three price categories (200 €) were analysed. A Qualitative Content Analysis was employed, combining deductive and inductive coding methods. Deductive analysis was conducted based on the Quebec User Evaluation of Satisfaction with assistive Technology (QUEST 2.0). Inductive analysis was based on the Grounded Theory Method to identify themes that were not fully considered in the deductive coding.</div></div><div><h3>Results</h3><div>A total of 2243 deductive codes were assigned, with Ease of Use (489) and Comfort (458) being the most frequently coded categories. The inductive analysis revealed that users' expectations differ depending on the objectives of the primary and secondary users, who often make the purchasing decisions. Aesthetic appeal influenced rollator acceptance and reducing stigma. Usability has been shown to evolve over time, with experience, adaptation, and wear affecting long-term satisfaction and maintenance needs.</div></div><div><h3>Conclusions</h3><div>This study highlights the complexity of rollator usability, shaped by material and non-materialistic user needs. Amazon reviews offer valuable insights, including secondary user perspectives. Nurses can play a key role in training and advising on rollator, contributing to better provision. As rollators shape care situations, it is essential for nursing science to address assistive technology to improve usability, safety, and overall quality of care.</div></div><div><h3>Study Registration</h3><div>Not registered.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100422"},"PeriodicalIF":3.1,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104556","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}
Psychological well-being is an important topic in mental health. It is known that university students have a high prevalence of stress and psychological distress, especially students in health sciences fields such as nursing. Despite the growing emergence of this public health issue, research on the factors affecting the mental health of nursing students is limited.
Objective
To estimate the global psychological health and well-being of Spanish nursing students and its associations with sociodemographic and lifestyle factors.
Methods
A cross-sectional study was conducted among nursing students. Descriptive analysis, bivariate analysis, and binary regression models were performed.
Results
A total of 235 students participated, of which 49.4 % had poor psychological well-being and 51.5 % reported high levels of detrimental emotional symptoms. The main factors related to these unfavorable outcomes were smoking (OR > 5, 95 % C.I. 2–16.30), frequent consumption of fast food (OR > 5, 95 % C.I. 2–16.30), sleeping <7 h (OR > 2.5, 95 % C.I. 1.46–5.09), and being in the third year of the University study program (OR 2.13, 95 % C.I. 1.051–4.331).
Conclusions
These results highlight healthy lifestyle habits as the main factors related to psychological well-being. Additionally, they underscore the need to create psychological support strategies for nursing students.
{"title":"Factors related to well-being and psychological health in nursing students: A cross-sectional survey","authors":"Beatriz Calderón-Cruz , Uxía García-Sánchez , Jacinto Luis González-Oya , Ángela Prieto-Campo","doi":"10.1016/j.ijnsa.2025.100421","DOIUrl":"10.1016/j.ijnsa.2025.100421","url":null,"abstract":"<div><h3>Background</h3><div>Psychological well-being is an important topic in mental health. It is known that university students have a high prevalence of stress and psychological distress, especially students in health sciences fields such as nursing. Despite the growing emergence of this public health issue, research on the factors affecting the mental health of nursing students is limited.</div></div><div><h3>Objective</h3><div>To estimate the global psychological health and well-being of Spanish nursing students and its associations with sociodemographic and lifestyle factors.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among nursing students. Descriptive analysis, bivariate analysis, and binary regression models were performed.</div></div><div><h3>Results</h3><div>A total of 235 students participated, of which 49.4 % had poor psychological well-being and 51.5 % reported high levels of detrimental emotional symptoms. The main factors related to these unfavorable outcomes were smoking (OR > 5, 95 % C.I. 2–16.30), frequent consumption of fast food (OR > 5, 95 % C.I. 2–16.30), sleeping <7 h (OR > 2.5, 95 % C.I. 1.46–5.09), and being in the third year of the University study program (OR 2.13, 95 % C.I. 1.051–4.331).</div></div><div><h3>Conclusions</h3><div>These results highlight healthy lifestyle habits as the main factors related to psychological well-being. Additionally, they underscore the need to create psychological support strategies for nursing students.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100421"},"PeriodicalIF":3.1,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145117967","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：