International Journal of Nursing Sciences最新文献

{"title":"The learning expectations of undergraduate nursing students for the flipped Health Assessment course: A qualitative study","authors":"Yixin Luo,&nbsp;Jingjing You,&nbsp;Yimin Chen,&nbsp;Meijing Chen,&nbsp;Jiayuan Zhuang,&nbsp;Fangli Xu,&nbsp;Rong Hu","doi":"10.1016/j.ijnss.2025.08.001","DOIUrl":"10.1016/j.ijnss.2025.08.001","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the learning expectations of undergraduate nursing students regarding the flipped <em>Health Assessment</em> course.</div></div><div><h3>Methods</h3><div>This descriptive, qualitative study was conducted at a medical university in Fuzhou, Fujian Province, China. An interview outline was designed based on the core dimensions of Expectation Confirmation Theory (expectation sources, expectation content, and expectation importance). Thirty second-year undergraduate nursing students who had completed first-year basic medical courses and were about to take the flipped <em>Health Assessment</em> course were interviewed between June and July 2022. Interview data were analyzed using qualitative content analysis.</div></div><div><h3>Results</h3><div>Five major themes and thirteen subthemes were identified. Theme 1 was expectation sources—perceived learning difficulties from past experiences, which included four subthemes: insufficient autonomous learning ability, confusion regarding learning methods, insufficient engagement in learning, and low professional identity. Theme 2 included knowledge and information expectations, which comprised three subthemes: knowledge to improve professional competence, knowledge to enhance academic competitiveness, and knowledge to boost self-efficacy. Theme 3 comprised logical expectations and included two subthemes: flexible teaching methods and efficient instructional tools. Theme 4, pleasure expectations, included two subthemes: vivid teaching styles and diversified teaching evaluations. Theme 5 comprised professional value expectations and included two subthemes: teachers’ responsible professional attitudes and gentle emotional support.</div></div><div><h3>Conclusion</h3><div>Students’ learning expectations originate from perceived learning difficulties, such as insufficient learning autonomy and engagement, confusion about learning methods, and a lack of professional identity. They showed various learning expectations for the flipped <em>Health Assessment</em> course, including knowledge and information, logic, pleasure, and professional value expectations.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 5","pages":"Pages 485-492"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a peer support and precision matching mobile platform for health management for people living with HIV","authors":"Yangfeng Wu ,&nbsp;Shuyu Han ,&nbsp;Sikai Shan ,&nbsp;Xin Xie ,&nbsp;Dongmei Li ,&nbsp;Lili Zhang ,&nbsp;Zhiwen Wang","doi":"10.1016/j.ijnss.2025.08.011","DOIUrl":"10.1016/j.ijnss.2025.08.011","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to describe the development process of the peer precision-matching and health management mobile platform “Aspark” for people living with human immunodeficiency virus (HIV) (PLWH) and to evaluate its usability.</div></div><div><h3>Methods</h3><div>The study assembled a multidisciplinary research and development team comprising researchers, software engineers, art designers, clinical nursing specialists, HIV peer volunteers, and psychological counselors. The team employed an agile development model to iteratively build the platform. Using the social determinants of health framework and the interpersonal circumplex, we identified 14 matching variables for the mobile platform. A video production team was formed to create peer training videos on health management for PLWH. We integrated relevant tools to provide PLWH with various types of support, including informational, instrumental, emotional, affiliational, and appraisal assistance. From March to May 2024, the research team used convenience sampling to select 130 platform users. It administered an electronic questionnaire based on the System Usability Scale to evaluate the platform’s overall usability.</div></div><div><h3>Results</h3><div>The platform incorporates multiple functional modules, including “Precision Matching,” “Drug Interaction Query,” “Medication Reminder,” “Health Management,” “Mood Diary,” “Community Discussion,” and “Activity Center,” achieving comprehensive coverage across informational, emotional, instrumental, social, and appraisal support. The precision matching module facilitates intelligent pairing between patients and peer volunteers; the health management module allows for the entry of test results and trend analysis; medication reminders and check-in features enhance medication adherence; the mood diary supports emotional recording and expressive writing; while the community module offers functions such as topic discussions, appointment scheduling, and organization of offline activities. Among the 130 valid questionnaires, more than 83 % of users scored above 68 on the System Usability Scale, indicating that the platform demonstrates favourable usability.</div></div><div><h3>Conclusions</h3><div>The “Aspark” platform offers a feasible and promising digital solution for precision matching in HIV peer support and health management, enabling healthcare providers to deliver personalized and continuous health support to patients through its functions. Well-designed clinical trials should be conducted in the future to evaluate the effectiveness of this tool.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 5","pages":"Pages 462-468"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of standardized patient combined with narrative nursing teaching on experimental teaching of surgical nursing: A quasi-experimental study","authors":"Wenshuai Tang,&nbsp;Yan Gao","doi":"10.1016/j.ijnss.2025.06.011","DOIUrl":"10.1016/j.ijnss.2025.06.011","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore the effect of standardized patient (SP)-narrative nursing in the experimental teaching of surgical nursing.</div></div><div><h3>Methods</h3><div>A quasi-experimental study design was adopted. A total of 200 undergraduate nursing students were recruited from the Nursing College of Guilin Medical University in China from March 2023 to December 2024. The intervention group recruited students from the Class of 2022 (<em>n</em> = 100), and the control group recruited students from the Class of 2021 (<em>n</em> = 100). The intervention group adopted a teaching model combining standardized patients with narrative nursing based on traditional scenario-based simulation teaching, which was applied to the nursing of perioperative patients (4 class hours) and scenario-based case drills (4 class hours) in the experimental teaching of surgical nursing. The control group used traditional scenario-based simulation teaching. The Nurse Humanistic Care Quality Evaluation Scale, Clinical Thinking Ability Evaluation Index System Scale for Medical Students, and Nurse-Patient Communication Ability Evaluation Scale for Nursing Students were used to investigate and compare the teaching effects between the two groups of students.</div></div><div><h3>Results</h3><div>The total scores of the intervention group on humanistic care (91.39 ± 3.97), clinical thinking (79.64 ± 6.33), and nurse-patient communication (157.22 ± 7.95) abilities were significantly higher than those of the control group (82.29 ± 3.62, 65.11 ± 7.24, and 147.05 ± 7.84, respectively), with statistically significant differences (<em>P &lt;</em> 0.01).</div></div><div><h3>Conclusion</h3><div>This study confirms that integrating the dual teaching model of standardized patients and narrative nursing in experimental teaching of surgical nursing has significantly optimized the theoretical and practical structure of teaching strategies. This innovative teaching method provides a promotable paradigm for nursing humanities education and is of positive significance for improving the effectiveness of cultivating the core literacy of nursing talents.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 5","pages":"Pages 477-484"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Technological nursing interventions on nutritional status of middle-aged and older adults undergoing hemodialysis: A systematic review","authors":"Amélia Pernas ,&nbsp;Sara Pires ,&nbsp;Idalina Gomes ,&nbsp;César Fonseca ,&nbsp;Ana Ramos","doi":"10.1016/j.ijnss.2025.08.008","DOIUrl":"10.1016/j.ijnss.2025.08.008","url":null,"abstract":"<div><h3>Objective</h3><div>Malnutrition is common in hemodialysis patients, increasing mortality and significantly impacting quality of life. This study aimed to identify technological nursing interventions that promote self-care and improve the nutritional status of middle-aged and older adults undergoing hemodialysis.</div></div><div><h3>Methods</h3><div>A systematic literature review was conducted in accordance with the Joanna Briggs Institute (JBI) and PRISMA guidelines. Searches were conducted in Medline, CINAHL, the Cochrane Library, Scopus, Web of Science, and grey literature. Studies published between 2018 and 2024, involving patients aged 40 years or more undergoing regular hemodialysis, and available in Portuguese, English, or Spanish, were included. JBI’s critical appraisal tools were used to conduct a rigorous analysis and methodological quality assessment of the articles.</div></div><div><h3>Results</h3><div>Out of a total of 738 articles, 10 were included for analysis. Five key dimensions of technology-driven self-care interventions were established. 1) Mobile applications and digital platforms with features like nutritional databases, food logging, and personalized feedback; 2) E-learning and virtual education using social media and chat-based communication; 3) Telenursing employing a hybrid follow-up model of face-to-face, telephone, and SMS contact; 4) Educational strategies focused on nutritional status, utilizing methods such as teach-back and pictorial learning within a multidisciplinary team; and 5) Comprehensive assessment tools evaluating treatment adherence (hemodialysis, medication, diet, fluid) and laboratory markers. Significant improvements were reported across several outcomes: eight studies showed enhanced biochemical markers (e.g., phosphorus, sodium, potassium, calcium, iron, albumin, urea, and hemoglobin) and nutritional status, three demonstrated increased self-efficacy, and two reported improved quality of life.</div></div><div><h3>Conclusion</h3><div>Integrating technology and face-to-face education enhances nutritional status, highlighting the importance of comprehensive strategies to improve treatment adherence and prevent malnutrition in hemodialysis patients.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 5","pages":"Pages 493-500"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145160420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes toward caring for terminally ill patients among community nurses in Shanghai: A cross-sectional study","authors":"Yifei Xie ,&nbsp;Tingting Cai ,&nbsp;Aiyong Zhu ,&nbsp;Xian Zhang ,&nbsp;Chunjian Xu ,&nbsp;Lijuan Song","doi":"10.1016/j.ijnss.2025.06.004","DOIUrl":"10.1016/j.ijnss.2025.06.004","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to evaluate attitudes toward caring for terminally ill patients and identify the associated factors among community nurses in Shanghai.</div></div><div><h3>Methods</h3><div>The study was conducted among community nurses using convenience sampling in Shanghai between August and November 2023. The demographic questionnaire, the Frommelt Attitude Toward Care of the Dying Scale-B (FATCOD-B), and the Coping with Death Scale (CDS) were used for data collection. Data analysis was conducted using independent sample <em>t</em>-test, one-way analysis of variance, and multiple linear regression analysis.</div></div><div><h3>Results</h3><div>A total of 1,396 community nurses participated in this study. The overall FATCOD-B score among community nurses was 102.27 ± 10.23, the attitude toward caring for the dying person’s family dimension scored the highest (4.03 ± 0.53), whereas the attitude toward the communication dimension scored the lowest (2.86 ± 0.52). The overall CDS score was 130.78 ± 20.25. Multiple linear regression analysis showed that death coping ability and blended death education accounted for 13.7 % of the variance in community nurses’ attitudes toward caring for terminally ill patients.</div></div><div><h3>Conclusions</h3><div>Community nurses in Shanghai exhibit moderate attitudes toward caring for terminally ill patients. Nurses with greater death coping ability and those who participated in blended death education tended to have more positive attitudes toward terminally ill patients. These findings underscore the potential of blended death education as a practical strategy to enhance hospice care quality in community health service centers.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 401-407"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation, validity, and reliability of the Thai de Morton Mobility Index in patients following hip surgery","authors":"Chanokporn Jitpanya ,&nbsp;Surachai Maninet ,&nbsp;Chanipa Yoryuenyong","doi":"10.1016/j.ijnss.2025.04.003","DOIUrl":"10.1016/j.ijnss.2025.04.003","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to translate the de Morton Mobility Index (DEMMI) into Thai and assess its measurement properties.</div></div><div><h3>Methods</h3><div>The de Morton Mobility Index (DEMMI) was translated into Thai using a cross-cultural translation method. A cross-sectional study was conducted in four public hospitals in Thailand between January and March 2023. A total of 260 patients were recruited from outpatient clinics. Convergent and known-group validity were evaluated through hypothesis testing. Construct validity was examined using confirmatory factor analysis. Reliability was assessed using Cronbach’s α coefficient. We also employed the Rasch analysis to validate validity and person reliability.</div></div><div><h3>Results</h3><div>Content validity was high (S-CVI = 0.96, I-CVI range: 0.80–1.00). Strong convergent validity was observed, with a significant correlation (<em>r</em> = 0.761, <em>P</em> &lt; 0.001) between the Thai DEMMI and the Parker Mobility Scale (PMS). Known-group validity was evident, demonstrating differences in scores across various patient groups. A confirmatory factor analysis supported the hypothesized factor structure of the Thai DEMMI with good fit indices: <em>χ</em>² (<em>df</em> = 4) = 5.101, <em>P</em> = 0.2771; <em>χ</em>²/<em>df</em> = 1.275, RMSEA = 0.033; CFI = 0.998; TLI = 0.995; SRMR = 0.016. The Thai DEMMI exhibited high internal consistency (Cronbach’s α = 0.88). Rasch analysis revealed good person reliability (0.91) and acceptable information-weighted fit means square statistic (0.73–1.06). However, most items showed good fit based on the outlier-sensitive fit means square statistics (Outfit MNSQ), one exhibited a high Outfit MNSQ value of 29.94, suggesting a potential misfit.</div></div><div><h3>Conclusion</h3><div>This study demonstrated the acceptable validity and reliability of the Thai DEMMI. Further evaluation of its responsiveness to change is still recommended.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 386-392"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation strategies of a national standard for comprehensive care in acute care hospitals: An interview study","authors":"Beibei Xiong ,&nbsp;Christine Stirling ,&nbsp;Daniel X. Bailey ,&nbsp;Paul Prudon ,&nbsp;Melinda Martin-Khan","doi":"10.1016/j.ijnss.2025.06.002","DOIUrl":"10.1016/j.ijnss.2025.06.002","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore the strategies used by acute care hospitals in implementing a national standard for comprehensive care.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study was conducted with 28 care professionals (20 nurses, two doctors, and six allied health professionals) recruited from a broad range of Australian acute care hospitals. Data were collected using semi-structured interviews from March to August 2023. The interviews were audio-recorded, transcribed, and thematically analyzed.</div></div><div><h3>Results</h3><div>Strategies for implementing the Comprehensive Care Standard (CCS) vary, even within a health service organization. We identified strategies hospitals used regarding the implementation team and plan, communication, education and training, documentation system, patient care plan, networking, incentives and pressure, feedback, and reflecting and evaluating.</div></div><div><h3>Conclusions</h3><div>This interview study sheds light on the various strategies adopted by hospitals in implementing the CCS, providing a practical foundation to inform implementation efforts both within Australia and internationally.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 369-378"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing uncertainty: A grounded theory study of restoring normality in young and middle-aged patients with lymphoma","authors":"Chunfeng Wang ,&nbsp;Yong Wu ,&nbsp;Rong Hu","doi":"10.1016/j.ijnss.2025.06.008","DOIUrl":"10.1016/j.ijnss.2025.06.008","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to generate a theoretical framework based on empirical data to explain the behavioral patterns closely related to young and middle-aged patients with lymphoma throughout the disease.</div></div><div><h3>Methods</h3><div>This study followed the classic grounded theory methodology, involving procedures such as theoretical sampling, substantive coding, theoretical coding, constant comparison, and memo writing and sorting. Multiple data types were used based on the principle of “all is data,” including 34 participants providing interview data along with observation notes and 40 relevant secondary texts from the “Lymphoma House” network platform and the “Lymphoma House 086” public account. Two autobiographical books written by lymphoma patients were also selected as data resources. Data collection and analysis were conducted in an iterative process until theoretical saturation was reached. The COREQ checklist was followed to report this study.</div></div><div><h3>Results</h3><div>The main concern of middle-aged and young patients with lymphoma was identified as restoring normality, while managing uncertainty was the main behavioral pattern for restoring normality. Uncertainty consists of two interrelated types: inherent uncertainty of illness and perceived uncertainty of patients. Four strategies are used to manage uncertainty: reconstructing certainty, adaptive coping, defensive buffering, and compensatory changing. Managing uncertainty is influenced by disease characteristics and perceptions, social resources, and cultural concepts. The consequence of managing uncertainty is reaching a new normality.</div></div><div><h3>Conclusions</h3><div>Pervasive uncertainty significantly affects the daily lives of young and middle-aged patients with lymphoma. Consequently, strategies for managing disease-related uncertainty to sustain normality are commonly observed in this population. This theoretical framework for addressing uncertainty can serve as a foundation for understanding and developing tailored interventions to manage uncertainty. Future research should focus on managing uncertainty to help patients restore normality.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 393-400"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a theory-based tailored individual and family self-management education in adults with uncontrolled diabetes: A randomized controlled trial","authors":"Yohanes Andy Rias ,&nbsp;Ratsiri Thato ,&nbsp;Margareta Teli ,&nbsp;Ferry Efendi","doi":"10.1016/j.ijnss.2025.06.001","DOIUrl":"10.1016/j.ijnss.2025.06.001","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to determine the effectiveness of an individual and family self-management (IFSM) education program on triglyceride-glucose (TyG) index, self-management, and diabetes distress among adults with uncontrolled diabetes mellitus type 2 (T2DM).</div></div><div><h3>Methods</h3><div>A multicentre randomized controlled trial was employed. The study included 68 dyads (adults with uncontrolled T2DM and one family member) that were randomly allocated to the intervention (<em>n</em> = 34) and control groups (<em>n</em> = 34) from March to September 2024. Participants in the intervention group received an 8-week IFSM education program, whereas those in the control group received standard routine care. An automated hematology analyzer XP-100 was used to evaluate triglyceride and fasting blood glucose levels. The Diabetes Distress Scale and Diabetes Self-Management Questionnaire were used to measure diabetes distress and self-management, respectively.</div></div><div><h3>Results</h3><div>A total of 67 participants completed the intervention. The generalized estimating equation demonstrated a significant interaction between group and time. The IFSM education intervention group had a higher diabetes self-management (<em>β</em> = 16.68; 95 %<em>CI =</em> 15.23, 18.09; <em>P</em> &lt; 0.001), lower diabetes distress (<em>β</em> = −30.74; 95 %<em>CI</em> = −32.57, −28.90; <em>P</em> &lt; 0.001), and lower TyG index (<em>β</em> = −1.97; 95 %<em>CI</em> = −2.41, −1.53; <em>P</em> &lt; 0.001) than the control group.</div></div><div><h3>Conclusions</h3><div>The findings documented the capacity of IFSM education to reduce TyG and diabetes distress, which could potentially escalate diabetes self-management among individuals with T2DM.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 320-327"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing management of the neurogenic bladder: Evidence map of quality and recommendations from clinical practice guidelines","authors":"Yuanyuan Li ,&nbsp;Jinhui Tian ,&nbsp;Luying Cheng ,&nbsp;Jing Ni ,&nbsp;Lin Li ,&nbsp;Jiaoyan Zhang ,&nbsp;Liang Zhao ,&nbsp;Jingjie Zou ,&nbsp;Wentao Wei ,&nbsp;Duanying Cai","doi":"10.1016/j.ijnss.2025.06.009","DOIUrl":"10.1016/j.ijnss.2025.06.009","url":null,"abstract":"<div><h3>Objectives</h3><div>This study employed evidence mapping to systematically evaluate clinical practice guidelines (CPGs) for neurogenic bladder (NB) care. We aimed to identify research trends, evidence gaps, and consensus patterns to inform evidence-based nursing practices and support the formulation of high-quality CPGs.</div></div><div><h3>Methods</h3><div>A systematic search of electronic databases and guideline repositories was conducted, included PubMed, Web of Science, Embase, Guidelines International Network (GIN), ect. Eligible NB guidelines underwent dual-researcher screening and extraction, and methodological and recommendation quality were assessed using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) and Evaluation-Recommendations Excellence (AGREE-REX) instruments. Five researchers independently evaluated recommendation specificity, evidence grading systems, and implementation consistency. Discrepancies were resolved through consensus discussion or third-party arbitration.</div></div><div><h3>Results</h3><div>Analysis of 19 CPGs (2006–2023) from 11 countries/regions revealed that 78.95 % (15/19) incorporated evidence grading systems and 68.42 % (13/19) specified recommendation strength. The AGREE II evaluation identified critical methodological deficiencies, with three domains scoring below the acceptable thresholds: Rigor of Development (41.70 %), Editorial Independence (43.30 %), and Applicability (30.00 %). The AGREE-REX results showed moderate performance in Clinical Applicability (55.56 %) and implantability (41.67 %) but severe gaps in Values and Preferences (25.00 %). A systematic synthesis identified 40 recommendations: 90 % (36/40) demonstrated consensus and 10 % (4/40) contradictions. These studies addressed the following six clinical themes: 1) nursing assessment, 2) manipulation-assisted voiding, 3) behavioral therapy, 4) intermittent catheterization, 5) indwelling catheterization, and 6) other therapies.</div></div><div><h3>Conclusions</h3><div>The methodologies and recommendations of the CPGs for NB in nursing demonstrated substantial variability. Therefore, there is an urgent need to improve the quality of the NB-related CPGs. More in-depth research and timely updates are required to enhance the practical utility of CPGs and narrow the gap between CPGs and clinical practice.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 415-423"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}