International Journal of Nursing Sciences最新文献

{"title":"The relationship between proxy decision-making content and cues by families of patients with malignant brain tumor: A descriptive qualitative study","authors":"Runa Tokunaga ,&nbsp;Fumiyo Ishikawa","doi":"10.1016/j.ijnss.2025.02.001","DOIUrl":"10.1016/j.ijnss.2025.02.001","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to clarify the relationship between the content of proxy decision-making made by families of patients with malignant brain tumors regarding treatment policies and daily care and the cues leading to those decisions.</div></div><div><h3>Methods</h3><div>Semi-structured personal interviews were used to collect data. Seven family members of patients with malignant brain tumors were selected to participate in the study by purposive sampling method from June to August 2022 in the Patient Family Association of Japan. Responses were content analyzed to explore the relationship between the content of decisions regarding “treatment policies” and “daily care” and the cues influencing those decisions. Semi-structured interviews were analyzed by using thematic analysis.</div></div><div><h3>Results</h3><div>The contents of proxy decisions regarding “treatment policies” included implementation, interruption, and termination of initial treatments, free medical treatments, use of respirators, and end-of-life sedation and included six cues: treatment policies suggested by the primary physician, information and knowledge about the disease and treatment obtained by the family from limited resources, perceived life threat from symptom worsening, words and reactions from the patient regarding treatment, patient’s personality and way of life inferred from their treatment preferences, family’s thoughts and values hoping for better treatment for the patient. Decisions for “daily care” included meal content and methods, excretion, mobility, maintaining cleanliness, rehabilitation, continuation or resignation from work, treatment settings (outpatient or inpatient), and ways to spend time outside and included seven cues: words and thoughts from the patient about their way of life, patient’s reactions and life history inferred from their preferred way of living, things the patient can do to maintain daily life and roles, awareness of the increasing inability to do things in daily life, family’s underlying thoughts and values about how to spend the remaining time, approval from family members regarding the care setting, advice from medical professionals on living at home.</div></div><div><h3>Conclusions</h3><div>For “treatment policies,” guidelines from medical professionals were a key cue, while for “daily care,” the small signs from the patients in their daily lives served as cues for proxy decision-making. This may be due to the lack of information available to families and the limited time available for discussion with the patient. Families of patients with malignant brain tumors repeatedly use multiple cues to make proxy decision-making under high uncertainty. Therefore, nurses supporting proxy decision-making should assess the family’s situation and provide cues that facilitate informed and confident decisions.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 2","pages":"Pages 169-175"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public participation willingness in out-of-hospital cardiopulmonary resuscitation: A systematic review and meta-analysis","authors":"Yuqiu Cheng ,&nbsp;Chunzhi Zhang ,&nbsp;Li Chen ,&nbsp;Hongjun Liu ,&nbsp;Wanling He ,&nbsp;Zeya Shi","doi":"10.1016/j.ijnss.2025.02.012","DOIUrl":"10.1016/j.ijnss.2025.02.012","url":null,"abstract":"<div><h3>Objective</h3><div>This systematic review and meta-analysis aimed to identify the main factors influencing the public’s willingness to participate in out-of-hospital emergency care.</div></div><div><h3>Methods</h3><div>Studies were searched in online databases, including PubMed, Embase, Web of Science, and the Cochrane Library. The articles included in this review were published from inception to July 31, 2024. The Iain Crombie assessment tool was used to assess study quality. Meta-analysis was performed using RevMan (version 5.4) software. The review protocol has been registered with PROSPERO (CRD42024570491).</div></div><div><h3>Results</h3><div>A total of 1,434 research articles were initially identified, among which 18 were incorporated into this study, and all of the included studies were cross-sectional. Meta-analysis results demonstrated that gender (male; <em>OR</em> = 1.37, 95%<em>CI</em>: 1.28–1.47), profession (healthcare provider; <em>OR</em> = 0.17, 95%<em>CI:</em> 0.06–0.47), knowledge and skill level (<em>OR</em> = 1.63, 95%<em>CI:</em> 1.25–2.11), willingness to undergo training (<em>OR</em> = 2.68, 95%<em>CI:</em> 1.89–3.79), interest in first aid (<em>OR</em> = 2.08, 95%<em>CI:</em> 1.60–2.69), previous training (<em>OR</em> = 2.14, 95%<em>CI:</em> 1.49–3.08), and previous first-aid experience (<em>OR</em> = 1.70, 95%<em>CI:</em> 1.37–2.11) were the principal influencing factors of the public’s willingness to engage in out-of-hospital cardiopulmonary resuscitation.</div></div><div><h3>Conclusion</h3><div>Demographic factors, knowledge, belief, and behavior are crucial in influencing public emergency decision-making. Medical personnel could create specialized training programs based on relevant factors to enhance the public's willingness to engage in out-of-hospital CPR.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 2","pages":"Pages 192-199"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital components and interaction types in counseling interventions for childhood and adolescent obesity: A systematic review","authors":"Mari Virtanen ,&nbsp;Heli Kerimaa ,&nbsp;Niko Männikkö ,&nbsp;Merja Männistö ,&nbsp;Karoliina Paalimäki-Paakki ,&nbsp;Minna Lahtinen ,&nbsp;Miia Jansson ,&nbsp;Kirsi Kivelä ,&nbsp;Anne Oikarinen ,&nbsp;Mira Rajala ,&nbsp;Minna Vanhanen ,&nbsp;Maria Kääriäinen ,&nbsp;Pirjo Kaakinen","doi":"10.1016/j.ijnss.2025.02.014","DOIUrl":"10.1016/j.ijnss.2025.02.014","url":null,"abstract":"<div><h3>Objectives</h3><div>Childhood and adolescent obesity are an increasing global health concern. This study aimed to evaluate the effectiveness of digital components and interaction types in counseling interventions for prevention and treatment.</div></div><div><h3>Methods</h3><div>All studies were searched in online databases and grey literature, including PubMed (Medline), Web of Science, CINAHL, Scopus, IEEE Xplore Digital Library, Journal of Medical Internet Research (JMIR), MedNar, EBSCO Open Dissertations. The search period is from inception to June 2023, and the languages are Finnish, English and Swedish. The research quality was evaluated using the web-based data management system Covidence for prevalence studies. The study protocol was registered with PROSPERO (registration number: CRD42021247595).</div></div><div><h3>Results</h3><div>In this review, 4,407 studies were screened, and 22 were included. These involved 3,433 participants and 264 child-parent pairs. The digital approaches included multicomponent elements like internet platforms, text messaging, video conferencing, online communities, wearable technology, and mobile apps, allowing one-way, two-way, and face-to-face interactions. Two studies showed statistically significant effects of treatment on BMI and waist-to-hip ratio. Most interventions reported positive outcomes, with no significant differences between groups, and none showed null effects during follow-up.</div></div><div><h3>Conclusions</h3><div>Digital multicomponents like mobile apps and wearables can help obese children and adolescents adopt healthier lifestyles. While these interventions show promise for obesity management, further research is needed to assess their effectiveness, particularly regarding nurses’ perspectives.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 2","pages":"Pages 123-129"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between depression, resilience, and fatigue in patients with multivessel coronary disease: A cross-lag study","authors":"Binbin Sun ,&nbsp;Jing Han ,&nbsp;Beibei Tian ,&nbsp;Yuexuan Xu ,&nbsp;Jin Wang ,&nbsp;Jianhui Wang","doi":"10.1016/j.ijnss.2025.02.009","DOIUrl":"10.1016/j.ijnss.2025.02.009","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to examine the associations between depression, resilience, and fatigue in patients with multivessel coronary disease and verify their causal relationships.</div></div><div><h3>Methods</h3><div>Between October 2023 and June 2024, 316 patients with multivessel coronary disease were recruited from three tertiary hospitals in Tangshan, China. The Patient Health Questionnaire, Connor-Davidson Resilience Scale, and the Multidimensional Fatigue Inventory were administered to the patients on the third day of admission (T1), one month after discharge (T2), and three months after discharge (T3). Pearson correlation analysis was conducted to examine the relationships among depression, resilience, and fatigue in patients with multivessel coronary disease, and cross-lagged analysis to explore the temporal causal relationships.</div></div><div><h3>Results</h3><div>In patients with multivessel coronary disease, levels of depression and fatigue decreased from T1 to T3, while resilience scores increased during the same period. The correlation analysis revealed significant relationships among depression, resilience, and fatigue at T1, T2, and T3 (<em>P</em> &lt; 0.01). The autoregressive paths indicated high stability over time for depression, medium stability for resilience, and low stability for fatigue. Cross-lagged paths demonstrated that depression at T1 significantly predicted fatigue at T2 (<em>β</em> = 0.461, <em>P</em> &lt; 0.001), and depression at T2 significantly predicted fatigue at T3 (<em>β</em> = 0.957, <em>P</em> &lt; 0.001). And resilience at T1 significantly predicted fatigue at T2 (<em>β</em> = −0.271, <em>P</em> &lt; 0.001), and resilience at T2 significantly predicted fatigue at T3 (<em>β</em> = −0.176, <em>P</em> &lt; 0.001). Additionally, resilience had a moderating effect on the relationship between depression and fatigue (<em>β</em> = −0.760, <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Our study confirmed that depression and resilience predicted fatigue in patients with multivessel coronary disease. To prevent and mitigate fatigue, alleviating depressive symptoms and enhancing resilience levels in patients at an early stage is essential.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 2","pages":"Pages 144-151"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the measurement properties of online health information quality assessment tools: A systematic review","authors":"Yating Li ,&nbsp;Hui Ouyang ,&nbsp;Gan Lin ,&nbsp;Yichao Peng ,&nbsp;Jinghui Yao ,&nbsp;Yun Chen","doi":"10.1016/j.ijnss.2025.02.015","DOIUrl":"10.1016/j.ijnss.2025.02.015","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to evaluate the measurement properties and methodological quality of instruments developed to evaluate the quality of online health information.</div></div><div><h3>Methods</h3><div>In this study, a systematic search was conducted across a range of databases, including the China National Knowledge Infrastructure (CNKI), Wanfang, China Science and Technology Journal (VIP), SinoMed, PubMed, Web of Science, CINAHL, Embase, the Cochrane Library, PsycINFO, and Scopus. The search period spanned from the inception of the databases to October 2023. Two researchers independently conducted the literature screening and data extraction. The methodological quality of the included studies was assessed using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) Risk of Bias checklist. The measurement properties were evaluated using the COSMIN criteria. The modified Grading, Recommendations, Assessment, Development, and Evaluation (GRADE) system was used to determine the quality grade.</div></div><div><h3>Results</h3><div>A total of 18 studies were included, and the measurement properties of 17 scales were assessed. Fifteen scales had content validity, three had structural validity, six had internal consistency, two had test-retest reliability, nine had interrater reliability, one had measurement error, six instruments had criterion validity, and three scales had hypotheses testing for construct validity; however, the evaluation of their methodological quality and measurement properties revealed deficiencies. Of these 17 scales, 15 were assigned a Level B recommendation, and two received a Level C recommendation.</div></div><div><h3>Conclusions</h3><div>The Health Information Website Evaluation Tool (HIWET) can be temporarily used to evaluate the quality of health information on websites. The Patient Education Materials Assessment Tool (PEMAT) can temporarily assess the quality of video-based health information. However, the effectiveness of both tools needs to be further verified.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 2","pages":"Pages 130-136"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advance care planning readiness among older adults in aged service centers: A cross-sectional study","authors":"Kalok Wong ,&nbsp;Haobin Yuan ,&nbsp;Stephen Tee ,&nbsp;Sinkei Cheong","doi":"10.1016/j.ijnss.2024.12.005","DOIUrl":"10.1016/j.ijnss.2024.12.005","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore the readiness for advance care planning (ACP) among older adults in Macau’s day service centers and investigate the influencing factors.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted from October to December 2022 using a convenience sampling method. A total of 312 older adults were selected from 13 day service centers for older adults in Macau, China. The Advance Care Planning Acceptance Questionnaire and the Family Adaptation, Partnership, Growth, Affection, Resolve (APGAR) Scale were used to survey the older adults.</div></div><div><h3>Results</h3><div>A total of 306 older adults completed the survey. The score for advance care planning readiness was 65.55 ± 10.69, and 59.5% of participants (<em>n</em> = 182) were willing to participate in ACP. The family function score was 7.24 ± 2.51, while 70.3% of participants were from a highly functional family. The higher family function indicating a higher readiness for advance care planning (<em>r</em> = 0.396, <em>P</em> &lt; 0.001). The multiple linear regression analysis indicated that the variables “age,” “knowledge of ACP,” “experience with ACP,” and “received resuscitation of yourself, relatives or friends” combined with “family function” can influence advance care planning readiness among older adults (<em>R</em>² = 0.317, <em>F</em> = 27.898, <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Older adults in Macau’s day service centers were willing to engage in ACP. The importance of family involvement is highlighted in the ACP readiness. Health education and improved family communication are vital for promoting ACP, which ensures individuals receive care when they lack the capacity to make that choice. Additionally, healthcare professionals should enhance communication and education with older adults during the medical care process.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 59-64"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current situation and influencing factors of palliative care practice ability among oncology nurses: A multicenter cross-sectional study","authors":"Xiaofei Nie ,&nbsp;Fanfan Lv ,&nbsp;Longti Li ,&nbsp;Jia Jia","doi":"10.1016/j.ijnss.2024.12.006","DOIUrl":"10.1016/j.ijnss.2024.12.006","url":null,"abstract":"<div><h3>Objectives</h3><div>The study aimed to survey the current situation and explore the factors that influence the ability of palliative care practice among oncology nurses.</div></div><div><h3>Methods</h3><div>A multicenter cross-sectional study was conducted using stratified random sampling to select 26 tertiary hospitals’ oncology departments in Hubei Province, China. A total of 1,198 nurses were included and finished the questionnaire consisting of social demographic characteristics, Palliative Care Self-Report Practice Scale (PCPS), End-of-life Professional Caregiver Survey (EPCS), and Self-Perceived Pain Assessment Knowledge and Confidence Scale (Self-PAC) through the online platform. Data were analyzed using <em>t</em>-test, one-way ANOVA, Pearson correlation analysis, and multiple linear regression analysis in SPSS 26.0.</div></div><div><h3>Results</h3><div>The total score for PCPS was 67.17 ± 12.57, the three dimensions’ scores were: physical symptom care (32.50 ± 6.10), spiritual and psychological care (23.35 ± 4.97), communication (11.58 ± 2.48). There are significant positive correlations between the palliative care practice ability and core competence (<em>r</em> = 0.77, <em>P</em> &lt; 0.01), as well as pain assessment ability (<em>r</em> = 0.56, <em>P</em> &lt; 0.01). Multiple regression analysis identified female, with high education background (bachelor’s degree and master’s degree or above), interest in palliative care, pain assessment ability, and core competence were positive predictors of palliative care practice ability (Adjusted <em>R</em>² = 0.668, <em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>The overall ability of the oncology nurses to practice palliative care was relatively high, but the palliative nurses reported suboptimal performance in the communication dimension of palliative nursing practice ability. To comprehensively improve oncology nurses’ palliative care practice ability, managers must consider the gender structure, educational background, enthusiasm for palliative care work, core competence, and pain assessment ability.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 35-41"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling the hidden connection: Investigating the relationship between shared leadership and missed nursing care","authors":"Amal Diab Ghanem Atalla ,&nbsp;Naglaa Abdelaziz Mahmoud Elseesy ,&nbsp;Ayman Mohamed El-Ashry ,&nbsp;Samia Mohamed Sobhi Mohamed ,&nbsp;Ebaa Marwan Felemban ,&nbsp;Abdulhafith Alharbi ,&nbsp;Nervana Abdelrahman Saied Gheith ,&nbsp;Sabrein Mahmoud khalifa khattab","doi":"10.1016/j.ijnss.2024.12.012","DOIUrl":"10.1016/j.ijnss.2024.12.012","url":null,"abstract":"<div><h3>Objectives</h3><div>This study examined the levels of shared leadership and missed nursing care and their relationship among nurses in Egypt.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted. From February to April 2024, 340 nurses worked in all inpatient care units at Alexandria Main University Hospital. The Shared Leadership and Missed Nursing Care Survey was used for evaluation.</div></div><div><h3>Results</h3><div>The overall score of shared leadership was (72.62 ± 4.30), which imitates a high perception of shared leadership among nurses; the dimension of delegation achieved the highest average mean score (3.66 ± 0.26), followed by collaboration (3.64 ± 0.31), the vision dimension scored the lowest mean score (3.59 ± 0.33). The elements of missed nursing care had a total score of (46.72 ± 5.69), and the dimension of secondary care achieved the highest average mean score (3.74 ± 0.31). The reasons for missed nursing care had a total mean score of (22.40 ± 1.59), and the dimension of labor resources achieved the highest average mean score (3.20 ± 0.22). Male nurses, less than 30 years old, married, held a bachelor’s degree in nursing sciences, less than five years of experience in the nursing profession, and less than five years of experience in the current working unit had higher total scores of the shared leadership and lower total scores of missed nursing care (<em>P</em> &lt; 0.001). A negative correlation existed between shared leadership and two dimentisons (the elements of nursing care [<em>r</em> = −0.383], the reasons for missing nursing care [<em>r</em> = −0.047]) (<em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>The study’s findings can help as a theoretical underpinning for nursing leaders to stand in an environment that reduces the incidence of missed nursing care by encouraging teamwork, responsibility, workload management, and empowerment among nurses.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 12-18"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk prediction models for post-intensive care syndrome of ICU discharged patients: A systematic review","authors":"Pengfei Yang ,&nbsp;Fu Yang ,&nbsp;Qi Wang ,&nbsp;Fang Fang ,&nbsp;Qian Yu ,&nbsp;Rui Tai","doi":"10.1016/j.ijnss.2024.10.012","DOIUrl":"10.1016/j.ijnss.2024.10.012","url":null,"abstract":"<div><h3>Objectives</h3><div>This systematic review aimed to assess the properties and feasibility of existing risk prediction models for post-intensive care syndrome outcomes in adult survivors of critical illness.</div></div><div><h3>Methods</h3><div>As of November 1, 2023, Cochrane Library, PubMed, Embase, CINAHL, Web of Science, PsycInfo, China National Knowledge Infrastructure (CNKI), SinoMed, Wanfang database, and China Science and Technology Journal Database (VIP) were searched. Following the literature screening process, we extracted data encompassing participant sources, post-intensive care syndrome (PICS) outcomes, sample sizes, missing data, predictive factors, model development methodologies, and metrics for model performance and evaluation. We conducted a review and classification of the PICS domains and predictive factors identified in each study. The Prediction Model Risk of Bias Assessment Tool was employed to assess the quality and applicability of the studies.</div></div><div><h3>Results</h3><div>This systematic review included a total of 16 studies, comprising two cognitive impairment studies, four psychological impairment studies, eight physiological impairment studies, and two studies on all three domains. The discriminative ability of prediction models measured by area under the receiver operating characteristic curve was 0.68–0.90. The predictive performance of most models was excellent, but most models were biased and overfitted. All predictive factors tend to encompass age, pre-ICU functional impairment, in-ICU experiences, and early-onset new symptoms.</div></div><div><h3>Conclusions</h3><div>This review identified 16 prediction models and the predictive factors for PICS. Nonetheless, due to the numerous methodological and reporting shortcomings identified in the studies under review, clinicians should exercise caution when interpreting the predictions made by these models. To avert the development of PICS, it is imperative for clinicians to closely monitor prognostic factors, including the in-ICU experience and early-onset new symptoms.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 81-88"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143163048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Childbirth experience assessment tools based on COSMIN guidelines: A systematic review","authors":"Yifan Cheng,&nbsp;Ruxue Bai,&nbsp;Siyu Shan,&nbsp;Xinmiao Zhao,&nbsp;Chunling Xia","doi":"10.1016/j.ijnss.2024.12.001","DOIUrl":"10.1016/j.ijnss.2024.12.001","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to systematically evaluate the measurement characteristics and methodological quality of childbirth experience assessment tools, with a view to informing the selection of healthcare professionals who can provide high-quality assessment tools.</div></div><div><h3>Method</h3><div>A systematic search was performed on specific databases: PubMed, Web of Science, Embase, CINAHL, SinoMed, China National Knowledge Infrastructure (CNKI), and Wanfang, from inception to February 29, 2024. The researchers retrieved studies on the measurement attributes of the childbirth experience assessment tool, and traced back the references of the included studies to supplement relevant literature. According to the inclusion and exclusion criteria, screening and data extraction were independently undertaken by two reviewers. Two researchers individually used the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) Risk of Bias Checklist to assess the methodological quality of the scale, applied the COSMIN criteria to evaluate the measurement properties of the scale, and used a modified Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system to assess the certainty of evidence.</div></div><div><h3>Result</h3><div>A total of 15 studies were included to evaluate the psychometric properties of 11 childbirth experience assessment tools (including different language versions). Eight studies’ methodological quality of content validity was doubtful, and the remaining studies did not report content validity. None of the tools reported measurement error, cross-cultural validity, or responsiveness. In light of the questionable or unreported content validity of the tools, the evidence quality was deemed moderate or below. Consequently, the 11 assessment tools were recommended as grade B.</div></div><div><h3>Conclusion</h3><div>In contrast, the Questionnaire for Assessing the Childbirth Experience (QACE) is recommended for provisional use, given its relatively good methodological and measurement attributes and appropriate content for evaluation. However, further validation of other measurement properties is needed.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 1","pages":"Pages 89-95"},"PeriodicalIF":2.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}