International Journal of Nursing Sciences最新文献

{"title":"Predictors of recovery from dysphagia after stroke: A systematic review and meta-analysis","authors":"Xiaoyan Jin ,&nbsp;Shaomei Shang ,&nbsp;HoiYee Tong ,&nbsp;Ming Liu ,&nbsp;Dan Li ,&nbsp;Ying Xiao","doi":"10.1016/j.ijnss.2025.02.002","DOIUrl":"10.1016/j.ijnss.2025.02.002","url":null,"abstract":"<div><h3>Objective</h3><div>This systematic review aimed to identify the predictors of recovery from dysphagia after stroke in the last ten years, thereby providing an evidence-based basis for nurses to identify high-risk patients and develop individualized rehabilitation plans to improve patient prognosis.</div></div><div><h3>Methods</h3><div>Databases including the China National Knowledge Infrastructure (CNKI), China Biology Medicine disc (CBMdisc), China Science and Technology Journal (VIP), WanFang, PubMed, Embase, CINAHL, Web of Science, the Cochrane Library, and Scopus were retrieved to search for literature on the predictors of recovery from dysphagia after stroke. The retrieval period was from January 2013 to December 2023. The quality of studies was assessed using the Newcastle-Ottawa Scale (NOS) and the Prediction model Risk of Bias Assessment Tool (PROBAST). Meta-analysis was performed using Revman5.3 and Stata15.1 software. The review protocol has been registered with PROSPERO (CRD42024605570).</div></div><div><h3>Results</h3><div>A total of 1,216 results were obtained, including 599 in English and 617 in Chinese. A total of 34 studies were included, involving 156,309 patients with post-stroke dysphagia, and the rate of dysphagia recovery increased from 13.53% at 1 week to 95% at 6 months after stroke. Meta-analysis results showed that older age [<em>OR</em> = 1.06, 95%<em>CI</em> (1.04, 1.08), <em>P</em> &lt; 0.001], lower BMI [<em>OR</em> = 1.28, 95%<em>CI</em> (1.17, 1.40), <em>P</em> &lt; 0.001], bilateral stroke [<em>OR</em> = 3.10, 95%<em>CI</em> (2.04, 4.72), <em>P</em> &lt; 0.001], higher National Institutes of Health Stroke Scale (NIHSS) score [<em>OR</em> = 1.19, 95%<em>CI</em> (1.01, 1.39), <em>P</em> = 0.030], tracheal intubation [<em>OR</em> = 5.08, 95%<em>CI</em> (1.57, 16.39), <em>P</em> = 0.007] and aspiration [<em>OR</em> = 4.70, 95%<em>CI</em> (3.06, 7.20), <em>P</em> &lt; 0.001] were unfavorable factors for the recovery of swallowing function in patients with post-stroke dysphagia.</div></div><div><h3>Conclusions</h3><div>The lack of standardized criteria for rehabilitation assessment of post-stroke dysphagia has resulted in reported recovery rates of swallowing function exhibiting wide variability. Nurses should take targeted preventive measures for patients aged ≥70 years, low BMI, bilateral stroke, high NIHSS score, tracheal intubation, and aspiration to promote the recovery of swallowing function in patients with post-stroke dysphagia.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 2","pages":"Pages 184-191"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737811","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":"Psychological effects of virtual reality intervention on breast cancer patients with different personalities: A randomized controlled trial","authors":"Shanshan Wu ,&nbsp;Guodu Liu ,&nbsp;Jie Yang ,&nbsp;Xinxin Xie ,&nbsp;Mei-E Wu ,&nbsp;Lili Wang ,&nbsp;Yanhui Zhang ,&nbsp;Jinmei Chen ,&nbsp;Xiaowei Wang ,&nbsp;Wanjiao Li ,&nbsp;Yihong Qiu ,&nbsp;Jie Chen","doi":"10.1016/j.ijnss.2025.02.008","DOIUrl":"10.1016/j.ijnss.2025.02.008","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore the efficacy and safety of virtual reality (VR) in relieving negative emotions in patients with breast cancer with different personalities.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted. Between April 2023 and October 2023, we enrolled patients with breast cancer treated in the Department of Breast Cancer and Oncology at Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangdong Province. The patients were randomly divided into an intervention group (<em>n</em> = 118) and a control group (<em>n</em> = 119) using block randomization. The intervention group received the VR intervention 3 – 5 times over 5 ± 2 weeks using natural landscapes with music or relaxation guidance, and the duration of each VR intervention was 15 ± 3 min. The control group received routine nursing care, including disease education and psychological counseling. Patients were assessed using the Type D Scale, Positive and Negative Affect Scale, and Distress Thermometer, and adverse events during the intervention were recorded.</div></div><div><h3>Results</h3><div>Overall, 85 patients completed the study (44 in the intervention group and 41 in the control group). Patients with Type D personalities showed more negative emotions [25.0 (21.5, 27.5) vs. 19.0 (16.0, 24.0), <em>P</em> = 0.001] and distressed attitudes [4.0 (2.0, 5.0) vs. 3.0 (1.0, 4.0), <em>P</em> = 0.020] with fewer positive emotions (27.2 ± 5.6 vs. 31.0 ± 5.9, <em>P</em> = 0.014) than those with non-Type D personalities. Total population analysis revealed no significant differences between the groups. However, in the subgroup analysis, patients with Type D personalities in the intervention group showed greater relief from negative emotions than those in the control group [median difference, −5.0 (−9.0, −2.5) vs. −2.0 (−4.0, 2.0), <em>P</em> = 0.046]. No significant differences were found between groups of patients with non-Type D personality traits. The proportion of adverse events was not significantly different between groups (<em>P</em> = 0.110).</div></div><div><h3>Conclusions</h3><div>Breast cancer patients with Type D personalities suffer more severe negative emotions and distress, and more attention should be paid to them. VR intervention significantly and safely reduced negative emotions in patients with Type D personalities.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 2","pages":"Pages 107-114"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737869","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":"The development and application of the mobile frailty management platform for Chinese community-dwelling older adults","authors":"Jiayi Hou ,&nbsp;Xinrui Wan ,&nbsp;Mengjie Li ,&nbsp;Guijuan He","doi":"10.1016/j.ijnss.2025.02.005","DOIUrl":"10.1016/j.ijnss.2025.02.005","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to develop a mobile frailty management platform for Chinese community-dwelling older adults and evaluate its effectiveness, usability and safety.</div></div><div><h3>Methods</h3><div>Based on literature research, the research team combined the frailty cycle and integration models, self-determination theory, and technology acceptance models and determined the frailty interventions through expert discussion, then transformed it into multimedia resources, finally, engineers developed the mobile management platform. A cluster sampling, parallel, single-blind, controlled quasi-experimental trial was conducted. Sixty older adults from two community health service centers were recruited from March to August 2023. The control group received routine community care, while the intervention group used the mobile frailty management platform. The incidence of frailty, scores of quality of life, depression, sleep quality, and grip strength within 12 weeks were compared between the two groups, and the availability and safety of the platform were assessed.</div></div><div><h3>Results</h3><div>A total of 52 participants completed the study, 27 in the intervention group and 25 in the control group. At 12 weeks after the intervention, the frailty state of the intervention group was reversed to pre-frailty. There were no significant differences in the scores of quality of life, depression, sleep quality, and grip strength between the two groups before and 4 weeks after intervention. At 8 weeks and 12 weeks after the intervention, the quality of life, depression, and grip strength of the intervention group were improved with statistical significance (<em>P</em> &lt; 0.05). Sleep quality was statistically significant only 12 weeks after the intervention (<em>P</em> &lt; 0.05). System Usability Scale score for the platform was (87.96 ± 5.88), indicating a highly satisfactory user experience. Throughout the intervention, no adverse events were reported among the older adults.</div></div><div><h3>Conclusions</h3><div>The mobile frailty management platform effectively improved frailty status, depressive mood, sleep quality, grip strength, and quality of life for Chinese community-dwelling older adults. It holds clinical application value and is an effective tool for strengthening frailty management among Chinese community-dwelling older adults.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 2","pages":"Pages 115-122"},"PeriodicalIF":2.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143737870","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":"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}