Pub Date : 2025-02-01DOI: 10.1016/j.ijnurstu.2024.104976
Döndü Kurnaz, Gamze Fışkın Siyahtaş, Meltem Demirgöz Bal
Introduction
Interventions aimed at perineal healing and pain relief can have a positive impact on postpartum experiences in women who experience perineal trauma during childbirth.
Objective
The aim of this systematic review and meta-analysis was to compare various methods applied for healing and pain relief from perineal trauma based on primary studies.
Methods
The study protocol was developed following PRISMA guidelines, and Meta-Analyses guidelines. Searches were conducted between March and April 2024. Registration was completed using PROSPERO. Searches were performed using PubMed, the Cochrane Library, EBSCO, Embase, Web of Science, PsycINFO, Scopus, National Thesis Center, TR Dizin, Türkiye Klinikleri, and DergiPark Academic search engines. The methodological quality of the studies was assessed using the RoB-1 and RoB-2. Data were aggregated through meta-analysis, and a GRADE evidence profile was created.
Results
Nineteen studies involving 1899 participants were included in the meta-analysis. The results showed that interventions performed within the first 24 h after episiotomy did not reduce pain. However, the effects of the interventions were observed on the second day, with cold application identified as the most effective method. Additionally, interventions did not affect healing during the first three days, but a more pronounced improvement was noted in the intervention group by the fifth day. Healing began around the 7th–10th days even without intervention. The REEDA (redness, edema, ecchymosis, discharge, and approximation) score decreased most significantly in the group that received perineal education (diet, Kegel exercise, infection symptoms, and perineal hygiene).
Conclusion
Cold application is recommended on the second day to reduce pain following perineal trauma. Interventions were found to accelerate the healing process by initiating healing at least two days earlier, with perineal education being the most effective method. However, further research on topical herbal treatments and perineal hygiene education is needed to strengthen this evidence.
针对会阴愈合和疼痛缓解的干预措施可对分娩时经历会阴创伤的妇女的产后体验产生积极影响。
{"title":"The effect of postpartum interventions on healing and pain in women with perineal trauma: A systematic review and meta-analysis","authors":"Döndü Kurnaz, Gamze Fışkın Siyahtaş, Meltem Demirgöz Bal","doi":"10.1016/j.ijnurstu.2024.104976","DOIUrl":"10.1016/j.ijnurstu.2024.104976","url":null,"abstract":"<div><h3>Introduction</h3><div>Interventions aimed at perineal healing and pain relief can have a positive impact on postpartum experiences in women who experience perineal trauma during childbirth.</div></div><div><h3>Objective</h3><div>The aim of this systematic review and meta-analysis was to compare various methods applied for healing and pain relief from perineal trauma based on primary studies.</div></div><div><h3>Methods</h3><div>The study protocol was developed following PRISMA guidelines, and Meta-Analyses guidelines. Searches were conducted between March and April 2024. Registration was completed using PROSPERO. Searches were performed using PubMed, the Cochrane Library, EBSCO, Embase, Web of Science, PsycINFO, Scopus, National Thesis Center, TR Dizin, Türkiye Klinikleri, and DergiPark Academic search engines. The methodological quality of the studies was assessed using the RoB-1 and RoB-2. Data were aggregated through meta-analysis, and a GRADE evidence profile was created.</div></div><div><h3>Results</h3><div>Nineteen studies involving 1899 participants were included in the meta-analysis. The results showed that interventions performed within the first 24 h after episiotomy did not reduce pain. However, the effects of the interventions were observed on the second day, with cold application identified as the most effective method. Additionally, interventions did not affect healing during the first three days, but a more pronounced improvement was noted in the intervention group by the fifth day. Healing began around the 7th–10th days even without intervention. The REEDA (redness, edema, ecchymosis, discharge, and approximation) score decreased most significantly in the group that received perineal education (diet, Kegel exercise, infection symptoms, and perineal hygiene).</div></div><div><h3>Conclusion</h3><div>Cold application is recommended on the second day to reduce pain following perineal trauma. Interventions were found to accelerate the healing process by initiating healing at least two days earlier, with perineal education being the most effective method. However, further research on topical herbal treatments and perineal hygiene education is needed to strengthen this evidence.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104976"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142825319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.ijnurstu.2024.104979
Jiamin Wang , Ying Wu , Yongjun Huang , Fangyu Yang
Background
Early recognition of delirium is essential for effective management, but it often goes unrecognized, resulting in adverse outcomes. Clinical decision support systems can enhance adherence to guidelines and improve patient outcomes. We developed a mobile-based clinical decision assessment tool (3D-DST) based on the 3-minute diagnostic interview for confusion assessment method-defined delirium (3D-CAM). Implementing the 3D-DST may enhance delirium recognition and adherence to interventions among healthcare professionals, potentially improving outcomes in older adults.
Objective
To test whether improved recognition of delirium could lead to better clinical outcomes in older adults.
Design
A cluster randomized controlled trial with pair-matching.
Setting
A tertiary geriatric hospital.
Participants
Patients aged ≥ 65 years.
Methods
Four general wards were paired and randomly assigned to the intervention group (two wards) or the control group (two wards). The intervention included routine delirium assessments by nurses using either the 3D-DST or the 3D-CAM, along with delirium prevention and intervention measures carried out by a multidisciplinary team. Outcomes measured included delirium incidence, duration, severity, length of stay, and adherence to the delirium assessment, prevention, and treatment protocol. A trained nursing researcher collected data on demographics, clinical characteristics, and primary and secondary outcomes.
Results
211 eligible patients participated (106 in the intervention group and 105 in the control group), with 21 identified as delirium-positive using the 3D-DST. The median Charlson comorbidity index score among older adults in the intervention group was 1 (1–2), compared to 2 (1–3) in the control group (P = 0.032). Nurses' adherence to delirium assessment was significantly higher in the intervention group than in the control group (73 % vs. 31 %). The recognition rate of delirium among nurses was 89 % in the intervention group and 42 % in the control group. There were no statistically significant differences in delirium duration (6 [3–9] vs. 7 [2–14], P = 0.967), incidence (8.5 % vs. 11.4 %, P = 0.500), severity (2 [1–3] vs. 2 [1–4], P = 0.891) or length of hospital stay (15 [14–18] vs. 18 [13–22], P = 0.568) between the intervention and control groups.
Conclusions
The 3D-DST enhanced adherence to routine delirium recognition by nurses. However, effective strategies are urgently needed to strengthen multidisciplinary collaboration and enhance adherence to delirium management among healthcare professionals.
Registration
Chinese Clinical Trial Registry, Identifier: ChiCTR1900028402.
{"title":"Comparative effectiveness of delirium recognition with and without a clinical decision assessment system on outcomes of hospitalized older adults: Cluster randomized controlled trial","authors":"Jiamin Wang , Ying Wu , Yongjun Huang , Fangyu Yang","doi":"10.1016/j.ijnurstu.2024.104979","DOIUrl":"10.1016/j.ijnurstu.2024.104979","url":null,"abstract":"<div><h3>Background</h3><div>Early recognition of delirium is essential for effective management, but it often goes unrecognized, resulting in adverse outcomes. Clinical decision support systems can enhance adherence to guidelines and improve patient outcomes. We developed a mobile-based clinical decision assessment tool (3D-DST) based on the 3-minute diagnostic interview for confusion assessment method-defined delirium (3D-CAM). Implementing the 3D-DST may enhance delirium recognition and adherence to interventions among healthcare professionals, potentially improving outcomes in older adults.</div></div><div><h3>Objective</h3><div>To test whether improved recognition of delirium could lead to better clinical outcomes in older adults.</div></div><div><h3>Design</h3><div>A cluster randomized controlled trial with pair-matching.</div></div><div><h3>Setting</h3><div>A tertiary geriatric hospital.</div></div><div><h3>Participants</h3><div>Patients aged ≥<!--> <!-->65 years.</div></div><div><h3>Methods</h3><div>Four general wards were paired and randomly assigned to the intervention group (two wards) or the control group (two wards). The intervention included routine delirium assessments by nurses using either the 3D-DST or the 3D-CAM, along with delirium prevention and intervention measures carried out by a multidisciplinary team. Outcomes measured included delirium incidence, duration, severity, length of stay, and adherence to the delirium assessment, prevention, and treatment protocol. A trained nursing researcher collected data on demographics, clinical characteristics, and primary and secondary outcomes.</div></div><div><h3>Results</h3><div>211 eligible patients participated (106 in the intervention group and 105 in the control group), with 21 identified as delirium-positive using the 3D-DST. The median Charlson comorbidity index score among older adults in the intervention group was 1 (1–2), compared to 2 (1–3) in the control group (<em>P</em> = 0.032). Nurses' adherence to delirium assessment was significantly higher in the intervention group than in the control group (73 % vs. 31 %). The recognition rate of delirium among nurses was 89 % in the intervention group and 42 % in the control group. There were no statistically significant differences in delirium duration (6 [3–9] vs. 7 [2–14], <em>P</em> = 0.967), incidence (8.5 % vs. 11.4 %, <em>P</em> = 0.500), severity (2 [1–3] vs. 2 [1–4], <em>P</em> = 0.891) or length of hospital stay (15 [14–18] vs. 18 [13–22], <em>P</em> = 0.568) between the intervention and control groups.</div></div><div><h3>Conclusions</h3><div>The 3D-DST enhanced adherence to routine delirium recognition by nurses. However, effective strategies are urgently needed to strengthen multidisciplinary collaboration and enhance adherence to delirium management among healthcare professionals.</div></div><div><h3>Registration</h3><div>Chinese Clinical Trial Registry, Identifier: ChiCTR1900028402.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104979"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.ijnurstu.2024.104981
Sandra Martínez-Rodríguez , Julián Rodríguez-Almagro , Alberto Bermejo-Cantarero , Estíbaliz Laderas-Díaz , Noelia Sanchez-Millan , Antonio Hernández-Martínez
Background
Postpartum haemorrhage is a preventable cause of maternal mortality that commonly occurs during the third stage of labour. Skin-to-skin contact is an intervention that can support the physiological processes of labour by increasing oxytocin levels, which can accelerate placental expulsion and enhance uterine contractions, thereby contributing to the prevention of postpartum haemorrhage.
Objective
This systematic review aims to evaluate the impact of skin-to-skin contact on key maternal variables during the third stage of labour, including the duration of this stage, placental integrity, the need for manual placental extraction, the administration of therapeutic uterotonics, and the position of the uterine fundus.
Methods
A systematic review with meta-analysis of randomised controlled trials and prospective quasi-experimental studies was conducted. Studies were searched in PubMed, Scopus, Cochrane, CINAHL, Google Scholar, and Web of Science. Statistical analysis was performed using STATA version 18. The results of the meta-analysis were reported using relative risk (RR) for dichotomous data and mean difference (MD) for continuous data, both with 95 % confidence intervals (CI). A random-effects model was employed due to the anticipated heterogeneity among the included studies. Sensitivity analyses were performed to assess the robustness of the findings, and a subgroup analysis was conducted based on the type of birth, study design, and country economic level.
Results
Twenty-five trials were included. Skin-to-skin contact significantly reduced the duration of the third stage of labour (MD: − 4.26; 95 %; CI: − 5.70, − 2.81), increased the likelihood of complete placental integrity (RR: 1.09; 95 % CI: 1.02, 1.16), and significantly reduced both the likelihood of a supraumbilical position of the uterine fundus (RR: 0.39; 95 % CI: 0.20, 0.76) and the need for uterotonic administration (RR: 0.24; 95 % CI: 0.12, 0.48).
Conclusions
Skin-to-skin contact is a simple practice that can favourably influence the physiological processes of labour and improve various maternal outcomes. These benefits include reducing the duration of the third stage of labour, ensuring complete birth of the placenta, decreasing the need for uterotonic administration, and increasing the likelihood of a proper uterine fundal position. Therefore, it is recommended to include this practice in labour care protocols.
{"title":"Efficacy of skin-to-skin contact between mother and infant on maternal outcomes during the third stage of labour: A systematic review and meta-analysis","authors":"Sandra Martínez-Rodríguez , Julián Rodríguez-Almagro , Alberto Bermejo-Cantarero , Estíbaliz Laderas-Díaz , Noelia Sanchez-Millan , Antonio Hernández-Martínez","doi":"10.1016/j.ijnurstu.2024.104981","DOIUrl":"10.1016/j.ijnurstu.2024.104981","url":null,"abstract":"<div><h3>Background</h3><div>Postpartum haemorrhage is a preventable cause of maternal mortality that commonly occurs during the third stage of labour. Skin-to-skin contact is an intervention that can support the physiological processes of labour by increasing oxytocin levels, which can accelerate placental expulsion and enhance uterine contractions, thereby contributing to the prevention of postpartum haemorrhage.</div></div><div><h3>Objective</h3><div>This systematic review aims to evaluate the impact of skin-to-skin contact on key maternal variables during the third stage of labour, including the duration of this stage, placental integrity, the need for manual placental extraction, the administration of therapeutic uterotonics, and the position of the uterine fundus.</div></div><div><h3>Methods</h3><div>A systematic review with meta-analysis of randomised controlled trials and prospective quasi-experimental studies was conducted. Studies were searched in PubMed, Scopus, Cochrane, CINAHL, Google Scholar, and Web of Science. Statistical analysis was performed using STATA version 18. The results of the meta-analysis were reported using relative risk (RR) for dichotomous data and mean difference (MD) for continuous data, both with 95 % confidence intervals (CI). A random-effects model was employed due to the anticipated heterogeneity among the included studies. Sensitivity analyses were performed to assess the robustness of the findings, and a subgroup analysis was conducted based on the type of birth, study design, and country economic level.</div></div><div><h3>Results</h3><div>Twenty-five trials were included. Skin-to-skin contact significantly reduced the duration of the third stage of labour (MD: −<!--> <!-->4.26; 95 %; CI: −<!--> <!-->5.70, −<!--> <!-->2.81), increased the likelihood of complete placental integrity (RR: 1.09; 95 % CI: 1.02, 1.16), and significantly reduced both the likelihood of a supraumbilical position of the uterine fundus (RR: 0.39; 95 % CI: 0.20, 0.76) and the need for uterotonic administration (RR: 0.24; 95 % CI: 0.12, 0.48).</div></div><div><h3>Conclusions</h3><div>Skin-to-skin contact is a simple practice that can favourably influence the physiological processes of labour and improve various maternal outcomes. These benefits include reducing the duration of the third stage of labour, ensuring complete birth of the placenta, decreasing the need for uterotonic administration, and increasing the likelihood of a proper uterine fundal position. Therefore, it is recommended to include this practice in labour care protocols.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104981"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.ijnurstu.2024.104987
Ting Yu , Yijing Li , Ziyi Hu , Shanshan Liu , Cong Wang , Qian Chen , Yan Jiang
<div><h3>Background</h3><div>Surrogate decision-makers play a key role in determining whether end-of-life patients receive hospice care. There is a need to better understand families' experiences of surrogate decision-making in hospice care for end-of-life patients to provide a basis for developing targeted interventions, such as decision support tools or counseling, to help family members navigate the decision-making process.</div></div><div><h3>Aim</h3><div>The aim was to analyze and synthesize global qualitative data on family members' experiences of surrogate decision-making regarding whether to receive hospice care for end-of-life patients.</div></div><div><h3>Design</h3><div>This was a systematic review of qualitative studies.</div></div><div><h3>Data sources</h3><div>The PubMed, Web of Science, Cochrane Library, Embase, Cumulated Index to Nursing and Allied Health Literature, Chinese Biomedical Literature Service System, China National Knowledge Infrastructure, WanFang and China Science and Technology Journal databases were searched from inception to September 2024. Studies related to family members making surrogate decisions about whether to receive hospice care for end-of-life patients were included.</div></div><div><h3>Review methods</h3><div>This review was guided by the Joanna Briggs Institute Manual for Systematic reviews of qualitative evidence. Two reviewers independently screened the studies and extracted the data. The eligible studies were assessed via the Joanna Briggs Institute critical appraisal instrument for qualitative research. Thematic synthesis was guided by the method developed by Thomas and Harden.</div></div><div><h3>Results</h3><div>A total of nine studies were included. The synthesis of qualitative data resulted in three themes: (1) Decision motivation between rationality and emotion. The reasons surrogate decision-makers considered hospice care for patients involved multiple aspects and were a result of both objective and subjective factors. (2) Decision preparation stemmed from knowledge and experience. A knowledge-based foundation and experiential grounding were needed to ensure that surrogate decision-makers make informed decision. (3) Decision reflection through looking back and forward. Surrogate decision-makers expressed satisfaction with the decision to choose hospice care for patients, coupled with serious consideration of personal future end-of-life decisions.</div></div><div><h3>Conclusion</h3><div>Determining whether patients receive hospice care at end of life is complex for family members. This process begins with the coexistence of rational and emotional motives for decision-making, involves preparation for decision-making through the acquisition of knowledge and experience about hospice care, and culminates in reflection on the entire decision-making process. These findings underscore the importance of providing sufficient informational and emotional support to family decision-makers, which can impro
背景：替代决策者在决定临终病人是否接受安宁疗护方面扮演关键角色。有必要更好地了解临终病人临终关怀中替代决策的家庭经验，为制定有针对性的干预措施提供基础，例如决策支持工具或咨询，以帮助家庭成员在决策过程中导航。目的：目的是分析和综合全球关于临终病人是否接受临终关怀的替代决策的家庭成员经验的定性数据。设计：这是一项定性研究的系统综述。数据来源：检索PubMed、Web of Science、Cochrane Library、Embase、护理与联合健康文献累积索引、中国生物医学文献服务系统、中国国家知识基础设施、万方、中国科技期刊数据库，检索时间为建库至2024年9月。研究包括家庭成员对是否接受临终关怀病人的替代决定。综述方法：本综述以乔安娜布里格斯研究所定性证据系统综述手册为指导。两名审稿人独立筛选研究并提取数据。合格的研究通过乔安娜布里格斯研究所的定性研究关键评估工具进行评估。主题合成以Thomas和Harden提出的方法为指导。结果：共纳入9项研究。综合定性数据得出三个主题：(1)理性与情感之间的决策动机。代理决策者考虑临终关怀的原因涉及多个方面，是客观和主观因素共同作用的结果。(2)决策准备源于知识和经验。需要以知识为基础和经验为基础，以确保代理决策者做出明智的决定。(3)回顾过去和展望未来的决策反思。代理决策者对病人选择临终关怀的决定表示满意，并认真考虑个人未来的临终决定。结论：决定临终病人是否接受安宁疗护对家属来说是件复杂的事。这个过程从理性与情感动机共存的决策开始，透过获取安宁疗护的知识与经验，为决策做准备，最后以反思整个决策过程而告终。这些发现强调了为家庭决策者提供足够的信息和情感支持的重要性，这可以改善决策并促进更富有同情心的临终关怀。未来的研究应侧重于制定有效的战略来加强这些支持系统。研究注册：在PROSPERO （CRD42024526197）上注册了一个协议。
{"title":"Family members' experiences of surrogate decision-making in hospice care: A systematic review of qualitative studies","authors":"Ting Yu , Yijing Li , Ziyi Hu , Shanshan Liu , Cong Wang , Qian Chen , Yan Jiang","doi":"10.1016/j.ijnurstu.2024.104987","DOIUrl":"10.1016/j.ijnurstu.2024.104987","url":null,"abstract":"<div><h3>Background</h3><div>Surrogate decision-makers play a key role in determining whether end-of-life patients receive hospice care. There is a need to better understand families' experiences of surrogate decision-making in hospice care for end-of-life patients to provide a basis for developing targeted interventions, such as decision support tools or counseling, to help family members navigate the decision-making process.</div></div><div><h3>Aim</h3><div>The aim was to analyze and synthesize global qualitative data on family members' experiences of surrogate decision-making regarding whether to receive hospice care for end-of-life patients.</div></div><div><h3>Design</h3><div>This was a systematic review of qualitative studies.</div></div><div><h3>Data sources</h3><div>The PubMed, Web of Science, Cochrane Library, Embase, Cumulated Index to Nursing and Allied Health Literature, Chinese Biomedical Literature Service System, China National Knowledge Infrastructure, WanFang and China Science and Technology Journal databases were searched from inception to September 2024. Studies related to family members making surrogate decisions about whether to receive hospice care for end-of-life patients were included.</div></div><div><h3>Review methods</h3><div>This review was guided by the Joanna Briggs Institute Manual for Systematic reviews of qualitative evidence. Two reviewers independently screened the studies and extracted the data. The eligible studies were assessed via the Joanna Briggs Institute critical appraisal instrument for qualitative research. Thematic synthesis was guided by the method developed by Thomas and Harden.</div></div><div><h3>Results</h3><div>A total of nine studies were included. The synthesis of qualitative data resulted in three themes: (1) Decision motivation between rationality and emotion. The reasons surrogate decision-makers considered hospice care for patients involved multiple aspects and were a result of both objective and subjective factors. (2) Decision preparation stemmed from knowledge and experience. A knowledge-based foundation and experiential grounding were needed to ensure that surrogate decision-makers make informed decision. (3) Decision reflection through looking back and forward. Surrogate decision-makers expressed satisfaction with the decision to choose hospice care for patients, coupled with serious consideration of personal future end-of-life decisions.</div></div><div><h3>Conclusion</h3><div>Determining whether patients receive hospice care at end of life is complex for family members. This process begins with the coexistence of rational and emotional motives for decision-making, involves preparation for decision-making through the acquisition of knowledge and experience about hospice care, and culminates in reflection on the entire decision-making process. These findings underscore the importance of providing sufficient informational and emotional support to family decision-makers, which can impro","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104987"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.ijnurstu.2024.104960
Lily Xiao , Shahid Ullah , Rujun Hu , Jing Wang , Huali Wang , Chia-Chi Chang , Timothy Kwok , Mingxia Zhu , Julie Ratcliffe , Henry Brodaty , Bianca Brijnath , Hui-Chen (Rita) Chang , Bel Wong , Yunrui Zhou , Jinjie He , Mengmeng Xia , Jhih-Yang Hong , Shirley Che , Rachel Milte
{"title":"Corrigendum to “The effects of a facilitator-enabled online multicomponent iSupport for dementia programme: A multicentre randomised controlled trial” [Int. J. Nurs. Stud. 159 (2024) 104868]","authors":"Lily Xiao , Shahid Ullah , Rujun Hu , Jing Wang , Huali Wang , Chia-Chi Chang , Timothy Kwok , Mingxia Zhu , Julie Ratcliffe , Henry Brodaty , Bianca Brijnath , Hui-Chen (Rita) Chang , Bel Wong , Yunrui Zhou , Jinjie He , Mengmeng Xia , Jhih-Yang Hong , Shirley Che , Rachel Milte","doi":"10.1016/j.ijnurstu.2024.104960","DOIUrl":"10.1016/j.ijnurstu.2024.104960","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104960"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.ijnurstu.2024.104980
Chih-Wen Chen , Tsae-Jyy Wang , Chieh-Yu Liu , Yeu-Hui Chuang , Ching-Chuan Su , Shu-Fang Vivienne Wu
<div><h3>Background</h3><div>Heart failure is a serious and common condition that has garnered significant attention in the global public health domain. It often results in impaired function and reduced cardiac function status, leading to difficulties in self-care and diminished quality of life. To effectively address these complex challenges, the collaborative health care model has been proposed. This approach has proven effective in reducing rehospitalization and lowering medical costs.</div></div><div><h3>Objective</h3><div>To evaluate the effects of a nurse practitioner-led collaborative health care model on the self-care, functional status, rehospitalization and medical costs of patients with heart failure.</div></div><div><h3>Design</h3><div>A randomized controlled trial design.</div></div><div><h3>Setting</h3><div>Cardiology department of a regional teaching hospital in Southern Taiwan.</div></div><div><h3>Participants</h3><div>100 patients diagnosed with heart failure.</div></div><div><h3>Methods</h3><div>Patients diagnosed with heart failure were recruited through random allocation and.</div><div>randomly assigned to two groups. The control group included 50 patients who received routine nursing guidance; the experimental group also included 50 patients who participated in a 12-week collaborative health care program. Key outcomes, including self-care, functional status, rehospitalization, and medical costs, which were evaluated at 12, 16, and 20 weeks post-discharge.</div></div><div><h3>Results</h3><div>The intervention of the collaborative healthcare program significantly impacted self-care, functional status, rehospitalization, and medical costs. Significant improvements in self-care and functional status were observed at 20 weeks (Self-Care: β = 31.52, 95 % CI: 25.96 to 37.07, <em>p</em> < 0.001; Functional Status: χ<sup>2</sup> = 22.42, <em>p</em> < 0.001). Regarding rehospitalization, the average rehospitalization duration for the experimental group significantly increased compared to 1.45 months for the control group, with the experimental group averaging 3.00 months at the 20-week follow-up. Moreover, the experimental group also demonstrated a reduction in rehospitalization medical costs, particularly with significant effects observed in the early stages of intervention (β = −<!--> <!-->6147.94, 95 % CI: −<!--> <!-->10,763.99 to −<!--> <!-->1531.88, <em>p</em> = 0.009).</div></div><div><h3>Conclusion</h3><div>The use of a nurse practitioner-led collaborative health care model significantly improved self-care, function status and reduced rehospitalization while effectively lowering medical costs for patients with heart failure. Through professional team communication and collaboration, this approach provides more effective and comprehensive care, enhances patient self-management capabilities, and improves overall treatment outcomes. These results hold significant implications for clinical practice and provide empirical suppor
{"title":"Effectiveness of a nurse practitioner-led collaborative health care model on self-care, functional status, rehospitalization and medical costs in heart failure patients: A randomized controlled trial","authors":"Chih-Wen Chen , Tsae-Jyy Wang , Chieh-Yu Liu , Yeu-Hui Chuang , Ching-Chuan Su , Shu-Fang Vivienne Wu","doi":"10.1016/j.ijnurstu.2024.104980","DOIUrl":"10.1016/j.ijnurstu.2024.104980","url":null,"abstract":"<div><h3>Background</h3><div>Heart failure is a serious and common condition that has garnered significant attention in the global public health domain. It often results in impaired function and reduced cardiac function status, leading to difficulties in self-care and diminished quality of life. To effectively address these complex challenges, the collaborative health care model has been proposed. This approach has proven effective in reducing rehospitalization and lowering medical costs.</div></div><div><h3>Objective</h3><div>To evaluate the effects of a nurse practitioner-led collaborative health care model on the self-care, functional status, rehospitalization and medical costs of patients with heart failure.</div></div><div><h3>Design</h3><div>A randomized controlled trial design.</div></div><div><h3>Setting</h3><div>Cardiology department of a regional teaching hospital in Southern Taiwan.</div></div><div><h3>Participants</h3><div>100 patients diagnosed with heart failure.</div></div><div><h3>Methods</h3><div>Patients diagnosed with heart failure were recruited through random allocation and.</div><div>randomly assigned to two groups. The control group included 50 patients who received routine nursing guidance; the experimental group also included 50 patients who participated in a 12-week collaborative health care program. Key outcomes, including self-care, functional status, rehospitalization, and medical costs, which were evaluated at 12, 16, and 20 weeks post-discharge.</div></div><div><h3>Results</h3><div>The intervention of the collaborative healthcare program significantly impacted self-care, functional status, rehospitalization, and medical costs. Significant improvements in self-care and functional status were observed at 20 weeks (Self-Care: β = 31.52, 95 % CI: 25.96 to 37.07, <em>p</em> < 0.001; Functional Status: χ<sup>2</sup> = 22.42, <em>p</em> < 0.001). Regarding rehospitalization, the average rehospitalization duration for the experimental group significantly increased compared to 1.45 months for the control group, with the experimental group averaging 3.00 months at the 20-week follow-up. Moreover, the experimental group also demonstrated a reduction in rehospitalization medical costs, particularly with significant effects observed in the early stages of intervention (β = −<!--> <!-->6147.94, 95 % CI: −<!--> <!-->10,763.99 to −<!--> <!-->1531.88, <em>p</em> = 0.009).</div></div><div><h3>Conclusion</h3><div>The use of a nurse practitioner-led collaborative health care model significantly improved self-care, function status and reduced rehospitalization while effectively lowering medical costs for patients with heart failure. Through professional team communication and collaboration, this approach provides more effective and comprehensive care, enhances patient self-management capabilities, and improves overall treatment outcomes. These results hold significant implications for clinical practice and provide empirical suppor","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104980"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142874801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<div><h3>Background</h3><div>Vaccination hesitancy remains the main obstacle to improving vaccination coverage. Influenza and COVID-19 vaccination coverage among healthcare professionals is essential. It is crucial to study the vaccination attitudes of healthcare professionals as they significantly influence the vaccination attitudes and behaviour of the rest of the population.</div></div><div><h3>Objective</h3><div>The aim of this study was to describe the attitudes of Finnish nurses and nursing students towards COVID-19 and Influenza vaccination and explain what factors influence these attitudes.</div></div><div><h3>Design</h3><div>A cross-sectional study.</div></div><div><h3>Setting and participants</h3><div>A total of 1353 nurses from five hospital organisations and 580 nursing students from eight Universities of Applied Sciences participated in the survey. Participants were invited to complete the questionnaire through Webropol between March and September 2023.</div></div><div><h3>Methods</h3><div>To collect data anonymously, a self-reported web-based questionnaire combining the Vaccination Attitude Examination (VAX) scale and Bergen's Social Media Addiction (BSMA) scale was used. K-means cluster analysis was performed to describe vaccination attitude profiles.</div></div><div><h3>Results</h3><div>Four distinct vaccination attitude profiles were identified: Profile A - Confident Pro-Vaccine (n = 605) exhibited low hesitancy, with high confidence in vaccine safety and effectiveness; Profile B – Cautiously Pro-Vaccine (n = 764) showed moderate hesitancy, mainly concerned about unforeseen future effects; Profile C - Hesitant with Mistrust (n = 405) expressed high hesitancy, with significant worries about vaccine safety and mistrust in health authorities; and Profile D – Strongly Vaccine-Hesitant (n = 159) demonstrated very high hesitancy, marked by strong beliefs in potential long-term negative effects of vaccination. Significant differences in VAX-scale mean scores were found between the profiles, ranging from 1.27 for Profile A to 6.65 for Profile D. Overall, nursing students were more hesitant than practising nurses, with students being overrepresented in the more hesitant profiles. Clinical training in a COVID-19 unit was associated with more favourable vaccination attitudes among nursing students. The uptake of the full series of COVID-19 and annual Influenza vaccines was generally high in the sample (90.8 % and 87 %, respectively). However, a clear pattern between specific social media use and vaccination attitudes was not found. Major concerns related to vaccine hesitancy focused on the uncertainty of vaccines' long-term effects.</div></div><div><h3>Conclusion</h3><div>This study provides valuable insights into the complex nature of vaccination hesitancy among nurses and nursing students. These findings underscore the need for targeted interventions to address underlying concerns and promote vaccine acceptance within this demographic. In
{"title":"Factors influencing nurses and nursing students' attitudes towards vaccinations: A cross-sectional study","authors":"Jeremia Keisala , Erika Jarva , Dania Comparcini , Valentina Simonetti , Giancarlo Cicolini , John Unsworth , Marco Tomietto , Kristina Mikkonen","doi":"10.1016/j.ijnurstu.2024.104963","DOIUrl":"10.1016/j.ijnurstu.2024.104963","url":null,"abstract":"<div><h3>Background</h3><div>Vaccination hesitancy remains the main obstacle to improving vaccination coverage. Influenza and COVID-19 vaccination coverage among healthcare professionals is essential. It is crucial to study the vaccination attitudes of healthcare professionals as they significantly influence the vaccination attitudes and behaviour of the rest of the population.</div></div><div><h3>Objective</h3><div>The aim of this study was to describe the attitudes of Finnish nurses and nursing students towards COVID-19 and Influenza vaccination and explain what factors influence these attitudes.</div></div><div><h3>Design</h3><div>A cross-sectional study.</div></div><div><h3>Setting and participants</h3><div>A total of 1353 nurses from five hospital organisations and 580 nursing students from eight Universities of Applied Sciences participated in the survey. Participants were invited to complete the questionnaire through Webropol between March and September 2023.</div></div><div><h3>Methods</h3><div>To collect data anonymously, a self-reported web-based questionnaire combining the Vaccination Attitude Examination (VAX) scale and Bergen's Social Media Addiction (BSMA) scale was used. K-means cluster analysis was performed to describe vaccination attitude profiles.</div></div><div><h3>Results</h3><div>Four distinct vaccination attitude profiles were identified: Profile A - Confident Pro-Vaccine (n = 605) exhibited low hesitancy, with high confidence in vaccine safety and effectiveness; Profile B – Cautiously Pro-Vaccine (n = 764) showed moderate hesitancy, mainly concerned about unforeseen future effects; Profile C - Hesitant with Mistrust (n = 405) expressed high hesitancy, with significant worries about vaccine safety and mistrust in health authorities; and Profile D – Strongly Vaccine-Hesitant (n = 159) demonstrated very high hesitancy, marked by strong beliefs in potential long-term negative effects of vaccination. Significant differences in VAX-scale mean scores were found between the profiles, ranging from 1.27 for Profile A to 6.65 for Profile D. Overall, nursing students were more hesitant than practising nurses, with students being overrepresented in the more hesitant profiles. Clinical training in a COVID-19 unit was associated with more favourable vaccination attitudes among nursing students. The uptake of the full series of COVID-19 and annual Influenza vaccines was generally high in the sample (90.8 % and 87 %, respectively). However, a clear pattern between specific social media use and vaccination attitudes was not found. Major concerns related to vaccine hesitancy focused on the uncertainty of vaccines' long-term effects.</div></div><div><h3>Conclusion</h3><div>This study provides valuable insights into the complex nature of vaccination hesitancy among nurses and nursing students. These findings underscore the need for targeted interventions to address underlying concerns and promote vaccine acceptance within this demographic. In","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104963"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.ijnurstu.2024.104967
Julia Zuschnegg , Alfred Häussl , Gerald Lodron , Thomas Orgel , Silvia Russegger , Michael Schneeberger , Maria Fellner , Magdalena Holter , Dimitrios Prodromou , Anna Schultz , Regina Roller-Wirnsberger , Lucas Paletta , Marisa Koini , Sandra Schüssler
<div><h3>Background</h3><div>Dementia rates are rising globally, impacting healthcare systems and society. The care of people with dementia is largely provided by informal caregivers (e.g., family, friends), which can present significant challenges and increase caregivers' burden. New technologies, such as humanoid socially assistive robots, show promise in reducing this burden, as such robots were considered to be supportive devices for both informal caregivers and people with dementia.</div></div><div><h3>Objective</h3><div>To explore the psychosocial effects of the humanoid social assistive robot Coach Pepper (equipped with functions like tablet-based multimodal training for people with dementia) compared to exclusively tablet-based multimodal training for people with dementia on informal caregivers. Additionally, informal caregivers' attitudes and experiences with Coach Pepper were examined.</div></div><div><h3>Design</h3><div>A randomised controlled parallel two-arm trial with a nested qualitative study was conducted.</div></div><div><h3>Setting</h3><div>The study took place in the home setting (i.e. private households).</div></div><div><h3>Participants</h3><div>Thirty-two informal caregivers of people with dementia participated in the study.</div></div><div><h3>Methods</h3><div>Informal caregivers (and their loved one with dementia) were randomly assigned to Coach Pepper (n = 16) or a solely tablet-based multimodal training (n = 16) for a three-week period. Data for caregivers were collected at baseline and after the intervention by standardised questionnaires for caregiver burden (primary outcome), quality of life, depressive symptoms and affect. Additionally, acceptance was measured in both groups and semi-structured interviews were conducted in the Coach Pepper group post-interventionally.</div></div><div><h3>Results</h3><div>No significant differences in mean changes between groups were identified in the outcomes, except that two domains of acceptance (usefulness and accessibility) were rated significantly higher for the control group. Qualitative findings showed mostly positive attitudes towards Coach Pepper in dementia care and neutral feelings on caregiver burden. Caregivers reported usefulness of Coach Pepper on being assistive in six components of human needs: ‘learning ability’, ‘recreational activities’, ‘contact with others’, ‘mobility/body posture’, ‘communication’ and ‘avoiding danger’. However, they recommended further improvement in all fourteen components of human needs.</div></div><div><h3>Conclusions</h3><div>Coach Pepper had no significant psychosocial effects on informal caregivers of people with dementia. Qualitative findings demonstrated the participants' positive attitudes but highlighted a need for improvements regarding Coach Pepper's usability.</div></div><div><h3>Registration</h3><div><span><span>NCT03818217</span><svg><path></path></svg></span> (date of registration: 09.01.2019; date of first recruitment: 04.02.
{"title":"Psychosocial effects of a humanoid robot on informal caregivers of people with dementia: A randomised controlled trial with nested interviews","authors":"Julia Zuschnegg , Alfred Häussl , Gerald Lodron , Thomas Orgel , Silvia Russegger , Michael Schneeberger , Maria Fellner , Magdalena Holter , Dimitrios Prodromou , Anna Schultz , Regina Roller-Wirnsberger , Lucas Paletta , Marisa Koini , Sandra Schüssler","doi":"10.1016/j.ijnurstu.2024.104967","DOIUrl":"10.1016/j.ijnurstu.2024.104967","url":null,"abstract":"<div><h3>Background</h3><div>Dementia rates are rising globally, impacting healthcare systems and society. The care of people with dementia is largely provided by informal caregivers (e.g., family, friends), which can present significant challenges and increase caregivers' burden. New technologies, such as humanoid socially assistive robots, show promise in reducing this burden, as such robots were considered to be supportive devices for both informal caregivers and people with dementia.</div></div><div><h3>Objective</h3><div>To explore the psychosocial effects of the humanoid social assistive robot Coach Pepper (equipped with functions like tablet-based multimodal training for people with dementia) compared to exclusively tablet-based multimodal training for people with dementia on informal caregivers. Additionally, informal caregivers' attitudes and experiences with Coach Pepper were examined.</div></div><div><h3>Design</h3><div>A randomised controlled parallel two-arm trial with a nested qualitative study was conducted.</div></div><div><h3>Setting</h3><div>The study took place in the home setting (i.e. private households).</div></div><div><h3>Participants</h3><div>Thirty-two informal caregivers of people with dementia participated in the study.</div></div><div><h3>Methods</h3><div>Informal caregivers (and their loved one with dementia) were randomly assigned to Coach Pepper (n = 16) or a solely tablet-based multimodal training (n = 16) for a three-week period. Data for caregivers were collected at baseline and after the intervention by standardised questionnaires for caregiver burden (primary outcome), quality of life, depressive symptoms and affect. Additionally, acceptance was measured in both groups and semi-structured interviews were conducted in the Coach Pepper group post-interventionally.</div></div><div><h3>Results</h3><div>No significant differences in mean changes between groups were identified in the outcomes, except that two domains of acceptance (usefulness and accessibility) were rated significantly higher for the control group. Qualitative findings showed mostly positive attitudes towards Coach Pepper in dementia care and neutral feelings on caregiver burden. Caregivers reported usefulness of Coach Pepper on being assistive in six components of human needs: ‘learning ability’, ‘recreational activities’, ‘contact with others’, ‘mobility/body posture’, ‘communication’ and ‘avoiding danger’. However, they recommended further improvement in all fourteen components of human needs.</div></div><div><h3>Conclusions</h3><div>Coach Pepper had no significant psychosocial effects on informal caregivers of people with dementia. Qualitative findings demonstrated the participants' positive attitudes but highlighted a need for improvements regarding Coach Pepper's usability.</div></div><div><h3>Registration</h3><div><span><span>NCT03818217</span><svg><path></path></svg></span> (date of registration: 09.01.2019; date of first recruitment: 04.02.","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104967"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.ijnurstu.2024.104982
Soo Hyun Kim
<div><h3>Background</h3><div>Cancer survivors may have a variety of survivorship concerns despite their cancer treatment having ended, with some negatively affecting their health-related quality of life. An in-depth understanding of survivorship concerns is essential for the development of survivorship care programs. However, previous findings have been limited to Western countries, and evidence from Asian countries is lacking.</div></div><div><h3>Objective</h3><div>This study aimed to examine the prevalence of survivorship concerns among posttreatment cancer survivors in South Korea, identify factors associated with survivorship concerns, and explore their relationship with health-related quality of life.</div></div><div><h3>Design</h3><div>Secondary analysis of a cross-sectional survey.</div></div><div><h3>Setting</h3><div>Data were collected through an online survey of five online communities of cancer survivors in South Korea.</div></div><div><h3>Participants</h3><div>Overall, 1019 cancer survivors diagnosed with breast, colorectal, lung, stomach, and thyroid cancer (top five cancers in South Korea) who completed their cancer treatment.</div></div><div><h3>Methods</h3><div>The survey collected data on demographic, disease- and treatment-related characteristics, survivorship concerns, and health-related quality of life. Survivorship concerns were measured using the checklist for survivorship concerns from the National Comprehensive Cancer Network Guidelines for Cancer Survivorship, which includes 12 survivorship concerns (e.g. cardiac toxicity, distress, cognitive dysfunction, fatigue, lymphoedema). Health-related quality of life was assessed using the Korean version of the 30-item European Organisation for Research and Treatment of Cancer Quality of Life Core Questionnaire. Data were analysed using descriptive statistics, the Chi-square test, and multiple regression.</div></div><div><h3>Results</h3><div>The prevalence of survivorship concerns ranged from 34.7 % to 78.4 %. Fatigue (78.4 %), unhealthy lifestyle (74.8 %), cognitive dysfunction (60.5 %), insomnia (58.9 %), and distress (52.9 %) were the five most frequent concerns. Survivors aged in their 50s, those diagnosed with stomach cancer, those with an elapsed time of ≥<!--> <!-->2 years but <<!--> <!-->5 years since diagnosis, and those who had received chemotherapy and/or radiotherapy were significantly more likely to report survivorship concerns. Regression analyses revealed that all survivorship concerns were significant predictors of one or more subscales of health-related quality of life. Distress was found to be a significant predictor of all six subscales of the European Organisation for Research and Treatment of Cancer Quality of Life Core Questionnaire.</div></div><div><h3>Conclusions</h3><div>This study revealed that posttreatment cancer survivors in South Korea had various survivorship concerns that decreased their health-related quality of life. To improve their health-rel
{"title":"Survivorship concerns among posttreatment cancer survivors in South Korea: A secondary analysis of a cross-sectional survey","authors":"Soo Hyun Kim","doi":"10.1016/j.ijnurstu.2024.104982","DOIUrl":"10.1016/j.ijnurstu.2024.104982","url":null,"abstract":"<div><h3>Background</h3><div>Cancer survivors may have a variety of survivorship concerns despite their cancer treatment having ended, with some negatively affecting their health-related quality of life. An in-depth understanding of survivorship concerns is essential for the development of survivorship care programs. However, previous findings have been limited to Western countries, and evidence from Asian countries is lacking.</div></div><div><h3>Objective</h3><div>This study aimed to examine the prevalence of survivorship concerns among posttreatment cancer survivors in South Korea, identify factors associated with survivorship concerns, and explore their relationship with health-related quality of life.</div></div><div><h3>Design</h3><div>Secondary analysis of a cross-sectional survey.</div></div><div><h3>Setting</h3><div>Data were collected through an online survey of five online communities of cancer survivors in South Korea.</div></div><div><h3>Participants</h3><div>Overall, 1019 cancer survivors diagnosed with breast, colorectal, lung, stomach, and thyroid cancer (top five cancers in South Korea) who completed their cancer treatment.</div></div><div><h3>Methods</h3><div>The survey collected data on demographic, disease- and treatment-related characteristics, survivorship concerns, and health-related quality of life. Survivorship concerns were measured using the checklist for survivorship concerns from the National Comprehensive Cancer Network Guidelines for Cancer Survivorship, which includes 12 survivorship concerns (e.g. cardiac toxicity, distress, cognitive dysfunction, fatigue, lymphoedema). Health-related quality of life was assessed using the Korean version of the 30-item European Organisation for Research and Treatment of Cancer Quality of Life Core Questionnaire. Data were analysed using descriptive statistics, the Chi-square test, and multiple regression.</div></div><div><h3>Results</h3><div>The prevalence of survivorship concerns ranged from 34.7 % to 78.4 %. Fatigue (78.4 %), unhealthy lifestyle (74.8 %), cognitive dysfunction (60.5 %), insomnia (58.9 %), and distress (52.9 %) were the five most frequent concerns. Survivors aged in their 50s, those diagnosed with stomach cancer, those with an elapsed time of ≥<!--> <!-->2 years but <<!--> <!-->5 years since diagnosis, and those who had received chemotherapy and/or radiotherapy were significantly more likely to report survivorship concerns. Regression analyses revealed that all survivorship concerns were significant predictors of one or more subscales of health-related quality of life. Distress was found to be a significant predictor of all six subscales of the European Organisation for Research and Treatment of Cancer Quality of Life Core Questionnaire.</div></div><div><h3>Conclusions</h3><div>This study revealed that posttreatment cancer survivors in South Korea had various survivorship concerns that decreased their health-related quality of life. To improve their health-rel","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104982"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.ijnurstu.2024.104964
Yang Zhao , Hong Lu , Xiu Zhu , Guihua Xiao
Background
Nurses' job satisfaction has long been a global concern because of the critical significance it holds on nurse turnover and the quality and safety of patient care.
Objectives
To perform an updated literature review of the newly emerging studies on job satisfaction among hospital nurses.
Design
Literature review.
Data sources
Ten electronic database (PubMed, Web of Science, Embase, CINAHL, PsycINFO, Applied Social Sciences Index, CNKI, SinoMed, CQVIP, WanFang) were searched for studies published between September 2018 and May 2024.
Review methods
Studies were included if they published in English or Chinese and focused on job satisfaction of qualified general nurses working in acute care hospitals. Data extraction, synthesis and content analysis were performed.
Results
Of the 28,584 studies originally identified, 52 studies were included in the final review. Thirty-eight influencing factors and twenty-nine predictors of nurses' job satisfaction across the domains of demographic characteristics, individual cognition and behaviors, and working environment and management were newly added in this updated review. Sixty-five factors, which were further grouped into eight subcategorizations: demographic characteristics, personality traits, emotion, behaviors, psychological and cognitive factors, organizational climate, leadership and management, were additionally identified as related factors of nurses' job satisfaction. Factors relating to nurses' individual cognition and behaviors mainly played mediating roles in the mediating pathways linking various factors with job satisfaction.
Conclusions
This review provides improved understanding of nurses' job satisfaction. Future studies could further explore the mechanisms by which factors relating to working environment and management predict or affect nurses' job satisfaction. The newly identified intrinsic factors from the mediating or moderating pathways offered valuable intervention insights for the improvement of nurses' job satisfaction.
{"title":"Job satisfaction among hospital nurses: An updated literature review","authors":"Yang Zhao , Hong Lu , Xiu Zhu , Guihua Xiao","doi":"10.1016/j.ijnurstu.2024.104964","DOIUrl":"10.1016/j.ijnurstu.2024.104964","url":null,"abstract":"<div><h3>Background</h3><div>Nurses' job satisfaction has long been a global concern because of the critical significance it holds on nurse turnover and the quality and safety of patient care.</div></div><div><h3>Objectives</h3><div>To perform an updated literature review of the newly emerging studies on job satisfaction among hospital nurses.</div></div><div><h3>Design</h3><div>Literature review.</div></div><div><h3>Data sources</h3><div>Ten electronic database (PubMed, Web of Science, Embase, CINAHL, PsycINFO, Applied Social Sciences Index, CNKI, SinoMed, CQVIP, WanFang) were searched for studies published between September 2018 and May 2024.</div></div><div><h3>Review methods</h3><div>Studies were included if they published in English or Chinese and focused on job satisfaction of qualified general nurses working in acute care hospitals. Data extraction, synthesis and content analysis were performed.</div></div><div><h3>Results</h3><div>Of the 28,584 studies originally identified, 52 studies were included in the final review. Thirty-eight influencing factors and twenty-nine predictors of nurses' job satisfaction across the domains of demographic characteristics, individual cognition and behaviors, and working environment and management were newly added in this updated review. Sixty-five factors, which were further grouped into eight subcategorizations: demographic characteristics, personality traits, emotion, behaviors, psychological and cognitive factors, organizational climate, leadership and management, were additionally identified as related factors of nurses' job satisfaction. Factors relating to nurses' individual cognition and behaviors mainly played mediating roles in the mediating pathways linking various factors with job satisfaction.</div></div><div><h3>Conclusions</h3><div>This review provides improved understanding of nurses' job satisfaction. Future studies could further explore the mechanisms by which factors relating to working environment and management predict or affect nurses' job satisfaction. The newly identified intrinsic factors from the mediating or moderating pathways offered valuable intervention insights for the improvement of nurses' job satisfaction.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"162 ","pages":"Article 104964"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142790164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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