International Journal of Nursing Studies最新文献

{"title":"Experiences of live-in migrant caregivers providing long-term care for older adults at home: A qualitative systematic review and meta-ethnography","authors":"Charlene Shihui LEE , Jessica Syn Yin TAN , Shawn Yong-Shian GOH , Ken Hok Man HO , Roger Yat-nork CHUNG , Ee Yuee CHAN , Sok Ying LIAW , Betsy SEAH","doi":"10.1016/j.ijnurstu.2025.105019","DOIUrl":"10.1016/j.ijnurstu.2025.105019","url":null,"abstract":"<div><h3>Background</h3><div>Live-in migrant caregivers have been employed in various developed countries to meet the growing demands of long-term care needs for older adults. Increasingly, nurses in these countries are involved in providing caregiving training to these live-in migrant caregivers. A comprehensive understanding of the caring experiences of these live-in migrant caregivers can better support their caregiving experiences and improve their quality of care.</div></div><div><h3>Aim</h3><div>To synthesise the experiences of live-in migrant caregivers for older adults requiring long-term home care.</div></div><div><h3>Design</h3><div>Qualitative systematic review using meta-ethnography.</div></div><div><h3>Methods</h3><div>PubMed, CINAHL, Embase, Google Scholar, PsycINFO, Scopus, ProQuest and Web of Science Core Collection were searched from inception to November 2024. Qualitative studies that explored the experiences of migrant caregivers providing live-in care to older adults requiring long-term care were included. Two reviewers screened the articles according to the eligibility criteria, appraised the articles using the Critical Appraisal Skills Programme Tool, and extracted qualitative data independently. Data synthesis was performed using Noblit and Hare's meta-ethnography.</div></div><div><h3>Results</h3><div>Five themes emerged from the 14 included studies: beyond caring for the older adult, compromising basic rights, being away, coping strategies, and being a better caregiver. These themes contributed to the overall line-of-argument synthesis: ‘Treat me as a human being’ so that I can grow and ‘give my all’ — beyond a transactional paid job to provide care. The synthesis revealed the vulnerabilities, challenges, opportunities, and capacity development encountered by live-in migrant caregivers in unleashing their potential to be better caregivers.</div></div><div><h3>Conclusion</h3><div>The findings highlighted the complexities of care intertwined in social structural bounded relationships between live-in migrant caregivers, older care recipients, and employers. Greater advocacy is needed to embrace live-in migrant workers as valued care providers of the eldercare workforce. Nurses have a role in promoting the development, delivery, uptake, and evaluation of structured, culturally contextualised and comprehensible long-term care training programs for live-in migrant caregivers and their employers. Significant opportunities could be provided to equip live-in migrant workers in caregiving roles, ensure and allocate time to rest, communicate their caregiving needs and moderate employers' expectations. Enhancing the quality of caregiving, improving their intertwined relationships and exercising cultural sensitivity contribute to better caregiving experiences and well-being for older adults, migrant caregivers, and employers.</div></div><div><h3>Registration and reporting checklist</h3><div>The study protocol of this review was registe","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105019"},"PeriodicalIF":7.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420460","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}

{"title":"Night and shift work and incidence of physician-diagnosed sleep disorders in nursing staff: A prospective cohort study","authors":"Tove Nilsson ,&nbsp;Abid Lashari ,&nbsp;Per Gustavsson ,&nbsp;Mikko Härmä ,&nbsp;Carolina Bigert ,&nbsp;Theo Bodin ,&nbsp;Laura Maclachlan ,&nbsp;Annika Lindahl Norberg ,&nbsp;Emma Brulin","doi":"10.1016/j.ijnurstu.2025.105017","DOIUrl":"10.1016/j.ijnurstu.2025.105017","url":null,"abstract":"<div><h3>Background</h3><div>Epidemiological studies provide evidence for an association between shift work and sleep problems but often lack precise exposure and outcome data.</div></div><div><h3>Objective</h3><div>To investigate the risk of first-time physician-diagnosed sleep disorder in nursing staff using register-based data of shift work and health outcomes.</div></div><div><h3>Design</h3><div>A prospective cohort study with a 4.5-year follow-up.</div></div><div><h3>Participants</h3><div>25,639 healthcare employees (nurses including midwives, nursing assistants, and related care professions) employed for at least six months between 2012 and 2016 by Region Stockholm were included.</div></div><div><h3>Methods</h3><div>Information on hour-by-hour and day-by-day working hours was obtained from a computerised employee register. Physician-diagnosed sleep disorders (N = 326) were obtained from an outpatient register from January 2013 to June 2017. Discrete time proportional hazards models were used to estimate hazard ratios (HR) adjusting for age, sex, country of birth and profession.</div></div><div><h3>Results</h3><div>An increased risk of physician-diagnosed sleep disorder was seen among those who, during the preceding six months, only or frequently (&gt;<!--> <!-->66 times) worked night shifts compared to those who did not work nights (HR 1.70, 95 % CI 1.17–2.43 and HR 1.77, 95 % CI 1.21–2.50 respectively). The associations were supported by a dose–response pattern (p = 0.0006). Among those who work night shifts, the risk associated with 9–12 times of three or more consecutive nights was of borderline statistical significance (HR 1.66, 95 % CI 0.98–2.81). Frequently (&gt;<!--> <!-->39 times the last six months) having quick returns from night shifts (&lt;<!--> <!-->28 h) showed an almost 2-fold increased risk of physician-diagnosed sleep disorder compared to those who had few (&lt;<!--> <!-->8 times in the last six months) quick returns from night shifts (HR 1.89, 95 % CI 1.05–3.52). Quick returns from afternoon shifts in non-night workers (&lt;<!--> <!-->11 h) did not significantly increase the risk of physician-diagnosed sleep disorder.</div></div><div><h3>Conclusion</h3><div>The results indicate that intensive night shift work, especially frequent and consecutive night shifts, is associated with an increased risk of physician-diagnosed sleep disorder in nursing staff. This study raises awareness of the need to acknowledge objective in addition to subjective health outcomes in relation to shift work.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105017"},"PeriodicalIF":7.5,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143372703","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}

{"title":"High specificity clinical signs of impending death: A scoping review","authors":"Catarina Simões ,&nbsp;Rui Carneiro ,&nbsp;Abílio CardosoTeixeira","doi":"10.1016/j.ijnurstu.2025.105015","DOIUrl":"10.1016/j.ijnurstu.2025.105015","url":null,"abstract":"<div><h3>Background</h3><div>Accurate diagnosis of impending death is essential to provide proper care in the last days and hours of life. Recognising the death situation immediately allows adjustment of care goals, ensuring that they suit the patient's condition, as well as tuning the team's and family's expectations.</div></div><div><h3>Objective</h3><div>To map and describe evidence on high specificity clinical signs of impending death in cancer and noncancer hospitalised patients over 18 years of age.</div></div><div><h3>Methods</h3><div>A comprehensive search of the published literature was conducted According to Joanna Briggs Institute's methodology for scoping reviews. Online databases, including MEDLINE, CINAHL complete, SCOPUS, WEB OF SCIENCE, and the Cochrane Database of Systematic Reviews, and the search for unpublished studies included OpenGrey, DART-Europe, and RCAAP. Publications in English, French, Portuguese, and Spanish were included, and no period was set. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis extensions to scoping review guidelines were used to report the results. The review protocol was registered in Open Science Framework (Simões et al., 2022).</div></div><div><h3>Results</h3><div>The 15 studies included in this review were published in English between 2013 and 2023. In addition to identifying the clinical signs of impending death, some researchers intend to develop accurate prognostic models for this clinical situation. Only two studies in the noncancer population met the inclusion criteria. Twelve articles were prospective observational studies (seven were multicentre studies), one was a retrospective cohort study, and two were narrative reviews. A clinical sign that is common to studies in both populations is respiration with mandibular movement, particularly in the last 12 h of life.</div></div><div><h3>Conclusions</h3><div>Clinical signs of impending death and prediction models can help clinicians identify impending death. However, they should not replace clinical judgement. Further research is required to understand whether the dying process differs among different patient populations and care settings.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105015"},"PeriodicalIF":7.5,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143377731","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}

{"title":"Journey of touching death, nursing undergraduates' experiences in the simulated death graded exposure Programme: A qualitative descriptive study in China","authors":"Keyuan Peng,&nbsp;Pingting Zhu,&nbsp;Xinyue Gu,&nbsp;Chenglei Hu,&nbsp;Yi Teng","doi":"10.1016/j.ijnurstu.2025.105013","DOIUrl":"10.1016/j.ijnurstu.2025.105013","url":null,"abstract":"<div><h3>Background</h3><div>Nursing undergraduates receive inadequate training in death and end-of-life care within the education system, resulting in feelings of unpreparedness and inadequacy when confronted with their first death event in clinical practice, as well as a low willingness to engage in end-of-life care.</div></div><div><h3>Objective</h3><div>To explore the cognitive and emotional experiences of nursing undergraduate students participating in the simulated death graded exposure programme, and to evaluate the educational significance of the programme.</div></div><div><h3>Design</h3><div>A qualitative descriptive study design.</div></div><div><h3>Setting</h3><div>A comprehensive university in Jiangsu Province, China.</div></div><div><h3>Participants</h3><div>In October 2023, twenty-eight (age range, 19–21 years; 21 [75 %] female;) first-year nursing undergraduates were recruited to participate in the simulated death graded exposure programme.</div></div><div><h3>Methods</h3><div>The research team developed and implemented a systematic simulated death graded exposure programme, consisting of four parts: end-of-life farewell role-playing, simulated funeral experience, post-simulation recovery and death reflection. Semi-structured interviews were conducted after the experience, and the interview data were analysed using content analysis.</div></div><div><h3>Results</h3><div>The nursing students' experiences in the simulated death graded exposure programme could be divided into three phases through a longitudinal process: approaching death (dying), immersing in the world of death (death), and initiating the transformation of life's meaning (rebirth). In the first phase, participants felt integrated into the simulated roles, experienced the complex emotions of approaching death, and ultimately accepted the declaration of death. In the second phase, participants experienced a highly realistic simulation of death, guiding physical symptoms and emotional reactions. Additionally, their awareness of death began to awaken and disperse, leading to profound reflections on death. In the third phase, participants engaged in a process of self-examination which culminated in a self-proclaimed healing process from the experience of the simulated death. Through deep reflection, they were reacquainted with their values and professional mission.</div></div><div><h3>Conclusions</h3><div>The simulated death graded exposure programme enhances nursing students' psychological preparedness and emotional adjustment helping to prepare them for experiencing death in a clinical context, and deepens their understanding of life and death. This programme provides a practical example of nursing professionals' training and education in end-of-life care.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105013"},"PeriodicalIF":7.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143167493","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}

{"title":"Comparison of the effects of 19 exercise interventions on symptoms, pain, balance, and muscular strength in patients with chemotherapy-induced peripheral neuropathy: A systematic review and network meta-analysis","authors":"Zhenzhen Wang ,&nbsp;Bingxin Zhao ,&nbsp;Yao Li ,&nbsp;Jiamei Jing ,&nbsp;Lina Suo ,&nbsp;Guozeng Zhang","doi":"10.1016/j.ijnurstu.2025.105014","DOIUrl":"10.1016/j.ijnurstu.2025.105014","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Exercise can improve the symptoms of chemotherapy-induced peripheral neuropathy. Traditional pairwise meta-analyses of exercise interventions can only identify the difference in effect between an exercise intervention and usual care. It is necessary to conduct network meta-analyses to establish evidence on the comparative effectiveness of all relevant exercise intervention strategies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To evaluate the comparative effectiveness of all known exercise interventions for chemotherapy-induced peripheral neuropathy, rank the best exercise intervention and explore the influencing factors of exercise intervention.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Systematic review and network meta-analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A comprehensive search was conducted in 14 databases. Risk of bias assessment, quality of evidence, sensitivity analysis, subgroup analysis and meta-regression were performed on the included studies. A network meta-analysis was used to identify the optimal exercise intervention.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Twenty-four eligible studies were included, and a total of 19 interventions were identified. Regular physical training combined with sensorimotor exercise, sensorimotor exercise, aerobic combined with resistance and balance training, aerobic exercise and resistance training had statistically significant differences in reducing CIPN symptoms with SMD and 95 % CI were − 1.06 (−&lt;!--&gt; &lt;!--&gt;1.77, −&lt;!--&gt; &lt;!--&gt;0.36), −&lt;!--&gt; &lt;!--&gt;0.61 (−&lt;!--&gt; &lt;!--&gt;1.08, −&lt;!--&gt; &lt;!--&gt;0.14), −&lt;!--&gt; &lt;!--&gt;1.88 (−&lt;!--&gt; &lt;!--&gt;2.81, −&lt;!--&gt; &lt;!--&gt;0.94), 0.94 (0.39, 1.49) and − 1.31 (−&lt;!--&gt; &lt;!--&gt;1.87, −&lt;!--&gt; &lt;!--&gt;0.74). For pain, the most effective interventions included hand-foot exercises, aerobic combined with resistance training, muscular strength combined with balance exercises, SMD and 95 % CI were − 1.99 (−&lt;!--&gt; &lt;!--&gt;2.85, −&lt;!--&gt; &lt;!--&gt;1.13), −&lt;!--&gt; &lt;!--&gt;1.13 (−&lt;!--&gt; &lt;!--&gt;1.58, −&lt;!--&gt; &lt;!--&gt;0.67) and − 1.04 (−&lt;!--&gt; &lt;!--&gt;1.66, −&lt;!--&gt; &lt;!--&gt;0.41). Endurance combined with strength training, endurance combined with resistance and balance training, regular physical training combined with sensorimotor exercise and balance training were found to be effective in treating balance with SMD and 95 % CI were 1.61 (0.74, 2.48), 1.10 (0.31, 1.88), 0.92 (0.23, 1.61), and 1.40 (0.59, 2.21). Nerve gliding exercises, aerobic combined with resistance and flexibility exercises, endurance combined with strength training, aerobic combined with resistance training and balance training were found to be effective in treating muscular strength with SMD and 95 % CI were 1.09 (0.48, 1.70), 0.94 (0.29, 1.60), 1.13 (0.32, 1.94), 0.75 (0.51, 1.00) and 1.00 (0.23, 1.76). Subgroup analysis showed that frequency of exercise, duration of exercise, exercise time per session, type of exercise supervision, types of cancer, types of chemotherapy drugs and age had a significant effect on CIPN patients.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Co","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105014"},"PeriodicalIF":7.5,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386334","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}

{"title":"Comment on Elk et al. (2024) ‘Effects and implementation of an intervention to improve sleep, fatigue and recovery among healthcare workers with night shifts: A pre- and post-test study’","authors":"Shu-yuan Shi,&nbsp;Ying Xu,&nbsp;Yu-jie Guo","doi":"10.1016/j.ijnurstu.2025.105012","DOIUrl":"10.1016/j.ijnurstu.2025.105012","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 105012"},"PeriodicalIF":7.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076203","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}

{"title":"Comment on Efstathiou et al. (2025) 'The prevalence of mental health issues among nursing students: An umbrella review synthesis of meta-analytic evidence'.","authors":"Xuefan Zeng","doi":"10.1016/j.ijnurstu.2025.105011","DOIUrl":"https://doi.org/10.1016/j.ijnurstu.2025.105011","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":" ","pages":"105011"},"PeriodicalIF":7.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076201","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}

{"title":"Tailored personas for self-management in home-based cardiac rehabilitation for patients with coronary heart disease: A qualitative study","authors":"Zhen Yang ,&nbsp;Linyu Xu ,&nbsp;Yu Gao ,&nbsp;Chunqi Zhang ,&nbsp;Aiping Wang","doi":"10.1016/j.ijnurstu.2025.105000","DOIUrl":"10.1016/j.ijnurstu.2025.105000","url":null,"abstract":"<div><h3>Background</h3><div>Self-management is a key factor determining recovery outcomes in home-based cardiac rehabilitation. However, the impact of individual differences on self-management in patients with coronary heart disease is particularly significant, and standardised approaches often fail to fully meet the needs of this heterogeneous group.</div></div><div><h3>Objective</h3><div>This study aimed to explore the heterogeneity of self-management among patients with coronary heart disease undergoing home-based cardiac rehabilitation and construct patient personas to address the unique challenges and needs of diverse patient groups.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study was conducted at a cardiac rehabilitation centre in mainland China from April to July 2024. Purposive sampling was used to select patients with coronary heart disease. Semi-structured interviews were conducted to capture their self-management experiences during home-based cardiac rehabilitation. Content analysis was used to extract factual labels and construct dimensional models. Patient personas were developed by categorising patients based on these dimensions, and their self-management personas were visualised using labelled personas.</div></div><div><h3>Results</h3><div>A total of 28 eligible patients with coronary heart disease participated in the study. Three key dimensions were identified to construct the personas: descriptions, characteristics, and needs. Five distinct personas were developed based on individual attributes, highlighting the varying self-management behaviours and needs of patients with coronary heart disease. The personas were categorised as follows: patients who actively seek cooperation in health management, patients with limited knowledge and poor management behaviour, patients with management deficiencies under high work demands, patients with prominent symptoms but strong awareness, and patients with impaired motivation for self-management.</div></div><div><h3>Conclusion</h3><div>Precise interventions based on patient personas are essential for enhancing self-management behaviours during home-based cardiac rehabilitation among patients with coronary heart disease. This study developed five patient personas for self-management in home-based cardiac rehabilitation, providing a basis for precise interventions to address the heterogeneous needs of this patient group.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 105000"},"PeriodicalIF":7.5,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042945","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}

{"title":"Empowerment through knowledge: Qualitative perceptions of ‘undetectable equals Untransmittable’ among people living with HIV and tuberculosis in South Africa","authors":"Alanna J. Bergman ,&nbsp;Michael V. Relf ,&nbsp;Kelly Lowensen ,&nbsp;Nkateko Ndhlovu ,&nbsp;Sibongile Lerefolo ,&nbsp;Jason E. Farley","doi":"10.1016/j.ijnurstu.2025.104999","DOIUrl":"10.1016/j.ijnurstu.2025.104999","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Undetectable equals untransmittable (U&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;U) is an education campaign promoting science that people living with human immunodeficiency virus (HIV) who maintain an undetectable viral load cannot transmit HIV to others. Researchers theorize that undetectable equals untransmittable messaging will decrease HIV stigma by reducing fears of HIV transmission and providing evidence to dismantle discriminatory policies. However, little is known about how people with HIV in South Africa interpret the results of their viral load tests, undetectable equals untransmittable messaging, or its impact on stigma.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This qualitative study explored knowledge and interpretation of viral suppression, and undetectable equals untransmittable among people with HIV and rifampicin-resistant tuberculosis in South Africa. We further explored whether undetectable equals untransmittable messaging influences HIV-related stigma. Thirty participants were recruited for serial qualitative interviews, conducted at baseline, 3-month, and 6-month visits. A multi-national team used reflexive thematic analysis to develop and interpret code relationships.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;All participants were Black African, age on average was 36 years, 63.3 % were male, and half were undetectable at baseline with a median 6.2 years since HIV diagnosis. Four themes were identified that built on one another over time, (1) limited knowledge of viral suppression and undetectable equals untransmittable; (2) perceived lack of clinical integration of viral suppression and undetectable equals untransmittable; (3) Changing perceptions of viral suppression and application to individual health; and (4) endorsement of undetectable equals untransmittable and activation towards health partnership. Most participants had not heard of viral suppression or undetectable equals untransmittable at the initial interview. There was limited integration of viral suppression or undetectable equals untransmittable into clinic visits fueling a perception that viral suppression was solely a tool for verification of adherence. Over time, participants came to understand the significance of viral suppression and undetectable equals untransmittable, which empowered participants to take a more active role in their HIV management and request changes from the healthcare system.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Participants found optimism and empowerment through individualized HIV education even though undetectable equals untransmittable messaging had little impact on stigma. There are structural barriers in the South African healthcare system that limit access to tailored health education. By leveraging community health workers and enrolled nurses, HIV clinics can improve education access without overtaxing a resource strained healthcare system. These results identify a variety of opportunities for health system strengthening th","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 104999"},"PeriodicalIF":7.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048443","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}

{"title":"Think local, write global: Writing peer-reviewed research papers for an international audience","authors":"Allison Squires ,&nbsp;Peter Griffiths ,&nbsp;Ian Norman ,&nbsp;William E. Rosa","doi":"10.1016/j.ijnurstu.2025.104998","DOIUrl":"10.1016/j.ijnurstu.2025.104998","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 104998"},"PeriodicalIF":7.5,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025724","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}