International Journal of Nursing Studies最新文献

{"title":"The impact of exercise during radiotherapy on treatment-related side effects in breast cancer patients: A systematic review and meta-analysis","authors":"XuFei Zheng ,&nbsp;PeiQiang Peng ,&nbsp;Yue Wang ,&nbsp;LinFang Bian ,&nbsp;KeXin Zhao ,&nbsp;AoWen Shi ,&nbsp;ZhongQi Jiang ,&nbsp;LiJing Zhao ,&nbsp;JunJie Jiang ,&nbsp;Shuang Zhang","doi":"10.1016/j.ijnurstu.2024.104990","DOIUrl":"10.1016/j.ijnurstu.2024.104990","url":null,"abstract":"<div><h3>Purpose</h3><div>Radiation therapy for breast cancer often causes side effects like cancer-related fatigue, depression, and sleep disorders, impacting health-related quality of life, psychosocial aspects, and physical function. Exercise therapy is commonly used to manage cancer-related fatigue, but its effectiveness remains uncertain due to varying patient conditions and adherence. This systematic review aims to assess exercise interventions during radiotherapy for their effects on physiological and psychological side effects in breast cancer patients, clarifying efficacy and exploring different intervention types.</div></div><div><h3>Methods</h3><div>Randomized controlled trials were searched in PubMed, EBSCO, Scopus, Web of Science, and the Cochrane Library up to April 24, 2024. Trials included breast cancer patients undergoing exercise therapy (e.g., running, yoga, Qi Gong, resistance training). Primary outcomes were cancer-related fatigue levels and quality of life; secondary outcomes included sleep quality and depressive symptoms.</div></div><div><h3>Results</h3><div>Sixteen trials with 1373 stage 0 to III breast cancer patients were analyzed. The results indicate that exercise during radiation therapy has a significant positive impact on reducing cancer-related fatigue compared to the control group (SMD = −0.29, 95% CL: −0.56 to −0.02, P = 0.032), subgroup analysis showed that compared to treadmill exercise, Tai Chi, and resistance training with equipment, yoga is more effective in improving cancer-related fatigue in breast cancer patients. Regarding improvement in quality of life (SMD = 0.29, 95 % CI: −0.08 to 0.66, P = 0.121), sleep quality (SMD: −0.27, 95 % CI: −0.62 to 0.07, P = 0.116), and depression (SMD: −0.01, 95 % CI: −0.35 to 0.34, P = 0.977), the three groups did not show significant statistical differences, but they demonstrated beneficial effects in alleviation, which require further studies for confirmation.</div></div><div><h3>Conclusion</h3><div>Exercise therapy can effectively alleviate cancer-related fatigue in breast cancer patients, with yoga being the most recommended form of exercise. Exercise therapy shows potential for improving quality of life, sleep, and depressive symptoms, necessitating more clinical studies for validation.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 104990"},"PeriodicalIF":7.5,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985321","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":"Conversational agents in physical and psychological symptom management: A systematic review of randomized controlled trials","authors":"Qingling Yang ,&nbsp;Kin Cheung ,&nbsp;Yan Zhang ,&nbsp;Yazhou Zhang ,&nbsp;Jing Qin ,&nbsp;Yao Jie Xie","doi":"10.1016/j.ijnurstu.2024.104991","DOIUrl":"10.1016/j.ijnurstu.2024.104991","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Effective management of physical and psychological symptoms is a critical component of comprehensive care for both chronic disease patients and apparently healthy individuals experiencing episodic symptoms. Conversational agents, which are dialog systems capable of understanding and generating human language, have emerged as a potential tool to enhance symptom management through interactive support.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To examine the characteristics and effectiveness of conversational agent-delivered interventions reported in randomized controlled trials (RCTs) in the management of both physical and psychological symptoms.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A systematic review.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A comprehensive search was performed in Pubmed, ACM Digital Library, CINAHL, EMBASE, PyscInfo, Web of Science, Scopus and gray literature sources from their inception to Oct 2024. Search terms included “conversational agent”, “symptom”, “randomized controlled trial” and their synonyms and hyponyms. Duplicates were identified by EndNote, and titles, abstracts and full texts were independently screened according to predefined criteria. Data extraction focused on basic study characteristics and conversational agent details, with The Cochrane Risk of Bias 2.0 tool employed for bias assessment.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The search yielded 2756 articles and 29 were finally included for review. The included studies predominantly came from developed countries (n = 23) and were conducted between 2020 and 2024 (n = 24). The studies frequently evaluated the feasibility and acceptability of conversational agent interventions (n = 14), with a predominantly focus on psychological symptoms (depression, anxiety, etc.) (n = 17). A few studies focused on physical symptoms (pain, etc.) (n = 4), while others addressed both symptoms (n = 8). Twenty-five distinct conversational agents (Woebot, Tess, etc.) were evaluated, utilizing platforms ranging from proprietary applications to common messaging channels like WeChat and Facebook Messenger. Cognitive Behavioral Therapy (CBT) was a commonly integrated approach (n = 22), with rule-based dialogs (n = 22) as the most commonly dialog system methods and Natural Language Processing (NLP) (n = 15) as the predominant AI techniques. The median recruitment and completion rates were 72 % and 79 %, respectively. The majority of studies reported positive user experiences and significant symptom management improvements (n = 22). However, risk of bias was high in seventeen studies and presented some concerns in nine others.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Conversational agents have shown promise in enhancing both physical and psychological symptom management through positive user experiences and effectiveness. However, the high risk of bias identified in many studies warrants caution in interpreting these findings. Future research should prioritize the me","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 104991"},"PeriodicalIF":7.5,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973119","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":"Acknowledging: A classic grounded theory explaining how nurses' employ clinical judgement when complying with early warning system protocols","authors":"Justine Connor ,&nbsp;Tracy Flenady ,&nbsp;Trudy Dwyer ,&nbsp;Deb Massey","doi":"10.1016/j.ijnurstu.2024.104989","DOIUrl":"10.1016/j.ijnurstu.2024.104989","url":null,"abstract":"<div><h3>Background</h3><div>Recognition and response to clinical deterioration of hospitalised patients is a worldwide health priority area. In response to this concern, international bodies have implemented early warning systems to help clinicians keep people safe and prevent patient deterioration. Registered nurses hold a significant role in managing care provision and utilise early warning system tools to support their clinical judgement when making decisions about patient care.</div></div><div><h3>Objective</h3><div>To generate a theory explaining how registered nurses employ their clinical judgement when complying with an early warning system protocol.</div></div><div><h3>Design</h3><div>Classic grounded theory.</div></div><div><h3>Participants</h3><div>Participants included twenty registered nurses working with early warning systems who are currently employed in a state health care system within Australia. Data were collected via interviews generated from a grand tour question in line with classic grounded theory.</div></div><div><h3>Methods</h3><div>Classic grounded theory methodology and methods were used. This approach facilitated the identification of the participants main concern and supported the generation of a theory explaining how the participants resolved this issue.</div></div><div><h3>Results</h3><div>Analysis of data, including associated field notes and memos, identified participants often experienced unease when complying with an early warning system protocol and employing clinical judgement. The mental discomfort participants voiced in the interviews described internal conflicts that are reflective of the term ‘cognitive dissonance’. How the participants sought to resolve their cognitive dissonance, revealed participants' main concern as: Compliance with early warning systems is sometimes incongruent with nurses' use of clinical judgement. The outcome of this study is a grounded theory that explains how nurses resolve this concern through ‘Acknowledging’. Nurses acknowledge the efficacy of early warning systems, whilst valuing their clinical judgement and the importance of patient safety, through the subcategories of Acting and Pausing.</div></div><div><h3>Conclusion</h3><div>The Theory of Acknowledging explains how nurses overcome their main concern when employing clinical judgement and complying with early warning systems, whilst acknowledging the importance of ensuring patient safety. Reconciling the dissonance caused by trusting their clinical judgement and remaining compliant with early warning systems, enables nurse-led assessment of the patient, promoting patient safety.</div><div><strong>Tweetable abstract:</strong> The theory of Acknowledging – How nurses employ clinical judgement when complying with early warning systems @Jusconnor25</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 104989"},"PeriodicalIF":7.5,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015395","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":"Understanding the experiences of people who have Postural Orthostatic Tachycardia Syndrome (POTS) and the health professionals who care for them: A grounded theory study","authors":"H. Eftekhari ,&nbsp;G. Pearce ,&nbsp;S. Staniszewska ,&nbsp;K. Seers","doi":"10.1016/j.ijnurstu.2024.104986","DOIUrl":"10.1016/j.ijnurstu.2024.104986","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Understanding the experiences of people who have postural orthostatic tachycardia syndrome (POTS) and the health professionals who care for them: a grounded theory study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Postural orthostatic tachycardia syndrome (POTS) is an under recognised, predominantly female condition. Awareness of this condition has increased due its association with Long-COVID. Understanding experiences informs areas for future study. Research into the experience of POTS is emerging, with no currently published studies including the experiences of health professionals.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Aim&lt;/h3&gt;&lt;div&gt;This study aimed to understand experiences of POTS, its challenges, and aspects of care from the perspectives of people with the condition and health professionals who look after them.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A grounded theory approach was taken to develop a conceptual framework of the experience of POTS conceptualised through a critical realist lens.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;This United Kingdom based study included people with POTS from three national health care centres and a diverse range of health professionals.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Theoretical and purposive sampling recruited people with POTS, and snowball sampling recruited health professionals through a United Kingdom charity and arrhythmia nursing network. Health professionals were interviewed from a range of professions including nurses, secondary care consultants, primary care general practitioners, psychologists, physiotherapists, and an occupational therapist.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;Between September 2021 and September 2022 in-depth online semi-structured interviews were undertaken. Data were thematically analysed. Corbin and Strauss' Grounded Theory methods of constant comparison, memos, and a reflexive journal were used. Analysis moved from first open coding of health professional themes to more focused axial coding, data, and category linking. The study patient and public involvement group informed thematic development and theoretical sampling. The final themes were conceptualised through the critical realism's three layers of experience.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Forty-four participants were included, 19 people with POTS and 25 health professionals. Three core themes were found: 1) A challenging condition, 2) POTS healthcare provision - services by accident not design, and 3) The need to validate experiences. Health professionals experienced challenges in their clinical self-efficacy. POTS care was driven by individual human agency and interpersonal relationships. People with POTS took individual responsibility for their self-management but were impacted by gender inequalities, a medical model prioritising guidelines, and a poor evidence-base.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;This is the first qualitative study to explore both people with POTS and health professional experiences of loo","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 104986"},"PeriodicalIF":7.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143233921","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":"Efficacy of a vein visualisation device for facilitating peripheral venous line placement in adult patients with sickle cell disease: A randomised clinical trial","authors":"Anne Corbasson ,&nbsp;Eric Fischer ,&nbsp;Aurélie Vilfaillot ,&nbsp;Ana Bento Da Costa ,&nbsp;Marie Charmettan ,&nbsp;Maria Ferreira ,&nbsp;Carole Barthélémy ,&nbsp;Walid Namaoui ,&nbsp;Djamal Khimoud ,&nbsp;Annabelle Beaudoin ,&nbsp;Liliane Berkani ,&nbsp;Constance Guillaud ,&nbsp;Mehdi Khellaf ,&nbsp;Edouard Flamarion ,&nbsp;Adrien Michon ,&nbsp;Emmanuel Lafont ,&nbsp;Geoffrey Cheminet ,&nbsp;Gilles Chatellier ,&nbsp;Jacques Pouchot ,&nbsp;Brigitte Ranque ,&nbsp;Jean-Benoît Arlet","doi":"10.1016/j.ijnurstu.2024.104988","DOIUrl":"10.1016/j.ijnurstu.2024.104988","url":null,"abstract":"<div><h3>Background</h3><div>Intravenous (IV) access is often required for the treatment of vaso-occlusive crises in patients with sickle cell disease, but can be particularly challenging due to recurrent venous damage. The AccuVein® device, uses near-infrared light technology to visualise veins for easier venepuncture.</div></div><div><h3>Methods</h3><div>A randomised, controlled trial of the efficacy of the AccuVeinAV400® device in the replacement of peripheral venous lines during a vaso-occlusive crisis was conducted at two centres in France. Adult patients with sickle cell disease were randomised to the AccuVein® or routine IV cannulation procedures. The primary outcome was the number of cannulation attempts needed for effective replacement of the peripheral IV line.</div></div><div><h3>Results</h3><div>Between April 10th, 2018, and March 22nd, 2022, 127 patients were randomised and 126 were analysed (median age: 27.5 years [interquartile range-IQR: 21.3–33.8]; homozygous genotype: 106 (84.1 %)). Although patients in the AccuVein® group reported lower levels of procedure-related pain, use of the device was not associated with a lower median number of venepuncture attempts (2 [1–3], vs. 2 [1–4] in the routine procedure group: p = 0.49). There were no statistically significant intergroup differences in the time to IV line replacement (9.6 [4.1–20.8] in the AccuVein® group vs. 11.7 [4.2–24.7] minutes in the routine procedure group), changes in patient and nurse anxiety and satisfaction levels, or the complication rate.</div></div><div><h3>Conclusion</h3><div>Use of the AccuVeinAV400® device was not associated with a significant decrease of the number of venepuncture attempts or of the time needed for IV line replacement during the management of vaso-occlusive crises. The study's results highlight the complexity of IV access in this clinical context.</div></div><div><h3>Trial registration</h3><div><span><span>ClinicalTrial.gov</span><svg><path></path></svg></span> identifier: <span><span>NCT03477552</span><svg><path></path></svg></span></div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"163 ","pages":"Article 104988"},"PeriodicalIF":7.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958164","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":"Effects of behavioural activation on psychological distress among people with cancer: A systematic review and meta-analysis","authors":"Meng Wei ,&nbsp;Azlina Yusuf ,&nbsp;Caryn Chan Mei Hsien ,&nbsp;Maziah Ahmad Marzuki","doi":"10.1016/j.ijnurstu.2024.104983","DOIUrl":"10.1016/j.ijnurstu.2024.104983","url":null,"abstract":"<div><h3>Background</h3><div>Cancer is a life-threatening disease that can have a significant impact on patients' psychological well-being. Behavioural activation is an emerging psychological therapy that has been suggested effective in improving depression and anxiety. However, no review has yet summarised its effects on psychological distress among people with cancer.</div></div><div><h3>Objective</h3><div>To identify studies of behavioural activation designed for people with cancer and examine the effects on psychological distress, including depression and anxiety.</div></div><div><h3>Design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>A systematic search of PubMed/MEDLINE, CINAHL, EMBASE, PsycINFO, and the Cochrane Library was performed from the inception to 6 April 2024. Randomised controlled trials reporting on the effects of behavioural activation on psychological distress among cancer patients were included. Two authors independently screened the eligible studies, assessed the quality of studies, and extracted data. The risk of bias was assessed using version 2 of the Cochrane risk-of-bias tool for randomised trials (RoB 2). The meta-analysis was performed by Review Manager 5.4, and narrative synthesis was employed when the meta-analysis was inappropriate. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system was used to assess the certainty of the evidence.</div></div><div><h3>Results</h3><div>A total of nine studies were included in this systematic review, with 1811 participants. The pooled analysis showed that behavioural activation could improve depression (SMD = −<!--> <!-->0.24, 95 % CI -0.44 - -0.03, <em>p</em> = 0.020; moderate quality of evidence), and anxiety (SMD = −<!--> <!-->0.56, 95 % CI -1.01 - -0.10, <em>p</em> = 0.020; low quality of evidence) among people with cancer. The effects were robust in sensitivity analysis and yielded consistent results in studies that were not pooled due to insufficient data. Subgroup analyses suggested that face-to-face and group administration were more effective, whereas the effects of different dosages were uncertain. Besides, the effects of behavioural activation at different follow-up periods were not identified There was no consensus on the optimal components of intervention.</div></div><div><h3>Conclusions</h3><div>The evidence for behavioural activation as an effective treatment of psychological distress among people with cancer is promising. However, it should be noted that the quality of evidence was moderate and low, thus emphasising the need for caution when applying these findings. In order to explore which components may be most effective in improving psychological outcomes, more rigorous study designs and more detailed descriptions of interventions are necessary.</div></div><div><h3>Registration</h3><div>The protocol was registered on PROSPERO (Registration number: CRD42024533171).</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"164 ","pages":"Article 104983"},"PeriodicalIF":7.5,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124080","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 Miao et al. (2024) ‘A dynamic online nomogram for predicting the heterogeneity trajectories of frailty among elderly gastric cancer survivors’","authors":"Yeping Zheng,&nbsp;Fengyan Pu","doi":"10.1016/j.ijnurstu.2024.104921","DOIUrl":"10.1016/j.ijnurstu.2024.104921","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104921"},"PeriodicalIF":7.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479631","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":"Healthcare professionals' experience with nutritional care beyond formal quality systems — A qualitative study","authors":"Randi Olsson Haave ,&nbsp;Sigrid Nakrem ,&nbsp;Line Melby","doi":"10.1016/j.ijnurstu.2024.104860","DOIUrl":"10.1016/j.ijnurstu.2024.104860","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Numerous formal strategies, screening tools, and interventions have been used to prevent malnutrition in long-term care patients. Despite these efforts, the proportion of screened patients is low, and a large proportion are malnourished. Previous research has revealed that healthcare professionals use a broad approach in their nutritional care but has also emphasised the need for further investigation into these approaches.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To explore how healthcare professionals working in long-term care experience and apply nutritional care.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A descriptive, exploratory, qualitative design containing 240 h of participant observation, 12 focus groups and 2 individual interviews.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting(s)&lt;/h3&gt;&lt;div&gt;Twelve nursing homes and home care units in three Norwegian municipalities.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Participant observation of interactions between healthcare professionals and patients. Forty-three registered nurses participated in focus group or individual interviews.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The data were analysed using inductive thematic analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The analysis identified three themes: The first theme, limited significance of nutritional screening, showed that healthcare professionals experienced the limited value of nutritional screening, as it often did not capture patients' nutritional challenges. They also perceived nutritional screening as unsuitable for patients at the end of their lives, those with overweight-related complications, or undergoing rehabilitation. In addition, nutritional screening was perceived as something healthcare professionals did for their managers or administrators, not because it was crucial to providing good nutritional care. The second theme, provision of individualised food, captures the healthcare professionals' efforts in adapting and preparing food according to the patient's preferences. Facilitation to enable patients to make individual food choices and the use of food cards or lists were two approaches to individualising nutrition care. The third theme, making meals more than about food, elucidated how healthcare professionals used meals to help patients cope with their situations and experience social belonging. Conversations about or around meals were used to provide patients with a sense of belonging to their past or present situation. The meals were also used as a diversion strategy for patients with unrest, as arenas for daily activity training, and for meaningful social interactions between patients around the tables.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Nutritional screening and prevention of malnutrition are only one part of healthcare professionals' nutritional care. Individualised food and meals that create coping, a sense of belonging, and social experiences are equally important parts of their care. Emphasising healthcare prof","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104860"},"PeriodicalIF":7.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367282","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":"Authors' response to “Comment on Miao et al. (2024) ‘A dynamic online nomogram for predicting the heterogeneity trajectories of frailty among elderly gastric cancer survivors’”","authors":"Yinning Guo,&nbsp;Xueyi Miao,&nbsp;Shuqin Zhu,&nbsp;Qin Xu","doi":"10.1016/j.ijnurstu.2024.104922","DOIUrl":"10.1016/j.ijnurstu.2024.104922","url":null,"abstract":"","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104922"},"PeriodicalIF":7.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479629","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":"Experiences and needs of family members following sudden cardiac death: A meta-synthesis","authors":"Dan Zhang ,&nbsp;Yiting Liu ,&nbsp;Niu Chen ,&nbsp;Yamin Li ,&nbsp;Xiaofei Li","doi":"10.1016/j.ijnurstu.2024.104872","DOIUrl":"10.1016/j.ijnurstu.2024.104872","url":null,"abstract":"<div><h3>Objective</h3><div>This meta-synthesis of qualitative studies aimed to explore the experiences and needs of family members of victims of sudden cardiac death.</div></div><div><h3>Design</h3><div>A meta-synthesis was conducted.</div></div><div><h3>Data sources</h3><div>Five databases (PubMed, CINAHL, EMBASE, Web of Science, and China National Knowledge Infrastructure) were searched from establishment to May 2024. From initial searches with essential keywords (sudden cardiac death, family members, and qualitative studies), 3021 articles were retrieved. There were eight studies in the meta-synthesis, selected on the basis of inclusion and exclusion criteria.</div></div><div><h3>Review methods</h3><div>We evaluated the quality of the included studies using the Critical Appraisal Skills Programme-Qualitative Research Checklist.</div></div><div><h3>Results</h3><div>Eight studies from six countries reported on the experiences and needs of family members who had lost someone to sudden cardiac death, and five analytical themes were synthesized: negative emotional reaction, finding cause of death, rebuilding life, meaning reconstruction and need for support. These experiences and needs fuse with each other and are relevant to the health and future of the family members.</div></div><div><h3>Conclusion</h3><div>Negative emotional reaction is a necessary process for family members dealing with sudden cardiac death, and rebuilding life is a challenge that family members must face. In the process of family members rebuilding normal life, finding the cause of death is the foundation, and meaning reconstruction is the core. Many of the needs faced by these family members are not well met, and policymakers and bereavement teams should provide comprehensive and personalized interventions for them.</div></div>","PeriodicalId":50299,"journal":{"name":"International Journal of Nursing Studies","volume":"160 ","pages":"Article 104872"},"PeriodicalIF":7.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057127","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}