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What Do You Need to Know and What Knowledge Does the Discipline of Nursing Need to Discover? 你需要知道什么?护理学科需要发现什么知识?
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-10-23 DOI: 10.1111/jnu.70054
Susan Gennaro
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引用次数: 0
Quality and Bias in Randomized Controlled Trials Published in Latin American Nursing Journals: A Meta-Epidemiological Study 发表在拉丁美洲护理期刊上的随机对照试验的质量和偏倚:一项荟萃流行病学研究。
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-09-24 DOI: 10.1111/jnu.70049
Diana Buitrago-García, Melixa Medina-Aedo, Camila Montesinos-Guevara, Wendy Rodriguez Vargas, Mónica Lozano Hernández, Carlos Alberto Castro, Hector Pardo-Hernandez, Xavier Bonfill

Introduction

Randomized controlled trials (RCTs) are essential for evidence-based nursing care. However, the quality of reporting and adherence to methodological standards in Latin American nursing journals remains unclear. This study evaluates the characteristics, reporting quality, and potential risk of bias of RCTs published in Latin American nursing journals.

Objective

To assess the reporting compliance and risk of bias of RCTs published in Latin American nursing journals.

Design

Meta-research study.

Methods

A comprehensive handsearch of 29 Latin American nursing journals was performed covering publications from 2000 to 2024. Identified RCTs were assessed for adherence to CONSORT reporting guidelines and evaluated for risk of bias. Outcomes were classified using the COMET taxonomy. A descriptive analysis was performed.

Results

A total of 6377 references were screened, identifying 34 eligible RCTs, most published after 2018. The median CONSORT compliance was 19 reported items (IQR 16–22). High compliance (> 90%) was observed in abstract reporting items, study objectives, and participant selection criteria. However, critical methodological features such as randomization procedures, blinding, and protocol registration showed low adherence (< 40%). Risk of bias was mostly rated as having “some concerns”, largely due to insufficient reporting. According to the COMET taxonomy, the most frequently reported outcome domains were “Delivery of care” and “Physical functioning”.

Conclusions

Reporting compliance and risk of bias of RCTs published in Latin American nursing journals presents significant gaps, particularly in key methodological domains. These shortcomings hinder transparency, reproducibility, and integration into evidence synthesis. Strengthening editorial policies and enforcing reporting standards could enhance the quality and reliability of published research in Latin American nursing journals.

简介:随机对照试验(RCTs)是循证护理的基础。然而,拉丁美洲护理期刊的报告质量和对方法标准的遵守程度仍不清楚。本研究评估了发表在拉丁美洲护理期刊上的随机对照试验的特点、报告质量和潜在偏倚风险。目的:评价发表在拉丁美洲护理期刊上的随机对照试验的报告依从性和偏倚风险。设计:元研究研究。方法:对2000 ~ 2024年出版的29种拉丁美洲护理期刊进行综合手工检索。评估确定的rct是否符合CONSORT报告指南,并评估偏倚风险。使用COMET分类法对结果进行分类。进行描述性分析。结果:共筛选6377篇文献,筛选出34篇符合条件的rct,其中大部分发表于2018年以后。CONSORT依从性中位数为19项(IQR 16-22)。在摘要报告项目、研究目标和参与者选择标准上观察到高依从性(> 90%)。然而,关键的方法学特征,如随机化程序、盲法和方案注册显示出较低的依从性(结论:发表在拉丁美洲护理期刊上的随机对照试验报告依从性和偏倚风险存在显著差距,特别是在关键方法学领域。这些缺点阻碍了透明度、可重复性和证据合成的整合。加强编辑政策和执行报告标准可以提高拉丁美洲护理期刊发表的研究的质量和可靠性。
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引用次数: 0
Lived Experiences of Transgender Inmates in Barcelona Prisons: An Interpretative Phenomenological Study 巴塞罗那监狱中跨性别囚犯的生活经验:一项解释性现象学研究。
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-09-18 DOI: 10.1111/jnu.70047
Jordi Sererols-Serra, Juan M. Leyva-Moral

Introduction

Incarceration significantly impacts inmates health, particularly marginalized groups like transgender persons, due to systemic oppression and inadequate healthcare. This study aims to understand transgender prisoners' health management experiences.

Methodology

An interpretative phenomenological approach was used. Data were collected through in-depth interviews with eight transgender inmates in Barcelona, Spain, and analyzed using the seven-step Colaizzi method.

Results

Three primary themes emerged: (1) Navigating Vulnerability in Healthcare Dynamics, which highlighted experiences of stigma and inadequate care; (2) The Quest for Wellbeing Amidst Uncertainty, underscoring concerns regarding treatment continuity; and (3) Negotiating a Landscape of Violence, revealing experiences of harassment and discrimination.

Discussion

This study highlights the need for culturally competent, person-centered healthcare policies in prisons, particularly for transgender individuals. Addressing the specific health needs of transgender inmates is crucial for enhancing their overall well-being. This emphasizes the importance of systemic reforms to improve care provision for transgender prisoners.

Clinical Relevance

Prison nurses must prioritize person-centered approaches, ensure continuity of gender-affirming treatments, and provide empathetic mental health support to enhance trust and improve the overall well-being of transgender inmates.

由于系统性压迫和医疗保健不足,监禁严重影响囚犯的健康,尤其是变性人等边缘化群体。本研究旨在了解跨性别囚犯的健康管理经验。研究方法:采用解释性现象学方法。通过对西班牙巴塞罗那的8名跨性别囚犯的深度访谈收集数据,并使用Colaizzi七步法进行分析。研究结果:主要有三个主题:(1)在医疗保健动态中的脆弱性导航,突出了污名化和护理不足的经历;(2)在不确定性中寻求幸福,强调对治疗连续性的关注;(3)协商暴力景观,揭示骚扰和歧视的经历。讨论:这项研究强调了在监狱中需要有文化能力的、以人为本的医疗保健政策,特别是对跨性别者。解决跨性别囚犯的具体健康需求对于提高他们的整体福祉至关重要。这强调了系统性改革的重要性,以改善对变性囚犯的照顾。临床相关性:监狱护士必须优先考虑以人为本的方法,确保性别确认治疗的连续性,并提供同理心的心理健康支持,以增强信任并改善变性囚犯的整体福祉。
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引用次数: 0
ChatGPT-4 in Nursing Research: A Methodological Evaluation of Bias Risk in Randomized Controlled Trials ChatGPT-4在护理研究中的应用:随机对照试验偏倚风险的方法学评价。
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-09-16 DOI: 10.1111/jnu.70048
Metin Tuncer, Gülsüm Zekiye Tuncer

Background

Conducting bias assessments in systematic reviews is a time-consuming process that involves subjective judgments. The use of artificial intelligence (AI) technologies to perform these assessments can potentially save time and enhance consistency. Nevertheless, the efficacy of AI technologies in conducting bias assessments remains inadequately explored.

Aim

This study aims to evaluate the efficacy of ChatGPT-4o in assessing bias using the revised Cochrane RoB2 tool, focusing on randomized controlled trials in nursing.

Methods

ChatGPT-4o was provided with the RoB2 assessment guide in the form of a PDF document and instructed to perform bias assessments for the 80 open-access RCTs included in the study. The results of the bias assessments conducted by ChatGPT-4o for each domain were then compared with those of the meta-analysis authors using Cohen's weighted kappa analysis.

Results

Weighted Cohen's kappa values showed better agreement in bias in the measurement of the outcome (D4, 0.22) and bias arising from the randomization process (D1, 0.20), while negative values in bias due to missing outcome data (D3, −0.12) and bias in the selection of the reported result (D5, −0.09) indicated poor agreement. The highest accuracy was observed in D5 (0.81), and the lowest in D1 (0.60). F1 scores were highest in bias due to deviations from intended interventions (D2, 0.74) and lowest in D3 (0.00) and D5 (0.00). Specificity was higher in D5 (0.93) and D3 (0.82), while sensitivity and precision were low in these domains.

Conclusions

The agreement between ChatGPT-4o and the meta-analysis studies in the same RCT assessments is generally low. This indicates that ChatGPT-4o requires substantial enhancements before it can be used as a reliable tool for bias risk assessments.

Clinical Relevance

The AI–based tools have the potential to expedite bias assessment in systematic reviews. However, this study demonstrates that ChatGPT-4o, in its current form, lacks sufficient consistency, indicating that such tools should be integrated cautiously and used under continuous human oversight, particularly in evidence-based evaluations that inform clinical decision-making.

背景:在系统评价中进行偏倚评估是一个耗时的过程,涉及主观判断。使用人工智能(AI)技术来执行这些评估可以潜在地节省时间并增强一致性。然而,人工智能技术在进行偏见评估方面的功效仍未得到充分探索。目的:本研究旨在利用改进的Cochrane RoB2工具评估chatgpt - 40在评估偏倚方面的有效性,重点关注护理领域的随机对照试验。方法:chatgpt - 40以PDF文档的形式提供RoB2评估指南,并指导其对纳入研究的80项开放获取rct进行偏倚评估。然后将chatgpt - 40对每个领域进行的偏差评估结果与使用Cohen加权kappa分析的元分析作者的结果进行比较。结果:加权Cohen's kappa值在结果测量偏倚(D4, 0.22)和随机化过程引起的偏倚(D1, 0.20)方面表现出较好的一致性,而由于缺少结果数据而产生的偏倚(D3, -0.12)和报告结果选择的偏倚(D5, -0.09)表现出较差的一致性。D5的准确度最高(0.81),D1的准确度最低(0.60)。由于偏离预期干预,F1评分偏差最高(D2, 0.74), D3和D5评分偏差最低(0.00)。D5(0.93)和D3(0.82)特异性较高,敏感性和精密度较低。结论:在相同的RCT评估中,chatgpt - 40与meta分析研究的一致性普遍较低。这表明,chatgpt - 40在作为偏见风险评估的可靠工具之前需要大量的改进。临床相关性:基于人工智能的工具有可能加快系统评价中的偏倚评估。然而,本研究表明,目前形式的chatgpt - 40缺乏足够的一致性,这表明此类工具应谨慎整合,并在持续的人为监督下使用,特别是在为临床决策提供信息的循证评估中。
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引用次数: 0
The Experience of Self-Care in People With Osteoporosis: A Qualitative Descriptive Study 骨质疏松症患者自我照顾的经验:一项定性描述性研究。
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-09-12 DOI: 10.1111/jnu.70044
Chiara Tedesco, Vicente Bernalte-MartÍ, Mara Tormen, Angela Cuoco, Gianluca Pucciarelli, Ercole Vellone, Maddalena De Maria, Emanuela Basilici Zannetti, Noemi Cittadini, Annalisa Pennini, Salvatore Maria Tecce, Amarildo Smakaj, Umberto Tarantino, Rosaria Alvaro

Introduction

Osteoporosis requires long-term self-care engagement, yet little is known about how individuals experience and manage self-care in everyday life. Understanding these experiences is essential to inform tailored nursing interventions. The objective of the study was to explore and describe the experience of self-care maintenance, monitoring, and management in people with osteoporosis.

Design

A qualitative descriptive study.

Methods

We conducted semi-structured interviews. Data were analyzed using Mayring's qualitative content analysis with a deductive approach based on Riegel's theory of self-care. We reported data in accordance with the Consolidated Criteria for Reporting Qualitative Studies (COREQ) checklist.

Results

Participants (1 Male, 19 Females; Aged 55–80) Identified Four Themes of self-care: maintenance (e.g., Medication Adherence, Physical Activity), monitoring (e.g., Symptom Recognition, Test Interpretation), management (e.g., Lifestyle Reflections, Prevention), and general self-care. Key factors included motivation, trust in healthcare professionals, and integration of health behaviors into daily life. Barriers were low self-efficacy, poor symptom recognition, and inconsistent adherence.

Conclusion

Self-care in osteoporosis is a multidimensional and dynamic process influenced by individual beliefs, contextual factors, and support from healthcare professionals. Recognizing the variability in patients' self-care behaviors is essential to develop personalized education and support. Strengthening general health behaviors may enhance disease-specific self-care. This understanding can guide healthcare professionals in designing more effective, tailored care strategies.

骨质疏松症需要长期的自我护理参与,然而人们对个体在日常生活中如何体验和管理自我护理知之甚少。了解这些经验对于为量身定制的护理干预提供信息至关重要。本研究的目的是探讨和描述骨质疏松症患者自我护理维护、监测和管理的经验。设计:定性描述性研究。方法:采用半结构化访谈。数据分析采用Mayring的定性内容分析和基于Riegel自我护理理论的演绎方法。我们按照报告定性研究的综合标准(COREQ)清单报告数据。结果:参与者(男性1名,女性19名,年龄55-80岁)确定了四个自我保健主题:维持(如药物依从性,身体活动),监测(如症状识别,测试解释),管理(如生活方式反思,预防)和一般自我保健。关键因素包括动机、对医疗保健专业人员的信任以及将健康行为融入日常生活。障碍是低自我效能,较差的症状识别和不一致的依从性。结论:骨质疏松患者的自我护理是一个多维的动态过程,受个体信念、环境因素和医护人员支持的影响。认识到患者自我护理行为的可变性对于制定个性化的教育和支持至关重要。加强一般健康行为可以增强疾病特异性的自我保健。这种理解可以指导医疗保健专业人员设计更有效、更有针对性的护理策略。
{"title":"The Experience of Self-Care in People With Osteoporosis: A Qualitative Descriptive Study","authors":"Chiara Tedesco,&nbsp;Vicente Bernalte-MartÍ,&nbsp;Mara Tormen,&nbsp;Angela Cuoco,&nbsp;Gianluca Pucciarelli,&nbsp;Ercole Vellone,&nbsp;Maddalena De Maria,&nbsp;Emanuela Basilici Zannetti,&nbsp;Noemi Cittadini,&nbsp;Annalisa Pennini,&nbsp;Salvatore Maria Tecce,&nbsp;Amarildo Smakaj,&nbsp;Umberto Tarantino,&nbsp;Rosaria Alvaro","doi":"10.1111/jnu.70044","DOIUrl":"10.1111/jnu.70044","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Osteoporosis requires long-term self-care engagement, yet little is known about how individuals experience and manage self-care in everyday life. Understanding these experiences is essential to inform tailored nursing interventions. The objective of the study was to explore and describe the experience of self-care maintenance, monitoring, and management in people with osteoporosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative descriptive study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted semi-structured interviews. Data were analyzed using Mayring's qualitative content analysis with a deductive approach based on Riegel's theory of self-care. We reported data in accordance with the Consolidated Criteria for Reporting Qualitative Studies (COREQ) checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants (1 Male, 19 Females; Aged 55–80) Identified Four Themes of self-care: maintenance (e.g., Medication Adherence, Physical Activity), monitoring (e.g., Symptom Recognition, Test Interpretation), management (e.g., Lifestyle Reflections, Prevention), and general self-care. Key factors included motivation, trust in healthcare professionals, and integration of health behaviors into daily life. Barriers were low self-efficacy, poor symptom recognition, and inconsistent adherence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Self-care in osteoporosis is a multidimensional and dynamic process influenced by individual beliefs, contextual factors, and support from healthcare professionals. Recognizing the variability in patients' self-care behaviors is essential to develop personalized education and support. Strengthening general health behaviors may enhance disease-specific self-care. This understanding can guide healthcare professionals in designing more effective, tailored care strategies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 6","pages":"1025-1037"},"PeriodicalIF":2.9,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145055396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Barriers to and Facilitators of Shared Decision-Making Implementation in Fertility Preservation for Patients With Cancer: A Qualitative Study 癌症患者保留生育能力共同决策实施的障碍和促进因素:一项定性研究。
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-09-11 DOI: 10.1111/jnu.70014
Jeehee Han, Youn-Jung Son, Mina Jang, Eunji Cho, Jeonghee Ahn

Introduction

To identify the barriers and facilitators in the implementation of fertility preservation (FP) shared decision-making (SDM) in oncology care.

Design

Qualitative descriptive study.

Methods

Qualitative interviews with 16 female patients with cancer and seven healthcare providers were conducted between July 2022 and April 2024. Data were analyzed using directed content analysis, guided by the implementation science framework.

Results

We identified 22 categories comprising 38 codes as barriers to SDM implementation and 17 categories comprising 26 codes as facilitators. Findings revealed that, at the innovation level, accessibility, feasibility, interdisciplinary collaboration, and quality improvement efforts were decisive in the implementation of FP SDM. At the individual level, healthcare providers' awareness and attitudes towards FP and SDM, as well as patients' knowledge, attitudes, and capabilities in FP SDM, were crucial factors in the implementation of FP SDM. In social, economic, and organizational contexts, support from significant others, social awareness about FP, multidisciplinary care, financial assistance, and educational resources were determinants in implementing FP SDM.

Conclusion

Implementing FP SDM among female patients with cancer necessitates a strategic approach that considers barriers and facilitators. Educating and promoting FP SDM among the public and healthcare providers, combined with incentivizing policies, can enhance individual knowledge and awareness while achieving systemic improvements, facilitating its successful implementation.

Clinical Relevance

This study provides insights into barriers and facilitators and proposes strategic approaches to enhancing FP SDM implementation, contributing to improved quality of life for cancer survivors and advancements in clinical practice.

前言:确定在肿瘤护理中实施生育保留(FP)共同决策(SDM)的障碍和促进因素。设计:定性描述性研究。方法:于2022年7月至2024年4月对16名女性癌症患者和7名医疗服务提供者进行定性访谈。在实施科学框架的指导下,采用定向内容分析对数据进行分析。结果:我们确定了22个类别包括38个代码作为SDM实施的障碍,17个类别包括26个代码作为促进者。研究结果表明,在创新层面,可及性、可行性、跨学科合作和质量改进工作是FP SDM实施的决定性因素。在个体层面上,医疗服务提供者对计划生育和SDM的认识和态度,以及患者对计划生育SDM的知识、态度和能力,是计划生育SDM实施的关键因素。在社会、经济和组织背景下,重要他人的支持、计划生育的社会意识、多学科护理、财政援助和教育资源是实施计划生育SDM的决定因素。结论:在女性癌症患者中实施计划生育SDM需要考虑障碍和促进因素的战略方法。在公众和医疗保健提供者中教育和推广计划生育SDM,结合激励政策,可以提高个人的知识和意识,同时实现系统改进,促进其成功实施。临床意义:本研究提供了对障碍和促进因素的见解,并提出了加强FP SDM实施的战略方法,有助于提高癌症幸存者的生活质量和临床实践的进步。
{"title":"Barriers to and Facilitators of Shared Decision-Making Implementation in Fertility Preservation for Patients With Cancer: A Qualitative Study","authors":"Jeehee Han,&nbsp;Youn-Jung Son,&nbsp;Mina Jang,&nbsp;Eunji Cho,&nbsp;Jeonghee Ahn","doi":"10.1111/jnu.70014","DOIUrl":"10.1111/jnu.70014","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>To identify the barriers and facilitators in the implementation of fertility preservation (FP) shared decision-making (SDM) in oncology care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Qualitative descriptive study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Qualitative interviews with 16 female patients with cancer and seven healthcare providers were conducted between July 2022 and April 2024. Data were analyzed using directed content analysis, guided by the implementation science framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified 22 categories comprising 38 codes as barriers to SDM implementation and 17 categories comprising 26 codes as facilitators. Findings revealed that, at the innovation level, accessibility, feasibility, interdisciplinary collaboration, and quality improvement efforts were decisive in the implementation of FP SDM. At the individual level, healthcare providers' awareness and attitudes towards FP and SDM, as well as patients' knowledge, attitudes, and capabilities in FP SDM, were crucial factors in the implementation of FP SDM. In social, economic, and organizational contexts, support from significant others, social awareness about FP, multidisciplinary care, financial assistance, and educational resources were determinants in implementing FP SDM.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Implementing FP SDM among female patients with cancer necessitates a strategic approach that considers barriers and facilitators. Educating and promoting FP SDM among the public and healthcare providers, combined with incentivizing policies, can enhance individual knowledge and awareness while achieving systemic improvements, facilitating its successful implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>This study provides insights into barriers and facilitators and proposes strategic approaches to enhancing FP SDM implementation, contributing to improved quality of life for cancer survivors and advancements in clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 6","pages":"891-905"},"PeriodicalIF":2.9,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sigmapubs.onlinelibrary.wiley.com/doi/epdf/10.1111/jnu.70014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effectiveness of an Online Training Program on Brief Tobacco Intervention (BTI) for Nurses: A Quasi-Experimental Study. The E-Learning BTI Project 护士短暂烟草干预(BTI)在线培训计划的有效性:一项准实验研究。电子学习BTI项目。
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-09-08 DOI: 10.1111/jnu.70046
Antonio Jesús Ramos-Morcillo, Maria Ruzafa-Martinez, Nani Granero-Moya, Cesar Leal-Costa, Serafín Fernández-Salazar, Ana Teresa García-Moral
<div> <section> <h3> Introduction</h3> <p>Smoking is the leading cause of preventable deaths. The training of professionals on brief tobacco interventions (BTIs) increases the effectiveness of these interventions.</p> </section> <section> <h3> Objective</h3> <p>To assess the effectiveness of an online training program on BTI based on the 5As and 5Rs model in acquiring anti-tobacco brief advice competencies among nurses.</p> </section> <section> <h3> Method</h3> <p>Quasi-experimental study with a pre-test and post-test design, with a control group and without random assignment. In the experimental group (EG), online training was provided in three sections: BTI theoretical content and methodology, clinical scenario videos, and feedback. Each scenario assessed the 5As and 5Rs as a validated instrument (BTI-Prof<sup>(C)</sup>). The control group (CG) only assessed the three videos of clinical scenarios. In both groups, competence was measured at the following points in time: T0 (before the training), T1 (at the end of the training), and T2 (after 90 days). The efficacy of the intervention was measured through a two-way ANOVA, and the variation rate was calculated from T0 to T1 and from T0 to T2.</p> </section> <section> <h3> Results</h3> <p>236 nurses participated (157 EG; 79 CG). The mean age was 42.9 years, and 76.7% were women. There was a significant group*time interaction in the three cases, indicating that the online BTI training increases the competence of these professionals in clinical scenario 1 (<i>F</i> = 10.210; <i>p</i> ≤ 0.001; <i>η</i><sup>2</sup> = 0.081), clinical scenario 2 (<i>F</i> = 6.235; <i>p</i> = 0.002; <i>η</i><sup>2</sup> = 0.051), and clinical scenario 3 (<i>F</i> = 11.271; <i>p</i> ≤ 0.001; <i>η</i><sup>2</sup> = 0.090).</p> </section> <section> <h3> Conclusion</h3> <p>A brief, asynchronous, and online intervention using standardized video-based cases is effective in improving nurses' BTI competence. This type of training can be a useful option for the National Health System as part of a global and continuous strategy for nurses to perform BTI.</p> </section> <section> <h3> Clinical Relevance</h3> <p>An asynchronous online training program provides nurses with standardized, evidence-based tools to implement brief tobacco interventions in routine care, offering a scalable and practical solution to strengthen preventive stra
吸烟是可预防死亡的主要原因。对专业人员进行短期烟草干预的培训可提高这些干预措施的有效性。目的:评价基于5As和5Rs模型的BTI在线培训项目对护士反烟简要建议能力培养的效果。方法:准实验研究,采用前测和后测设计,设对照组,不随机分配。实验组(EG)的在线培训分为三个部分:BTI理论内容和方法、临床场景视频和反馈。每个场景都将5a和5r作为验证工具进行评估(BTI-Prof(C))。对照组(CG)仅评估三个临床场景的视频。两组均在以下时间点测量能力:T0(训练前)、T1(训练结束)和T2(90天后)。通过双因素方差分析(two-way ANOVA)测量干预效果,并计算T0至T1和T0至T2的变异率。结果:236名护士参与其中(EG 157人,CG 79人)。平均年龄42.9岁,女性占76.7%。3例病例均存在显著的组*时间交互作用,表明在线BTI培训提高了临床情景1 (F = 10.210; p≤0.001;η2 = 0.081)、临床情景2 (F = 6.235; p = 0.002; η2 = 0.051)和临床情景3 (F = 11.271; p≤0.001;η2 = 0.090)的专业人员胜任能力。结论:采用标准化视频案例进行简短、异步、在线干预,可有效提高护士的BTI能力。作为护士实施BTI的全球和持续战略的一部分,这种类型的培训对国家卫生系统来说是一个有用的选择。临床意义:异步在线培训计划为护士提供标准化的循证工具,以便在常规护理中实施简短的烟草干预措施,为加强卫生系统的预防战略提供可扩展和实用的解决方案。
{"title":"Effectiveness of an Online Training Program on Brief Tobacco Intervention (BTI) for Nurses: A Quasi-Experimental Study. The E-Learning BTI Project","authors":"Antonio Jesús Ramos-Morcillo,&nbsp;Maria Ruzafa-Martinez,&nbsp;Nani Granero-Moya,&nbsp;Cesar Leal-Costa,&nbsp;Serafín Fernández-Salazar,&nbsp;Ana Teresa García-Moral","doi":"10.1111/jnu.70046","DOIUrl":"10.1111/jnu.70046","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Smoking is the leading cause of preventable deaths. The training of professionals on brief tobacco interventions (BTIs) increases the effectiveness of these interventions.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To assess the effectiveness of an online training program on BTI based on the 5As and 5Rs model in acquiring anti-tobacco brief advice competencies among nurses.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Method&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Quasi-experimental study with a pre-test and post-test design, with a control group and without random assignment. In the experimental group (EG), online training was provided in three sections: BTI theoretical content and methodology, clinical scenario videos, and feedback. Each scenario assessed the 5As and 5Rs as a validated instrument (BTI-Prof&lt;sup&gt;(C)&lt;/sup&gt;). The control group (CG) only assessed the three videos of clinical scenarios. In both groups, competence was measured at the following points in time: T0 (before the training), T1 (at the end of the training), and T2 (after 90 days). The efficacy of the intervention was measured through a two-way ANOVA, and the variation rate was calculated from T0 to T1 and from T0 to T2.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;236 nurses participated (157 EG; 79 CG). The mean age was 42.9 years, and 76.7% were women. There was a significant group*time interaction in the three cases, indicating that the online BTI training increases the competence of these professionals in clinical scenario 1 (&lt;i&gt;F&lt;/i&gt; = 10.210; &lt;i&gt;p&lt;/i&gt; ≤ 0.001; &lt;i&gt;η&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 0.081), clinical scenario 2 (&lt;i&gt;F&lt;/i&gt; = 6.235; &lt;i&gt;p&lt;/i&gt; = 0.002; &lt;i&gt;η&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 0.051), and clinical scenario 3 (&lt;i&gt;F&lt;/i&gt; = 11.271; &lt;i&gt;p&lt;/i&gt; ≤ 0.001; &lt;i&gt;η&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 0.090).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A brief, asynchronous, and online intervention using standardized video-based cases is effective in improving nurses' BTI competence. This type of training can be a useful option for the National Health System as part of a global and continuous strategy for nurses to perform BTI.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Clinical Relevance&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;An asynchronous online training program provides nurses with standardized, evidence-based tools to implement brief tobacco interventions in routine care, offering a scalable and practical solution to strengthen preventive stra","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 6","pages":"1038-1047"},"PeriodicalIF":2.9,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sigmapubs.onlinelibrary.wiley.com/doi/epdf/10.1111/jnu.70046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Relevance of Sustainability and the Climate Crisis to the Nursing Profession and Nursing Education: A Literature Review 可持续性和气候危机对护理专业和护理教育的相关性:文献综述。
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-09-07 DOI: 10.1111/jnu.70045
Mara Hendry, Tannys Helfer, Christian Eissler, Christian Burr
<div> <section> <h3> Introduction</h3> <p>The climate crisis impacts global health and is exacerbated by the healthcare sector's emissions. Nurses, as the largest professional group, are key to promoting climate-resilient, low-carbon health systems. Integrating climate change and sustainable development into nursing education is crucial, yet gaps remain in understanding their representation in curricula and practice. This review examines the role of nursing in addressing climate change and sustainable development, focusing on their integration into education and related recommendations.</p> </section> <section> <h3> Design</h3> <p>A narrative literature review was conducted to synthesize existing recent research on nursing, climate change, and sustainable development. No restrictions were applied to study design; however, studies published before 2017 were excluded.</p> </section> <section> <h3> Methods</h3> <p>A search was conducted in PubMed, CINAHL, and Google Scholar (January 2023, and updated in August 2024). Relevant studies were screened and duplicates removed. Data extraction followed inductive content analysis, with coding and categorization being undertaken collaboratively. MAXQDA PLUS 2022 was used for analysis, and new findings from the follow-up search were incorporated into existing categories or new ones were developed.</p> </section> <section> <h3> Results</h3> <p>The review analyzed 33 articles on nursing's role in addressing climate change. Findings highlight gaps in knowledge, delayed responses, and the need for nurses to take on leadership roles. Education is crucial, yet curricula integration remains limited. Nurses must engage in advocacy, interdisciplinary collaboration, and policy development. Barriers include a lack of faculty awareness and overloaded curricula. A collective call for action urges nurses to embrace sustainability, strengthen research, and lead in achieving climate resilience.</p> </section> <section> <h3> Conclusion</h3> <p>This review highlights the need to integrate climate change and sustainable development into nursing education and practice. Nurses are vital to public health and to addressing climate change, but education gaps hinder their potential. Future research should focus on improving curricula, exploring Advanced Practice Nursing leadership roles, and addressing healthcare system challenges.</p> </section> <section> <h3> Clin
导言:气候危机影响全球健康,并因医疗保健部门的排放而加剧。护士作为最大的专业群体,是促进气候适应型低碳卫生系统的关键。将气候变化和可持续发展纳入护理教育至关重要,但在了解其在课程和实践中的代表性方面仍存在差距。本文审查了护理在应对气候变化和可持续发展中的作用,重点是将其纳入教育和相关建议。设计:采用叙述性文献综述的方法,综合现有的关于护理、气候变化和可持续发展的最新研究。研究设计没有限制;然而,2017年之前发表的研究被排除在外。方法:检索PubMed、CINAHL和谷歌Scholar(2023年1月,2024年8月更新)。筛选相关研究并删除重复。数据提取遵循归纳内容分析,编码和分类是协同进行的。使用MAXQDA PLUS 2022进行分析,将后续搜索的新发现纳入现有分类或开发新分类。结果:回顾分析了33篇关于护理在应对气候变化中的作用的文章。调查结果强调了知识差距、反应迟缓以及护士发挥领导作用的必要性。教育至关重要,但课程整合仍然有限。护士必须参与宣传、跨学科合作和政策制定。障碍包括缺乏教师意识和超负荷的课程。一项集体行动呼吁敦促护士拥抱可持续性,加强研究,并在实现气候适应能力方面发挥领导作用。结论:本文强调了将气候变化和可持续发展纳入护理教育和实践的必要性。护士对公共卫生和应对气候变化至关重要,但教育差距阻碍了她们发挥潜力。未来的研究应侧重于改进课程,探索高级实践护理的领导作用,并解决医疗保健系统的挑战。临床相关性:将可持续发展和气候危机整合到护理教育和实践中,对于培养护士应对环境变化带来的健康挑战,以及确保有效的患者护理、灾难应对和政策宣传至关重要。它们的整合是一个过程,应该被视为延迟反应的结果,正如本文所述。这一进程应具体解决已查明的差距,例如缺乏关于气候变化和可持续发展的基本知识,以及学习在实践中发挥领导作用。更具体地说,发挥领导作用既包括充当知识倍增器,也包括提高一般人口的卫生知识素养。
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引用次数: 0
Artificial Intelligence Applications in Healthcare: A Systematic Review of Their Impact on Nursing Practice and Patient Outcomes 人工智能在医疗保健中的应用:系统回顾其对护理实践和患者预后的影响。
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-08-20 DOI: 10.1111/jnu.70040
Sahar A. Abdelmohsen, Mohammed Musaed Al-jabri
<div> <section> <h3> Background</h3> <p>Artificial Intelligence is revolutionizing healthcare by addressing complex challenges and enhancing patient care. AI technologies, such as machine learning, natural language processing, and predictive analytics, offer significant potential to impact nursing practice and patient outcomes.</p> </section> <section> <h3> Aims</h3> <p>This systematic review aims to assess the impact of Artificial Intelligence applications in healthcare on nursing practice and patient outcomes. The goal is to evaluate the effectiveness of these technologies in improving nursing efficiency and patient care and to identify areas requiring further research.</p> </section> <section> <h3> Methods</h3> <p>This review, conducted in August 2024, followed PRISMA guidelines. We searched PubMed, GOOGLE SCHOLAR, and Web of Science for studies published up to August 2024. The inclusion criteria were original research on AI in nursing and healthcare practice published in English. A two-stage screening process was used to select relevant studies, which were then analyzed for their impact on nursing practice and patient outcomes.</p> </section> <section> <h3> Results</h3> <p>A total of 5975 studies were surveyed from the previously mentioned databases, which met the inclusion criteria. Findings show that AI applications, including machine learning, robotic process automation, and natural language processing, have improved diagnostic accuracy, patient management, and operational efficiency. Machine learning enhanced disease detection, reduced administrative tasks for nurses, NLP improved documentation accuracy, and physical robots increased patient safety and comfort. Challenges identified include data privacy concerns, integration into existing workflows, and methodological variability.</p> </section> <section> <h3> Conclusion</h3> <p>AI technologies have substantially improved nursing practice and patient outcomes. Addressing challenges related to data privacy and integration, as well as standardizing methodologies, is essential for optimizing AI's potential in healthcare. Further research is needed to explore the long-term impacts, cost-effectiveness, and ethical implications of Artificial Intelligence in this field.</p> </section> <section> <h3> Clinical Relevance</h3> <p>Artificial Intelligence (AI) is revolutionizing healthcare by enhancing nursing practices and improving patient outcomes. Tools such as Clinical Decision Support Systems (CDSS), predictive analytics
背景:人工智能正在通过解决复杂的挑战和加强患者护理来彻底改变医疗保健。人工智能技术,如机器学习、自然语言处理和预测分析,为影响护理实践和患者结果提供了巨大的潜力。目的:本系统综述旨在评估人工智能在医疗保健中的应用对护理实践和患者预后的影响。目的是评估这些技术在提高护理效率和病人护理方面的有效性,并确定需要进一步研究的领域。方法:本综述于2024年8月按照PRISMA指南进行。我们检索了PubMed、b谷歌SCHOLAR和Web of Science,查找截止到2024年8月发表的研究。入选标准为以英文发表的人工智能在护理和医疗保健实践中的原创性研究。一个两阶段的筛选过程被用来选择相关的研究,然后分析其对护理实践和患者结果的影响。结果:上述数据库共纳入5975项研究,符合纳入标准。研究结果表明,包括机器学习、机器人过程自动化和自然语言处理在内的人工智能应用提高了诊断准确性、患者管理和运营效率。机器学习增强了疾病检测,减少了护士的管理任务,NLP提高了文档的准确性,物理机器人提高了患者的安全性和舒适度。确定的挑战包括数据隐私问题、集成到现有工作流和方法可变性。结论:人工智能技术大大改善了护理实践和患者预后。解决与数据隐私和集成相关的挑战,以及标准化方法,对于优化人工智能在医疗保健领域的潜力至关重要。需要进一步的研究来探索人工智能在这一领域的长期影响、成本效益和伦理影响。临床相关性:人工智能(AI)正在通过加强护理实践和改善患者预后来彻底改变医疗保健。临床决策支持系统(CDSS)、预测分析、机器人流程自动化(RPA)和远程监控等工具使护士能够做出明智的决策,优化工作流程,并更有效地监测患者。人工智能可以增强决策,提高效率,促进个性化护理,同时有助于早期发现和实时数据分析。它还通过最大限度地减少错误和实现远程会诊,有助于改善护士教育和患者安全。然而,要成功地将人工智能集成到医疗保健中,必须解决与培训、道德考虑和数据隐私相关的挑战,以确保其有效实施并对医疗保健的质量和安全产生积极影响。
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引用次数: 0
Writing So That Your Work Will Be Read 写作使你的作品被人阅读。
IF 2.9 3区 医学 Q1 NURSING Pub Date : 2025-08-19 DOI: 10.1111/jnu.70043
Susan Gennaro
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引用次数: 0
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Journal of Nursing Scholarship
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