Ita Daryanti Saragih, Yao-Mei Chen, Ira Suarilah, Herry Susanto, Bih-O. Lee
Purpose
Falls among older adults are a major public health concern, often leading to serious outcomes such as fractures, head trauma, and increased mortality. Virtual reality (VR) interventions have emerged as a promising strategy for fall prevention by improving balance, reducing fear of falling, and enhancing confidence. However, the impact of VR interventions on specific outcomes such as fear of falling, balance, and postural control in older adults remains insufficiently synthesized.
Design
Systematic review and meta-analysis.
Methods
A comprehensive systematic search of six databases was conducted from inception to January 20, 2025. Randomized controlled trials (RCTs) evaluating VR interventions targeting fear of falling, balance, and postural control in older adults were included. Methodological quality was assessed using the Cochrane risk-of-bias tool (RoB-2). Pooled standardized mean differences (SMDs) with 95% confidence intervals (CIs) were calculated using random-effects models for each outcome.
Findings
Seventeen RCTs involving 988 older adults, published between 2016 and 2025, met the inclusion criteria. VR interventions demonstrated significant effects in reducing fear of falling (SMD = −0.40; 95% CI: −0.72 to −0.08; I2 = 45.10%; p = 0.02), improving balance (SMD = 0.45; 95% CI: 0.07–0.83; I2 = 73.54%; p = 0.02), and enhancing postural control (SMD = 0.50; 95% CI: 0.13–0.86; I2 = 46.89%; p = 0.01).
Conclusion
This meta-analysis highlights the effectiveness of VR interventions in reducing fear of falling and improving balance and postural control among older adults.
Clinical Relevance
VR represents a valuable tool in fall prevention strategies, addressing key outcomes essential for maintaining independence and mobility in this population.
{"title":"Virtual Reality Intervention for Fall Prevention in Older Adults: A Meta-Analysis","authors":"Ita Daryanti Saragih, Yao-Mei Chen, Ira Suarilah, Herry Susanto, Bih-O. Lee","doi":"10.1111/jnu.70028","DOIUrl":"10.1111/jnu.70028","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Falls among older adults are a major public health concern, often leading to serious outcomes such as fractures, head trauma, and increased mortality. Virtual reality (VR) interventions have emerged as a promising strategy for fall prevention by improving balance, reducing fear of falling, and enhancing confidence. However, the impact of VR interventions on specific outcomes such as fear of falling, balance, and postural control in older adults remains insufficiently synthesized.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Systematic review and meta-analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive systematic search of six databases was conducted from inception to January 20, 2025. Randomized controlled trials (RCTs) evaluating VR interventions targeting fear of falling, balance, and postural control in older adults were included. Methodological quality was assessed using the Cochrane risk-of-bias tool (RoB-2). Pooled standardized mean differences (SMDs) with 95% confidence intervals (CIs) were calculated using random-effects models for each outcome.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Seventeen RCTs involving 988 older adults, published between 2016 and 2025, met the inclusion criteria. VR interventions demonstrated significant effects in reducing fear of falling (SMD = −0.40; 95% CI: −0.72 to −0.08; <i>I</i><sup>2</sup> = 45.10%; <i>p</i> = 0.02), improving balance (SMD = 0.45; 95% CI: 0.07–0.83; <i>I</i><sup>2</sup> = 73.54%; <i>p</i> = 0.02), and enhancing postural control (SMD = 0.50; 95% CI: 0.13–0.86; I<sup>2</sup> = 46.89%; <i>p</i> = 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This meta-analysis highlights the effectiveness of VR interventions in reducing fear of falling and improving balance and postural control among older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>VR represents a valuable tool in fall prevention strategies, addressing key outcomes essential for maintaining independence and mobility in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 5","pages":"759-775"},"PeriodicalIF":2.9,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327670","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}
Jennifer J. Doering, Suzanne Feetham, Rachel F. Schiffman
Introduction
Today in academia and health care, creating a vision and crafting a career path that progresses toward that vision is essential. Career cartography is the comprehensive and iterative process of applying the science of cartography within the context of policy toward achieving a career with impact.
Purpose
The purpose of this article is to advance the knowledge and application of the original publication as described by Feetham and Doering in 2015. Career cartography supports scientific thinking, communicates science, and addresses the uncertainty of a career.
Methods
We conducted a critical analysis of differences between the original publication and our current practical experience of career cartography. Workshops conducted the past 10 years have advanced our understanding of the career cartography components and their utility to one's career. This analysis is informed by a review of the 25 publications citing the 2015 publication to evaluate how scholars report applying the process across health professions and organizations.
Results
All components of career cartography are expanded beyond the 2015 publication to include application of the process with exemplars.
Conclusion
Career cartography is an effective guide across disciplines and at all stages of a career for determining, directing, evaluating, and communicating one's career and its impact.
Clinical Relevance
The intentional and ongoing use of career cartography maximizes the impact one's chosen career can have on improvements to health and health policy.
{"title":"Career Cartography to Envision Careers That Advance Health and Health Policy","authors":"Jennifer J. Doering, Suzanne Feetham, Rachel F. Schiffman","doi":"10.1111/jnu.70027","DOIUrl":"10.1111/jnu.70027","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Today in academia and health care, creating a vision and crafting a career path that progresses toward that vision is essential. Career cartography is the comprehensive and iterative process of applying the science of cartography within the context of policy toward achieving a career with impact.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The purpose of this article is to advance the knowledge and application of the original publication as described by Feetham and Doering in 2015. Career cartography supports scientific thinking, communicates science, and addresses the uncertainty of a career.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a critical analysis of differences between the original publication and our current practical experience of career cartography. Workshops conducted the past 10 years have advanced our understanding of the career cartography components and their utility to one's career. This analysis is informed by a review of the 25 publications citing the 2015 publication to evaluate how scholars report applying the process across health professions and organizations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All components of career cartography are expanded beyond the 2015 publication to include application of the process with exemplars.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Career cartography is an effective guide across disciplines and at all stages of a career for determining, directing, evaluating, and communicating one's career and its impact.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>The intentional and ongoing use of career cartography maximizes the impact one's chosen career can have on improvements to health and health policy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 5","pages":"816-828"},"PeriodicalIF":2.9,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318633","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}
Work flow is critical for nurses due to the demanding nature of their profession, as it enhances stress resilience, engagement, and quality of care.
Aims
This study sought to examine the relationship between perceived organizational support for strengths use and work-related flow among nurses, and to explore the mediating roles of psychological capital components: self-efficacy, resilience, hope, and optimism.
Methods
This cross-sectional study, involving 607 nurses, was conducted in March 2024. Validated scales were employed to measure perceived organizational support for strengths use, psychological capital, and work-related flow. Data analysis was performed using SPSS version 25.0, along with the PROCESS macro for mediation analysis.
Results
The study revealed a significant positive relationship between perceived organizational support for strengths use, psychological capital, and work-related flow. Among the four psychological capital dimensions, only self-efficacy and optimism significantly mediated the relationship between perceived organizational support for strengths use and work-related flow.
Conclusion
These findings underscore the importance of fostering a strengths-based organizational climate and enhancing key psychological resources—particularly self-efficacy and optimism—to improve nurses' flow experiences at work.
Clinical Relevance
Enhancing perceived organizational support for strengths use can foster self-efficacy and optimism among nurses, thereby promoting work-related flow. By cultivating a strengths-based work environment and reinforcing key psychological resources, healthcare institutions can improve nurses' well-being, engagement, and ultimately the quality of patient care.
{"title":"Perceived Organizational Support for Strengths Use and Work-Related Flow: The Mediating Role of Self-Efficacy and Optimism","authors":"Chengzhi Bai, Baoyu Bai, Nian Zhong","doi":"10.1111/jnu.70026","DOIUrl":"10.1111/jnu.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Work flow is critical for nurses due to the demanding nature of their profession, as it enhances stress resilience, engagement, and quality of care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study sought to examine the relationship between perceived organizational support for strengths use and work-related flow among nurses, and to explore the mediating roles of psychological capital components: self-efficacy, resilience, hope, and optimism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study, involving 607 nurses, was conducted in March 2024. Validated scales were employed to measure perceived organizational support for strengths use, psychological capital, and work-related flow. Data analysis was performed using SPSS version 25.0, along with the PROCESS macro for mediation analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study revealed a significant positive relationship between perceived organizational support for strengths use, psychological capital, and work-related flow. Among the four psychological capital dimensions, only self-efficacy and optimism significantly mediated the relationship between perceived organizational support for strengths use and work-related flow.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings underscore the importance of fostering a strengths-based organizational climate and enhancing key psychological resources—particularly self-efficacy and optimism—to improve nurses' flow experiences at work.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>Enhancing perceived organizational support for strengths use can foster self-efficacy and optimism among nurses, thereby promoting work-related flow. By cultivating a strengths-based work environment and reinforcing key psychological resources, healthcare institutions can improve nurses' well-being, engagement, and ultimately the quality of patient care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 5","pages":"808-815"},"PeriodicalIF":2.9,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267856","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}
{"title":"Peer Review: By Human Reviewers or by Artificial Intelligence?","authors":"Shigeki Matsubara","doi":"10.1111/jnu.70019","DOIUrl":"10.1111/jnu.70019","url":null,"abstract":"","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 4","pages":"706-707"},"PeriodicalIF":2.9,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235903","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}
Diana Gabriela Simões Marques dos Santos, Eduardo José Ferreira dos Santos, Fernando Alberto Soares Petronilho, António Fernando Salgueiro Amaral
<div> <section> <h3> Introduction</h3> <p>Global organizations have pronounced about the importance of involving people in health care, however, this process is challenging. Given the availability of evidence that addresses people's experiences of involvement in nursing care, it is important to produce recommendations at this point by synthesizing the evidence. So, this review aims to synthesize the available qualitative evidence about people's experiences of their involvement in nursing care in a hospital setting.</p> </section> <section> <h3> Design</h3> <p>Systematic review of qualitative evidence.</p> </section> <section> <h3> Methods</h3> <p>This systematic review was conducted according to the JBI methodology for systematic reviews of qualitative evidence. A comprehensive search strategy was conducted in nine databases/resources. The selection process, methodological quality assessment, and data extraction were conducted independently by two reviewers. The data were synthesized using the meta-aggregation approach, and the results were graded according to ConQual.</p> </section> <section> <h3> Results</h3> <p>A total of 75 findings and 141 illustrations were extracted from the 15 included studies. These findings were aggregated into 12 categories and generated into three synthesized findings: (1) People who are hospitalized conceptualize and attribute importance to involvement in nursing care as an active process of participation and monitoring of care, decision-making, opinion, and partnership; (2) The establishment of a relationship between hospitalized people and nurses, trust, communication, and information are essential for participation in care; (3) People's participation in care is affected by the person's own constraints and preference for assuming a passive role, by barriers associated with a lack of information, the organization of care, the relationship established between nurses, and paternalistic attitudes.</p> </section> <section> <h3> Conclusion</h3> <p>People who were admitted to hospital conceptualized and attached importance to this phenomenon, perceived the conditions necessary to promote it, and the barriers they experienced.</p> </section> <section> <h3> Clinical Relevance</h3> <p>This systematic review provides recommendations for nurses' clinical practice (with grade B). It recommends that nurses should establish a partnership relationship with hospitalized people, through trust, communication and information; give people the opportunity to mon
{"title":"People's Experiences of Their Involvement in Nursing Care: A Qualitative Systematic Review With Meta-Aggregation Synthesis","authors":"Diana Gabriela Simões Marques dos Santos, Eduardo José Ferreira dos Santos, Fernando Alberto Soares Petronilho, António Fernando Salgueiro Amaral","doi":"10.1111/jnu.70025","DOIUrl":"10.1111/jnu.70025","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Global organizations have pronounced about the importance of involving people in health care, however, this process is challenging. Given the availability of evidence that addresses people's experiences of involvement in nursing care, it is important to produce recommendations at this point by synthesizing the evidence. So, this review aims to synthesize the available qualitative evidence about people's experiences of their involvement in nursing care in a hospital setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Systematic review of qualitative evidence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This systematic review was conducted according to the JBI methodology for systematic reviews of qualitative evidence. A comprehensive search strategy was conducted in nine databases/resources. The selection process, methodological quality assessment, and data extraction were conducted independently by two reviewers. The data were synthesized using the meta-aggregation approach, and the results were graded according to ConQual.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 75 findings and 141 illustrations were extracted from the 15 included studies. These findings were aggregated into 12 categories and generated into three synthesized findings: (1) People who are hospitalized conceptualize and attribute importance to involvement in nursing care as an active process of participation and monitoring of care, decision-making, opinion, and partnership; (2) The establishment of a relationship between hospitalized people and nurses, trust, communication, and information are essential for participation in care; (3) People's participation in care is affected by the person's own constraints and preference for assuming a passive role, by barriers associated with a lack of information, the organization of care, the relationship established between nurses, and paternalistic attitudes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>People who were admitted to hospital conceptualized and attached importance to this phenomenon, perceived the conditions necessary to promote it, and the barriers they experienced.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>This systematic review provides recommendations for nurses' clinical practice (with grade B). It recommends that nurses should establish a partnership relationship with hospitalized people, through trust, communication and information; give people the opportunity to mon","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 5","pages":"741-758"},"PeriodicalIF":2.9,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235904","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}
<div> <section> <h3> Purpose</h3> <p>Despite evidence supporting nurse-led digitalized diabetes interventions, gaps persist in understanding their specific impact on community-dwelling patients with type 2 diabetes mellitus (T2DM). Prior reviews lacked a quantitative synthesis of these interventions' effects on outcomes like self-care, HbA1c, and quality of life (QoL), limiting their applicability to clinical practice. This study aimed to systematically evaluate and quantify the effectiveness of nurse-led digitalized diabetes management programmes for community-dwelling adults with T2DM.</p> </section> <section> <h3> Methods</h3> <p>We searched six databases to identify relevant articles from their inception to June 2024. Randomized controlled trials that evaluate the effects of nurse-led digitalized diabetes management programs for community-dwelling patients with T2DM were included. The Cochrane Risk of Bias tool version 2.0 was used to appraise the included studies. The pairwise meta-analysis was performed through the software Comprehensive Meta-Analysis Version 3.0.</p> </section> <section> <h3> Results</h3> <p>Eleven RCTs were included, encompassing 2943 participants from various regions. Nurse-led digitalized programs significantly improved self-care behaviors (SMD = 1.15; 95% CI: 0.49 to 1.81), and QoL (SMD = 0.65; 95% CI: 0.37 to 0.94). The interventions also demonstrated a clinically meaningful reduction in HbA1c levels (MD = -0.25%; 95% CI: −0.43 to −0.06), highlighting their potential in improving glycaemic control. Heterogeneity across studies was substantial for self-care but moderate for HbA1c and QoL.</p> </section> <section> <h3> Conclusions</h3> <p>Nurse-led digitalised diabetes management programmes effectively enhance self-care behavior, reduce HbA1c levels, and improve QoL among community-dwelling patients with T2DM. These findings underscore the potential of digitalised interventions as scalable and accessible alternatives to traditional diabetes management, particularly in non-institutionalized settings.</p> </section> <section> <h3> Clinical Relevance</h3> <p>Nurse-led digitalised diabetes management programmes can empower community-dwelling patients with T2DM to achieve better health outcomes by enhancing self-care and glycaemic control while improving QoL. Their integration into routine clinical practice could address barriers to care, optimize diabetes management, and reduce the long-term burden of the disease.</p> </section> <section> <h3> Review Registration</h3>
{"title":"Efficacy of Nurse-Led Digitalized Diabetes Management Program for Community-Dwelling Patients With Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis","authors":"Makhfudli Makhfudli, Ferry Efendi, Rifky Octavia Pradipta, Amatus Yudi Ismanto, Mei-Chan Chong, Santo Imanuel Tonapa","doi":"10.1111/jnu.70022","DOIUrl":"10.1111/jnu.70022","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Despite evidence supporting nurse-led digitalized diabetes interventions, gaps persist in understanding their specific impact on community-dwelling patients with type 2 diabetes mellitus (T2DM). Prior reviews lacked a quantitative synthesis of these interventions' effects on outcomes like self-care, HbA1c, and quality of life (QoL), limiting their applicability to clinical practice. This study aimed to systematically evaluate and quantify the effectiveness of nurse-led digitalized diabetes management programmes for community-dwelling adults with T2DM.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We searched six databases to identify relevant articles from their inception to June 2024. Randomized controlled trials that evaluate the effects of nurse-led digitalized diabetes management programs for community-dwelling patients with T2DM were included. The Cochrane Risk of Bias tool version 2.0 was used to appraise the included studies. The pairwise meta-analysis was performed through the software Comprehensive Meta-Analysis Version 3.0.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eleven RCTs were included, encompassing 2943 participants from various regions. Nurse-led digitalized programs significantly improved self-care behaviors (SMD = 1.15; 95% CI: 0.49 to 1.81), and QoL (SMD = 0.65; 95% CI: 0.37 to 0.94). The interventions also demonstrated a clinically meaningful reduction in HbA1c levels (MD = -0.25%; 95% CI: −0.43 to −0.06), highlighting their potential in improving glycaemic control. Heterogeneity across studies was substantial for self-care but moderate for HbA1c and QoL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Nurse-led digitalised diabetes management programmes effectively enhance self-care behavior, reduce HbA1c levels, and improve QoL among community-dwelling patients with T2DM. These findings underscore the potential of digitalised interventions as scalable and accessible alternatives to traditional diabetes management, particularly in non-institutionalized settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>Nurse-led digitalised diabetes management programmes can empower community-dwelling patients with T2DM to achieve better health outcomes by enhancing self-care and glycaemic control while improving QoL. Their integration into routine clinical practice could address barriers to care, optimize diabetes management, and reduce the long-term burden of the disease.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Review Registration</h3>\u0000 ","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 5","pages":"713-727"},"PeriodicalIF":2.9,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217470","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}
Rosany Cláudia Dantas Pereira, Allissany de Castro Passos Reis, Andressa Aléxia Santos Costa, Israel de Lima Florentino, Andreza Gysllaynny Delmondes Saraiva, Paula Eloíse de Sousa Campos, Luciana Patrícia Brito Lopes, Ferdinando Oliveira Carvalho, Lucimara Araújo Campos Alexandre, Luis Fernando Reis Macedo, Cynthia Layse Ferreira de Almeida, Gyllyandeson de Araújo Delmondes
Introduction
Approximately 25% of the Brazilian population suffers from mental disorders, a prevalence exacerbated by systemic and cultural factors such as socioeconomic inequalities, underfunded mental health services, regional disparities, and persistent stigma. These conditions significantly impact hospital care. Nurses, due to their direct contact with these patients, face challenges ranging from managing physical conditions to handling verbal aggression and psychiatric crises. This study aimed to assess the scientific evidence regarding nursing care for hospitalized patients with psychiatric disorders.
Methods
A systematic review with a mixed-methods approach was conducted, registered in PROSPERO (#CRD42022359288) and guided by PRISMA standards. Databases, such as MEDLINE, LILACS, PubMed, Web of Science, Scopus, and BDEnf, were searched using keywords like “Mental disorder,” “Psychiatric health,” “Nursing care,” and “Hospital.” Methodological quality was assessed using JBI and SQUIRE tools. The integration of quantitative and qualitative components occurred through meta-aggregation of qualitative data and frequency-based coding of quantitative themes, allowing thematic convergence across study designs.
Results
Six studies were included. Meta-aggregation revealed frequent terms, such as “Nurse,” “Emergency,” “Screening,” “Patient,” and “Care.” Similarity analysis linked “Nurse” with “perception” and “experience” and “Emergency” with “Screening” and “Mental health,” highlighting the importance of experience and training. Five categories emerged: (1) professional experience (19.05%, showing skill gaps despite experience); (2) caring process (19.05%, stressing efficient screening); (3) barriers and challenges (19.05%, revealing difficulty with comorbidities); (4) training process (19.05%, identifying training deficiencies); and (5) therapeutic interventions (23.81%, discussing restraint use). These percentages refer to the proportional frequency of themes identified across the total number of studies analyzed. For thematic classification, only statistically significant chi-square values (p < 0.05) were considered in the grouping of content.
Conclusion
Nursing care for psychiatric patients in hospitals faces challenges like insufficient training and difficulty managing psychiatric comorbidities. Recommendations include incorporating structured mental health content into nursing curricula and hospital-based continuing education programs. These strategies may guide future healthcare
导言：巴西约25%的人口患有精神障碍，社会经济不平等、精神卫生服务资金不足、地区差异和持续的耻辱感等系统性和文化因素加剧了这一患病率。这些情况严重影响医院护理。护士由于直接接触这些病人，面临着从管理身体状况到处理言语攻击和精神危机等各种挑战。本研究旨在评估精神障碍住院患者护理的科学依据。方法：采用混合方法进行系统评价，在PROSPERO注册（#CRD42022359288），并以PRISMA标准为指导。使用“精神障碍”、“精神健康”、“护理”和“医院”等关键词搜索MEDLINE、LILACS、PubMed、Web of Science、Scopus和BDEnf等数据库。使用JBI和SQUIRE工具评估方法学质量。定量和定性成分的整合是通过定性数据的元聚合和定量主题的基于频率的编码来实现的，从而允许跨研究设计的主题趋同。结果：纳入6项研究。元聚合揭示了常见的术语，如“护士”、“急诊”、“筛查”、“患者”和“护理”。相似度分析将“护士”与“感知”和“经验”联系起来，将“急诊”与“筛查”和“心理健康”联系起来，突出了经验和培训的重要性。出现了五个类别：(1)专业经验（19.05%，尽管有经验，但仍存在技能差距）；(2)关爱过程（19.05%，强调高效筛选）；(3)障碍和挑战（19.05%，有合并症）；(4)培训过程（19.05%，识别培训不足）；(5)治疗干预（23.81%，讨论限制使用）。这些百分比是指在分析的研究总数中确定的主题的比例频率。结论：医院精神科患者护理面临培训不足、精神科合并症管理困难等挑战。建议包括将结构化的心理健康内容纳入护理课程和以医院为基础的继续教育计划。这些策略可以通过改善患者安全、减少医院再入院率和促进更人性化、基于证据的治疗干预措施来指导巴西未来的医疗保健政策。临床意义：研究结果强调迫切需要有针对性的教育和培训，以改善医院环境中精神病患者的护理。
{"title":"Nursing Care in Hospital Settings for Victims of Mental Disorders: Systematic Review With Meta-Aggregation","authors":"Rosany Cláudia Dantas Pereira, Allissany de Castro Passos Reis, Andressa Aléxia Santos Costa, Israel de Lima Florentino, Andreza Gysllaynny Delmondes Saraiva, Paula Eloíse de Sousa Campos, Luciana Patrícia Brito Lopes, Ferdinando Oliveira Carvalho, Lucimara Araújo Campos Alexandre, Luis Fernando Reis Macedo, Cynthia Layse Ferreira de Almeida, Gyllyandeson de Araújo Delmondes","doi":"10.1111/jnu.70021","DOIUrl":"10.1111/jnu.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Approximately 25% of the Brazilian population suffers from mental disorders, a prevalence exacerbated by systemic and cultural factors such as socioeconomic inequalities, underfunded mental health services, regional disparities, and persistent stigma. These conditions significantly impact hospital care. Nurses, due to their direct contact with these patients, face challenges ranging from managing physical conditions to handling verbal aggression and psychiatric crises. This study aimed to assess the scientific evidence regarding nursing care for hospitalized patients with psychiatric disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review with a mixed-methods approach was conducted, registered in PROSPERO (#CRD42022359288) and guided by PRISMA standards. Databases, such as MEDLINE, LILACS, PubMed, Web of Science, Scopus, and BDEnf, were searched using keywords like “Mental disorder,” “Psychiatric health,” “Nursing care,” and “Hospital.” Methodological quality was assessed using JBI and SQUIRE tools. The integration of quantitative and qualitative components occurred through meta-aggregation of qualitative data and frequency-based coding of quantitative themes, allowing thematic convergence across study designs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six studies were included. Meta-aggregation revealed frequent terms, such as “Nurse,” “Emergency,” “Screening,” “Patient,” and “Care.” Similarity analysis linked “Nurse” with “perception” and “experience” and “Emergency” with “Screening” and “Mental health,” highlighting the importance of experience and training. Five categories emerged: (1) professional experience (19.05%, showing skill gaps despite experience); (2) caring process (19.05%, stressing efficient screening); (3) barriers and challenges (19.05%, revealing difficulty with comorbidities); (4) training process (19.05%, identifying training deficiencies); and (5) therapeutic interventions (23.81%, discussing restraint use). These percentages refer to the proportional frequency of themes identified across the total number of studies analyzed. For thematic classification, only statistically significant chi-square values (<i>p</i> < 0.05) were considered in the grouping of content.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nursing care for psychiatric patients in hospitals faces challenges like insufficient training and difficulty managing psychiatric comorbidities. Recommendations include incorporating structured mental health content into nursing curricula and hospital-based continuing education programs. These strategies may guide future healthcare","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 6","pages":"906-918"},"PeriodicalIF":2.9,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144279","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}
To identify the prevalence of musculoskeletal disorders among hospital nurses and explore their effects on productivity loss.
Design
An analytical cross-sectional study with secondary data analysis was conducted.
Methods
Data were collected via an online survey of 607 registered nurses working in general and tertiary hospitals in South Korea. Multivariate logistic regression analysis was performed to examine the association between musculoskeletal disorders and four productivity loss indicators: absenteeism, presenteeism, perceived productivity loss, and work limitations.
Results
Musculoskeletal disorders were highly prevalent among hospital nurses, with 83.9% of participants reporting musculoskeletal disorder symptoms in the past week. Lower back complaints had the highest prevalence. Nurses with musculoskeletal disorders were 3.74 times more likely to experience presenteeism than those without musculoskeletal disorders. They were also 3.00 times more likely to report perceived productivity loss and 2.24 times more likely to experience work limitations. However, no significant relationship was observed between musculoskeletal disorders and absenteeism.
Conclusion
Musculoskeletal disorders contribute to presenteeism, productivity loss, and work limitations among hospital nurses. Targeted interventions for preventing and managing musculoskeletal disorders are essential to mitigate productivity losses and improve nurses' health and job performance. Strategies such as ergonomic workplace modifications, early detection, and effective management of musculoskeletal disorders can help maintain nurses' productivity and well-being.
Clinical Relevance
Addressing musculoskeletal disorders is critical for enhancing nurse productivity and for ensuring the delivery of high-quality patient care. Healthcare organizations can safeguard nurses' health and patient outcomes by reducing presenteeism and work limitations.
{"title":"Relationship Between Musculoskeletal Disorders and Productivity Loss Among Hospital Nurses: An Analytical Cross-Sectional Study With Secondary Data Analysis","authors":"Minkyung Kang, Inah Kim, Chang Park, Ari Min","doi":"10.1111/jnu.70020","DOIUrl":"10.1111/jnu.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To identify the prevalence of musculoskeletal disorders among hospital nurses and explore their effects on productivity loss.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>An analytical cross-sectional study with secondary data analysis was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected via an online survey of 607 registered nurses working in general and tertiary hospitals in South Korea. Multivariate logistic regression analysis was performed to examine the association between musculoskeletal disorders and four productivity loss indicators: absenteeism, presenteeism, perceived productivity loss, and work limitations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Musculoskeletal disorders were highly prevalent among hospital nurses, with 83.9% of participants reporting musculoskeletal disorder symptoms in the past week. Lower back complaints had the highest prevalence. Nurses with musculoskeletal disorders were 3.74 times more likely to experience presenteeism than those without musculoskeletal disorders. They were also 3.00 times more likely to report perceived productivity loss and 2.24 times more likely to experience work limitations. However, no significant relationship was observed between musculoskeletal disorders and absenteeism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Musculoskeletal disorders contribute to presenteeism, productivity loss, and work limitations among hospital nurses. Targeted interventions for preventing and managing musculoskeletal disorders are essential to mitigate productivity losses and improve nurses' health and job performance. Strategies such as ergonomic workplace modifications, early detection, and effective management of musculoskeletal disorders can help maintain nurses' productivity and well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>Addressing musculoskeletal disorders is critical for enhancing nurse productivity and for ensuring the delivery of high-quality patient care. Healthcare organizations can safeguard nurses' health and patient outcomes by reducing presenteeism and work limitations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 5","pages":"789-798"},"PeriodicalIF":2.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sigmapubs.onlinelibrary.wiley.com/doi/epdf/10.1111/jnu.70020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121427","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}
Maxim Topaz, Laura Maria Peltonen, Martin Michalowski, Lisiane Pruinelli, Charlene E. Ronquillo, Zhihong Zhang, Aleksandar Babic
{"title":"The Overlooked Dark Side of Generative AI in Nursing: An International Think Tank's Perspective","authors":"Maxim Topaz, Laura Maria Peltonen, Martin Michalowski, Lisiane Pruinelli, Charlene E. Ronquillo, Zhihong Zhang, Aleksandar Babic","doi":"10.1111/jnu.70016","DOIUrl":"10.1111/jnu.70016","url":null,"abstract":"","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 4","pages":"559-562"},"PeriodicalIF":2.9,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065070","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}
{"title":"Response to a Letter to the Editor on “Integrating Machine Learning in Nursing Practice: Addressing Ethical, Practical, and Educational Challenges”","authors":"Ann M. Wieben","doi":"10.1111/jnu.70018","DOIUrl":"10.1111/jnu.70018","url":null,"abstract":"","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"57 4","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993875","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}
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