Collegian最新文献_第4页

Knowledge and perceptions of modifiable ischaemic heart disease risk among Indians: Scoping review 印度人对可改变的缺血性心脏病风险的认识和认知：范围回顾

IF 1.6 4区医学 Q2 NURSING

Collegian

Pub Date : 2025-07-07 DOI: 10.1016/j.colegn.2025.06.005

Kunwar Kaur , Ma’en Zaid Abu-Qamar , Amineh Rashidi , Nilufeur McKay , Rosemary Saunders

Background

Ischaemic heart disease (IHD) causes a significant number of deaths globally. India has the highest IHD burden, with cases up 138% since 1990. Individuals of Indian descent face a greater risk of early IHD and poorer long-term outcomes. Indian people typically develop IHD a decade earlier than other populations, with 52% of IHD-related deaths occurring before the age of 70, compared to 23% in Western populations.

Aims

This review aims to synthesise evidence on the Indian population’s knowledge and perceptions of modifiable IHD risk factors and identify literature gaps.

Methods

Joanna Briggs Institute (JBI) methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Extension for Scoping Reviews was followed. The Population, Concept, Context (PCC) framework (Indian people; knowledge and perceptions of modifiable IHD risks; Indian population globally) guided the search strategy. The database search was limited to papers published in English language from the year 2010 to 2024.

Results

Twenty-three studies were included. Most were conducted in India and reported low knowledge of IHD risk factors, while some international studies showed higher knowledge. Perceptions of the risk of developing IHD were low both domestically and internationally. A major misconception was the belief that individuals have no control over the progression and prevention of IHD.

Conclusion

This review highlights the limited knowledge and prevalent misconceptions of Indian people about the risk of IHD and the importance of modifiable risk factors. Additionally, it provides important information for nurses to consider when providing health education interventions for patients at risk of heart disease.

背景：缺血性心脏病（IHD）在全球范围内造成大量死亡。印度的IHD负担最高，自1990年以来病例增加了138%。印度血统的人面临早期IHD的风险更大，长期预后也更差。印度人患IHD的时间通常比其他人群早10年，与IHD相关的死亡中有52%发生在70岁之前，而西方国家的这一比例为23%。目的：本综述旨在综合有关印度人口对可改变的IHD危险因素的知识和认知的证据，并确定文献空白。方法采用乔安娜布里格斯研究所（joanna Briggs Institute， JBI）的方法和扩展范围评价的系统评价和荟萃分析首选报告项目（PRISMA）。人口、概念、背景（PCC）框架(印度人；对可改变的IHD风险的认识和认知；印度人口（全球）指导了搜索策略。数据库检索仅限于2010年至2024年以英语发表的论文。结果共纳入23项研究。大多数研究在印度进行，报告对IHD风险因素的了解程度较低，而一些国际研究显示对IHD风险因素的了解程度较高。无论在国内还是在国际上，人们对患IHD风险的认识都很低。一个主要的误解是认为个人无法控制IHD的进展和预防。结论本综述强调了印度人对IHD风险的有限认识和普遍误解，以及可改变的风险因素的重要性。此外，它为护士在为有心脏病风险的患者提供健康教育干预时提供了重要的信息。

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引用次数: 0

Nurses' perceptions of the effectiveness of handover practices, influencing factors and perceived barriers: A descriptive cross-sectional study of medical and surgical nurses 护士对交接实践有效性的感知、影响因素和感知障碍：一项对内科和外科护士的描述性横断面研究

IF 1.6 4区医学 Q2 NURSING

Collegian

Pub Date : 2025-07-07 DOI: 10.1016/j.colegn.2025.06.002

İpek Köse Tosunöz , Ayşe Aydınlı

Background

Ineffective handover may lead to patient harm.

Aim

The purpose of this study is to determine nurses’ perceptions of the effectiveness of the handover process and the factors that influence handover effectiveness and perceived barriers.

Methods

A single-centre descriptive cross-sectional design was used. The study was completed with 249 nurses working in the medical and surgical units of a city hospital in the Mediterranean region of Turkey. Data were collected with the ‘Personal Information Form’ and ‘Handover Evaluation Scale (HES)’ between July and October 2023. The generalised linear model (GLM) analysis with gamma distribution and log link function was used. The STROBE guidelines were followed in the study.

Findings

The HES total mean score was 56.0 ± 6.9. According to the multivariable GLM analysis, female nurses (Exp(B)=1.062), those who received handover training (Exp(B)=1.055), and those who used handover tools such as forms, inpatient lists, or records (Exp(B)=1.077) had significantly higher HES scores (p<.05 for all). Noise, workload, and tiredness were the most frequently reported barriers to effective handover.

Discussion

Nurses’ perceptions of handover effectiveness were high, with a total mean score on the HES of 80% (56.0/70). Sex, receiving handover training, and using forms, records, or lists were associated with nurses’ perceptions of handover effectiveness. Noise was the most frequent negative influencing factor. The findings may be useful for further studies on the handover effectiveness and strategies to maintain and improve effectiveness.

Conclusion

The high perceptions of handover effectiveness are important for patient safety and care continuity. This study showed the importance of training and standardisation in handover effectiveness and the need to control factors that negatively affect the handover process.

背景有效的交接可能会对患者造成伤害。目的本研究的目的是确定护士对交接过程有效性的感知，以及影响交接有效性的因素和感知障碍。方法采用单中心描述性横断面设计。这项研究是在土耳其地中海地区一家城市医院的内科和外科部门工作的249名护士中完成的。数据是在2023年7月至10月期间通过“个人信息表”和“交接评估量表”收集的。采用广义线性模型（GLM）分析，结合gamma分布和对数链接函数。本研究遵循了STROBE指南。结果HES总平均评分为56.0±6.9分。根据多变量GLM分析，女性护士（Exp(B)=1.062）、接受过交接培训的护士（Exp(B)=1.055）、使用表格、住院名单、病历等交接工具的护士（Exp(B)=1.077）的HES得分显著高于女性护士(p<；所有人都是05)。噪音、工作量和疲劳是影响有效交接的最常见障碍。讨论护士对交接有效性的感知较高，其HES总平均得分为80%（56.0/70）。性别、接受交接培训和使用表格、记录或清单与护士对交接有效性的看法有关。噪音是最常见的负面影响因素。研究结果可为进一步研究企业的交接有效性以及维持和提高交接有效性的策略提供参考。结论对交接有效性的高度认知对患者安全和护理的连续性具有重要意义。本研究显示了培训和规范化对交接有效性的重要性，以及控制负面影响交接过程的因素的必要性。

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引用次数: 0

Acute care nurses' perspectives on end-of-life dreams and visions: An interview study 急症护理护士对临终梦和幻象的看法：一项访谈研究

IF 1.6 4区医学 Q2 NURSING

Collegian

Pub Date : 2025-07-05 DOI: 10.1016/j.colegn.2025.06.003

Alison Hession , Tim Luckett , David Currow , Michael Barbato

Aim

This study aimed to explore perspectives on end-of-life dreams and visions (ELDVs) of acute care nurses with experience in caring for dying patients.

Design

This study used a qualitative design, with face-to-face semistructured interviews and a reflexive thematic analysis. It was conducted from November 2023 to March 2024.

Setting/participants

Participants were medical and surgical nurses from a 200-bed acute care hospital in metropolitan Australia.

Findings

Eighteen nurses participated. Five main themes were generated:

1)
Assessment and response evolve with repeated exposure, with subthemes:
- −
  Is it a delirium?,
- −
  To medicate or not medicate?, and
- −
  Moving from task-oriented to holistic care;

2)
Hesitant conversations;
3)
A positive personal experience;
4)
Education and training need to better equip nurses to provide holistic end-of-life care, and
5)
The acute care setting predisposes to missed opportunities with subthemes
- –
  Speed of transition from active care to end-of-life care; and
- –
  Competing demands on nurse time.

Conclusions

Development and feasibility of consensus-based guidelines to enable those providing end-of-life care, regardless of setting, to distinguish between an ELDV and a delirium, and practice guidelines to support patients and families, should be important inclusions to end-of-life education.

目的探讨具有临终病人护理经验的急症护理护士的临终梦与愿景（ELDVs）。设计本研究采用定性设计，采用面对面半结构化访谈和反身性主题分析。该试验于2023年11月至2024年3月进行。背景/参与者：研究对象为澳大利亚大都市一家拥有200张床位的急症护理医院的内科和外科护士。结果18名护士参与。产生了五个主要主题：1)评估和反应随着反复暴露而演变，并伴有次主题：-这是谵妄吗？−用药还是不用药？2)犹豫的谈话；3)积极的个人体验；4)教育和培训需要更好地装备护士提供全面的临终关怀；5)急性护理环境容易错过机会，子主题：从主动护理到临终关怀的过渡速度；对护士时间的竞争需求。结论基于共识的指南的制定和可行性，使提供临终关怀的人，无论在何种环境下，能够区分ELDV和谵妄，以及支持患者和家属的实践指南，应该是临终教育的重要内容。

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引用次数: 0

“A game changer” – Educators’ and managers’ perspectives of a Clinical Practice Mentor model “游戏改变者”-教育工作者和管理者对临床实践导师模型的看法

IF 1.6 4区医学 Q2 NURSING

Collegian

Pub Date : 2025-07-03 DOI: 10.1016/j.colegn.2025.06.001

Jenny Fereday , Lachlan Darch , Greg Sharplin , Rachael Vernon , Kim Neylon , Gavin Pead-Ferenczi , Jenny Hurley , Marion Eckert

Background

Amid a worldwide nursing and midwifery workforce shortage, recruiting and retaining graduates has become a priority in a competitive market. In 2023, to support a significant increase in graduates undertaking a Transition to Professional Practice Program, the role of the ‘Working with Wisdom’ Clinical Practice Mentor was implemented to provide clinical support across public acute and community health facilities.

Purpose

To explore the experience of the new Clinical Practice Mentor role with Transition Program managers and educators.

Method

A qualitative descriptive design was used to understand the experience of implementing and establishing the new role. Educators and managers involved in the Transition Program participated in individual interviews and focus groups. A process of inductive and deductive thematic analysis was used to analyse the interviews with managers and educators.

Result

Educators and managers (n = 169) participated in individual interviews and focus groups.

The most valued components of the new role were being supernumerary and working at the point of care. The role was flexible in the level of support they could provide graduates and the working hours of mentors. It was a job opportunity for experienced staff who were considering resignation or retirement. Participants highlighted the new model as an important recruitment and retention strategy for graduates and reduced pressure on senior staff often supervising a high number of less experienced staff.

Conclusion

The participants described that the model had set a new standard of support, and funding should continue to ensure the attraction and retention of graduates.

在全球护理和助产人员短缺的背景下，在竞争激烈的市场中，招聘和留住毕业生已成为当务之急。2023年，为了支持向专业实践项目过渡的毕业生大幅增加，实施了“与智慧合作”临床实践导师的角色，为公共急性和社区卫生设施提供临床支持。目的探讨临床实践导师的新角色与过渡项目经理和教育工作者的经验。方法采用定性描述设计来了解新角色的实施和建立经验。参与过渡计划的教育工作者和管理人员参加了个别访谈和焦点小组。采用归纳和演绎的主题分析方法对管理人员和教育工作者的访谈进行分析。结果169名教育工作者和管理人员参加了个别访谈和焦点小组访谈。新角色最重要的组成部分是冗员和在护理点工作。这个角色在为毕业生提供的支持水平和导师的工作时间上是灵活的。对于那些考虑辞职或退休的有经验的员工来说，这是一个工作机会。与会者强调，新模式是毕业生征聘和留用的一项重要战略，减轻了经常管理大量经验不足的工作人员的资深工作人员的压力。与会者表示，该模式设立了新的支持标准，应继续提供资金，以确保吸引和留住毕业生。

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引用次数: 0

Using AI to improve English language skills in health students 利用人工智能提高卫生专业学生的英语语言技能

IF 1.6 4区医学 Q2 NURSING

Collegian

Pub Date : 2025-06-17 DOI: 10.1016/j.colegn.2025.05.004

Jane Frost , Paul Glew , Irmina Nahon , Thomas Bevitt , Mary Bushell , John Taylor

Background

Effective communication skills are essential for patient-centred care and safety. Teaching verbal communication can be difficult and expensive. Complexity can increase when teaching students with English as an additional language (EAAL). The use of artificial intelligence (AI) in developing verbal communication is an innovative solution to a contemporary issue.

Sample

Six undergraduate health students from three disciplines who self-identified EAAL.

Method

A pre–post intervention study was conducted. The Coherence, Lexical, Grammatical, Pronunciation (CLIP) assessment was conducted pre- and post-intervention. Students completed a debrief to explore their perceptions of the intervention.

Results

Improved English language was noted in two criteria of the CLIP. Students reported that the intervention assisted their conversational skills; however, its effectiveness was limited as it was not human.

Conclusion

AI software may support students in developing conversational English skills; however, it should be used to complement, not replace, traditional teaching methods. Briefing and Debriefing should be facilitated to optimise student learning.

有效的沟通技巧对于以患者为中心的护理和安全至关重要。教授口头交流既困难又昂贵。当以英语作为附加语言（EAAL）教学学生时，复杂性会增加。人工智能（AI）在发展语言交际中的应用是对当代问题的创新解决方案。样本：来自三个学科的六名自我认定为EAAL的本科卫生专业学生。方法采用干预前后研究方法。在干预前和干预后分别进行连贯、词汇、语法、发音（CLIP）评估。学生们完成了一份报告，以探讨他们对干预措施的看法。结果两项评分标准均有英语水平的提高。学生报告说，干预有助于他们的会话技巧；然而，它的效力有限，因为它不是人类的。结论人工智能软件可以帮助学生提高英语会话能力；然而，它应该用来补充，而不是取代，传统的教学方法。应促进简报和汇报，以优化学生的学习。

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引用次数: 0

Short-term and long-term post-bariatric surgery patients' challenges and sources of support: A two-stage qualitative study 短期和长期减肥手术后患者的挑战和支持来源：一项两阶段定性研究

IF 1.6 4区医学 Q2 NURSING

Collegian

Pub Date : 2025-06-11 DOI: 10.1016/j.colegn.2025.05.003

Adi Finkelstein , Ram M. Spira , Ahuva Spitz

Background

Bariatric surgery, while recognised as an effective intervention for morbid obesity and related comorbidities, presents significant challenges that impact patients. Despite the challenges, it is currently considered a safe and effective treatment option to treat obesity after conservative treatments have proven ineffective.

Aim

A qualitative phenomenology study aimed to explore the short- and long-term challenges and sources of support for patients undergoing bariatric surgery.

Methods

Thirteen semi-structured, open-ended interviews were conducted with patients six months post-surgery, and twelve follow-up interviews with the same cohort at two years post-surgery, employing Braun and Clarke thematic analysis guidelines.

Findings

Three main themes emerged. In both first- and second-stage interviews, participants expressed satisfaction with their decision to undergo bariatric surgery.

However, the conflict between the loss of appetite and the continued craving for food was a significant burden for participants, especially in social gatherings. Some participants described continuously struggling with controlling portion sizes and timing, alongside unhealthy practices such as self-induced vomiting. Participants appreciated support from healthcare professionals, family, friends, and support groups.

Discussion

Our study shows that bariatric surgery should be viewed as the medical component of a broader process that includes significant educational and support elements aimed at transforming unhealthy eating habits into positive, health-promoting behaviours.

Conclusion

Patients undergoing bariatric surgery face ongoing emotional and behavioural challenges in adapting to proper eating habits, even two years post-surgery. By offering compassionate care and continuous education, healthcare professionals, especially nurses, can empower these patients to achieve long-term optimal health outcomes and quality of life in their weight-loss journey.

背景：减肥手术虽然被认为是治疗病态肥胖和相关合并症的有效干预手段，但也给患者带来了重大挑战。尽管存在挑战，但在保守治疗被证明无效后，它目前被认为是治疗肥胖的一种安全有效的治疗选择。一项定性现象学研究旨在探讨接受减肥手术患者的短期和长期挑战和支持来源。方法采用Braun和Clarke主题分析指南，对术后6个月的患者进行13次半结构化开放式访谈，并在术后2年对同一队列进行12次随访访谈。调查结果主要有三个主题。在第一阶段和第二阶段的访谈中，参与者对他们接受减肥手术的决定表示满意。然而，食欲不振和持续渴望食物之间的冲突对参与者来说是一个巨大的负担，尤其是在社交聚会中。一些参与者描述说，他们一直在努力控制食物的份量和时间，还有一些不健康的行为，比如自我呕吐。与会者感谢来自医疗保健专业人员、家庭、朋友和支持团体的支持。我们的研究表明，减肥手术应被视为一个更广泛过程的医学组成部分，该过程包括旨在将不健康的饮食习惯转变为积极的、促进健康的行为的重要教育和支持因素。结论接受减肥手术的患者在适应适当的饮食习惯方面面临持续的情绪和行为挑战，甚至在手术后两年。通过提供富有同情心的护理和持续教育，医疗保健专业人员，特别是护士，可以使这些患者在减肥过程中获得长期的最佳健康结果和生活质量。

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引用次数: 0

Academic support strategies for nursing students with a disability at university — An integrative review 大学护生残障学业支持策略综述

IF 1.6 4区医学 Q2 NURSING

Collegian

Pub Date : 2025-06-03 DOI: 10.1016/j.colegn.2025.05.001

Lucie M. Ramjan , Gina Richards , David Roach , Belinda McGrath , Peta Drury , Clare Walters , Manela Glarcher , Ruth Crawford , Peter Wall , Yenna Salamonson

Background

Nursing students with reported disabilities are increasing. Adjustments and accommodations within the classroom and clinical environment should be considered to promote inclusion and academic success.

Aim

To synthesise the evidence from published research on academic support structures or interventions for nursing students with a disability.

Design

An integrative review was undertaken.

Methods

A systematic search of six electronic databases (CINAHL, APA PsycINFO, Education Research Complete, ERIC, ProQuest Central, and Scopus) was undertaken from 1984 to October 2024. Nine articles met the inclusion criteria for this integrative review, with two additional papers identified by forward and backward hand-searching. The final 11 identified articles were quality appraised. The integrative review was conducted in accordance with PRISMA.

Findings

Results identified a range of support interventions or structures to promote inclusion and academic success. However, students and staff reported a lack of standardised guidance from universities, registration authorities, and the legislation relating to interventions and support for students with a disability. The challenges reported focused mainly on difficulties in adjusting to university tasks (e.g., writing skills) or performing their role within the clinical environment.

Discussion

Adjustments and accommodations should be considered to promote inclusion and academic success of nursing students with a disability. Higher education and healthcare organisations need to identify ways to support students with a disability in nursing programs. Regulatory bodies should introduce guidance to address any potential discrepancies between access to study and fitness to nursing practice.

Conclusion

Early identification of students with disabilities is important and needs to be centred on students’ ability rather than disability.

报告残疾的护理专业学生越来越多。应考虑课堂和临床环境中的调整和住宿，以促进包容和学业成功。目的从已发表的关于残疾护生学业支持结构或干预措施的研究中综合证据。设计进行了一项综合评价。方法系统检索1984年至2024年10月期间的6个电子数据库（CINAHL、APA PsycINFO、Education Research Complete、ERIC、ProQuest Central和Scopus）。九篇文章符合本综合综述的纳入标准，另外两篇论文通过正向和反向手工检索确定。最后的11篇文章进行了质量评价。综合评价按照PRISMA进行。研究结果确定了一系列支持干预措施或结构，以促进包容和学业成功。然而，学生和工作人员报告说，缺乏来自大学、注册当局的标准化指导，以及与残疾学生的干预和支持有关的立法。报告的挑战主要集中在适应大学任务（例如，写作技能）或在临床环境中履行其角色方面的困难。讨论应考虑调整和住宿，以促进残疾护理学生的融入和学业成功。高等教育和医疗机构需要找到支持残疾学生参加护理项目的方法。监管机构应该引入指导，以解决学习和护理实践之间的任何潜在差异。结论残疾学生的早期识别是重要的，应以学生的能力为中心，而不是以残疾为中心。

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引用次数: 0

Impact of speaking-up climate on Korean nurses’ voice and silence: Focusing on nurses’ clinical career stages 直言气候对韩国护士发声与沉默的影响：以护士临床职业阶段为中心

IF 1.6 4区医学 Q2 NURSING

Collegian

Pub Date : 2025-06-02 DOI: 10.1016/j.colegn.2025.05.002

Eunhee Lee , Hyunjeong Kwon

Background

Patient safety is a global concern, but healthcare setting complexity frequently causes communication failures. To improve safety, promoting nurses’ speaking-up behaviour has been considered.

Aim

To identify nurses’ speaking-up-related behaviour regarding patient safety, particularly focusing on nurses’ clinical career stages, and investigate the factors influencing their speaking‐up and silence

Methods

This cross-sectional survey, involving 359 hospital nurses from three hospitals in Korea, employed the Speaking-Up about Patient Safety Questionnaire (SUPS-Q). We conducted a multiple regression analysis to investigate factors influencing their speaking-up behaviours and silence.

Findings

Novice nurses, having less than one year of clinical experience, demonstrated lower speaking-up behaviour than more experienced nurses. Several nurses experienced speaking-up-related obstacles because of their uncertainty about the risk level in a given situation. Nurses with less than 3 years of clinical experience are more likely to experience uncertainty than more experienced nurses. In contrast, nurses with over five years of clinical experience more frequently reported barriers associated with the ineffectiveness of speaking‐up. Psychological safety was effective in decreasing nurses’ silence but was not significant in increasing nurses’ voices. Encouraging environments played a crucial role in improving nurses’ voice behaviour.

Discussion

Nurse managers and hospitals should support and encourage nurses’ speaking-up behaviour to strengthen the patient safety culture. To address career-specific barriers to speaking-up, career-tailored education and training need to be implemented.

Conclusions

Speaking-up is crucial for patient safety; however, nurses frequently fail to adequately express their patient safety concerns. This issue is particularly prevalent among novice nurses who hesitate to speak up. Encouraging a proactive culture empowers nurses to voice their concerns more effectively.

患者安全是全球关注的问题，但医疗保健设置的复杂性经常导致通信失败。为了提高安全，促进护士直言不讳的行为已被考虑。目的确定护士在患者安全方面的直言相关行为，特别是关注护士的临床职业阶段，并调查影响其直言和沉默的因素。方法本横断面调查涉及韩国三家医院的359名医院护士，采用了直言患者安全问卷（SUPS-Q）。我们通过多元回归分析来探讨影响他们说话行为和沉默的因素。研究结果：临床经验不足一年的新护士比经验丰富的护士表现出更低的直言行为。几名护士经历了与开口有关的障碍，因为他们不确定在特定情况下的风险水平。少于3年临床经验的护士比经验丰富的护士更有可能经历不确定性。相比之下，具有五年以上临床经验的护士更多地报告了与说出来无效相关的障碍。心理安全对减少护士沉默有效，对增加护士发声无显著作用。鼓励环境在改善护士的建言行为方面发挥了至关重要的作用。讨论护士管理者和医院应支持和鼓励护士直言不讳的行为，以加强患者安全文化。为了解决职业障碍，需要实施针对职业的教育和培训。结论直言对患者安全至关重要；然而，护士经常不能充分表达他们对患者安全的担忧。这个问题在新手护士中尤其普遍，他们不愿意说出来。鼓励积极主动的文化使护士能够更有效地表达他们的关切。

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引用次数: 0

Metrics used by nurse practitioners to evaluate the impact of their role: A scoping review 执业护士用于评估其角色影响的指标：范围审查

IF 1.6 4区医学 Q2 NURSING

Collegian

Pub Date : 2025-05-15 DOI: 10.1016/j.colegn.2025.04.004

John Thompson , Dianne Crellin , Sharon Kinney , Sue Matthews , Marie Gerdtz

Background

The link between the care provided by nurse practitioners and its impact on patient outcomes is not clear.

Aim

To identify what metrics are currently being used by nurse practitioners to evaluate their practice.

Design

Scoping review guided by Joanna Briggs Institute methodology.

Methods

The population, concept, and context framework was used to guide keyword and index terms used. Metrics used to evaluate nurse practitioner practice and methods used in quantitative and qualitative studies, published in English between 2017 and 2023, were included. A content analysis was performed to identify metrics common to all nurse practitioners.

Data sources

Medline, CINAHL, Embase, and the Joanna Briggs Institute Evidence-Based Practice Database were searched in July 2024. Grey literature was identified by searching Open Dissertations and Google Scholar.

Results

Of the 2742 articles identified, 83 met the aim of this review. Most publications originated from the United States (n=46). No studies indicated consumer involvement in study design. Data analysis of the 294 metrics identified 17 themes. All themes were aligned to Donabedian’s categories of structure (n=2), process (n=9), and outcome (n=6).

Conclusions

Nurse practitioners are evaluating their specialty practice using a variety of metrics via quality assurance and observational design where the comparator is medicine. A lack of consumer involvement in practice evaluation was noted in this review. Metrics, co-designed with consumers, that measure nurse practitioner practice regardless of specialty is lacking throughout the literature and is desperately needed.

护士从业人员提供的护理与其对患者预后的影响之间的联系尚不清楚。目的确定护士从业人员目前正在使用哪些指标来评估其实践。设计范围审查由乔安娜布里格斯研究所的方法指导。方法采用人口、概念和上下文框架来指导关键词和索引术语的使用。纳入了2017年至2023年间以英文发表的用于评估护士执业实践的指标以及定量和定性研究中使用的方法。进行内容分析以确定所有护士从业人员共有的指标。数据来源：medline、CINAHL、Embase和Joanna Briggs研究所循证实践数据库于2024年7月检索。灰色文献是通过搜索Open dissertation和b谷歌Scholar来确定的。在2742篇纳入的文献中，有83篇符合本综述的目的。大多数出版物来自美国（n=46）。没有研究表明消费者参与了研究设计。对294个指标的数据分析确定了17个主题。所有主题都与Donabedian的结构（n=2）、过程（n=9）和结果（n=6）类别一致。结论：执业护士正在通过质量保证和观察性设计评估其专业实践的各种指标，其中比较物是医学。本综述指出，消费者在实践评价中缺乏参与。与消费者共同设计的衡量护士执业实践的指标，无论专业如何，在整个文献中都是缺乏的，也是迫切需要的。

{"title":"Metrics used by nurse practitioners to evaluate the impact of their role: A scoping review","authors":"John Thompson , Dianne Crellin , Sharon Kinney , Sue Matthews , Marie Gerdtz","doi":"10.1016/j.colegn.2025.04.004","DOIUrl":"10.1016/j.colegn.2025.04.004","url":null,"abstract":"<div><h3>Background</h3><div>The link between the care provided by nurse practitioners and its impact on patient outcomes is not clear.</div></div><div><h3>Aim</h3><div>To identify what metrics are currently being used by nurse practitioners to evaluate their practice.</div></div><div><h3>Design</h3><div>Scoping review guided by Joanna Briggs Institute methodology.</div></div><div><h3>Methods</h3><div>The population, concept, and context framework was used to guide keyword and index terms used. Metrics used to evaluate nurse practitioner practice and methods used in quantitative and qualitative studies, published in English between 2017 and 2023, were included. A content analysis was performed to identify metrics common to all nurse practitioners.</div></div><div><h3>Data sources</h3><div>Medline, CINAHL, Embase, and the Joanna Briggs Institute Evidence-Based Practice Database were searched in July 2024. Grey literature was identified by searching Open Dissertations and Google Scholar.</div></div><div><h3>Results</h3><div>Of the 2742 articles identified, 83 met the aim of this review. Most publications originated from the United States (n=46). No studies indicated consumer involvement in study design. Data analysis of the 294 metrics identified 17 themes. All themes were aligned to Donabedian’s categories of <em>structure</em> (n=2), <em>process</em> (n=9), and <em>outcome</em> (n=6).</div></div><div><h3>Conclusions</h3><div>Nurse practitioners are evaluating their specialty practice using a variety of metrics via quality assurance and observational design where the comparator is medicine. A lack of consumer involvement in practice evaluation was noted in this review. Metrics, co-designed with consumers, that measure nurse practitioner practice regardless of specialty is lacking throughout the literature and is desperately needed.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 4","pages":"Pages 183-194"},"PeriodicalIF":1.6,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

The effect of cognitive behavioural therapy on interdialytic weight gain in hemodialysis patients: A systematic review and meta-analysis 认知行为疗法对血液透析患者透析间期体重增加的影响：系统回顾和荟萃分析

IF 1.6 4区医学 Q2 NURSING

Collegian

Pub Date : 2025-04-30 DOI: 10.1016/j.colegn.2025.04.002

Yeo Wool Kim , Gi Won Choi , Sun Ju Chang

Background

Interdialytic weight gain (IDWG) is a key indicator of fluid restriction adherence in hemodialysis patients and is associated with cardiovascular complications and higher mortality. Although cognitive behavioural therapy (CBT) has been used to reduce IDWG, its specific impact remains uncertain.

Aim

This study aimed to systematically review and evaluate the effects of CBT on IDWG in hemodialysis patients.

Methods

Relevant studies published from database inception to March 24, 2025, were searched across six electronic databases. Additionally, citation lists were searched. The selection of eligible studies followed a two-step process. Data were collected using a predefined form, and quality appraisal was conducted. Both narrative synthesis and meta-analysis were conducted.

Findings

Among 1418 retrieved studies, eight were selected in the narrative synthesis and seven in the meta-analysis. As a result of narrative synthesis, three studies delivered therapy during hemodialysis, with two using nurse providers. The contents focus on cognitive restructuring, behavioural activation, education, and social connections. The meta-analysis showed no significant effect immediately post-intervention and at three months post-intervention. However, a significant effect was observed at one month post-intervention.

Discussion

The structure and content of CBT sessions should be improved, with the format and providers adapted to meet the unique needs of hemodialysis patients. Additionally, rigorous studies are necessary to provide robust evidence.

Conclusion

CBT can reduce IDWG in hemodialysis patients. However, therapeutic effects may take time to manifest, and there may be challenges in sustaining these long-term effects.

背景：透析期间体重增加（IDWG）是血液透析患者液体限制依从性的关键指标，与心血管并发症和更高的死亡率相关。虽然认知行为疗法（CBT）已被用于减少IDWG，但其具体影响仍不确定。目的系统回顾和评价CBT对血液透析患者IDWG的影响。方法检索6个电子数据库自建库至2025年3月24日发表的相关研究。此外，检索了引文列表。选择符合条件的研究分为两步。使用预定义的表格收集数据，并进行质量评估。进行了叙事综合和元分析。结果：在1418项被检索的研究中，8项被选择用于叙事综合，7项被选择用于荟萃分析。作为叙述综合的结果，三项研究在血液透析期间提供治疗，其中两项使用护士提供者。内容集中于认知重构、行为激活、教育和社会联系。荟萃分析显示干预后立即和干预后3个月无显著效果。然而，在干预后一个月观察到显著的效果。讨论CBT课程的结构和内容应改进，形式和提供者应适应血液透析患者的独特需求。此外，严格的研究是必要的，以提供有力的证据。结论cbt可降低血液透析患者的IDWG。然而，治疗效果可能需要时间才能显现，而且维持这些长期效果可能存在挑战。

{"title":"The effect of cognitive behavioural therapy on interdialytic weight gain in hemodialysis patients: A systematic review and meta-analysis","authors":"Yeo Wool Kim , Gi Won Choi , Sun Ju Chang","doi":"10.1016/j.colegn.2025.04.002","DOIUrl":"10.1016/j.colegn.2025.04.002","url":null,"abstract":"<div><h3>Background</h3><div>Interdialytic weight gain (IDWG) is a key indicator of fluid restriction adherence in hemodialysis patients and is associated with cardiovascular complications and higher mortality. Although cognitive behavioural therapy (CBT) has been used to reduce IDWG, its specific impact remains uncertain.</div></div><div><h3>Aim</h3><div>This study aimed to systematically review and evaluate the effects of CBT on IDWG in hemodialysis patients.</div></div><div><h3>Methods</h3><div>Relevant studies published from database inception to March 24, 2025, were searched across six electronic databases. Additionally, citation lists were searched. The selection of eligible studies followed a two-step process. Data were collected using a predefined form, and quality appraisal was conducted. Both narrative synthesis and meta-analysis were conducted.</div></div><div><h3>Findings</h3><div>Among 1418 retrieved studies, eight were selected in the narrative synthesis and seven in the meta-analysis. As a result of narrative synthesis, three studies delivered therapy during hemodialysis, with two using nurse providers. The contents focus on cognitive restructuring, behavioural activation, education, and social connections. The meta-analysis showed no significant effect immediately post-intervention and at three months post-intervention. However, a significant effect was observed at one month post-intervention.</div></div><div><h3>Discussion</h3><div>The structure and content of CBT sessions should be improved, with the format and providers adapted to meet the unique needs of hemodialysis patients. Additionally, rigorous studies are necessary to provide robust evidence.</div></div><div><h3>Conclusion</h3><div>CBT can reduce IDWG in hemodialysis patients. However, therapeutic effects may take time to manifest, and there may be challenges in sustaining these long-term effects.</div></div>","PeriodicalId":55241,"journal":{"name":"Collegian","volume":"32 3","pages":"Pages 163-173"},"PeriodicalIF":1.6,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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