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Objective: The growing interest in this field of fracture nonunion has been informally acknowledged through published studies. A bibliometric analysis was conducted to objectively outline the patterns in published clinical research concerning nonunion fractures by utilizing highly cited papers (HCPs). Methods: Through a predetermined search strategy, we gathered literature on the clinical management of nonunion fractures from the Scopus database and utilized bibliometrics to examine the publication dates, countries, institutions, journals, authors, HCPs, and research focal points. Statistical analysis and visualization were conducted using MS Excel and VOSviewer software. Results: From 1990 to 2023, a total of 168 HCPs in the field of fracture nonunion were identified. They received an average of 167.68 citations per paper (CPP). Among them, 4.08% received external funding, while 17.26% were involved in international collaboration. The United States (49.4% share) was the most productive country and France had the highest citation impact. P.V. Gianoudis had the highest productivity with 13 publications and P. Hernigou had the highest citation impact. The Mayo Clinic was the most productive organization and Hopital Henri Mondor achieved the highest citation impact. The most productive journal was Clinical Orthopedics & Related Research, and the Journal of Bone & Joint Surgery, American Volume had the highest average citation impact. Conclusion: This contemporary bibliometric study illustrates the research features and developments of nonunion fractures. Through the use of VOSviewer, key countries, organizations, and authors could be identified, providing researchers with essential information to pinpoint current and future areas of interest in fracture nonunion. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this study was to examine the psychometric properties of the Swedish short form of the Speech, Spatial and Qualities of Hearing Scale (SSQ12) and investigate whether the paper-and-pen and online formats could be used interchangeably. Method: Individuals with and without hearing problems were invited to participate in this study. The participants (N = 125) were randomized into four groups: paper--paper, online--online, paper--online, and online--paper. All participants completed the Swedish SSQ12 twice. Results: Principal components analysis revealed one component. Statistical analysis revealed good psychometric properties. Administration formats were compared using repeated-measures analysis of variance, which revealed no statistically significant differences. Conclusions: The results indicate that the Swedish SSQ12 is possible to use in paper-and-pen and online formats interchangeably. The questionnaire has potential to be used by Swedish audiologists seeking to understand the individual experience of hearing loss or to evaluate hearing rehabilitation. To further understand the possible differences and to broaden the use and understanding of the SSQ12, future studies should aim to determine the minimal clinically important difference for the SSQ12. [ABSTRACT FROM AUTHOR]

Big data refers to extremely large data generated at high volume, velocity, variety, and veracity. The nurse scientist is uniquely positioned to leverage big data to suggest novel hypotheses on patient care and the healthcare system. The purpose of this paper is to provide an introductory guide to understanding the use and capability of big data for nurse scientists. Herein, we discuss the practical, ethical, social, and educational implications of using big data in nursing research. Some practical challenges with the use of big data include data accessibility, data quality, missing data, variable data standards, fragmentation of health data, and software considerations. Opposing ethical positions arise with the use of big data, and arguments for and against the use of big data are underpinned by concerns about confidentiality, anonymity, and autonomy. The use of big data has health equity dimensions and addressing equity in data is an ethical imperative. There is a need to incorporate competencies needed to leverage big data for nursing research into advanced nursing educational curricula. Nursing science has a great opportunity to evolve and embrace the potential of big data. Nurse scientists should not be spectators but collaborators and drivers of policy change to better leverage and harness the potential of big data. [ABSTRACT FROM AUTHOR]

The apps for drawing are present in our children's life. Nevertheless, little is known about the impact of mobile technology on the freehand drawing educational activity. There are few works which are contextualised within short periods of time, with teachers who are not theirs and, in some cases, outside the children's classroom. In this paper, we are focussed on the use of technology on freehand drawing activity. Thus, we have compared the graphics produced by 4- and 5-year-old children with paper&crayon in comparison with those with tablet-finger. Children made the drawings during a planned free-drawing activity, in their ordinary classrooms, with their teachers and during five sessions. Assessment of drawings has evidenced tablet feasibility for making graphics. Nevertheless, with the passing of time, quality of graphics (tablet-finger vs paper&crayons), are nearly matched, demonstrating the low impact level technology has on this activity. In addition, if drawings are analysed specifically according to ages, results have shown that both groups have to develop adaptation strategies of visual perceptual skills and fine motor skills for the touch screen in order to obtain the same quality in the drawings made on both support types. [ABSTRACT FROM AUTHOR]

Objective: To comparatively evaluate performances of tablet-based versus paper-based Venous Insufficiency Epidemiologic and Economic Study-Quality of Life/Symptom (VEINES-QOL/Sym) questionnaire. Methods: We prospectively evaluated 78 consecutive patients who completed tablet-based and paper-based VEINES-QOL/Sym questionnaires and compared their scores, completion time, data entry time, and ease of use. We used Student's t-test and Wilcoxon test for quantitative variables, Bland–Altman test and kappa coefficient for agreement between questionnaires and patients, respectively. Spearman's correlation coefficient was used to assess correlations. Results: Most participants (83.3%) found it easier to use the tablet device. Less time was needed to complete the tablet-based (median, 4.75; IQR, 3–7 min) than the paper-based (median, 8.3; IQR, 6.3–11.3 min) questionnaire (p <.001). Better educated patients took less time to complete paper-based (p =.003) and tablet-based (p =.001) questionnaires and considered the latter easier to use (p =.010). Conclusions: The tablet-based VEINES-QOL/Sym proved to be an easy-to-use and time-saving tool. [ABSTRACT FROM AUTHOR]

Simple Summary: Blood clots are formed when blood vessels are injured. They help stop bleeding and heal wounds, but can also cause serious problems if they block blood flow or break off and travel to other organs. This study investigates how blood clots differ in people with cancer compared to healthy or non-cancerous individuals. This study found that cancer patients have higher levels of histones in their blood, which make their clots stiffer and resistant to lysis. Further, clots formed in cancer patients have higher viscoelastic properties, and hence are harder to break down. These findings suggest that cancer patients have abnormal clotting properties that may increase their risk of developing thrombosis, and evaluating these properties can be helpful in detecting cancer. Background: Blood viscoelasticity and plasma protein levels can play an important role in the diagnosis and prognosis of cancer. However, the role of histones and DNA in modulating blood clot properties remains to be investigated. This study investigates the differences in blood viscoelasticity and plasma protein levels among cancer patients, individuals with other diseases, and healthy individuals. Methods: Blood samples were collected from 101 participants, including 45 cancer patients, 22 healthy individuals, and 34 individuals with other diseases. Rheological properties of clots formed in vitro by reconstituted elements of fibrinogen or plasma were analyzed with an Anton Paar Rheometer, USA. Plasma protein levels of D-dimer, TPA, EPCR, fibrinogen, and histone H3 were measured through ELISA. Blood clots were formed with or without DNA and histones (H3) by adding thrombin and calcium to plasma samples, and were evaluated for viscoelasticity, permeability, and degradation. Results: Cancer patients show higher blood viscoelasticity and plasma D-dimer levels compared to healthy individuals and individuals with other diseases. Our in vitro analysis showed that the addition of histone to the plasma results in a significant decrease in viscoelasticity and mean fiber thickness of the clot formed thereafter. In parallel studies, using plasma from patients, DNA and histones were detected in fibrin clots and were associated with less degradation by t-PA. Moreover, our results show that the presence of DNA and histones not only increases clots' permeability, but also makes them more prone to degradation. Conclusions: Plasma histones and DNA affect the structure of the clot formed and induce defective fibrinolysis. Moreover, the increased viscoelastic properties of plasma from cancer patients can be used as potential biomarkers in cancer prognosis. [ABSTRACT FROM AUTHOR]

Background: There have been several papers published about pemphigus. Bibliometric analysis is useful in determining the most significant research in a certain topic. By bibliometric research, we were able to determine the 100 most frequently reference articles in pemphigus. Aims and Objective: Using bibliometric tools to find and evaluate the top 100 most reference papers in pemphigus. Materials and Methods: On 19 February 2023, the Web of Science database was utilized to launch a title-specific search. Publications were listed in degrading order on the basis of their total citations. We examined the top 100 most reference pemphigus publications. Results: The years of publication varied from 1971 to 2020, with the 1990s being the most active. According to diverse study objectives, the 100 publications were separated into clinical aspects and diagnosis (20%), pathophysiology (52%), therapy (13%), epidemiology (8%), related disorders (1%) and others (6%). The 100 papers were published in 37 different publications. The top 100 reference articles included 54 first authors of 11 nations, most of whom came from North America and Europe. Stanley, J R, from Uniformed Services University of the Health Sciences, was the principal author. Conclusions: A thorough bibliometric research of the top 100 publications in pemphigus was provided by the research, which may be useful for future research. [ABSTRACT FROM AUTHOR]

Healthcare‐associated infections (HAIs) are a global public health threat. Italy is one of the countries with the highest prevalence of HAI. Hand hygiene (HH) is a pillar of infection prevention and control. Monitoring HH is necessary to improve HH compliance, and direct observation is considered the gold standard. Transcription and analysis of data collected during direct observation of HH compliance with the WHO paper form are time‐consuming. We collected, during a 9‐day observation period, HH opportunities and compliance both with a smartphone application (SpeedyAudit) and with the WHO paper form. Then, we investigated the difference in the required time for data transcription and analysis between the WHO paper form and the use of the app. The difference in the required time for data transcription and analysis was significant with a mean time of 2 s using the app and about 14–54 min/day using paper form (p =.004) while no significant difference was found in measured compliance rates between the two data collecting methods. HH monitoring with an app is time‐saving, and the app we used was easy to use. [ABSTRACT FROM AUTHOR]

This paper discusses the relationship between spiritual and emotional intelligence and eternal happiness, from an Islamic perspective. In Islam, achieving spiritual intelligence first requires a close relationship with God—established, for example, through consistent purification of the soul, repentance, acts of worship, performing good deeds and avoiding evil. Through such action, the light of God—which comes with Divine guidance and the knowledge of truth—touches the hearts of believers, causing them to experience pure contentedness. This study takes a qualitative approach, using the NVivo text analysis tool to analyse texts from 43 references, comprising 31 journal articles and 12 books or chapters. The three most frequently used words were 'Islamic', 'spiritual' and 'happiness', while 'intelligence' was the fourteenth most-used. This finding highlights the fear of God due to the love of God as the highest obedience, as it is the purest and sincerest degree of worship (i.e. for God's sake completely). Spiritual intelligence trains the soul from its prone-to-evil state to become more angelic or serene, thereby increasing emotional intelligence. This will be reflected in a believer's attitude, emotion and behaviours aligning with the conduct commended in Islam, to whom God promises an afterlife of eternal happiness in Heaven. This paper draws on the Qur'an and Sunnah as well as prominent Islamic scholarship to support the Islamic concepts discussed, enriching our understanding and perspective on the Islamic concept of spiritual and emotional intelligence and its role in attaining eternal happiness in Islam. This study also highlights several key concepts pivotal to Islamic spiritual and emotional intelligence as pre-requisites for obtaining eternal happiness, therefore advancing current knowledge on the subject. [ABSTRACT FROM AUTHOR]

Classifying papers according to the fields of knowledge is critical to clearly understand the dynamics of scientific (sub)fields, their leading questions, and trends. Most studies rely on journal categories defined by popular databases such as WoS or Scopus, but some experts find that those categories may not correctly map the existing subfields nor identify the subfield of a specific article. This study addresses the classification problem using data from each paper (Abstract, Title, Keywords, and the KeyWords Plus) and the help of experts to identify the existing subfields and journals exclusive of each subfield. These "exclusive journals" are critical to obtain, through a pattern detection procedure that uses machine learning techniques (from software NVivo), a list of the frequent terms that are specific to each subfield. With that list of terms and with the help of optimization procedures, we can identify to which subfield each paper most likely belongs. This study can contribute to support scientific policy‐makers, funding, and research institutions—via more accurate academic performance evaluations—, to support editors in their tasks to redefine the scopes of journals, and to support popular databases in their processes of refining categories. [ABSTRACT FROM AUTHOR]

Appropriate paper-based technology (APT) is used to provide postural support for children with cerebral palsy (CP) in low-resourced settings. This pilot study aimed to evaluate the impact of APT on the children's and families' lives. A convenience sample of children with CP and their families participated. Inclusion was based on the Gross Motor Function Classification System levels IV and V. APT seating or standing frames were provided for six months. A mixed methods impact of APT devices on the children and families included the Family Impact Assistive Technology Scale for Adaptive Seating (FIATS-AS); the Child Engagement in Daily Life (CEDL) questionnaire; and a qualitative assessment from diary/log and semi-structured interviews. Ten children (median 3 years, range 9 months to 7 years). Baseline to follow-up median (IQR) FIATS-AS were: 22.7 (9.3) and 30.3 (10.2), respectively (p=.002). Similarly mean (SD) CEDL scores for "frequency" changed from 30.5 (13.2) to 42.08 (5.96) (p=.021) and children's enjoyment scores from 2.23 (0.93) to 2.91 (0.79) (p=.019). CEDL questionnaire for self-care was not discriminatory; seven families scored zero at both baseline and 6 months. Qualitative interviews revealed three key findings; that APT improved functional ability, involvement/interaction in daily-life situations, and a reduced family burden of care. APT devices used in Kenyan children with non-ambulant CP had a meaningful positive effect on both the children's and their families' lives. Assistive devices are often unobtainable for children with cerebral palsy (CP) in low-income countries. APT is a low cost and sustainable solution to make seating and standing devices for disabled children in Kenya. The regular use of a postural support device enhanced the children's motor skills, ability to function and participate in everyday activities, reduced the burden of care for the families and promoted the children's social interaction. The postural support devices were highly valued and utilised by the children and families in this study. [ABSTRACT FROM AUTHOR]

BACKGROUND: Screening of hemoglobin (Hb) before blood donation is one among the vital tests. It is performed to select a blood donor to prevent the collection of blood from an anemic person. However, no accurate, cost-effective, reliable, and standardized method is available to estimate Hb. OBJECTIVE: The aim is to evaluate the efficacy of filter paper cyanmethemoglobin (FPCH) method with the automated hematology analyzer in the estimation of Hb concentration for screening of a suitable donor. METHODOLOGY: This was a cross-sectional study in which the blood samples of 2000 patients visiting KLE's Dr. Prabhakar Kore Charitable Hospital, Belagavi, were collected in vials and directly estimated for Hb using automated hematology analyzer. To evaluate the efficacy of FPCH, 20 μL of blood sample was transferred onto Whatman filter paper and dried at room temperature. After drying, it was placed in 5 mL of Drabkin's solution for 30 min. Optical density was estimated by measuring the absorbance. Data were analyzed using SPSS version 20. The correlation coefficient, paired t-test, and difference between the means of both the methods were calculated. RESULTS: The mean Hb estimated by FPCH was 11.25 g/dL and automated hematology analyzer gave 11.35 g/dL. The difference in the means of both the methods was 0.1 g/dL. Paired t-test was done to test the level of significance and the result was 8.151 (95% confidence interval: 0.08–0.13 g/dL, P < 0.001). The correlation coefficient was found to be 0.976 (P < 0.001). CONCLUSION: FPCH is an efficient method, which is comparable to the automated hematology analyzers for Hb estimation. It could be used as an alternative screening tool for detection of Hb in a blood donation camp. [ABSTRACT FROM AUTHOR]

BACKGROUND: Since the inception of the Youth Risk Behavior Surveillance System in 1991, all surveys have been conducted in schools, using paper and pencil instruments (PAPI). For the 2019 YRBSS, sites were offered the opportunity to conduct their surveys using electronic data collection. This study aimed to determine whether differences in select metrics existed between students who completed the survey electronically versus using PAPI. METHODS: Thirty risk behaviors were examined in this study. Data completeness, response rates and bivariate comparisons of risk behavior prevalence between administration modes were examined. RESULTS: Twenty‐nine of 30 questions examined had more complete responses among students using electronic surveys. Small differences were found for student and school response rates between modes. Twenty‐five of 30 adolescent risk behaviors showed no mode effect. CONCLUSIONS: Seven of 44 states and DC participated electronically. Because survey data were more complete; school and student response rates were consistent; and minor differences existed in risk behaviors between modes, the acceptability of collecting data electronically was demonstrated. [ABSTRACT FROM AUTHOR]

Objective: The medical record is critical for documentation and communication between healthcare professionals. This study compared the completeness of orthopaedic documentation between the electronic medical record (EMR) and paper medical record (PMR). Methods: A review was undertaken of 400 medical records (200 EMR, 200 PMR) of patients with operatively managed traumatic lower limb injury. The operative report, discharge summary and first and second out-patient reviews were evaluated using criteria designed by a senior orthopaedic surgeon and senior physiotherapist. The criteria included information deemed critical to the post-operative care of the patient in the first 6 weeks post-surgery. Results: In all cases, an operative report was completed by a senior surgeon. Notable findings included inferior documentation of patient weight-bearing status on the operative report in the EMR than PMR group (P = 0.018). There was a significant improvement in the completion of discharge summaries in the EMR compared with PMR cohort (100% vs 82.5% respectively; P < 0.001). In the PMR group, 70.0% of discharge summaries were completed and adequately documented, compared with 91.5% of those in the EMR group (P < 0.001). At out-patient review, there was an improvement in documentation of weight-bearing instructions in the EMR compared with PMR group (81.1% vs 76.2% respectively; P = 0.032). Conclusion: The EMR is associated with an improvement in the standard of orthopaedic medical record documentation, but deficiencies remain in key components of the medical record. What is known about the topic?: Medical records are an essential tool in modern medical practice and have significant implications for patient care and management, communication and medicolegal issues. Despite the importance of comprehensive documentation, numerous examples of poor documentation continue to be demonstrated. Recently, significant changes to the medical record in Australia have been implemented with the conversion of some hospitals to an EMR and the implementation of the My Health Record. What does this paper add?: Standards of patient care should be monitored continuously and deficiencies identified in order to implement measures for improvement and to close the quality loop. This study has highlighted that although there has been improvement in medical record keeping with the implementation of an EMR, the standard of orthopaedic medical record keeping continues to be below what is expected, and several key areas of documentation require improvement. What are the implications for practitioners?: The implications of these findings for practitioners are to highlight current deficiencies in documentation and promote change in current practice to improve the quality of medical record documentation among medical staff. Although the EMR has improved documentation, there remain areas for further improvement, and hospital administrators will find these observations useful in implementing ongoing change. [ABSTRACT FROM AUTHOR]

Objectives: A national electronic health record is being procured for Health Service Executive hospitals in Ireland. A number of hospitals have implemented an electronic document management system. This study aimed to investigate the efficiency and safety of the electronic document management system in our centre. Methods: A retrospective audit was performed of patients operated on at Galway University Hospital. The availability and location of patients' admission data on the electronic document management system were recorded. These data were analysed using Microsoft Excel software, version 16.45. Results: The records of 100 patients were analysed. The main findings were: 5 per cent of operation notes were missing, 80 per cent were in the incorrect section, while 15 per cent were in the correct 'procedure' section on the electronic document management system. Conclusion: This study shows there is potential for error with 'paper-light' solutions, whereby delayed scanning, misfiling of scanned records and missing records may lead to significant delays in treatment and potential patient safety issues. [ABSTRACT FROM AUTHOR]

Institutional discovery environments now serve as central resource databases for researchers in the academic environment. Over the last several decades, there have been numerous discovery layer research inquiries centering primarily on user satisfaction measures of discovery system effectiveness. This study focuses on the creation of a largely automated method for evaluating discovery layer quality, utilizing the bibliographic sources from student research projects. Building on past research, the current study replaces a semiautomated Excel Fuzzy Lookup Add-In process with a fully scripted R-based approach, which employs the stringdist R package and applies the Jaro-Winkler distance metric as the matching evaluator. The researchers consider the error rate incurred by relying solely on an automated matching metric. They also use Open Refine for normalization processes and package the tools together on an OSF site for other institutions to use. Since the R-based approach does not require special processing or time and can be reproduced with minimal effort, it will allow future studies and users of our method to capture larger sample sizes, boosting validity. While the assessment process has been streamlined and shows promise, there remain issues in establishing solid connections between research paper bibliographies and discovery layer use. Subsequent research will focus on creating alternatives to paper titles as search proxies that better resemble genuine information-seeking behavior and comparing undergraduate and graduate student interactions within discovery environments. [ABSTRACT FROM AUTHOR]

Objective: Understanding the impact different journal articles have in any academic field is important – particularly in emerging professions. A bibliometric analysis like this does not yet exist for paramedicine, despite the rapid increase in its primary literature. The objective of the present study was to identify and analyse the 100 top‐cited articles about paramedicine. Methods: We searched the Scopus database in August 2020 for studies relating to paramedicine. After screening titles and abstracts, we extracted the citation count, journal name, publication year, and country of origin. We manually assessed whether the study was clinical or not, noted the sex of the authors, the profession of first and last authors and the study design used. Results: The median citation count for the top 100 papers in paramedicine was 58 (interquartile range 46–84 citations). The articles were published across 48 different journals, with Resuscitation and Prehospital Emergency Care being the two most frequent. The top‐cited paramedic papers originated from 16 different countries and were written predominantly by medical doctors. Three quarters (73%) of the studies had a clinical focus, and a quarter (26%) were randomised controlled trials. Conclusions: The evolution of paramedicine towards professionalism is backed up by the growth of its own body of knowledge. This analysis of the 100 most cited studies in paramedicine is the first of its kind and highlights that paramedicine articles have a high citation count and are published across numerous journals, but with a relative lack of contribution from paramedic practitioners and female researchers. [ABSTRACT FROM AUTHOR]

Paper-based visual analogue scale (VAS) items were developed 100 years ago. Although they gained great popularity in clinical and medical research for assessing pain, they have been scarcely applied in other areas of psychological research for several decades. However, since the beginning of digitization, VAS have attracted growing interest among researchers for carrying out computerized and paper-based data assessments. In the present study, we investigated the research question "Which different design characteristics of paper-based VAS items are preferred by women and men?" Based on a sample of 115 participants (68 female), our results revealed that the respondents preferred a paper-based VAS item with a horizontal, 8-cm long, 3 DTP ("desktop publishing point") wide, black line, with flat line endpoints, and the ascending numerical anchors "0" and "10", both for women and men. Although we did not identify any gender difference in these characteristics, our findings uncovered clear preferences on how to design paper-based VAS items. [ABSTRACT FROM AUTHOR]

Aim: This study aimed to evaluate the effects of uncoated paper on skin moisture, pressure injury risk and pressure injury incidence in neurological intensive care unit patients. Methods: A randomized controlled design was used. The experimental group (n = 68) received usual care (repositioning every 2 h and use of an air mattress) and application of uncoated paper on the sacral area for 5 days, whereas the control group (n = 67) received only usual care. A repeated measures analysis of variance was used to determine changes in the skin moisture and risk of pressure injury between the groups. A chi‐squared test was used to determine the change in the incidence of pressure injuries for sacral area. Data were collected from 20 October 2017 to 6 March 2018. Results: There were statistically significant differences in the skin moisture and risk of pressure injuries between the experimental and control groups. However, a significant difference was not observed in the incidence of pressure injuries between the groups. Conclusion: The use of uncoated paper may be a valid nursing intervention for the prevention of pressure injuries in neurological intensive care unit patients. SUMMARY STATEMENT: What is already known about this topic? The neurological intensive care unit patients with motor deficits, loss or deterioration of sensory function and decreased consciousness have high risk of pressure injuries.Although various guidelines consider excessive skin moisture as an important cause of pressure injuries, few targeted interventions exist to manage excessive skin moisture. What this paper adds? The uncoated paper application was effective in reducing skin moisture in neurologic intensive care unit patients.In addition, application of uncoated paper application has an effect on risk of pressure injury in neurologic intensive care unit patients. The implications of this paper: The use of uncoated paper may be a valid nursing intervention for the prevention of pressure injuries in neurological intensive care unit patients.Nurses should recognize that pressure injuries are potentially preventable adverse events and use various preventive interventions including skin moisture management. [ABSTRACT FROM AUTHOR]

Scrutiny about and controversy regarding the use of college admissions tests have increased since COVID‐19 eliminated mass face‐to‐face testing. At that time, many selective colleges chose to make their admissions decisions without using such tests. More recently, the controversy has been sustained as some selective colleges and universities have reinstated requiring test scores. These tests, primarily the ACT and SAT, have received empirical support but also have faced substantial criticism from test critics and researchers. This paper examines contributions of admissions tests for predicting college outcomes in the presence of additional information available for making college decisions. We investigate relations of ACT tests with academic outcomes for four successive (2011–2014) first‐year cohorts at a large, moderately selective Midwestern Research 1 university. Analyses examine how strongly ACT college admissions tests are related to short‐ and long‐term college success for students controlling for their backgrounds (citizenship, race/ethnicity, first‐generation, sex, socio‐economic status). ACT tests contributed modestly to the prediction of first‐year performance. However, with first year college GPA included, ACT tests failed to add to the prediction of GPA in years 2, 3, and 4, and to prediction of dropout and graduation. These findings inform conversations about the use of college admissions tests post‐COVID. [ABSTRACT FROM AUTHOR]

What is known and objective: Renal impairment (RI) and renal drug‐related problems (rDRP) often remain unrecognized in the community setting. A "renal pharmacist consultant service" (RPCS) at hospital admission can support patient safety by detecting rDRP. However, the efficient information sharing from pharmacists to physicians is still discussed. The aim of the study was to test the implementation of a RPCS and its effectiveness on prescription changes and to evaluate two ways of written information sharing with physicians. Methods: Urological patients with eGFRnon‐indexed of 15‐59 ml/min and ≥1 drug were reviewed for manifest and potential rDRP at admission by a pharmacist. Written recommendations for dose or drug adaptation were forwarded to physicians comparing two routes: July‐September 2017 paper form in handwritten chart; November 2017‐January 2018 digital PDF document in the electronic patient information system and e‐mail alert. Prescription changes regarding manifest rDRP were evaluated and compared with a previous retrospective study without RPCS. Results and discussion: The RPCS detected rDRP in 63 of 234 (26.9%) patients and prepared written recommendations (median 1 rDRP (1‐5) per patient) concerning 110 of 538 (20.5%) drugs at admission. For manifest rDRP, acceptance rates of recommendations were 62.5% (paper) vs 42.9% (digital) (P = 0.16). Compared with the retrospective study without RPCS (prescription changes in 21/76 rDRP; 27.6%), correct prescribing concerning manifest rDRP significantly increased by 27.1%. What is new and conclusion: A RPCS identifies patients at risk for rDRP and significantly increases appropriate prescribing by physicians. In our hospital (no electronic order entry, electronic chart or ward pharmacists), consultations in paper form seem to be superior to a digital PDF document. [ABSTRACT FROM AUTHOR]

Background: The gut microbiome is an important determinant of health and disease in preterm infants. Objectives: The objective of this article was to share our current protocol for other neonatal intensive care units to potentially expand their existing protocols, aiming to characterize the relationship between the intestinal microbiome and health outcomes in preterm infants. Methods : This prospective, longitudinal study planned to recruit 160 preterm infants born <32 weeks gestational age or weighing <1,500 g and admitted to one of two Level III/IV neonatal intensive care units. During the neonatal intensive care unit period, the primary measures included events of early life pain/stress, gut microbiome, host genetic variations, and neurobehavioral assessment. During follow-up visits, gut microbiome; pain sensitivity; and medical, growth, and developmental outcomes at 4, 8-12, and 18-24 months corrected age were measured. Discussion : As of February 14, 2020, 214 preterm infants have been recruited. We hypothesize that infants who experience greater levels of pain/stress will have altered gut microbiome, including potential adverse outcomes such as necrotizing enterocolitis and host genetic variations, feeding intolerance, and/or neurodevelopmental impairments. These will differ from the intestinal microbiome of preterm infants who do not develop these adverse outcomes. To test this hypothesis, we will determine how alterations in the intestinal microbiome affect the risk of developing necrotizing enterocolitis, feeding intolerance, and neurodevelopmental impairments in preterm infants. In addition, we will examine the interaction between the intestinal microbiome and host genetics in the regulation of intestinal health and neurodevelopmental outcomes. [ABSTRACT FROM AUTHOR]

(1) To describe facilitators and barriers to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) food shopping via electronic benefits transfer (eWIC) compared with paper vouchers. (2) To explore suggestions that WIC participants had for modifying the program to enhance their overall WIC experience. Qualitative, semistructured, in-depth interviews. WIC participants in East Tennessee. Twenty-four primary food shoppers of WIC-participating households aged at least 18 years were recruited using a purposive sampling strategy. Perceived facilitators and barriers to use of eWIC as compared with paper vouchers. Interview transcripts were analyzed using a grounded theory approach to identify emergent themes. Participants identified several ways eWIC has improved their food shopping experience, including ad hoc redemption of WIC benefits and a quicker, more discrete checkout. Participants' chief complaint about eWIC was transaction errors at checkout. Participants identified other barriers to shopping for WIC foods that cannot be addressed by the card alone, such as difficulty identifying WIC items in-store. Participants reported changes to their benefit tracking behaviors and provided suggestions to improve WIC further. The transition to eWIC was viewed favorably among WIC participants, although participants identified a need for additional support in addressing transaction errors. This finding presents an opportunity to modify messages delivered to WIC participants by WIC nutrition educators and enhance collaboration between WIC agencies, retailers, and e-commerce technology providers. [ABSTRACT FROM AUTHOR]

The aim of this study was to examine the effects that reading on screens (using digital devices with different screen sizes) and on paper have on reading time and comprehension. The study group was comprised of126 secondary students from a private school. To ensure balance, the participants were assigned into test groups, formed according to the size of the reading device, based on class levels, gender, and average school grade. In the data collection process, a narrative text was transferred to both print and electronic media. Access to the text was provided on paper and three digital devices. There were no time limitations. After reading, participants were given comprehension tests that consisted of twenty multiple-choice questions. Female participants' on-screen comprehension scores were found to be relatively higher compared to their paper comprehension scores. They also acquired better scores as the screen size increased. Conversely, male participants had higher comprehension scores on tablets and smart phones. Participants who read the text on smart phones and tablets completed the tasks in less time compared to other groups. However, the effects of reading modality on comprehension and reading time were not found to be statistically significant in either the male or female groups. [ABSTRACT FROM AUTHOR]

Aim: The present study aims at teaching the right citation models in scientific publications by top authors from Iranian universities of medical sciences in 2017, considering the relationship between moral development and self-control variables and model of "citation to multi-authored papers" in these articles. Background: Multi-authorship increases the amount of self-citation and also increases the likelihood of being cited by others. Methods: This study is of the applied scientometrics and correlation (model presentation) studies type. The research population in the first part of this study includes all the authors who had an H-index of 10 or more in the scientific databases of 2017. The sample size at this stage was 110, selected by systematic random sampling. The collected data were analyzed using SPSS 16.0. Results: The results of regression analysis based on the concurrent method indicated that the regression model is significant. The coefficient of determination is 0.096 and the F ratio is 5.650, which are significant at the level of p <0.001. In this regression model, the variables of the level of moral development (β = -5.801, p <0.001) and self-control (p < 0.001, β = -0.253) have significant predictive power and can be considered as predictors of behavioral modeling in citing "multi-authored papers". Conclusion: Based on the results, teaching how to avoid blindly citing the "multi-authored papers", which is regarded as a kind of "citation deviation", can, to some extent, lead to strengthening citation indexes. [ABSTRACT FROM AUTHOR]

Aim: This study aimed to identify and investigate the main characteristics of the top 100 most cited studies on conflict in published in nursing category in the Web of Science database using bibliometric and social network analysis methods. Design: A retrospective bibliometric analysis was used. Methods: The study data were obtained from the Web of Science (WoS) database. The top 100 studies with the highest number of citations were included in the study. The study data were analysed with Excel and SPSS and they were visualized with VOSviewer. Results: It was concluded that the studies in the research were published in 38 different journals between 1974–2019 and they were conducted by 245 different authors from 24 different countries. It was further reported that the Journal of Advanced Nursing was the most productive journal and the USA was the most productive country. The most commonly used keywords were "nurse," "conflict," "nursing," "job satisfaction," "work‐family conflict" and "ethical conflict." Conclusion: The issue of conflict is a growing field of scientific study for nursing researchers. The quality of researches will be certainly enhanced in future with the studies published in journals with high impact factors. Impact: The research of the top 100 most cited paper is a new and innovative bibliometric approach to understand nursing literature. There is very little information about the development, structure and characteristics of the existing mass of knowledge on conflict in nursing studies. The study findings establish a basis of information for planning further studies and providing guidance. In addition, this study provides researchers, scientific journals, institutions and countries with an opportunity to assess and compare their own performance in conflict literature in nursing studies. However, the fact that the most cited studies in the field of conflict in nursing is in demand by journals with high impact factor is a source of motivation for researchers studying in this field. [ABSTRACT FROM AUTHOR]

BACKGROUND: Toe function is characterised by the strength and dexterity of toe motion. However, previous studies have mostly focused on the importance of toe strength. OBJECTIVE: This study aimed to investigate the relationships between flexion strength and dexterity of the toes and physical performance. METHODS: Twenty healthy participants were included in this study. The flexion force of each toe was measured using a digital force gauge, and the toe dexterity was evaluated using the marble pick-up and rock-paper-scissors tests. These parameters were statistically analysed in relation to physical performance, including repeated side step and balance ability, which was evaluated using centre of pressure (COP) data during single-leg standing, tiptoe standing, and single-leg drop-jumping. RESULTS: A significant correlation was found between the first toe flexion force and the total trajectory length of the COP during one-leg standing and between the time required for marble pick-up and the rock-paper-scissors score and the COP during single-leg drop-jumping. CONCLUSION: The results underscore the importance of flexion strength and dexterity of the toes in human physical performance and the necessity for the evaluation and improvement of both functions. [ABSTRACT FROM AUTHOR]

Objective: The primary aim of this study was to investigate the immediate and delayed effects of kinesiotape (KT) on postural control and patient-reported outcome measures under challenging conditions in individuals with anterior cruciate ligament reconstructions. Methods: Thirty-two anterior cruciate ligament-reconstructed patients for whom 6 months had passed since their operation were randomly assigned to either the KT (n = 16, aged 21.8 [5.5] y) or the placebo KT (n = 16, aged 24.0 [5.1] y) groups. Initially, both groups stood barefoot on a force platform while performing postural tasks in 4 randomized conditions (eyes open, eyes closed, cognitive task, and foam). Before the experiment, patients would bring the 4 conditions, which were written on folded papers, one by one, and in this way, the order of conditions for the examiners was determined. The patients' evaluations were conducted immediately and 48 hours after KT application. Postural control measures, with area and displacement of the center of pressure (CoP) in anterior--posterior and medial--lateral directions, and mean total velocity displacement of CoP (MVELO CoP) served as dependent variables. In addition, the International Knee Documentation Committee score was measured pretreatment and 48 hours posttreatment. Results: Significant group-by-time interactions were observed for displacement of COP in medial--lateral direction (P = .002) and MVELO CoP (P = .034). MVELO CoP significantly decreased (mean difference = 0.60, P = .009) immediately after KT application compared with preapplication measures. In the placebo group, a statistically significant decrease in MVELO CoP (mean difference = 0.869, P = .001) was observed at 48 hours post-KT compared with preapplication values. International Knee Documentation Committee scores significantly improved at 48 hours post-KT application in both groups (P < .05). Conclusions: Though observed at different time points, both KT (immediately after the intervention) and placebo KT (48 h after the intervention) were found to improve postural control measures. It appears that the changes in postural control may be more related to proprioceptive enhancement due to KT rather than the specific KT pattern. [ABSTRACT FROM AUTHOR]

This paper focused on the effectiveness of a parent empowerment intervention based on nursing education (PEINE). This study examined whether the intervention improved the quality of life of children with cystic fibrosis (CF) and improved their caregivers learn about the disease and develop problem-solving and coping skills. This randomized-controlled trial used a pretest-posttest parallel-group research design. The sample consisted of 48 parents (caregivers) of children with CF. Participants were randomly assigned to an intervention (n = 24) and a control group (n = 24). The intervention group received PEINE and standard care and treatment for ten weeks. The control group received standard care and treatment. Data were collected using a Disease Information Survey (DIS), the Ways of Coping Inventory (WCI), the Problem-Solving Inventory (PSI), and the Cystic Fibrosis Questionnaire (CFQ-R). After the intervention, the intervention group DIS scores (d: 1,627 [CI: 0.934,2.305], had more correct answers than the control group. Nursing interventions were effective (p <.001). There was no significant difference in the mean pretest-posttest PSI scores (d: 0.378 [CI: −0.221-0.972], posttest WCI scores (d: 0.239 [CI:-0.356-0.831]) between the intervention and control groups (p>.05). There was a significant difference in the mean posttest CFQ-R scores between the intervention and control groups (d: 1.363 [CI: l.698, 2.015]);(p <.001). PEINE increased the intervention group participants develop disease-management skills. However, the increase in their PSI and WCI scores was statistically insignificant. PEINE also increased the quality of life of children with CF. Parents of children followed in pediatric pulmonary diseases participated in the study. Parents were informed during outpatient clinic visits. After the first meeting, the children and parents who voluntarily agreed to participate in the research were contacted by phone. The outpatient nurse assisted in communicating with children and parents. What is already Known Planned nursing education positively affects disease management. Problem solving and coping skills of parents of children with chronic diseases are negatively affected. Health-related quality of life in children with CF varies depending on parent-related variables (disease knowledge, problem solving and coping with stress, etc.). What this paper adds PEINE helps caregivers. PEINE increase the quality of life of children with CF. PEINE results in positive clinical outcomes regarding the care and treatment of children with CF. PEINE did not increase parents' problem solving and stress coping skills. Nursing initiatives that deal with cultural and ethnic structure should be planned in parent-oriented interventions. Trial registration: ClinicalTrials.gov, NCT03800459. [ABSTRACT FROM AUTHOR]

Aims: This study aimed to determine the effect of web‐designed education developed for asthma patients on drug adherence, asthma control and fatigue. Methods: This randomized controlled trial was conducted between August 2021 and January 2022 with 200 individuals suffering from poor asthma control who participated in web‐designed education. After the intervention, the asthma patients were followed up for 6 weeks to measure Medication Adherence Report Scale (MARS), Chronic Obstructive Pulmonary Disease and Asthma Fatigue Scale (CAFS), Asthma Control Test (ACT) and Inhalation Devices Usage Techniques Knowledge Test (IDUSTKT). Data were analysed in the Statistical Package for the Social Sciences program using the Chi‐square test, Independent t‐test, Man–Whitney U test, Wilcoxon test, Paired t‐test, Greenhouse–Geisser (F) test and Linear regression. Results: The web‐designed education had a statistically significant effect on the total scores of CAFS, ACT and IDUSTKT for individuals with asthma (p < 0.001). This intervention decreased fatigue levels, improved asthma control and enhanced knowledge of inhalation device usage techniques. Although there was an improvement in medication adherence, this difference was not statistically significant. Conclusion: These results suggest that web‐based educational programs can be an effective tool in asthma management and may improve patients' quality of life. Future research should examine the long‐term effects of such educational programs and their effectiveness across different demographic groups in more detail. Summary statement: What is already known about this topic? Asthma is a common public health problem, and it affects individuals' physical and social lives.There are some studies in the literature on the prevalence and treatment of asthma, but there are few studies on web‐based training and counselling programs. What this paper adds? This study demonstrates that web‐designed asthma education and counselling programs can improve asthma control, fatigue levels, inhalation device usage techniques knowledge and some accompanying problems in patients with asthma. The implications of this paper: Health personnel and administrators should be aware of the potential benefits of web‐designed asthma education and can recommend the implementation of the program.A web‐designed approach helps to reach patients who do not want to participate in a traditional asthma education program. [ABSTRACT FROM AUTHOR]

Aims: This work aimed to analyse retrospective data on hypotension incidence and associated factors among patients requiring continuous renal replacement therapy. Background: The incidence and risk factors of continuous renal replacement therapy‐related hypotension have not been adequately explored. Design: The study was designed as a retrospective analysis. Methods: Patients who required continuous renal replacement therapy in the ICU between January 2017 and June 2021 were reviewed. The multivariate logistic regression model was used to determine the associated factors of hypotension. Results: Hypotension occurred in 242 out of 885 circuits (27.3%) among 140 patients. The logistic regression analysis identified seven factors associated with the occurrence of hypotension during CRRT: serum albumin (OR = 0.969, 95%CI: 0.934–0.999), serum calcium (OR = 0.514, 95%CI: 0.345–0.905), CO2CP (OR = 0.933, 95%CI: 0.897–0.971), use of vasopressors (OR = 5.731, 95%CI: 4.023–8.165), hypotension before CRRT initiation (OR = 2.779, 95%CI:1.238–6.242), age (OR = 1.016, 95%CI: 1.005–1.027), and fluid removal rate (OR = 1.002, 95%CI: 1.001–1.003). Conclusions: Hypotension frequently occurs in patients receiving continuous renal replacement therapy, especially in the early stages. Multiple factors can be associated with cardiac output or peripheral resistance changes, including excessive ultrafiltration, vasopressors, serum albumin and serum calcium levels, and carbon dioxide combining power. Summary statement: What is already known about this topic Continuous renal replacement therapy (CRRT) has been widely used in intensive care units for patients with acute kidney injury sepsis, acute pancreatitis, severe electrolyte and metabolic disturbances.Hypotension during CRRT has been reported as one of the most common adverse events.The incidence and risk factors of CRRT‐associated hypotension have not been adequately explored. What this paper adds? Despite its reputation as the dialysis modality with better haemodynamic tolerance, hypotension frequently occurs in patients receiving CRRT, and at any time during the treatment, especially in the early stage.Multiple factors leading to cardiac output or peripheral resistance changes can be linked with hypotension during CRRT include excessive ultrafiltration, vasopressor use, serum albumin and serum calcium level, and carbon dioxide combining power. The implications of this paper: It might not always be an appropriate response to lower the ultrafiltration rate for preventing hypotension during CRRT.There remains a lack of evidence in critically ill patients for CRRT‐related interventions to limit the occurrence of hypotension. [ABSTRACT FROM AUTHOR]

Background: Individuals with type 2 diabetes are at risk of delaying or not performing diabetes health promotion self‐care behaviours because of their social or self‐stigmatization. Aim: The study aimed to reveal the effect of stigmatization on diabetes health promotion self‐care behaviours and predictors of stigma and diabetes health promotion self‐care behaviours in individuals with type 2 diabetes. Methods: This cross‐sectional study included 235 individuals with type 2 diabetes. The Diabetes Stigma Assessment Scale (DSAS) and Diabetes Health Promotion Self‐Care Scale (DHPSCS) were used for data collection. Results: There was a significant, negative correlation between the DSAS and DHPSCS scores. High mean scores on the DSAS and its subscales treated differently, blame/judgement and self‐stigma were predictors of a negative effect on diabetes self‐care behaviours. Poor health status, alcohol intake and diabetes complications are predictive of stigma. Insulin use and self‐monitoring blood glucose are predictors of self‐care behaviours. Conclusion: Stigma negatively affects diabetes self‐care behaviours in individuals with type 2 diabetes. Nurses could provide education on improvement of health status, harms of alcohol intake and management of diabetes complications. Counselling for coping with stigma and performing self‐care could be provided. Nurses could organize interventions to raise awareness about diabetes in society. Summary statement: What is already known about this topic? Diabetes health promotion self‐care behaviours are important to ensure diabetes management in individuals with type 2 diabetes.Stigmatization is known to negatively affect individuals with type 2 diabetes. What this paper adds? Negative correlations were found between stigmatization and diabetes health promotion self‐care behaviours.Treated differently, blame and judgement and self‐stigma were found to be predictors of a negative effect on diabetes health promotion self‐care.Poor health status, diabetes complications and drinking alcohol were found to be predictors of diabetes stigma. The implications of this paper: Nurses should deliver education on enhancement of health status, damages of alcohol intake and management of diabetes complications.Nurses should offer psychosocial support programmes to avoid self‐stigma in individuals with type 2 diabetes.Nurses could perform interventions to increase awareness about diabetes in society. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study is to develop a new instrument (The Lean Management Scale for Nursing Services in Hospitals‐ LMS‐N) to evaluate the lean levels of nursing services in hospitals and to evaluate its psychometric properties. Method: A three‐phase construct was used to develop this scale and to determine its psychometric properties: (1) creating the item pool, (2) preliminarily evaluating items and (3) evaluating psychometric properties. This methodological study evaluated the scale's face, content and construct validities, internal consistency, and temporal stability. The psychometric properties of the scale were tested with a total of 695 nurses in different sample groups. Data were collected between 18 November 2020 and 15 May 2021. Results: The scale's content validity index was 0.75. According to principal component analysis, the scale included 22 items and five subdimensions, and the total variance was 60.32%. In confirmatory factor analysis, the fit indices were good or acceptable for this construct. Its internal consistency was good or acceptable according to reliability analysis. Test–retest showed that the scale had temporal stability. Conclusion: Lean Management Scale in Nursing Services in Hospitals is a valid and reliable tool that can evaluate the level of leanness of nursing services. It provides a comprehensive evaluation with five subdimensions: management support, visual stock management, work environment layout, preventive notification system and waste detection. Summary Statement: What is already known about this topic? Lean management is to support nurses in gaining more control over their duties, increasing work efficiency, and reducing waste.Using a valid and reliable measurement tool that includes the lean management concept is a critical step to improve non–value‐added activities and irregular working conditions in nursing services and to increase the quality of service and care provided by nurses. What does this paper add? The Lean Management Scale for Nursing Services in Hospitals (LMS‐N) is a valid and reliable tool that can be used for evaluating the level of lean of nursing services in hospitals. The implications of this paper The LMS‐N can be used to evaluate the leanness level of nursing services in hospitals.With the LMS‐N, accurate and consistent data can be obtained to determine what leads to waste and non–value‐added activities in nursing facilitating better management of nurses' working time.The data obtained with LMS‐N can guide nurse managers in determining the strategies to be followed to make the necessary improvements that can ensure lean nursing services. [ABSTRACT FROM AUTHOR]

Aims: This study aimed to examine the effectiveness of a web application on health literacy and self‐efficacy in managing arm oedema symptoms among patients with breast cancer. Methods: The research was carried out in four phases as follows: Phase 1, using a qualitative approach to explore problems and information needs in educating breast cancer patients through in‐depth interviews with 10 professional nurses who had experiences in caring for breast cancer patients and 20 breast cancer patients. Data were analysed by content analysis; Phase 2, designing and developing a web application and confirming its quality by five experts with experience caring for breast cancer patients; Phase 3, testing the web application with five breast cancer patients; and Phase 4, examining the effectiveness of a web application in breast cancer patients using a quasiexperimental research method. Patients were divided into 15 persons in control and 15 in intervention groups, a total of 30 persons. The tools used in the study consisted of (1) a web application on practices for reducing risk for arm oedema after breast cancer treatment, (2) a health literacy assessment tool, (3) a self‐efficacy for managing symptoms questionnaire and (4) a web application satisfaction questionnaire. Data were analysed using descriptive statistics, chi‐square and t test. Results: Qualitative findings: The web application should cover patients' and nurses' views on arm oedema causes, assessment, prevention and self‐care for managing swelling after breast cancer treatment. Characteristics of a web application required: large text, bright colours, clear visibility, accompanying pictures or videos, using simple language without official terminology, easy to access, convenient to use, concise, interesting content and shareable to others. Quantitative findings: The intervention group had significantly higher health literacy and self‐efficacy in managing symptom scores than before the trial (p < 0.001). Sample groups were satisfied with the developed web application at a high level. When considering each item, it was found that all items were rated at high levels. Two items with the same highest score were ease of use and the attractiveness of the presentation style. Conclusion: This web application, aimed at reducing the risk of arm oedema after breast cancer treatment, is an effective tool for educating all hospitalized patients. In addition, further research should be conducted to monitor the sustainability of long‐term and clinical outcomes. Summary statement: What is already known about this topic? Some patients with breast cancer experience arm oedema either immediately after treatment or over extended periods.Web applications have become a valuable tool for educating patients with breast cancer. However, the features of the web applications designed to reduce the risk of breast cancer‐related lymphedema and their effectiveness remain unclear. What this paper adds? An effective web application for preventing breast cancer‐related lymphedema should cover causes, assessment, prevention strategies and self‐management guidelines. Key features should include large text, user‐friendly design, attractiveness and clarity.Web applications can help patients with breast cancer improve health literacy and self‐efficacy in managing symptoms. The implications of this paper: The web application should be used to educate breast cancer patients. [ABSTRACT FROM AUTHOR]

Background: Hypertension is a chronic disease that consumes considerable medical resources. Aim: The aim of this study is to evaluate a model able to develop and assess the effectiveness of a mobile application disease self‐management programme regarding mental health and self‐management for patients with hypertension. Methods: A randomised controlled trial and single‐blind random assignment was employed to group the participants. A total of 100 patients were collected from the cardiology clinic of a teaching hospital in Taiwan. There were 50 participants in each group: the mobile application group (experimental group) and the routine care (control group). The primary outcome measures were mental health and self‐management. Results: This study discovered that the intervention improved the mental health and self‐management of the experimental group. The results for the experimental group revealed significantly improved effects and outcomes superior to those of the control group. Conclusions: The study results verified that a mobile application disease self‐management programme could improve the mental health and disease self‐management of patients with hypertension. Summary Statement: What is already known about this topic? Hypertension is a chronic disease that consumes considerable medical resources.Disease self‐management programmes have been successfully applied for many patients with chronic diseases and have been verified to provide benefits, such as effectively changing and maintaining the health behaviours of patients, reducing medical costs and increasing quality of life. What this paper adds? The mobile application disease self‐management programme is verified to improve the mental health of patients with hypertension.The mobile application disease self‐management programme can effectively improve the disease self‐management of patients with hypertension, and this improvement is superior to that achievable with usual care. The implications of this paper: This study may serve as a reference for nursing personnel for developing unconventional health education programmes.A mobile application disease self‐management programme improved the mental health and disease self‐management of patients with hypertension. [ABSTRACT FROM AUTHOR]

The aim: To explore and describe workplace stress levels and health‐promoting behaviours reported by emergency nurses in China, and to investigate factors associated with workplace stress and health‐promoting lifestyle behaviours among emergency nurses. Methods: A cross‐sectional study was conducted between October 2019 and January 2020. Nurses (n = 1565) were recruited from the emergency departments of 54 hospitals within the Sichuan Province of West China. Each subject completed the Chinese versions of the Nurse Workplace Stress Scale, the Health‐Promoting Lifestyle Profile (HPLP‐II) and demographic questions. Linear regression analyses were used to identify associations between workplace stress and the health‐promoting lifestyle and risk factors correlated with these two measurements. Results: Workplace stress was negatively associated with health‐promoting behaviours. Linear regression analysis showed that gender, marital status, whether wages met expected standards and professional rank were found to be associated with health promotion behaviours; marital status, whether income met expected standards, the number of night shifts per month and health promotion behaviours were found to be associated with workplace stress. Conclusion: Higher levels of workplace stress are associated with lower levels of engagement in health‐promoting behaviours, suggesting the potential for reducing workplace stress through the adoption of healthier habits. Policies should prioritize workplace stress by promoting healthy lifestyle initiatives. Summary statement: What is already known about this topic? Emergency nurses experience high levels of workplace stress. Excessive long‐term stress may result in physical and mental illnesses.The health and quality of life of emergency nurses are profoundly affected by these stressors, and their health status is directly related to the efficiency and quality of their nursing work.Very little research has been conducted on the relationship between workplace stress and health‐promoting lifestyle behaviours in emergency nurses. What this paper adds? Workplace stress was negatively associated with health‐promoting behaviours.Married female nurses, those who did not receive the expected income, and those with lower professional ranks were found to be less likely to engage in health‐promoting behaviours.Interventions to reduce nurses' workplace stress should prioritize the promotion of health‐promoting behaviours. The implications of this paper: Hospital managers should implement active and effective measures in the nursing management of emergency departments to alleviate work pressure on nurses and encourage their healthy lifestyles.The introduction of a flexible scheduling system, taking into account night shift arrangements, can significantly reduce workplace stress caused by the number of night shifts per month.Improving the working environment for emergency nurses by providing easy access to affordable and nutritious meals and snacks and organizing physical activity can reduce stress. [ABSTRACT FROM AUTHOR]

Aim: The study aims to develop a protocol for the combined use of swaddling, facilitated tucking, expressed breast milk and sucrose administration methods in the orogastric tube (OGT) insertion procedure and evaluate its effectiveness. Methods: The randomized controlled trial was conducted in the Neonatal Intensive Care Unit between 15 February 2022 and 15 September 2022, with 175 preterms. Preterms at 32–34 gestational weeks were randomly allocated to five groups: routine care, swaddling + expressed breast milk, swaddling + sucrose, facilitated tucking + expressed breast milk and facilitated tucking + sucrose groups. The data were collected using the Preterm Descriptive Information Form, the Physiological Measurement Form, the COMFORTneo scale and the Premature Infant Pain Profile (PIPP). Results: The facilitated tucking + expressed breast milk method was found to be more effective than the routine care (pdistress < 0.001; ppain = 0.031) and swaddling + expressed breast milk (pdistress = 0.004; ppain = 0.015) methods in reducing the estimated distress and PIPP pain level of preterms during the procedure. Two minutes after the procedure, the facilitated tucking + expressed breast milk method was more effective than the routine care (p < 0.001), swaddling + expressed breast milk (p = 0.011) and swaddling + sucrose (p = 0.002) methods in reducing the comfort level score. Conclusions: The facilitated tucking + expressed breast milk method is effective in reducing pain and distress and providing comfort during the OGT procedure. Clinical Trials ID: NCT05180058. Summary statement: What is already known about this topic? As there is a paucity of evidence‐based literature on the management of OGT, which is a painful procedure, the management of this pain becomes even more crucial, especially in preterms whose development and complication mechanisms are not completed.There are conflicting results in the literature regarding the effectiveness of expressed breast milk and sucrose, so this study is believed to serve as a research topic for further studies. What this paper adds? The highest mean heart rate, the lowest oxygen saturation, the highest estimate of pain and distress level and the highest comfort and pain score averages of the neonates were found during the procedure, indicating that the OGT procedure is painful.The facilitated tucking + expressed breast milk method was effective in decreasing the estimate of distress and the pain level of newborns during the procedure, decreasing the estimate of pain and distress values 1 min after the procedure and decreasing the comfort level score 2 min after the procedure. The implications of this paper: This study, comparing the effectiveness of using expressed breast milk and sucrose in combination with swaddling and facilitated tucking and developing an application protocol, provides an easy‐to‐use nursing practice for preterm pain management.The protocol was developed for combined swaddling, facilitated tucking, expressed breast milk and sucrose administration, and its effectiveness was evaluated.The facilitated tucking + expressed breast milk method may help nurses as a supportive method in pain management. [ABSTRACT FROM AUTHOR]

Aim: This study aimed to analyse cross‐cultural differences in the prevalence of low back pain (LBP) and other back pain of general nurses in direct inpatient care in the Czech Republic (CZ) and Great Britain (GB). Methods: The survey was used using an extended standardized Nordic Musculoskeletal Questionnaire and self‐created additional questions. The data were analysed with Stata 15 using a significance level of 0.05. Results: The data analysis was based on 1043 questionnaires. We identified statistically significant differences in the LBP prevalence between the respondents (CZ 93% and GB 85%) over a period of 12 months. Nurses in both countries stated a higher prevalence of LBP compared to pain in the neck, shoulders or upper back. LBP increases in relation to age, length of work experience, body mass index (BMI) and university education (BSc). Age, length of work experience, BMI and education (nursing college and master's degree) were confirmed as significant risks contributing to the increased prevalence of other back pain as well. Respondents reported a reduction in work performance, leisure activities and the need to change profession in relation to LBP. Conclusion: The results of the study confirm that LBP is a frequent occupational health issue in the general nurses working in direct inpatient care in both countries. Summary statement: What is already known about this topic? The prevalence of LBP is more significant among nursing professionals and their aides than among women of the same age group in the general population, and studies have shown that LBP is a contributing factor to both recruitment and retention of nurses.Although injury prevention training for manual handling and the use of lifting equipment is a global competency and ergonomics management tools are considered important throughout the Western world, there is a lack of research and broad implementation of effective preventative measures that protect healthcare professionals musculoskeletal health in the Czech Republic and many other central European countries.Furthermore, lumbar spine injuries and illnesses are not acknowledged as occupational diseases by the Institute of Health Information and Statistics of the Czech Republic and many other countries across Europe. The prevalence of work‐related back pain and the incidence of lumbar spinal injuries among nursing staff have not been analysed at a nationwide level; thus, the number of health professionals who are seriously affected by musculoskeletal back pain in the Czech Republic is not known. What this paper adds? This study on LBP prevalence in the general nurse population in the CZ and its further evaluation in the dimension of international comparison is the first to provide information on musculoskeletal health and LBP prevalence between countries with different implementation of measures for identifying the risk of musculoskeletal disease in healthcare professionals and for the prevention and protection of the health of the nursing workforce.This study underlines the value of the statutory listing of musculoskeletal disorders on the list of occupational diseases in order to provide an annual overview of the prevalence of spinal disorders and injuries and the origin of occupational accidents in specific occupations.Through the online distribution of a recognized robust tool—the standardized extended version of NMQ—we were able to reach out to a wide range of nursing workforce representatives to collaborate. The implications of this paper: The results of the study provide unique fundamental quantitative data on the prevalence of LBP in the population of general nurses in direct inpatient care in the Czech Republic and Great Britain.The current research will be followed by a nationwide study that will involve nurses who have transitioned out of the healthcare industry prematurely or have pursued less strenuous job roles. This subsequent study aims to enhance our understanding of the effects of lower back pain and its impact on job retention.Information about the extent of nurses' musculoskeletal health is important for the global clinical community to understand its impact on nursing fluctuation and retention and to better address the issue of growing nursing shortages. [ABSTRACT FROM AUTHOR]

Aims: Cognitive frailty refers to the coexistence of physical frailty and cognitive impairment in older adults, without a concurrent diagnosis of Alzheimer's disease or other dementias. This review aims to evaluate the prevalence of CF subtypes and identify influencing factors among Chinese older adults. Methods: The following databases were searched: PubMed/Medline, Embase, Cochrane Library, WOS, PsycINFO and CNKI et al (1 January 2001 to 20 October 2022). The risk of bias was assessed using the Agency for Healthcare Research and Quality Evidence‐based Practice Center Methods Guide. Stata 17.0 software was used to pool the prevalence of cognitive frailty, and the pooled odds ratio and 95% CI of the influencing factors were calculated. Results: The meta‐analysis (56 studies and 80,320 participants) revealed the following prevalence rates: CF (18.9%), reversible CF (19.5%), potentially reversible CF (17.5%), CF in community‐dwelling older adults (14.3%), CF in nursing homes (22.7%) and CF in older inpatients (25.2%). Influential factors identified included age, gender, education, nutrition, depression, exercise, sleep and comorbidity. Conclusions: The prevalence of CF among Chinese older adults is notably high, and it probably underestimates the prevalence of reversible cognitive frailty. It is crucial to encourage adherence to healthy behaviours, as it can effectively reduce and delay the onset of cognitive frailty. Summary statement: What is already known about this topic? (Include key points and/or knowledge gaps) Older patients with cognitive frailty (CF) face higher risks of mortality, dementia and disability.CF has two subtypes: reversible cognitive frailty (RCF) and potential reversible cognitive frailty (PRCF). What this paper adds (research findings/key new information): The prevalence of CF is high in China, especially RCF.The incidence of CF in hospitalized older individuals is higher than that in community‐dwelling and nursing home older individuals. The implications of this paper (how findings influence or can be used to change policy/practice/research/education): Screening for CF should focus on RCF, and timely intervention and multidimensional management during the pre‐frailty and subjective cognitive decline stages are crucial.Routine screening for CF among hospitalized older adults is crucial.It is essential to focus on CF in non‐geriatric individuals with coexisting chronic diseases. [ABSTRACT FROM AUTHOR]

Background: Work and family role conflict is a common source of stressors that affect nurses, leading to negative outcomes on their mental health, such as depressive symptoms, which affect nurses' job performance and patients' health outcomes. Mindfulness positively affected mental health, but its role in the relationship between role conflict and depressive symptoms was not previously examined. Purpose: To examine the mediating role of mindfulness in the relationship between work–family conflict and family–work conflict with depressive symptoms among nurses. Methods: A descriptive cross‐sectional design was used to collect data from a sample of 188 nurses from two large referral hospitals in northern and central Jordan. Data analysis was performed using Pearson correlation and macro PROCESS. Results: The mean score of depressive symptoms in our sample indicated that our sample is at risk for clinical depression. The bivariate correlation showed that depressive symptoms were significantly and negatively associated with work–family and family–work conflicts and significantly and positively associated with mindfulness. Both regression models explained 52% of the variance in depressive symptoms (F [6, 181] = 35.38, p <.001). The models also showed that mindfulness had a significant negative effect on depressive symptoms (t = −8.98, p <.001). The results of macro PROCESS indicated that mindfulness mediated the relationship between work–family conflict and family–work conflict with depressive symptoms. Conclusion: Nurses are exposed to a number of stressors in their work environment, including long work hours and frequent exposure to traumatic events. The current study showed that mindfulness might play a role in mediating the relationship between family–work conflict and family–work conflict with depressive symptoms. Nurses, nurse managers and policymakers can work with healthcare organizations to promote nurses' work quality by controlling risk factors, such as depressive symptoms, and implementing strategies to mitigate these risks. Summary statement: What is already known about this topic? Nurses assume various roles and responsibilities in their professional and personal spheres, resulting in conflicts between their work and family roles.Work and family role conflict can affect nurses' job satisfaction, mental health, care quality, poor sleep quality and depressive symptoms. What this paper adds? Nurses showed a higher level of family–work conflict compared with work–family conflict.Mindfulness significantly mediated the relationship between work–family and family–work conflicts with depressive symptoms. The implications of this paper Considering that work and family role conflicts are inherent and inevitable in nursing, active measures must be taken to reduce their impact on nurses' personal lives and the quality of care being provided.Mindfulness can be a potential area to be considered by nurse managers and policymakers to minimize the impact of work and family role conflicts on nurses and the quality of their work. [ABSTRACT FROM AUTHOR]

Purpose: This study aims to examine the effect of online individual motivational interviewing based on the transtheoretical model on pregnant women's smoking cessation behaviour. Material and Method: Sixty‐two pregnant women who did not complete the 16th gestational week and who smoked were randomly assigned to intervention (n = 31) and control (n = 31) groups. While the intervention group was administered model‐based motivational individual counselling interventions, the control group was administered no interventions. Findings The results showed that 58.1% of the pregnant women in the intervention group and 22.6% of the pregnant women in the control group ceased smoking. Conclusion: Online motivational interviewing based on the transtheoretical model was found to be effective in pregnant women's smoking cessation. Summary statement: What is already known about this topic? Smoking is one of the two leading causes of death worldwide.Smoking during pregnancy is a serious risk factor affecting both maternal and infant health.Nurses could make important contributions to raising non‐smoking generations and protecting and improving public health through trainings to be given to pregnant women. What this paper adds? This paper reveals that online motivational interviewing based on the transtheoretical model was effective in pregnant women's smoking cessation. The implications of this paper: The online motivational interviewing smoking cessation programme based on transtheoretical model, which forms the basis of our study, can be implemented by midwives and nurses without time, place and distance restrictions. [ABSTRACT FROM AUTHOR]

Aim: This study aimed to assess the effects of web‐based education on blood glucose control, self‐care and quality of life in patients with type 2 diabetes. Methods: A single‐blinded randomized controlled trial was conducted in accordance with the Consolidated Standards of Reporting Trials (CONSORT) checklist at a university hospital in Turkey. The study included 89 patients with type 2 diabetes who were randomly divided into an intervention group (44) and a control group (45). Participants in the intervention group participated in a 3‐month web‐based education programme. Results: The findings indicated that there were no significant differences in sociodemographic characteristics and illness features between the intervention and control groups, and both were homogeneous. A statistically significant decrease of 0.71 was observed in the HbA1c (%) level of the intervention group following web‐based education. Following web‐based education, there was a significant difference in body mass index (kg/m2) and waist circumferences (cm) between the intervention and control groups. The intervention group displayed significantly improved self‐care and quality of life over the 3‐month period (p < 0.05). Conclusion: This study suggests that web‐based education can enhance the self‐care and quality of life of patients with type 2 diabetes. Summary statement: What is already known about this topic? Patients with type 2 diabetes frequently struggle to manage their blood glucose levels regularly.Continuing regular education of these patients is necessary.The use of wireless health applications, including Wi‐Fi, Bluetooth and cellular/mobile phones, in blood glucose monitoring has been shown to have long‐term positive effects in reducing type 2 diabetes complications. What this paper adds? The study demonstrates that nurse‐led interventions through a web‐based education programme can have positive effects on blood glucose levels, self‐care activities, self‐efficacy and quality of life in patients with type 2 diabetes. The implications of this paper: Placing web‐based education within the health system and conducting follow‐ups in collaboration with a multidisciplinary team are recommended. [ABSTRACT FROM AUTHOR]

Background: COVID‐19 overwhelmed all healthcare workers, especially nurses, who worked tirelessly in patient care in extremely stressful situations. Italy, with its hospital overcrowding and staff shortages, exacerbated these negative consequences. Design: A three‐wave prospective longitudinal‐design was adopted to use validated scales to examine the trend of stress, anxiety, depression and resilience on the professional quality of life of nurses who worked during the pandemic. During an 8‐month period, a sample of 411 individuals was recruited and surveyed three times. Results: Resilience showed an increasing positive trend from the first to the third wave, increasing its effects on the outcomes and demonstrating its important protective role. The compassion fatigue showed progressively higher scores in the three waves, indicating greater workload perception and greater difficulty in managing the patients' perceived stress. Burnout increased in the first compared to second waves but decreased significantly in the third wave, due to the effect of resilience on burnout that was significantly stronger in the third wave. Conclusion: Our findings align with the literature about the role of resilience and emphasize the importance of investing in strategies aimed at developing resilience in healthcare workers and providing prevention and assistance to them in terms of job demands and unsustainable stressors. Summary statement What is already known about this topic? Studies have shown that healthcare workers, and in particular frontline workers, are more prone to burnout, psycho‐physical disorders (insomnia, fatigue, irritability) and cognitive disorders (difficulty in concentrating) than other professions and healthcare workers in other units.In contrast, potential protective factors were found to be compassion satisfaction, resilience and psychological capital, indicating that high levels of these constructs can keep healthcare workers strong and stable.The persistence of the pandemic and emergency situation exacerbated these negative effects, maintaining high levels of pressure and forcing healthcare workers to face additional challenges. What this paper adds: (research findings/key new information) This study found that the psychological stress of health workers increased as the pandemic increased, especially in those who had to work on the front line.Even under conditions of high stress and risk, the effect of resilience over time results in a noticeable and significant reduction in anxiety, which translates into better management of the situation and an enhanced ability of nurses to cope, considering the challenges faced during the experience The implications of this paper: Knowing how the health of our healthcare workers evolves, knowing the factors that influence them psychologically is useful and essential to creating mental health strategies, which should be timely, flexible and holistic to protect our healthcare workers.Implementation of psychological support is recommended for these workers, but above all a series of timely interventions to assist and support them. Evidence to support this derives from the effect of resilience on the professional quality of life of these workers. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study is to test the validity and reliability of the shortened version of the Scale for the Environments Evaluation of Professional Nursing Practice (SEE‐Nursing Practice). Methods: This methodological, cross‐sectional study was conducted between September and December 2022. The original version of the SEE‐Nursing Practice was administered in questionnaire format across 17 hospitals. Exploratory and confirmatory factor analyses were conducted to identify relevant items for the new shortened version of the scale and evaluate its construct validity. Results: The study involved 1713 registered nurses from various regions of Portugal. From the exploratory factor analysis, the SEE‐Nursing Practice was condensed to 59 items and 3 subscales. In the structure subscale, 14 items were removed, and the remaining 29 items distributed over four factors; in the process subscale, 18 items were removed, and the remaining 19 items organized into three factors; in the outcome subscale, 2 items were removed, and the remaining 11 items distributed over two factors. The Cronbach's alpha for the three subscales exceeded 0.90, indicating high reliability. Confirmatory factor analyses provided support for the validity of the 59‐item model. Conclusion: The shortened version of the SEE‐Nursing Practice shows adequate validity and reliability, reducing the burden associated with its longer version. Summary statement: What is already known about this topic? Given the impact of nursing practice environments on clients, nurses, and institutions, it is essential to have tools that allow for understanding the reality of practice contexts.The use of tools to evaluate nursing practice environments enables the measurement of the impact of interventions implemented with a view to their continuous improvement.Lengthy assessment tools can result in a greater response burden for the participant and, consequently, a lower response rate and poor quality of those responses.What this paper adds? The shortened version of the Scale for the Environments Evaluation of Professional Nursing Practice was considered valid and reliable for assessing practice environments from the standpoint of structure, process, and outcome.The implications of this paper: This study makes the shortened version of the Scale for the Environments Evaluation of Professional Nursing Practice (SEE‐Nursing Practice) available to the scientific community.It enables the assessment and proposal of improvement strategies in nursing practice environments with the shortened version of the SEE‐Nursing Practice, saving time associated with its completion, which will have a positive impact on participant adherence. [ABSTRACT FROM AUTHOR]

Introductions: The aim of this study was to demonstrate the impact of individualized nursing care on patient satisfaction and trust in nurses through structural equation modelling in patients receiving treatment in internal clinics. Methods: The study is a descriptive, exploratory and cross‐sectional research conducted with patients receiving treatment in the internal admission services of an educational research hospital between January and April 2023. According to sample calculations, it was determined that a minimum of 238 patients needed to be included in the study, and 286 patients who met the inclusion criteria and agreed to participate in the research formed the study sample. Data were collected using the 'Patient Identification Form', 'Individualized Care Scale‐Patient Version', 'Newcastle Nursing Care Satisfaction Scale' and the 'Trust in Nurses Scale'. Results: The level of awareness of nursing actions supporting individuality was found to be 2.71 ± 0.99, the level of perceiving individuality was 2.88 ± 0.99, the average level of nursing care satisfaction measured 77.17 ± 12.67 and the average level of trust in nurses was 21.92 ± 3.04. It was determined that as patients' awareness of nursing actions supporting individuality and their perception of individuality in care increased, they remained more satisfied with their care and had greater trust in nurses. Conclusions: Patients who perceived receiving individualized care were found to have higher levels of patient satisfaction and trust in nurses. Additionally, it was observed that as participants' satisfaction with their care increased, their trust in nurses also increased. Summary statement: What is already known about this topic? It is known that personalized care, tailored to patients' unique habits and treatment needs, contributes to increased patient satisfaction.Investigating patients' care experiences is essential for healthcare providers to enhance healthcare services.The provision of personalized care increases the trust that patients place in nurses, and as a result, patients' adherence to treatment improves. What this paper adds? Personalized nursing care enhances knowledge about trust in nurses and patient satisfaction concepts.Patients receiving personalized care in internal clinics reported higher‐than‐average scores for patient satisfaction and trust in nurses.Patients who received personalized care expressed high levels of satisfaction with their care, and patients with high care satisfaction also have high levels of trust in nurses. The implications of this paper: Personalized care plays an effective role in enhancing the quality of nursing care, patient satisfaction and trust in nurses.Personalized care suggests contributing to patients feeling more understood and to the more effective delivery of healthcare services.The crucial role of the personalized care approach in improving the quality of nursing care and strengthening trust in nurses should be better understood. Healthcare institutions need to promote personalized care, provide education to nurses and support them in being more responsive to individual patient needs. [ABSTRACT FROM AUTHOR]

Aims: This work aims to investigate whether virtual care can improve clinical outcomes for children with asthma, similar to face‐to‐face specialty care. Design: The study used a randomized controlled trial design, with participants allocated to either a virtual care group (n = 47) or a control group (n = 50) using simple randomization. Methods: The study was conducted from March to August 2021, and a sample of 97 children with asthma was recruited. Children in the virtual care group received online training in four modules within the first month and support through virtual meetings and phone or video calls, while the control group received standard care. The primary outcome of the study was the Asthma Control Test and Child Asthma Control Test. Results: The virtual care group had significantly better outcomes than the control group in terms of C‐ACT scores for children aged 7–11 years, fewer days under 80% of the optimum level of peak expiratory flow, lower peak expiratory flow variability, fewer rescue medication uses, and more symptom‐free days. The virtual care group also had a lower number of unscheduled hospital visits and a greater improvement in quality of life compared with the control group. Conclusion: This study demonstrated that virtual care can improve disease management and quality of life for children with asthma. Summary statement: What is already known about this topic? Although there are also some challenges and limitations associated with virtual care in paediatric asthma, it has been used in various medical specialties, including asthma management, for many years. What this paper adds? The paper adds new evidence that virtual care can be an effective and viable option for managing asthma in children.Specifically, the study found that children who received virtual care had better asthma control, fewer hospital visits, and improved quality of life compared with those who received standard care. The implications of this paper: Health care providers who care for children with asthma may consider incorporating virtual care into their practice, especially in areas where access to specialty care is limited. [ABSTRACT FROM AUTHOR]

Aim: This study has aimed to assess the effectiveness of the transitional care model (TCM) on functional status, perceived self‐efficacy and healthcare utilization in patients undergoing total knee arthroplasty (TKA). Method: This randomized controlled study was conducted between February and November 2021 in a public hospital. The study randomly assigned patients to either a 6‐week 'TCM' program or usual care. The sample size was n = 70, with each group comprising 35 individuals. Patient outcomes, including self‐efficacy, functional status and healthcare service readmission rates, were monitored for TKA patients. Results: Nursing care based on the 'TCM' was found to enhance functional status and increase the level of self‐efficacy among TKA patients, leading to a decrease in healthcare service readmissions. Conclusions: The study recommends preparing patients and their families for the preoperative and postoperative processes. It emphasizes the importance of providing necessary training and consultancy services under the leadership of orthopaedic nurses responsible for TKA patient care, guided by the principles of TCM. Summary statement: What is already known about this topic? Treatment for knee osteoarthritis aims to alleviate pain, maintain joint functions and improve the quality of life.The success of transitional care relies on effective hospital discharge planning, post‐discharge follow‐up and home support to reduce adverse events. What this paper adds? Patients receiving TCM demonstrated improved outcomes and reduced healthcare service readmission rates.Nursing care based on the transitional care model positively affected the functional status of TKA patients.TCM increased patients' self‐efficacy levels. The implications of this paper: Patient training and consultancy services should be led by nurses responsible for TKA patients, guided by the principles of TCM.TCM should serve as a valuable guide for nurses when planning care for TKA patients. [ABSTRACT FROM AUTHOR]

Background: Illness perceptions are an important factor affecting the prognosis of stroke patients. Evaluating the illness perceptions of stroke patients is of great importance for predicting their health behaviour and rehabilitation outcomes. However, there is no specific tool for assessing illness perceptions in stroke patients in China. Objectives: The objective of this study is to translate the Stroke Illness Perception Questionnaire‐Revised (SIPQ‐R) into Chinese and to psychometrically test the Chinese version of the scale in the population of Chinese stroke patients. Methods: This was a methodological study. We investigated 593 stroke patients in the neurology department of a hospital in China from March to September 2021. We translated the SIPQ‐R and adapted it to the cultural context, after which we evaluated the reliability and validity of the Chinese version of SIPQ‐R. Results: Exploratory factor analysis identified eight common factors that accounted for 71.74% of the total variance, and the factor loadings ranged from 0.530 to 0.933. Confirmatory factor analysis confirmed the eight‐factor structure (χ2/df = 1.765, root mean square error of approximation = 0.053, incremental fit index = 0.906, comparative fit index = 0.905 and Tucker–Lewis index = 0.900). Internal consistency was confirmed by a Cronbach's alpha coefficient of 0.982. The test–retest reliability was 0.762. The results showed good content validity (the scale level content validity index was 0.940, and the item level content validity index values ranged from 0.860 to 0.960). There were no missing responses and floor or ceiling effects. The standard error of measurement and the smallest detectable change for the SIPQ‐R were 45.49 and 126.10, respectively. Conclusions: The results of this study provide empirical evidence for the reliability and validity of the Chinese version of the SIPQ‐R for stroke patients. Summary statement: What is known about this topic? Illness perceptions are an important factor affecting the prognosis of stroke patients. Evaluating the illness perceptions of stroke patients is of great importance for predicting their health behaviour and rehabilitation outcomes.Currently, there is no specific illness perception scale for stroke patients in China.SIPQ‐R is a stroke‐specific version of the illness perception questionnaire. What this paper adds? The Chinese version of the SIPQ‐R has the same factor structure as the English version using confirmatory factor analysis.The scale was adjusted to reduce the number of items, which may have improved its clinical applicability and compatibility.All the indexes verified by the model reached the standard. Implications of this paper: The results of this study provide empirical evidence for the reliability and validity of the Chinese version of the SIPQ‐R for stroke patients.This study translated the SIPQ‐R into Chinese and tested its reliability and validity to provide a reliable tool for assessing illness perception in a group of Chinese stroke patients.SIPQ‐R can be used as a measure of the illness perceptions of stroke patients in the clinic to provide a basis for patients' rehabilitation. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to explore the relationship between coping styles, social support and quality of life among disabled older adults and to examine the mediating role of coping styles in the relationship between social support and quality of life. Methods: Using a purposive sampling method, three investigators conducted a face‐to‐face questionnaire survey of eligible participants in the geriatric department of a tertiary care hospital in one of the largest cities in southern China between August 2021 and March 2022. A total of 187 questionnaires were collected, of which 176 were valid, with an effective response rate of 94.1%. Results: Social support and positive coping were positively related to disabled older adults' quality of life, while negative coping was negatively related to both social support and disabled older adults' quality of life. According to the mediating effect analysis after covariate adjustment, positive coping completely mediated the relationship between social support and older adults' quality of life (p < 0.01), with the mediating effect size accounting for 76.9% of the total effect. Negative coping had some mediating effect on the relationship between social support and older adults' quality of life (p < 0.01), with the mediating effect size accounting for 13.0% of the total effect. Conclusion: The quality of life of disabled older adults is low, which is closely related to their social support and coping styles. Therefore, it is important to recognize and emphasize the key role that social support systems play in improving the quality of life of this population, broaden their access to social support and guide them to adopt positive coping styles. Summary statement: What is already known about this topic? Disability has become a serious public health problem with a high incidence in the elderly population.As the population ages, the number of people with disablilities is gradually increasing.Disability can seriously affect the quality of life of older adults while increasing the burden of care for families and healthcare workers. What this paper adds? Social support, coping style and quality of life of disabled older adults are closely related.Good social support can improve the coping style of disabled older adults, thus improving the quality of life of disabled older adults. The implications of this paper: From a practical perspective, by studying the relationship between coping styles, social support and quality of life, we can gain a more comprehensive understanding of the challenges and needs faced by disabled older adults, which can help to develop more specific and effective interventions to improve the overall quality of life of disabled older adults.From an academic perspective, this study will fill the research gap on this specific topic in the existing literature and provide a foundation and inspiration for future research in related fields. [ABSTRACT FROM AUTHOR]

Aim: Coronary heart disease (CHD) is a prevalent cardiovascular disease with high mortality rates worldwide. Patients with CHD often experience adverse psychological stress related to the disease's diagnosis, treatment and recovery phases. This stress can hurt sleep quality and overall quality of life. Mindfulness‐based interventions (MBIs) have been studied as a psychotherapeutic approach to alleviating the psychological stress associated with CHD. This study aimed to determine the effectives of MBIs for health outcomes in patients with CHD. Methods: A total of eight English‐language databases were searched, and eight relevant studies were included in the analysis. The included studies were assessed for literature quality, and data were extracted and analysed using Review Manager 5.3. Results: A total of eight studies involving 802 participants were included in the analysis. Compared to control groups, MBIs significantly reduced anxiety, depression, perceived stress, and systolic blood pressure. However, there was no significant effect on diastolic blood pressure, quality of life or body mass index. One study reported that MBIs significantly improved sleep quality in patients with acute myocardial infarction after percutaneous coronary intervention but had no significant effect on body mass index. Conclusion: MBIs had significant effects on anxiety and depression in patients with CHD, reduced perceived stress and were associated with reductions in systolic blood pressure and improvements in sleep quality. However, they did not significantly affect diastolic blood pressure, quality of life or body mass index. Summary statement: What is already known about this topic? Coronary heart disease (CHD) is a leading cause of death globally. Patients with CHD experience psychological stress due to diagnosis, treatment and recovery.Mindfulness‐based interventions (MBIs) have shown promise in reducing stress in various populations. What this paper adds: This meta‐analysis investigated the effectiveness of MBIs for psychological outcomes in CHD patients. Our analysis of eight studies found MBIs significantly reduced anxiety, depression and perceived stress compared to controls.Additionally, MBIs were associated with lower systolic blood pressure and improved sleep quality in some studies.However, MBIs did not significantly impact diastolic blood pressure, quality of life or body mass index. The implications of this paper: Our findings suggest MBIs may be a valuable tool for managing psychological distress and improving some physiological outcomes in patients with CHD.Further research is needed to explore the long‐term effects of MBIs and their impact on other relevant outcomes in CHD patients. [ABSTRACT FROM AUTHOR]