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Objective: The objective of the study was to evaluate the effectiveness of telehealth‐based exercise intervention on pain, physical function and quality of life in patients with knee osteoarthritis. Design: A systematic review and meta‐analysis of randomised controlled trials (RCTs). Methods: Six databases (PubMed, Embase, Cochrane Library, CINAHL, PEDro and Web of Science Core Collection) were searched for relevant randomised controlled trials published from database inception to 3 June 2021. Reviewers independently screened the literature, extracted data and used the Cochrane Collaboration Risk of Bias Tool for quality assessment. A meta‐analysis and subgroup analyses, stratified by control condition, intervention duration and delivery type, were conducted by Revman 5.4. The study was reported in compliance with PRISMA statement. Results: A total of 9 independent RCTs with 861 participants were included. The meta‐analysis showed that the telehealth‐based exercise interventions significantly reduced pain in KOA patients (SMD = −0.28, 95% CI [−0.49, −0.08], p <.01) and produced similar effects to controls in terms of physical function and quality of life. Subgroup analysis revealed that telehealth‐based exercise interventions were superior to the use of exercise booklet and usual care in terms of pain and physical function and were similar to face‐to‐face exercise treatment; a long‐term (>3 months) intervention and the use of web and smartphone APPs to deliver exercise interventions were associated with better pain relief and physical function. Conclusions: Telehealth‐based exercise intervention is an effective strategy for KOA management during the COVID‐19 epidemic, and it is significantly better than usual care in reducing knee pain and improving physical function and was able to achieve the effects of traditional face‐to‐face exercise treatment. Although the duration and type of delivery associated with the effect of the intervention have been identified, patient preference and acceptability need to be considered in practice. [ABSTRACT FROM AUTHOR]

Aim: Bibliometric analysis of the nursing literature can provide insights into the current state and dynamics of the nursing profession. This study aimed to assess global nursing‐related research activity from 2009 to 2020. Method: The corpus of nursing papers was harvested from the Web of Science Core Collection database. The bibliometric indicators and VOSviewer mapping of the retrieved papers were presented. Results: The search found 109,782 papers, and 39.0% of papers reported funded studies. Publication numbers were increasing. The USA was the most prolific country in literature production and international collaboration in nursing studies. International cooperation in nursing research was dominated by developed regions. Among the 20 most cited articles, 75% were published in first quartile journals, and review papers received a higher number of citations than original research articles. Author keyword analysis identified 'quality of life', 'mental health', 'nursing students' education' and 'adolescent' as common nursing focus topics. Conclusions: The publication trend of nursing papers was positive. However, several problems were associated with nursing research activity, including low research funding, regionally centred research activity and inactivity of developing regions in terms of international collaborations, which need to be addressed by policy makers, nursing managers and scholars. Summary statement: What is already known about this topic? Nursing research has developed rapidly worldwide over the years.Little is known about its overall development in recent years. What this paper adds? This study describes the nature of nursing research worldwide in terms of publication numbers, growth trend, geographic locus, international collaborations, the most productive authors, the most cited articles and author keywords analysis. The implications of this paper: The study is important for nursing scholars, managers and professionals to learn about the present status and dynamics of nursing research.The study provides important information for policymakers to allocate research grant that promotes the dissemination of nursing research into the broader scientific community. [ABSTRACT FROM AUTHOR]

Aims and objectives: To investigate turnover intention among newly licensed registered nurses and to clarify the impact pathways of organisational justice, work engagement and nurses' perception of care quality on turnover intention. Background: Nurse shortage is an ongoing and urgent issue worldwide, in which nurse turnover could exacerbate the situation. Newly licensed registered nurses will become the main nursing workforce in the future; however, previous studies have not revealed the specific reasons underlying their turnover intentions. Design: A descriptive cross‐sectional design. Methods: A total of 569 newly licensed registered nurses undertaking direct care were recruited from thirteen hospitals from October to November 2018 across Beijing, China. Based on the job demands–resources model, we advanced a hypothetical model, linking the paths between organisational justice, work engagement, nurses' perception of care quality and turnover intention. Structural equation modelling was used to examine the hypothetical model. The study adhered to the STROBE statement for observational studies. Results: In total, 22.3% of newly licensed registered nurses had a high turnover intention. The final model had an acceptable fit and could explain 58% of the variance in turnover intention. The organisational justice was directly related to high work engagement, great nurses' perception of care quality and low turnover intention. Additionally, organisational justice also had indirect effects on great nurses' perception of care quality and low turnover intention, which were partially mediated by work engagement. However, the effect of nurses' perception of care quality on turnover intention was not significant. Conclusion: The improvement of organisational justice could enhance work engagement, and nurses' perception of care quality, and reduce turnover intention, which is crucial to improving care quality and addressing the shortage of nurses. Relevance to clinical practice: This study provides evidence for policymakers and hospital administrators to take targeted measures to enhance work engagement, foster high‐quality care and create better defences against losing nurses. [ABSTRACT FROM AUTHOR]

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Abstract: Aim: To assess turnover intention among experienced nurses and explore the effects of work environment, job characteristics and work engagement on turnover intention. Background: The nursing shortage is an urgent concern in China. A high turnover rate of experienced nurses could have serious effects on the quality of care, costs and the efficiency of hospitals. It is crucial to explore the predictors of turnover intention and develop strategies tailored to experienced nurses. Design: A descriptive, cross‐sectional survey design. Methods: A total of 778 experienced nurses from seven hospitals was surveyed on their work engagement, job characteristics, work environment and turnover intention in March–May 2017. Structural equation modelling was used to test a theoretical model and the hypotheses. Results: The results showed that 35.9% of experienced nurses had high‐level turnover intention. The final model explained 50% of the variance in experienced nurses' turnover intention and demonstrated that: (1) work environment was positively associated with higher work engagement and lower turnover intention and work engagement partially mediated the relationship between work environment and turnover intention; and (2) job characteristics were positively related to higher work engagement and lower turnover intention and work engagement fully mediated the relationship between job characteristics and turnover intention. Conclusions: The study confirms the intrinsic and extrinsic motivators on work engagement posited by job demands‐resources model. Theory‐driven strategies to improve work environment, enhance job characteristics and promote wok engagement are needed to address the nursing shortage and high turnover intention among experienced nurses. [ABSTRACT FROM AUTHOR]

Low fall efficacy can lead to activity restriction and loss of independence, which may cause severe adverse consequences. The purpose of this study was to explore fall efficacy among elders with knee osteoarthritis and influential factors in three communities in Beijing, China. A correlational descriptive study design was used with a sample of 117 participants from July 2014 to November 2014. Results showed that participants had low fall efficacy and that fall efficacy correlated with age, gender, body mass index, marital status, education, disease duration, frequency of falls, number of co-morbidities, pain, stiffness, physical function, depression, lower-extremity muscle strength and balance ( r = −0.594 to 0.234, P < 0.05 to 0.001). Multiple regression analysis revealed that 52% of variance in fall efficacy was explained by fall frequency, age, body mass index, gender, pain and balance function. Findings suggest that strategies to prevent falls, reduce body weight, improve effective pain management and enhance balance function may improve fall efficacy in this population. [ABSTRACT FROM AUTHOR]

Background Aims Design Methods Results Conclusion Implication to Clinical Practice Reporting Method Physical frailty (PF) is highly prevalent and associated with undesirable outcomes in stroke survivors aged 65 years or older. However, the long‐term trajectories of PF are understudied in those older stroke survivors.To identify PF trajectories and relative predictors associated with the PF trajectories in older stroke survivors.This is a secondary analysis of a population‐based cohort study in the United States.Six hundred and sixty‐three older stroke survivors from the National Health and Ageing Trends Study from 2015 to 2021 were included. PF was operationally assessed based on the Fried Frailty Phenotype. Trajectories were identified by group‐based trajectory modelling. The associations between sociodemographic characteristics, clinical factors, symptoms, cognitive factors and PF trajectories were examined using the design‐based logistic regression method.Most older stroke survivors were 75 and older (63.32%), female (53.99%), white (80.54%) and partnered (50.64%). Two PF trajectory groups were identified (Group 1: low risk, robust; 49.47%; Group 2: high risk, deteriorating; 50.53%). Individuals were at a higher risk to be assigned to Group 2 if they were 75–84 years (adjusted odds ratio [aOR]: 2.16, 95% CI: 1.23–3.80) or 85+ years (aOR: 2.77, 95% CI: 1.52–5.04), had fair self‐reported health (aOR: 2.78, 95% CI: 1.53–5.07) or poor self‐reported health (aOR: 3.37, 95% CI: 1.51–7.52), had comorbidities (aOR: 8.44, 95% CI: 1.31–54.42), had breathing problems (aOR: 2.18, 95% CI: 1.18–4.02) and had balance problems (aOR: 1.70, 95% CI: 1.06–2.73).PF trajectories in older stroke survivors were heterogeneous and were associated with age, self‐rated health status, comorbidities, breathing problems and balance problems.Early, routine, dynamic screening for stroke‐related physical frailty (PF) and relative predictors might be beneficial for identifying the most vulnerable individuals. Our findings might help develop strategies to manage PF progression.The reporting followed the STROBE guideline. [ABSTRACT FROM AUTHOR]