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From a pedagogical point of view, there is a great deal of creativity and practice in teaching conceptual models and nursing theories. However, there seems to be no synthesis of knowledge regarding the pedagogical methods used to teach them. The purpose of this scoping review is to map the available literature on the teaching of nursing conceptual models and theories in undergraduate nursing education. The scoping review will be developed in accordance with the JBI scoping review methodology and the PRISMA scoping review checklist. The aim of the results is to map the available literature data that can serve as inspiration and a foundation for the development of specific courses on conceptual models and theories in nursing sciences. This scoping review will be served as the basis for a study that will be described and explored the integration of nursing knowledge into bachelor of nursing curricula. [ABSTRACT FROM AUTHOR]

ABSTRACT Objective Methods Results Conclusion This study aims to evaluate the predictive performance and methodological quality of post‐stroke readmission prediction models, identify key predictors associated with readmission, and provide guidance for selecting appropriate risk assessment tools.A comprehensive literature search was conducted from inception to February 1, 2024. Two independent researchers screened the literature and extracted relevant data using the CHARMS checklist.Eleven studies and 16 prediction models were included, with sample sizes ranging from 108 to 803,124 cases and outcome event incidences between 5.2% and 50.0%. The four most frequently included predictors in the models were length of stay, hypertension, age, and functional disability. Twelve models reported an area under the curve (AUC) ranging from 0.520 to 0.940, and five models provided calibration metrics. Only one model included both internal and external validation, while six models had internal validation. Eleven studies were found to have a high risk of bias (ROB), predominantly in the area of data analysis.This systematic review included 16 readmission prediction models for stroke, which generally exhibited good predictive performance and can effectively identify high‐risk patients likely to be readmitted. However, the generalizability of these models remains uncertain due to methodological limitations. Rather than developing new readmission prediction models for stroke, the focus should shift toward external validation and the iterative adaptation of existing models. These models should be tailored to local settings, extended with new predictors if necessary, and presented in an interactive graphical user interface. [ABSTRACT FROM AUTHOR]

Background: Māori are over-represented in Aotearoa New Zealand morbidity and mortality statistics. Other populations with high health needs include Pacific peoples and those living with material deprivation. General practice has evolved into seven models of primary care: Traditional, Corporate, Health Care Home, Māori, Pacific, Trusts / Non-governmental organisations (Trust/NGOs) and District Health Board / Primary Care Organisations (DHB/PHO). We describe nurse work in relation to these models of care, populations with high health need and patient health outcomes. Methods: We conducted a cross-sectional study (at 30 September 2018) of data from national datasets and practices at patient level. Six primary outcome measures were selected because they could be improved by primary care: polypharmacy (≥ 65 years), glucose control testing in adults with diabetes, immunisations (at 6 months), ambulatory sensitive hospitalisations (0–14, 45–64 years) and emergency department attendances. Analysis adjusted for patient and practice characteristics. Results: Nurse clinical time, and combined nurse, nurse practitioner and general practitioner clinical time, were substantially higher in Trust/NGO, Māori, and Pacific practices than in other models. Increased patient clinical complexity was associated with more clinical input and higher scores on all outcome measures. The highest rates of preventative care by nurses (cervical screening, cardiovascular risk assessment, depression screening, glucose control testing) were in Māori, Trust/NGO and Pacific practices. There was an eightfold difference, across models of care, in percentage of depression screening undertaken by nurses and a fivefold difference in cervical screening and glucose control testing. The highest rates of nurse consultations afterhours and with unenrolled patients, improving access, were in PHO/DHB, Pacific, Trust/NGO and Māori practices. Work not attributed to nurses in the practice records meant nurse work was underestimated to an unknown degree. Conclusions: Transferring work to nurses in Traditional, Health Care Home, and Corporate practices, would release general practitioner clinical time for other work. Worse patient health outcomes were associated with higher patient need and higher clinical input. It is plausible that there is insufficient clinical input to meet the degree of patient need. More practitioner clinical time is required, especially in practices with high volumes of complex patients. [ABSTRACT FROM AUTHOR]

Simple Summary: Multiple myeloma (MM) is a blood cancer which classically has a prolonged course of remissions and relapses. Several new highly efficacious medications have been developed for MM in recent years, including some that utilize the body's own immune cells to control the cancer. Alongside the development of these new medications has been the evolution of tests to track small amounts of (measurable) residual disease (MRD). Several MRD tests can now find and track as little as 1 residual cancer cell in 1 million in certain cases. Having no detectable MRD has been independently associated with improved cancer control and longer survival—here, we review how these tests might be used as a companion to new immune therapies for MM. Several novel T-cell-based therapies have recently become available for multiple myeloma (MM). These T-cell redirecting therapies (TRTs) include chimeric antigen receptor T-cells (CAR-T) and bispecific antibodies (BiAbs). In both clinical trial and real-world data, these therapies have demonstrated high rates of deep clinical response, and some are now approved for second-line treatment for relapsed MM. The deep and sustained clinical responses these therapies are capable of inducing will require sophisticated response monitoring to provide meaningful information for patient care. Obtaining measurable residual disease (MRD) negativity has been validated as an independent positive prognostic marker for progression-free survival (PFS) and overall survival (OS) in both newly diagnosed and relapsed refractory patients with multiple myeloma. Assessment for MRD negativity was performed in all of the trials for FDA-approved TRT. Here, we summarize pertinent data for MRD assessment following TRT in MM and provide a rationale and structured framework for conducting MRD testing post TRT. [ABSTRACT FROM AUTHOR]

The article discusses research aimed at examining the efficiency and cost-effectiveness of a patient-care model called Partners in Care (PIC). Cited are the description of the PIC quality improvement (IC QI) model used in the study, the length of model implementation, unique contextual elements, and organizational activities that influenced outcomes, and the implications of designing and implementing new patient-care delivery models.

Purpose: To describe a middle range theory (MRT) with conceptual and explicative capacity of cause and effect situations of Ineffective social support network in nursing. Data sources: Descriptive study developed through the Lopes, Silva, and Herdman theoretical‐causal validity method, using five steps for theory construction: definition of the approach for constructing the MRT, definition of the main concepts, development of the pictorial diagram, construction of propositions, and establishment of causal relationships and evidence for practice. The foundation of these steps and the development of a predictive nursing theory occurred through Sanicola's Social Network Theory combined with studies from an integrative literature review using the six steps proposed by Whittemore and Knafl. Data synthesis—findings: The theory presents etiological factors and clinical indicators for Ineffective social support network, connecting situations related to the person, the members and the configuration of this network, and external situations. The pictogram, symbolically created, represents the hierarchical classification of proximal, intermediate, and distal etiological factors, and their relationship with clinical indicators. Conclusions: The MRT, predictive for the nursing phenomenon Ineffective social support network, provides understanding of the person from an interpersonal perspective, which interferes with and is affected by a network of virtues and vicissitudes, and has negative influences on health outcomes. Due to its practical vocation, this theory represents an advance in the science and praxis of nursing. Implications for clinical practice: The findings of this study will contribute to the understanding of the nursing phenomenon Ineffective social support network and consequently support the identification of the nursing diagnosis Ineffective social support network, proposed for inclusion in the NANDA‐I classification. [ABSTRACT FROM AUTHOR]

Aim: To explore the cognitive representations and emotional responses to living with chronic heart failure of people receiving limited community disease management. Background: Individuals living with heart failure face self‐care and emotional challenges due to the overwhelming nature of adapting to lifestyle changes, particularly in subtropical areas. Design: Qualitative descriptive. We applied Leventhal's Common Sense Model of Self‐Regulation as the framework for interviews and analyses. Methods: Twenty patients with chronic heart failure were interviewed during a hospital admission for exacerbation of their condition in a tertiary hospital in Thailand. Results: Analysis of the components of Leventhal's model of cognitive representations of illness revealed two themes relating to Illness Identity: (1) lack of knowledge of the diagnosis and how to recognise symptoms of the disease, and (2) recognition of symptoms of an exacerbation of CHF was based on past experience rather than education. These resulted in delays responding to cardiac instability and confusion about the intent of treatment. Participants recognised the chronicity of their disease but experienced it as an unrelenting cycle of relative stability and hospitalisations. Perceived Controllability was low. Two themes were: (1) Low perceived trust in the efficacy of medical treatment and lifestyle changes, and (2) Low perceived trust in their ability to comply with recommended lifestyle changes. The Consequences were significant emotional distress and high burden of disease. The two themes of emotional responses were (1) Frustration and hopelessness with the uncertainty and unpredictability of the disease, and (2) Sense of loss of independence, functional capacity and participation in life's activities. Conclusion: Chronically ill patients need support to understand their illness and make better treatment and lifestyle decisions. Improving patients' self‐efficacy to manage treatment and symptom fluctuations has the potential to improve their mental well‐being and minimise the impact of their condition on suffering and participation in employment and community. Implications for the Profession and/or Patient Care: Leventhal's Common Sense Model of Self‐Regulation can be used to examine cognitive and emotional elements of illness perceptions, which link to individuals' ability to make informed decisions about disease management and influence health behaviours. Understanding illness perceptions underpins strategies for enhancing and sustaining self‐management behaviours. Impact: The study findings accentuate the need to establish long‐term condition support programs in low‐middle income countries where the burden of heart failure is increasing exponentially. Reporting Method: The Consolidated Criteria for Reporting Qualitative Research (COREQ) guideline was used to explicitly and comprehensively report our qualitative research. Patient or Public Contribution: Patients contributed to the conduct of the study by participating in the data collection via face‐to‐face interviews. [ABSTRACT FROM AUTHOR]

In this paper, a community of eight aspiring Parse scholars presents experiences with a scholarly investigation using Parse's humanbecoming concept inventing model to discover the meaning of the nursing phenomenon hope as a universal humanuniverse living experience. The now-truth of the universal humanuniverse living experience hope surfaced as envisioning possibilities with sureness-unsureness arising with opportunities-restrictions. The ingenuous proclamation of hope, together with the aspiring Parse scholars' chosen artform, is declared as a theoretical statement at the level of the humanbecoming paradigm is imaging the originating of enabling-limiting. The contributions of aspiring Parse scholars offer opportunities to advance nursing knowledge of the universal humanuniverse living experience hope. [ABSTRACT FROM AUTHOR]

In this column, the paradoxical notion of communion-aloneness is considered in the unending journey of teaching-learning. With insights from Hemingway and personal experiences of teaching-learning, the humanbecoming teaching-learning model provided a rich foundation for exploring the all-at-once nature of communion-aloneness in teaching-learning. [ABSTRACT FROM AUTHOR]

Although many situation-specific theories have been developed during the past several years, few of them have been analyzed and evaluated using criteria that are relevant for this type of theory. The purpose of this paper is to propose modifications in Fawcett's analysis and evaluation criteria of theories for application to situation-specific theories. The position taken is that important but minor adjustments are required to make these criteria suitable for the analysis and evaluation of situation-specific theories, taking the similarities and differences between middle-range theories and situation-specific theories into account. [ABSTRACT FROM AUTHOR]

The author of this article considers the topic of bliss and peace that arises in connecting-separating with persons, with others, with ideas, and even with events. Amid the ever-increasing fast-paced communication, considering connecting-separating from a humanbecoming perspective serves as an approach that honors paradoxical patterns expressed by persons and families. [ABSTRACT FROM AUTHOR]

It is thought-provoking to reflect on the ways in which the idea of family arises within many leading-following situations, especially within work settings where coworkers may refer to each other as or name each other their "work family." In this paper, the author explored the ways in which the humanbecoming paradigm (Parse, 2021) and its models may be used to lead with others from a family view. There are many meaning-making moments within leading-following professional relationships that shape all constituents (families) over time. As in all unique disciplines, such as nursing, that have leadership and practice components, it is important that there is a theoretical framework serving as the foundation to co-build professional relationships. [ABSTRACT FROM AUTHOR]

The major aim of this study was to understand the experience of resilience in adolescents and young adults within the context of a unitary caring science and to generate insights into ways to cultivate resilience in adolescents and young adults who have experienced adversity. Four major essences emerged and were synthesized into one statement. Maintaining hope and optimism for a promising future is acknowledging awareness and acceptance and experiencing connectedness while embracing power in the situation. The essences were interpreted within a theory of unitary caring. [ABSTRACT FROM AUTHOR]

The present study tested a model of suicidal thoughts among bisexual women focusing on sexual violence, bisexual minority stress, and risk factors for suicide identified within the interpersonal theory of suicide (i.e., perceived burdensomeness and thwarted belongingness). The model was tested using cross-sectional, baseline data and longitudinally using 3- and 6-month follow-up assessments in a sample of bisexual women (N = 393, 98.3% cisgender, ages 18–35). Using structural equation modeling, we tested a serial mediation model predicting recent suicidal thoughts related to sexual violence and antibisexual stigma via internalized binegativity and expectations of rejection and subsequent perceived burdensomeness and thwarted belongingness. Findings suggest that bisexual minority stress and child/adolescent sexual abuse relate to suicidal thoughts among bisexual women. In the cross-sectional model, the hypothesized serial links between antibisexual stigma and concurrent suicidal thoughts via expectations of rejection and internalized binegativity and subsequent perceived burdensomeness were significant. These paths were not significant in prospective analyses. Child/adolescent sexual abuse (but not adult sexual assault) related to suicidal thoughts via perceived burdensomeness; these paths were not significant in prospective analyses. It appears important to address both universal (i.e., perceived burdensomeness) and group-specific (i.e., expectations of rejection and internalized binegativity) mechanisms of risk in suicide prevention efforts with young bisexual women. Public Significance Statement: Bisexual women who experience greater antibisexual stigma (e.g., negative stereotypes, rejection) may have higher concurrent suicidal thoughts due to internalized bisexual stigma and related feelings of perceived burdensomeness (e.g., self-hatred, feeling like a liability to others). Bisexual women with histories of child/adolescent sexual abuse may also be at risk for suicidal thoughts due to burdensomeness. Results highlight the need for interventions that address unmet interpersonal needs as well as programming and social policy aimed at preventing sexual violence and eliminating antibisexual stigma within the broader society. [ABSTRACT FROM AUTHOR]

Background: The number of patients who have experienced violence is increasing worldwide. These patients have specific psychosocial and forensic needs and can present unique challenges to the health care workers caring for them. Objective: To identify best practices for the care of patients with injuries from violence in the emergency department or inpatient setting. Methods: The framework for integrative reviews by Whittemore and Knafl was used to conduct a literature search in MEDLINE, CINAHL, and ProQuest Nursing and Allied Health databases. Fourteen qualitative, quantitative, and mixed-methods studies from peer-reviewed journals were included in the review. Results: Themes included identifying patients as survivors of intimate partner violence or child abuse, the need to collect forensic evidence, the need for emotional support of patients and their loved ones, support for health care workers caring for patients with injuries from violence, prevention of further violence, and the challenges of caring for patients with injuries from violence with concurrent substance use disorders. Best practices for these aspects of care are summarized on the basis of literature analysis. Conclusion: Screening procedures are needed to identify survivors of intimate partner violence and child abuse. Forensic evidence preservation policies should be in place. For survivors of sexual assault, a sexual assault nurse examiner should be available. Hospital systems should provide psychosocial resources for patients' and health care workers' mental health, implement violence reduction programs, and provide bias training. More research is needed to determine efficacy of care models and best practice. [ABSTRACT FROM AUTHOR]

Why you should read this article: • To refresh your knowledge of what critical reflection entails and its potential benefits • To enhance your understanding of some of the reflective models that nurses can use to support them • To consider how you could use critical reflection to enhance your practice. Reflection is an essential aspect of nursing practice that facilitates continuing professional development and practice improvement. Critical reflection is a more in-depth form of reflection and can be described as a creative, dynamic and transformative learning process that enhances practice by promoting self-awareness and critical thinking. Older adults often present with complex and multiple healthcare needs. Engaging in critical reflection can assist nurses to provide the high-quality, person-centred care required to meet those needs, support older people to retain their independence and enhance their well-being. This article discusses critical reflection within the context of nursing older people and describes various models that can be used to support the reflective process. The authors use a practice example to illustrate how using critical reflection in practice can enable nurses to develop a deeper understanding of themselves and use what they have learned to enhance their delivery of person-centred care. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Design Methods Results Conclusions Implications for the Profession and/or Patient Care Impact Reporting Method Patient or Public Contribution To analyse the concept of frailty through a literature review and in‐depth interviews.A hybrid model of concept analysis.The theoretical phase identified 43 articles for reviewing the definition and measurement of frailty. Seven frail older adults were invited in the fieldwork phase for in‐depth interviews. In the final analysis phase, results from the fieldwork and theoretical phases were integrated to obtain a final definition of frailty.Attributes of frailty were heterogeneous, involving dynamic/bidirectional, multidimensional and multiple systems. The antecedents of the concept were exposure to various stimuli and challenges in responding to these stimuli. Consequences included losing autonomy and adverse health outcomes. Four themes of frailty were identified based on the fieldwork data: ‘accumulation of functional decline’, ‘powerlessness of coping with’, ‘vicissitudes of lived experience’ and ‘loss of autonomy and positivity’.The final definition of frailty was ‘a dynamic and fluctuating process of powerlessness to manage biopsychosocial and environmental stimuli, involving functional decline and vicissitudes of life, which results in losing autonomy and positivity or adverse health outcomes’.Characterising the definition of frailty is essential for nurses to address the lived experiences of older adults when providing person‐centred care and for developing interventions that meet the needs of frail older adults.Since some discrepancies existed in the definition of frailty from individual perception of older adults, combined in‐depth interviews with a theoretical literature review were used to provide comprehensive insight. This concept analysis provides guidelines of training for nurses and opportunities to improving quality of life for community dwelling older adults.N/A.No Patient or Public Contribution. [ABSTRACT FROM AUTHOR]

The purpose of this article is to share the transformative vision of 2 nurse executives and how this vision paved the way for the development of a revolutionary model that changed care delivery. The CommonSpirit Health Virtually Integrated Care Team operationalized the vision by leveraging technology to develop a team-based care model that seamlessly integrates a virtual nurse as part of the care team. This article will discuss the spark that created the impetus for the creation of this metamorphic, interprofessional care delivery model and how this model unburdens the workload of the nurses to idealize the art and science of professional nursing practice. [ABSTRACT FROM AUTHOR]

Copyright of Nővér is the property of Chamber of Hungarian Health Care Professionals and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Professional identity in nursing (PIN) is a multifaceted construct that evolves throughout one's nursing career. As new knowledge about PIN emerges, the influence of diversity, equity, inclusion, and belonging (DEIB) becomes increasingly vital in shaping a nurse's identity. Method: Bronfenbrenner's ecological systems theory is used to illustrate the complex, reciprocal, and intersecting influences of DEIB in the transformational process of becoming a nurse. Results: The authors provide an in-depth analysis of the nexus of DEIB and PIN conceptual model, examine reciprocal relationships between DEIB and the individual and collective PIN, offer a detailed case study for the application of DEIB and PIN, and make recommendations for implementing the conceptual model. Conclusion: The model may be used to integrate DEIB and PIN by nurses in all settings. [J Contin Educ Nurs. 2024;55(10):493–499.] [ABSTRACT FROM AUTHOR]

Copyright of China Medical Education Technology is the property of China Medical Education Technology Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Type 2 diabetes being a chronic condition that requires long-term care. This study examined the impact of an educational program using King's goal attainment model on health behaviors and life satisfaction in type 2 diabetes patients. Methods: This is a randomized controlled clinical trial with no blinding in which we tested two groups of intervention control. 70 patients with type 2 diabetes were allocated to an intervention (N = 35) and a control group randomly (N = 35). The nursing process stages included examination, diagnosis, goal determination, transaction based on patient preferences, and evaluation based on King's theory. Data was gathered using the Walker Health-Promoting Lifestyle Profile (HPLP) and Satisfaction with Life Scale (SWLS, before, after, and 3 months, post-intervention. Data were analyzed in SPSS25 through descriptive statistics, Chi-square Test, Independent and paired sample T-test, two-way ANOVA, and multivariate repeated measures ANCOVA. P-values < 0.05 were considered as the level of significance. Results: In the intervention group, there was a significant difference in the mean score of health-promoting behaviors and life satisfaction between the three time points (before, immediately after, and 3 months after). However, in the control group, there was no significant difference in the mean score of health-promoting behaviors and life satisfaction. Conclusion: The results of this study suggest that an educational program based on King's goal attainment model can be effective in improving health-promoting behaviors and life satisfaction in patients with type 2 diabetes. Further studies are recommended to be conducted in different settings and with a longer follow-up period. Iranian registry of clinical trials: IRCT registration number: IRCT20190917044802N8. Registration date: 16/12/2022. [ABSTRACT FROM AUTHOR]

Background. In recent years, the healthcare landscape has seen a paradigm shift towards patient‐centeredness in the provision of nursing care. The Primary Nursing Care Model has aroused interest as an approach that prioritizes the individualization and continuity of care, as well as the involvement of the patient in decision‐making about their health, which may impact professional satisfaction, as well as the quality and safety of nursing care. Aim. This study aimed to evaluate the effectiveness of implementing the Primary Nursing Care Model in a hospital service. Methods. This study employed a quasi‐experimental, single‐group design with pre‐ and postintervention evaluations. It involved a convenience sample of 48 nurses from an internal medicine department. Data collection took place between June and November 2023. The intervention consisted of the implementation of the Primary Nursing Care Model. A questionnaire was used to characterize the sociodemographics of the participants, followed by instruments that made it possible to assess missed care, professional nursing practice environments, safety culture, job satisfaction for nurses, and the perception of activities that contribute to the quality of care. Results. The implementation of the Primary Nursing Care Model showed positive results compared to preimplementation. There were statistically significant differences when applying the Wilcoxon test, p < 0.005, with a reduction in missed care, an enhancement of the professional nursing practice environment and safety culture in nursing practice, as well as nurses' job satisfaction and enhanced perception of the activities that contribute to the quality of care. Conclusion. The implementation of the Primary Nursing Care Model in a hospital setting has demonstrated valuable contributions, underscoring its potential to improve the quality of nursing care and promote patient‐centered care approaches. Further research is recommended to explore its application in diverse healthcare settings. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Design Methods Results Conclusion Implications Impact No Patient or Public Contribution To present a comprehensive analysis of the Opioid‐Overdose Reduction Continuum of Care Approach (ORCCA) Practice Guide 2023, evaluating its alignment with Russell and Fawcett's conceptual model of nursing and health policy and highlighting the implications for nursing practice and policy.This paper employs a policy analysis framework to evaluate the ORCCA Practice Guide, using Russell and Fawcett's conceptual model as a lens to assess the policy's structure and implementation.The analysis is framed by Russell and Fawcett's conceptual model, focusing on the dimensions of efficacy, effectiveness, equity and justice. This framework assesses how well the ORCCA's strategies align with these dimensions in the context of nursing and health policy.Key findings indicate that the ORCCA's strategies are integral to nursing practice, particularly in frontline interventions such as education, naloxone distribution and Medication for Opioid Use Disorder (MOUD) delivery. The integration of these strategies demonstrates a significant impact on the opioid crisis, enhancing the roles nurses play in opioid overdose prevention.The ORCCA Practice Guide represents a multifaceted approach to addressing the opioid crisis, with strong alignment to the conceptual model used for analysis. It underscores the essential role of nurses in implementing and refining opioid overdose reduction strategies.The study highlights the critical need for nursing involvement in policy formation and practice implementation, suggesting that nurses are key to advancing comprehensive opioid overdose prevention measures.This study addresses the problem of opioid overdoses and the need for effective interventions. The main findings show the importance of nurse‐driven strategies in opioid crisis management. The research impacts public health policy and practice, particularly influencing how nursing approaches are integrated into overall health strategies for overdose prevention.No patients, caregivers, or members of the public were involved in conducting this analysis. [ABSTRACT FROM AUTHOR]

Introduction: People with dementia are more likely than people without dementia to be hospitalized and to experience in-hospital preventable adverse events, such as falls, skin injury, and infection, compared to other hospitalized groups. Negative attitudes towards people with dementia are common among acute healthcare workers and have been linked to a cascade of negative adverse events in this population. However, no qualitative systematic review has ever been conducted to synthesize the existing evidence in this area, which hampers the development of preventative measures. Aim: This is a protocol for a qualitative systematic review aimed at exploring and synthesizing existing qualitative evidence regarding the attitudes of nursing staff towards the prevention of adverse events among hospitalized people with dementia. Methods: Literature searches will be performed in PubMed, CINAHL, PsycINFO, Web of Science, Biblioteca Virtual de Salud, Scopus, The Cochrane Library, and Google Scholar. The references of eligible studies will be checked for eligibility. All primary qualitative or mixed-methods studies with a qualitative component published in peer-reviewed academic journals in English, Portuguese, or Spanish will be eligible. There will be no limitations to the date of publication. The selection process will be conducted independently by two researchers using the software Rayyan and then compared and discussed. Any disagreements regarding eligibility will be discussed among the entire research team and resolved via consensus. Methodological quality will be assessed using Cochrane's guidance. A meta-aggregative approach will be employed to extract and synthesize the evidence using the software package QARI from the JBI. The confidence in the findings will be graded using ConQual. Implications: This review will help identify and better understand specific attitudinal and psychosocial aspects that influence nursing care delivery for people with dementia in hospital settings. Such data can be used to generate novel explanatory models of nursing behaviors in dementia care, as well as capacity building and training to enhance hospital care for people with dementia globally. [ABSTRACT FROM AUTHOR]

Objective Design Sample Measurements Results Conclusion This study was conducted to examine the relationship between public health nurses' holistic nursing and social justice advocacy competencies in terms of their attitudes toward sustainable development goals.Cross‐sectional survey.The study sample consisted of 384 public health nurses.Data were collected with the personal information form, the Attitudes toward Sustainable Development Scale, the Holistic Nursing Competence Scale, and the Social Justice Advocacy Scale.The sub‐dimensions of environment, public, education, and economy were found to significantly affect social justice advocacy, and the indirect effects of 0.191, 0.222, 0.205, and 0.201 were found to be statistically significant with the inclusion of holistic nursing competence in the model, respectively. It was found to explain 32%, 30%, 29%, and 22% of the total effect, respectively.It supports the claim that developing public health nurses' holistic nursing competence and social justice advocacy skills is an important criterion for achieving sustainable development goals. [ABSTRACT FROM AUTHOR]

Background: The health as expanding consciousness (HEC) theory posits that health and disease are interconnected components of a comprehensive process aimed at expanding consciousness. Aim: The objective of this study is to introduce the concept, research status and applications of HEC and offer a comprehensive understanding of its various key components. Data sources: Databases including EMBASE, PubMed, ScienceDirect, ProQuest, Wiley, Web of Science, Sinomed, China National Knowledge Infrastructure, Wanfang, and CQVIP, covering the period from 1986 to 2023. Method: Employing Rodgers' evolutionary concept analysis approach, this study included and analysed 70 studies. Results: The characteristics of HEC comprise aspects such as movement, time, space, energy, rhythm, and paradigm of health. The antecedents of HEC encompass disease, chaos, binding, centring, and choice point. Consequences associated with HEC include self-transcendence, unbinding, decentring, expanded consciousness, real freedom, pattern recognition, absolute consciousness, and death. Conclusion: This study has identified substitute terms, related concepts, attributes, antecedents, consequences, and empirical references associated with HEC. The findings provide valuable information applicable across various domains of nursing, encompassing practice, education, research, and management. [ABSTRACT FROM AUTHOR]

Background: Improving the professional competency of nursing students during the internship is critical. This study aimed to compare the professional competency and anxiety of nursing students trained based on two internship models. Methods: This is a two-group posttest-only quasi-experimental design study. One hundred nursing students who passed internship models A (a previous internship model) and B (an intervention with more educator support and a more planned and programmed process) were randomly enrolled in this study. Internship model groups A and B were conducted for the students in semesters 7 and 8. The outcomes assessed in both groups were "The Competency Inventory for Registered Nurses" and Spielberger "State-Trait Anxiety Inventory". T-test and MANOVA were used to analyze the data. Results: The mean scores of competency were 134.56 (SD = 43.23) and 160.19 (SD = 35.81) for the nursing students in the internship model groups A and B, respectively. The mean scores of nursing students' anxiety were 92.14 (SD = 15.36) and 80.44 (SD = 18.16) in the internship model groups A and B, respectively. MANOVA test showed a significant difference between the groups regarding professional competency (F = 10.34, p = 0.002) and anxiety (F = 11.31, p = 0.001). Conclusions: The internship model group B could improve the professional competency of nursing students to a great extent and they experienced mild anxiety; it is suggested that this intervention should be done for nursing students. Conducting more studies to evaluate the effect of this model on the nursing students' competency and anxiety after graduation and as a novice nurse is suggested. [ABSTRACT FROM AUTHOR]

This study measured the effectiveness of nutrition education on anthropometric indexes and dietary commitment among patients with hypertension based on the Pender Model of Health Promotion. A quasi-experimental study was conducted on patients with hypertension. 40 patients in the control and 40 patients in the intervention group were investigated. Data were collected by distributing valid questionnaires about model constructs and testing 3-day diet record. Education was just conducted in the intervention arm including six sessions during three weeks and follow-up two and six months after education. Nearly three quarters of patients (70% in the intervention, 75% in the control group) were female. According to the educational status, 45% in the intervention and 37.5% in the control group were illiterate. Given the family history of hypertension, 40 and 47.5 % of participants in the intervention and control group had family history, respectively. There was no difference between the two groups regarding constructs of the HPM, anthropometric indexes, systolic and diastolic blood pressure, and nutritional behavior before education, while after education all variables were notably changed in 2 and 6-months' follow-up. The most important predictor of nutritional behavior was the perceived benefits, while the weakest predictor was the affects related to the nutritional behavior. Education based on Pender Model of Health Promotion is useful to improve nutritional behaviors in patients with hypertension to the Iranian health system. [ABSTRACT FROM AUTHOR]

Implementing evidence‐based practice (EBP) in clinical practice is an ongoing challenge for nurses. EQUIP—Evidence‐based QUality Improvement Project— is a multiphase project aimed at equipping nurses with the essential skills to implement EBP and advanced nursing practice. EQUIP embraces the assumption that implementation science models and partnership models can facilitate the implementation process of EBP, leading to successful and sustainable change. The current study is one of the EQUIP feasibility investigations in which the perspective of 12 implementation lead nurses (IL nurses) who attended a 1‐day PEACE‐based workshop was explored. Thematic analysis identified 2 overarching themes, 6 themes, and 18 subthemes. The first overarching theme showed that the PEACE‐based workshop has successfully achieved its intended training implications, and the second overarching theme gave insight into factors that may influence the role of IL nurses. IL nurses reported general satisfaction and willingness to use the PEACE model at work; however, some IL nurses found Step 3 difficult to apply. The study's findings provide evidence of the perceived usefulness of adopting the PEACE model as an augmented approach in the EQUIP and the interest and enthusiasm of IL nurses in receiving more training on the implementation process of EBP. [ABSTRACT FROM AUTHOR]

The objective of this article is to illustrate the importance of the role philosophy and its tools play in the designing and undertaking of nursing research and its importance to be understood by the practicing researcher to ensure the selected methodology and the tools used provide the framework for obtaining reliable and valid answers to their research questions. The article discusses the three major paradigms (Positivism, Interpretivism, and Pragmatism) which have characterized much of health-related research together with a set of essential and practical tools with no metaphysical assumptions that will hopefully provide an explicit framework and a nomenclature which can be applied as we proceed through the research process. [ABSTRACT FROM AUTHOR]

Aim: To explore the health beliefs and health behaviours of older Vietnam‐born people living with chronic disease in Western Australia. Design: This study was designed as a focused ethnography guided by the interpretative research paradigm and Leininger's Theory of Culture Care. Methods: Data were collected through participant observation and interviews undertaken at participants' homes in Western Australia over 7 months in 2019. Data were analysed using Wolcott's approach for transferring qualitative data, comprising three phases: description, thematic analysis and interpretation. Results: This study included 12 participants. The health perspectives and practices of older Vietnam‐born Australians significantly reflected the traditional Vietnamese values. These included the stigma towards chronic disease as an inevitable consequence of ageing; self‐blame thoughts about chronic disease causations and maintained traditional dietary practices. However, some aspects of their health behaviours such as beliefs and practices in traditional medicine, Western medicine and physical exercise reflected a blended approach combining both Vietnamese‐oriented and Westernized‐orientated practices. Individual factors were also identified as contributing to chronic disease self‐care among participants. Conclusion: This study emphasizes culture played a significant role in shaping the way that older Vietnam‐born Australians believed and behaved while living with chronic conditions. However, it also indicates that culture is not a stationary concept, it evolves gradually and is socially constructed. Implications: A better understanding of the health beliefs and practices of older Vietnam‐born Australians is expected to contribute to the delivery of culturally safe and effective support for this population. The achievement of culturally safe care requires a systemic approach and collaboration of strategies across sectors. Patient and public contribution: This study encompassed the contribution of 12 older Vietnam‐born Australians who offered the researcher the privilege to enter their world and the staff of social care organization who opened the gate for the researcher to approach participants. [ABSTRACT FROM AUTHOR]

Older adults often present with multiple comorbidities and face significant postoperative complications. This study aimed to describe the role of Nurse Practitioner (NP)-led orthogeriatric services in managing hip fracture patients. We conducted a review of health records of older adults with hip and proximal femoral fractures between July 2017 and June 2018, presenting descriptive statistics on patient characteristics, surgical outcomes, and the involvement of orthogeriatric services. A total of 197 participants were included, with a majority being female (n = 132; 67.0%). Most patients (53.8%; n = 106) had between five and nine pre-existing conditions. Among the 192 patients who underwent surgery, 69.8% (n = 134) experienced up to four surgical complications. The Nurse Practitioner provided care to 89.1% (n = 163) of the patients within the orthogeriatric service, with half of the patients (n = 82) requiring at least five NP interventions to manage complex pre- and postoperative needs. Refining the NP-led model could potentially help reduce the burden on physicians and surgeons in treating complex medical conditions, especially in settings where geriatricians may not be readily available. [ABSTRACT FROM AUTHOR]

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Patients with substance use disorders may view healthcare professionals as capable of supporting them through their suffering and experience. Although numerous studies have focused on the roles, approaches, and attitudes of healthcare professionals, there is a lack of information on the nursing perspective. This study aims to explore the experiences and nursing approaches towards patients with psychoactive substance dependence admitted to an Italian acute hospital ward. A qualitative phenomenological study was conducted. Data were collected using semi-structured face-to-face interviews. The interviews were transcribed, read thoroughly, and analysed. Fifteen nurses were interviewed. Six main themes were extracted: (1) origin context, (2) participants' personal thoughts, (3) type of approach provided, (4) school education received on the topic, (5) effectiveness of rehabilitative therapy, and (6) methods that can improve nursing care. The findings suggest that most respondents experience stigma and discrimination when providing care to these patients. In response to the results obtained, models have been suggested, such as Jean Watson's Human Caring Theory, which shows how practising a holistic approach based on empathy and active listening can improve the relationship between nurses and patients. Furthermore, to eliminate stereotypes, it would be appropriate to act on the university education of nurses. This study was not registered. [ABSTRACT FROM AUTHOR]

This study critically examines the public's perception of Florence Nightingale's legacy through a critical discourse analysis (CDA) of digital media, specifically podcasts and YouTube. Nightingale, who is often remembered as "The Lady with the Lamp", holds a complex identity within modern narratives that is celebrated for her pioneering contributions to nursing and public health, even if there are some disagreements about her, given the colonialist setting that may have shaped some of her opinions and decisions. This research employed CDA to analyze 25 podcasts and 18 YouTube videos, which were systematically included according to a priori inclusion criteria. The study synthesized how these media products portray Nightingale and, by extension, shape public discourse about the nursing profession. The findings reveal five thematic representations of Nightingale: as a legendary figure, a modern feminist, a dedicated statistician, a pioneer in public health, and a pivotal STEM contributor. These portrayals challenge traditional nursing stereotypes by emphasizing Nightingale's role as a rigorous scientist and reformer, suggesting broader perceptions of nurses that encompass leadership, analytical skills, and strategic thinking. The study supports the hypothesis that digital narratives significantly influence the public's understanding and appreciation of nursing, advocating for a more nuanced professional identity that integrates traditional caregiving roles with critical and analytical capabilities. [ABSTRACT FROM AUTHOR]

Background: Because of the growth of nursing care in ambulatory clinics, nursing education and professional development needs have increased. Method: At one academic medical center, development of a combined centralized-decentralized nursing professional development model addressed the needs of this expansion. Results: Hiring dedicated nursing professional development staff for prioritized education programs improves throughputs and outputs associated with nursing professional development. Conclusion: Implementation of unit-based clinic rounding has improved staff engagement with education, professional development, and quality outcomes. [J Contin Educ Nurs. 2024;55(9):449–455.] [ABSTRACT FROM AUTHOR]

Objective: We aim to explore the differences of the psychological distress of postoperative chemotherapy patients with colorectal cancer between mindfulness intervention combined with homogeneous medical concepts and mindfulness intervention only. Methods: One hundred patients with colorectal cancer undergoing chemotherapy after surgery from Sep 2020 to Sep 2022 were enrolled and divided into active control group (Solution centered nursing interventions; homogenized medical and nursing professional teams; dedicated personnel responsible for "admission notices"; Regular follow-up after discharge) and mindfulness group (homogeneous medical concept + and concentrated solution + Mindfulness intervention) with 50 cases in each group according to different nursing methods. Results: After nursing, the physical function, emotional function, cognitive function, and social function of the patients in the mindfulness group were significantly higher than those in the active control group. However, the overall life and economic difficulties of the patients in the mindfulness group were significantly lower than those in the active control group (P < 0.05). After nursing, the observation score, description score, action score, intrinsic experience score, non-judgment score and non-reaction score of the mindfulness group were significantly higher than those of the active control group (P < 0.05). Conclusion: The implementation of mindfulness intervention in colorectal cancer patients undergoing chemotherapy can alleviate the patients' negative emotions, improve the level of mindfulness, and improve the quality of life of patients. [ABSTRACT FROM AUTHOR]

Background: Management of type 2 diabetes (T2D) as a chronic disease requires treatment adherence such as controlling the blood glucose level and adopting a healthy lifestyle. The present study aimed to develop and psychometrically evaluate a questionnaire based on the Pender's Health Promotion Model (HPM) to measure treatment adherence and the associated factors among T2D patients. Methods: The present study was conducted in qualitative and the quantitative phases between March 2022 and March 2023. The participants were T2D patients visiting Shahid Mohammadi hospital Diabetes Clinic in Bandar Abbas in the south of Iran. The first draft of items was extracted from the qualitative phase. The present study used interviews with T2D patients, item construction, validity and reliability evaluation of the instrument, and the relevant statistical analyses. It emphasized the significance of content, face, and construct validity, along with reliability testing using Cronbach's alpha and test-retest method. Data were analyzed using SPSS software, V16 and AMOS, V23. Results: A 97-item questionnaire was developed through the qualitative phase and, after content validity, it was reduced to 86 items. Five items were removed in face validation, and after the test-retest method, 79 items were retained. The confirmatory factors analysis confirmed a 65-item model with appropriate fitness of data. Cronbach's alpha coefficient showed an acceptable reliability of the diabetes treatment adherence questionnaire (α = 0.92). Conclusion: The questionnaire developed based on the HPM model provides a standard and comprehensive measurement of the degree of adherence to treatment and the associated factors among Iranian T2D patients. This is especially valuable in the Iranian healthcare context, where effective management of chronic diseases such as diabetes is of a top priority. Questionnaires can help identify barriers and facilitators of treatment adherence to inform systematic and goal-oriented interventions. The proposed questionnaire had good psychometric properties, and can be used as a valid and practical instrument to measure the factors related to treatment adherence behaviors. [ABSTRACT FROM AUTHOR]

The aim of the study was to explore and describe how public health nurses at child health clinics experience and perceive the follow-up of children and families when there is concern about the child's care. The goal was to contribute to knowledge development to guide health-promoting nursing care for children and their families. Theoretical perspectives included health promotion, child-centered and family-centered care, in addition to nursing care. An exploratory qualitative design informed by a hermeneutic approach was used. Data were collected in 3 focus groups with 16 public health nurses and analyzed using latent content analysis. The findings detail public health nurses' internal negotiation processes in the follow-up of children and the family, and the ways these negotiation processes were influenced by various prerequisites, the approaches for follow-up, dilemmas that affected public health nurses' approaches, and prolonged dwellings on past responses to children and families of concern. The lack of routines and goals for follow-up, a dominant parental perspective, and ambiguity related to health promotion and disease prevention, all created challenges for the public health nurses. Based on these findings, a model of public health nurse's follow-up when there is concern about the child's care was developed for future research. [ABSTRACT FROM AUTHOR]

Purpose. This study examines smoking and alcohol use among disadvantaged Hill tribe adolescents (12–19 years old) in northern Thailand. We use Leininger's theory to better understand how cultural norms, health literacy, and perceived impacts influence these behaviors. Methods. The study utilized a cross‐sectional approach and involved 324 participants. Data were collected using standardized questionnaires (Thai‐AUDIT, FTND) to assess substance use and health literacy. Focus group discussions provided further insights into cultural norms and the impacts of such behaviors. Results. Over half (51.2%) of participants reported ever consuming alcohol, and 20.10% currently smoke cigarettes. Health literacy levels were adequate across all subgroups. Multiple regression analyses with a hierarchical approach identified the cultural and social factors including age at first drinking (β = −0.34, t = −2.68, p = 0.01) and factors related to the impact of past usage (impact on one's health: β = −0.33, t = −2.48, p = 0.01, and impact on deep feelings: β = −0.33, t = −2.33, p = 0.02), which accounted for 18.2% of the variance in current alcohol consumption frequency (adjusted R2 = 0.182, F = 3.04, p = 0.01). The analysis revealed that there was no statistically significant relationship between age at first smoking and the current amount of cigarettes (β = −0.01, p = 0.15). As expected, health literacy was shown as the only predictor that significantly predicted the current amount of cigarettes (β = −0.40, p = 0.003), accounting for 14.1% of the current amount of cigarettes (adjusted R2 = 0.141, F = 4.08, p = 0.05). Conclusion. The results provide further evidence that the standard intervention is not appropriate for utilization with this specific group. Therefore, we propose a multifaceted culturally appropriate approach that integrates the insights derived from the focus group discussion while currently targeting health literacy, alcohol attitudes, and early substance use prevention through family and community awareness initiatives. [ABSTRACT FROM AUTHOR]

Aims Design Methods Results Conclusion Implication The longitudinal programme of research described in this paper seeks to generate knowledge about factors influencing the implementation of a system‐level intervention, the clinical nurse leader care model, involving nurses as leaders at the frontlines of care and the outcomes achievable with successful implementation. The research programme has the following aims, (a) to clarify clinical nurse leader practice, (b) develop and empirically validate a translational model of frontline care delivery that includes clinical nurse leader practice and (c) delineate the patterns of and critical outcomes of successful implementation of the clinical nurse leader care model.This programme of research follows a knowledge‐building trajectory involving multiple study designs in both qualitative (grounded theory, case study) and quantitative (descriptive, correlational and quasi‐experimental) traditions.Multiple mixed methods within a system‐based participatory framework were used to conduct this programme of implementation–effectiveness research.Findings are demonstrating how the clinical nurse leader care model, as a complex system‐level intervention, can be implemented in diverse healthcare contexts to make a difference to patient care quality and safety. Findings also contribute to implementation science, helping to better understand the dynamic interdependencies between implementation, the interventions implemented and the contexts in which they are implemented.Findings translate into sets of evidence‐informed implementation ‘recipes’ that health systems can match to their specific contexts and needs. This allows health systems to take on strategies that both maximize resource impact within their existing structures and support achieving intended outcomes.This programme of research is producing actionable implementation and outcome evidence about ways to organize nursing knowledge and practice into care models that can be successfully adopted within real‐world healthcare settings to achieve safer and higher quality patient care. [ABSTRACT FROM AUTHOR]

Background: Nurses are increasingly demanded to achieve gold-standards of care with fewer resources. Dealing effectively with stress experienced in their daily-work-life is thus crucial. This study is based on the Demands-Resources-and-Individual-Effects (DRIVE) Nurses Model and applied the person-centred approach with a twofold objective: 1. to identify patterns of coping strategies (Problem-Focused; Seek-Advice; Self-Blame; Wishful-Thinking; Escape/Avoidance) adopted by nurses to deal with perceived stress; 2. to explore potential differences in perceived Demands (Effort), Resources (Rewards, Job-Control, Social-Support), and Psychopathological Symptoms (Anxiety, Phobic-Anxiety, Obsessive–Compulsive, Somatization, Depression, Interpersonal-Sensitivity, Hostility, Psychoticism, Paranoid-Ideation) according to the emerged patterns. Method: This cross-sectional study was reported by using the STROBE Checklist. Overall, 265 nursing professionals completed self-report measures. Non-hierarchical k-means-cluster-analysis was employed to derive patterns of coping. MANOVAs were used to test differences in Demands, Resources, and Psychopathological Symptoms according to the emerged patterns. Results: Three stable and meaningful patterns of coping were identified and labelled as Active/Solution-Oriented, Dysregulated/Emotion-focused, and Passive/Disengaged. Nurses belonging to Dysregulated/Emotion-focused group emerged to be at higher risk (higher effort/psychopathological suffering; lower resources) – followed by Passive/Disengaged group – in comparison with nurses belonging to Active/Solution-Oriented group. Conclusion: Fostering nurses' awareness of their latent coping patterns and supporting active approaches/emotional regulation strategies for stress management should represent a key goal when defining interventions promoting nurses' health within/beyond the healthcare settings. [ABSTRACT FROM AUTHOR]

Aims Background Design Methods Results Conclusion Relevance to Clinical Practice Public Contribution To investigate the relationship between medical narrative ability and humanistic care ability among Chinese clinical nurses, examining the potential mediating role of empathy.In the context of the bio‐psychosocial medical model and humanistic nursing care, understanding the core competencies of medical narrative ability, empathy and humanistic care in nursing is crucial. This study explored the mediating role of empathy between medical narrative ability and humanistic care ability.A cross‐sectional study.The study employed a descriptive, cross‐sectional survey design, involving 741 nurses from Wuxi People's Hospital. It assessed nurses' demographic characteristics, medical narrative ability, empathy, and humanistic care ability using an online questionnaire from December 2022 to February 2023. Pearson correlation analysis evaluated variable correlations, and PROCESS v3.3 model 4 was utilised for mediation analysis. The STROBE statement was chosen as the EQUATOR checklist.A positive correlation was found between nurses' medical narrative ability, humanistic care ability and empathy. Empathy partially mediated the relationship between medical narrative ability and humanistic care ability.Nurses' medical narrative ability directly and indirectly (via empathy) influences their humanistic care ability. Enhancing nurses' narrative and empathic skills can improve humanistic care, nursing quality and nurse–patient relationships.Managers should prioritise programmes to improve nurses' storytelling and empathy skills to enhance humanistic care, improving nursing quality and patient relationships.This study involves clinical nurses as participants and does not involve patients. This study collected data from clinical nurses using an online questionnaire platform in China. The questionnaire consisted of four sections, including demographic information and scales such as Narrative Competence Scale, Caring Ability Inventory and the Jefferson Scale of Empathy‐Health Professional. Clear instructions were given to participants on how to complete each scale, and measures were taken to prevent missing or duplicate responses. [ABSTRACT FROM AUTHOR]

Objective: The early identification and diagnosis of transplant-associated thrombotic microangiopathy (TA-TMA) are essential yet difficult in patients underwent hematopoietic stem cell transplantation (HSCT). To develop an evidence-based, nurse-leading early warning model for TA-TMA, and implement the healthcare quality review and improvement project. Methods: This study was a mixed-methods, before-and-after study. The early warning model was developed based on quality evidence from literature search. The healthcare quality review and improvement project mainly included baseline investigation of nurse, improvement action and effectiveness evaluation. The awareness and knowledge of early parameter of TA-TMA among nurses and the prognosis of patients underwent HSCT were compared before and after the improvement. Results: A total of 1 guideline, 1 evidence synthesis, 4 expert consensuses, 10 literature reviews, 2 diagnostic studies, and 9 case series were included in the best evidence. The early warning model including warning period, high-risk characteristics and early manifestation of TA-TMA was developed. The improvement action, including staff training and assessment, suspected TA-TMA identification and patient education, was implemented. The awareness and knowledge rate of early parameter of TA-TMA among nurses significantly improved after improvement action (100% vs. 26.7%, P < 0.001). The incidence of TA-TMA was similar among patients underwent HSCT before and after improvement action (2.8% vs. 1.2%, P = 0.643), while no fall event occurred after improvement action (0 vs. 1.2%, P < 0.001). Conclusion: The evidence-based early warning model and healthcare quality improvement project could enhance the awareness and knowledge of TA-TMA among healthcare providers and might improve the prognosis of patients diagnosed with TA-TMA. [ABSTRACT FROM AUTHOR]

Background Methods Results Conclusions Relevance to Clinical Practice Patient or Public Contribution As generative artificial intelligence (GenAI) tools continue advancing, rigorous evaluations are needed to understand their capabilities relative to experienced clinicians and nurses. The aim of this study was to objectively compare the diagnostic accuracy and response formats of ICU nurses versus various GenAI models, with a qualitative interpretation of the quantitative results.This formative study utilized four written clinical scenarios representative of real ICU patient cases to simulate diagnostic challenges. The scenarios were developed by expert nurses and underwent validation against current literature. Seventy‐four ICU nurses participated in a simulation‐based assessment involving four written clinical scenarios. Simultaneously, we asked ChatGPT‐4 and Claude‐2.0 to provide initial assessments and treatment recommendations for the same scenarios. The responses from ChatGPT‐4 and Claude‐2.0 were then scored by certified ICU nurses for accuracy, completeness and response.Nurses consistently achieved higher diagnostic accuracy than AI across open‐ended scenarios, though certain models matched or exceeded human performance on standardized cases. Reaction times also diverged substantially. Qualitative response format differences emerged such as concision versus verbosity. Variations in GenAI models system performance across cases highlighted generalizability challenges.While GenAI demonstrated valuable skills, experienced nurses outperformed in open‐ended domains requiring holistic judgement. Continued development to strengthen generalized decision‐making abilities is warranted before autonomous clinical integration. Response format interfaces should consider leveraging distinct strengths. Rigorous mixed methods research involving diverse stakeholders can help iteratively inform safe, beneficial human‐GenAI partnerships centred on experience‐guided care augmentation.This mixed‐methods simulation study provides formative insights into optimizing collaborative models of GenAI and nursing knowledge to support patient assessment and decision‐making in intensive care. The findings can help guide development of explainable GenAI decision support tailored for critical care environments.Patients or public were not involved in the design and implementation of the study or the analysis and interpretation of the data. [ABSTRACT FROM AUTHOR]

Nurses are one of the human resources (HR) groups in hospitals that have the largest number and as health workers who interact directly with clients the longest. Thus, nursing services play a role in determining the quality of health services in hospitals. As the spearhead in the management of nursing services, the head of the room plays a role in carrying out clinical supervision to control nurse performance and the quality of nursing services. This study was conducted to analyze the application of head of room clinical supervision to improve the quality of nursing services. The method used is literature review. Article search through the databases PubMed, Science Direct, EBSCO, J-Stor and ProQuest. A total of 10 articles were obtained which were then extracted. All articles acknowledge the relationship between supervision and the quality of nursing services which are assessed through nurse performance, because with the implementation of good nursing supervision, the implementing nurse always carries out her duties well in providing nursing care, nursing actions, and planning patients to go home because the implementing nurse feels responsible and motivated in every implementation of her duties so that the quality of nursing services The high can be reached. there is a significant relationship in the application of the head of room supervision to the quality of nursing services. Good supervision is to apply the nursing supervision model rather than without using the model. The quality of nurse services can be assessed from the implementation of nursing care from the time the patient enters the hospital to the patient's discharge planning which is determined by discharge planning. [ABSTRACT FROM AUTHOR]

Objective To analyze the elderly care service demands under the three major care models in Shandong Province, explore the influencing factors, and dissect the main problems and reasons, to provide empirical evidence for improving the capacity and vitality of rural elderly care. Methods A total of 1 463 elderly people were selected as the research subjects using a multi-stage random sampling method. The q test and variance analysis were used to examine the differences in elderly care service demands across different care models. The corresponding analysis was employed to explore the trends of elderly care service demands under different care models. Results The total scores of elderly life quality were (46,83±6.95) points in the family care model, (40.58±6.89) points in the institution care model, and (55.12±7.62) points in the community care model, with statistically significant differences in each dimension. The total scores of services demand for family, institution, and community care models were (198.65±16.3) points, (190.82±14.1) points, and (20236±19.2) points. There were significant differences in service needs in life care, mental comfort, medical care, disease prevention, and health promotion among different elderly care models. Conclusion It is necessary to further enrich the concept of care models and tailor services to the specific needs of the elderly under different care models. Providing targeted service projects based on diverse elderly care needs can better support the elderly, s living needs, offer lifelong health services, and implement a nursing model, to improve the quality of life for the elderly. [ABSTRACT FROM AUTHOR]

Purpose: The study aimed to determine the key factors influencing health-promoting behavior and the behavioral intentions of eHealth consumers based on the health promotion model and technology acceptance model. Methods: This research involved a longitudinal path analysis. The study was conducted with 360 eHealth consumers aged over 18 years, employed in the top five categories of the Korean standard classification of occupations, and living in the five largest cities in South Korea. The data were analyzed using SPSS 22.0 and AMOS 25.0. Results: Health-promoting behaviors were directly supported by prior health-related behavior and behavioral intention, and indirectly supported by perceived ease of use, perceived usefulness, perceived benefit, self-efficacy, and behavioral intention. These variables accounted for 36.3% of the variance in health-promoting behavior. Conclusion: The findings serve as a framework that can help health professionals and health information providers understand how to encourage consumers using eHealth to engage in health-promoting behaviors. [ABSTRACT FROM AUTHOR]

Intensive Care Unit (ICU) patients not only require life-sustaining treatments but also the preservation of their psychological well-being and dignity, and ICU nurses face heavy work pressure, focusing more on life-sustaining treatments for patients, while the patient's psychological experiences are often overlooked. This article aims to explore the issue of nurse-led patient dignity preservation in the ICU from China. Reflection is a process of deep thinking and examining one's actions, experiences, perspectives, or emotions. It involves retrospectively reviewing, analyzing, and evaluating past events to gain insights, understanding, and personal growth. Through reflection, individuals can consider whether their actions align with their values and goals and whether they can learn valuable lessons from them. This article discusses the preservation of patient dignity in the ICU from China based on Taylor's Emancipatory Reflection Model, which involves four steps: constructing, deconstructing, confronting, and reconstructing. The process of reflection incorporates theories such as Maslow's Hierarchy of Needs, Comfort Theory, and the style of Paternalistic Decision-making. This study is of great significance in enhancing Chinese nurse's attention to patient dignity, improving the inpatient experience of ICU patients, and enhancing the quality of nursing practice by critically examining current nursing practices in China and providing improvement recommendations. [ABSTRACT FROM AUTHOR]