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Workplace nepotism, the preferential treatment based on kinship or familial ties, is a pervasive phenomenon that permeates every corner of our global workforce, transcending cultures, countries, industries, and organizations. Despite its ubiquitous presence, research on nepotism remains fragmented and scattered, with diverse disciplines seldom converging or cross‐referencing one another. In this integrative review, we synthesize, integrate, and critically assess the extant body of knowledge about workplace nepotism. Our aim is to provide HR scholars with a panoramic view of the known, the unknown, and the uncharted territories to move the field forward. To this end, we first provide a clear conceptualization of nepotism, setting it apart from closely related constructs. Second, we offer a comprehensive review of empirical evidence that summarizes the antecedents, consequences, and theoretical foundations of nepotism. Importantly, our review adopts an actor‐centric perspective, advocating that three main sets of actors are meaningfully involved in nepotism (i.e., instigators, beneficiaries, and third parties), thereby contributing to theory by showing that nepotism may differentially relate to outcomes depending on which actor's perspective is taken. Third, we identify the shortcomings related to theory, methods, and measures, while identifying best practices. In particular, we offer insights into how future scholarship may meaningfully extend this literature. Finally, we provide evidence‐based guidelines for how organizations and their leaders may develop and refine their policies regarding the hiring, promotion, evaluation, and compensation of family members and relatives. [ABSTRACT FROM AUTHOR]

In this integrative review we analyze research from multiple fields of study in regards to gender equality, gender equity, and sport participation over the past twenty years (2000–2020). Key findings highlight a) women and girls' socialization into sport and the performance of femininity and heteronormativity, b) the psychological benefits, negative effects, and participant retention, c) a lack of transformative critique of sport structures and barriers to access, and d) critique of sport policy that enhances equity and equality. Embedded throughout the presentation of these four interrelated areas of interest, we offer a critique about the state of research so that others might draw insight for future research directions. We conclude by outlining potential intersectional and transformational frameworks that connect research to social and political action. We also provide commentary on knowledge creation, databases, and the politicization of knowledge. [ABSTRACT FROM AUTHOR]

Introduction: Timely diagnosis is critical for persons with Alzheimer's disease and related dementias (ADRD) to ensure they receive adequate services; however, timely diagnosis may be prevented by a person's English language skills. The purpose of this integrative review was to understand how limited English proficiency (LEP) impacts older Latino's ability to access a timely ADRD diagnosis. Methods: Whittemore and Knafl's methodological approach guided the review. Searches in five databases yielded 12 articles for inclusion. Results: Lack of culturally congruent health care systems, health care providers, and knowledge of ADRD resulted in delays in obtaining a timely ADRD diagnosis among older Latinos with LEP. Discussion: Latinos with LEP and risk for ADRD benefit from language assistance and support in navigating the health care system. Nurses must be advocates, even when a language barrier is present, and recognize that interpreters are not a single source solution. [ABSTRACT FROM AUTHOR]

Aim: To identify factors associated with resilience in family caregivers of Asian older people with dementia based on Luthar and Cicchetti's definition of resilience. Design: Integrative review of resilience in family caregivers of Asian older people with dementia reported by studies with quantitative and qualitative research designs. Data Sources: Databases used for the literature search included CINAHL, PubMed, EMBASE, PsycINFO and Google Scholar. Review Methods: A total of 565 potentially relevant studies published between January 1985 and March 2024 were screened, and 27 articles met the inclusion criteria. Results: Family caregivers were most commonly adult children of care recipients, female and providing care in their home. Two themes emerged from the review: factors associated with adversity (dementia severity, caregiver role strain, stigma, family stress, female gender, low income and low education) and factors associated with positive adaptational outcomes (positive aspect of caregiving, social support and religiosity/spirituality). Conclusion: In our review of Asian research, four new factors—caregiver role strain, stigma, family stress and positive aspects of caregiving—emerged alongside those previously identified in Western studies. A paradigm shift was observed from a focus on factors associated with adversity to factors associated with positive adaptational outcomes, particularly after the issuance of the WHO's 2017 global action plan for dementia. However, a gap remains between WHO policy recommendations and actual research, with studies often neglecting to address gender and socioeconomic factors. Impact: The review findings will broaden healthcare providers' understanding of resilience in dementia caregivers and use them to develop comprehensive programmes aimed at reducing factors associated with adversity and enhancing those associated with positive adaptational outcomes. This approach can be customized to incorporate Asian cultural values, empowering caregivers to navigate challenges more effectively. No Patient or Public Contribution: This paper is an integrative review and does not include patient or public contributions. [ABSTRACT FROM AUTHOR]

Aim: To review the current nursing and midwifery contribution to leading digital health (DH) policy and practice and what facilitates and/or challenges this. Design: Integrative literature review. Methods: Pre‐defined inclusion criteria were used. Study selection and quality assessment using the appropriate critical appraisal tools were undertaken by two authors, followed by narrative synthesis. Data Sources: Six databases and hand searching for papers published from 2012 to February 2024. Findings: Four themes were identified from 24 included papers. These are discussed according to the World Health Organization's Global Strategic Directions for Nursing and Midwifery and indicate nurses/midwives are leading DH policy and practice, but this is not widespread or systematically enabled. Conclusion: Nurses and midwives are ideally placed to help improve health outcomes through digital healthcare transformation, but their policy leadership potential is underused. Implications for the profession and/or patient care: Nurses/midwives' DH leadership must be optimized to realize maximum benefit from digital transformation. A robust infrastructure enabling nursing/midwifery DH policy leadership is urgently needed. Impact: This study addresses the lack of nursing/midwifery voice in international DH policy leadership. It offers nurses/midwives and health policymakers internationally opportunity to: drive better understanding of nursing/midwifery leadership in a DH policy context; enhance population outcomes by optimizing their contribution; Develop a robust infrastructure to enable this. Reporting Method: Reporting adheres to the EQUATOR network, Preferred Reporting Items for Systematic Review and Meta‐Analysis (PRISMA) guidelines. Patient or Public Contribution: No patient or public contribution. [ABSTRACT FROM AUTHOR]

Aim: To identify the risk and protective factors affecting thirst symptoms in patients with heart failure (HF) and intervention strategies to alleviate thirst symptoms. Design: An integrative review. Methods: A total of 61 articles were retrieved. Screening yielded a total of 21 articles which were appraised for quality. The quality of studies was assessed using the Mixed Methods Appraisal Tool. Data Sources: Ten electronic databases were searched in October 2023, including Embase, Pubmed, CINAHL, Cochrane, Web of Science, Wiley, CNKI, VIP, CBM and WanFang. In addition, we searched grey databases and manually searched reference lists of included and relevant reviews. Results: In total, 1644 articles were retrieved, of which 21 were included. Eight studies addressed the factors. Six themes emerged as risk factors, including demographics, severity of disease, psycho‐environmental, medication, fluid restriction and homeostasis. Conversely, an increase in fluid intake, a high score of sodium restriction diet attitude and using ARB were identified as protective factors. Thirteen studies focus on intervention strategies. Five unique intervention strategies were identified, including Traditional Chinese Medicine, mint‐related interventions, sour‐flavour interventions, improved water restriction and cluster nursing strategy. Conclusion: This finding identified the factors associated with thirst symptoms in patients with HF, especially concerning the elaboration of risk factors, which suggests that healthcare professionals should focus on the risk factors for thirst in patients with HF and consciously avoid the occurrence of these risk factors. Additionally, there are considerable cultural differences in interventions, therefore, to increase adherence during symptom management, careful selection of appropriate intervention strategies based on the requirements and preferences of patients is required. While there are some therapies, there aren't enough high‐quality empirical investigations. Thus, multi‐centre, large‐sample studies are also required in subsequent research to demonstrate the interventions' effectiveness. Implications for the Profession: The nurse must notice the symptoms of thirst in HF to slow down the disease's progression and improve the patient's physical and emotional well‐being. Reporting Method: The review complies with the PRISMA guidelines for reporting systematic reviews. Patient or Public Contribution: No patient or public contribution. [ABSTRACT FROM AUTHOR]

This integrative review aims to analyze and synthesize existing literature to inform our understanding of the multifaceted dimensions of domestic violence during the first year of the COVID-19 pandemic, using a holistic and ecological framework. Utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) study design, searches were conducted on six databases, yielding a final sample of 58 articles. The study comprehensively overviews North America, South America, Asia, Europe, Africa, and worldwide research. The literature reveals an alarming increase in domestic violence victimization during the pandemic in most regions and studies, exacerbating pre-existing vulnerabilities. The increase in domestic violence during the pandemic is linked to ecological factors such as lower physical and mental health, rising substance use, and financial stress, which heightened individuals' vulnerability. Lockdowns exacerbated these issues by increasing confinement in homes, disrupting support services, and limiting victims' access to help. Barriers to help-seeking and amplified personal and professional stressors at the care level are identified. Advocacy for improved awareness, cooperation, and inclusive national and institutional policies emerges. This study underscores the urgency of empirical research to generate reliable data on the pandemic's impact on domestic violence. The findings of this study highlight the importance of understanding unique factors affecting specific groups, as well as informing prevention efforts and targeted interventions. Recognizing the mutual benefit of research–practice partnerships is crucial in addressing and preventing domestic violence. This research contributes to a deeper understanding of domestic violence during the pandemic's first year, guiding empirically informed interventions and policy changes. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Design Method Data Source Results Conclusion Implications for the Profession Impact Reporting Method Patient or Public Contribution Trial Registration The aim of this study is to synthesise literature on specialised nursing career frameworks to inform the development of an aged care nursing career framework.An integrative review was conducted.The review followed Whittemore and Knafl's five‐step integrative review method. To appraise the quality of the studies, the Quality Appraisal for Diverse Studies tool for peer‐reviewed articles and the ACCODS (Authority, Accuracy, Coverage, Objectivity, Date, and Significance) checklist for grey literature were used. Data were extracted and synthesised using the constant comparison method.The electronic databases of CINAHL, Medline, PsycINFO and Google Scholar were searched to identify peer‐reviewed articles and grey literature reporting on specialised nursing career frameworks for registered nurses.Eight studies were reviewed, and the findings were presented corresponding to each of the three research questions of the review. First, the research methods adopted to develop specialised nursing career frameworks were described based on the research design, stakeholder involvement and data collection methods. Second, the key elements of specialised nursing career frameworks were identified as career pathways, nursing competencies and roles and progression between the career levels. Third, the findings suggested that the key purposes for developing specialised nursing career frameworks are to improve professional development, recruitment and retention and to promote consistency and quality in nursing practice.The study highlights a significant gap in the evidence base of career frameworks for registered nurses in aged care, emphasising the need for future research. This review answered three research questions: methods for developing specialised nursing career frameworks, their key components and main purposes, providing insights to guide healthcare organisations and researchers. The findings indicate that career frameworks are primarily intended to promote knowledge and skills development and may also to bolster recruitment and retention rates, and support nurses' career advancement, but there is limited evidence on implementation, evaluation and sustainability.The findings will guide healthcare organisations and future researchers with methods and techniques to develop specialised nursing career frameworks. Implementing a specialised nursing career framework in aged care could enhance continuous professional development, recruitment, retention and career progression among nurses.Nursing career frameworks have been widely applied to address professional development and retention objectives. However, there is limited evidence available to formulate a career framework for registered nurses working in aged care. The review identified the research methods adopted to develop specialised nursing career frameworks along with the key elements of specialised nursing career frameworks. These findings will guide employers and future researchers in developing evidence‐based aged‐care nursing career frameworks. Additionally, the findings will guide registered nurses in using career frameworks as a tool to facilitate career advancement and competency development. Furthermore, the review recognised the key purposes for developing specialised nursing career frameworks, suggesting that the meaningful adoption of career frameworks could be utilised as a strategic approach for enhancing retention and workforce development of the aged care workforce.The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guideline was used for reporting.No patient or public contribution.The integrative review protocol was registered in the PROSPERO international prospective register of systematic reviews database (registration no: CRD42022354728) [ABSTRACT FROM AUTHOR]

This study aims to provide a comprehensive knowledge map of COVID-19’s impacts on the tourism and hospitality sectors and synthesize recommendations for future research. Utilizing the Web of Science database and the PRISMA approach, 752 SSCI index articles published in 47 leading tourism and hospitality journals were extracted and analyzed through an integrative review consisting of bibliometric, and systematic analyses. The bibliometric technique revealed that there were 28 prolific contributing countries. Next, the systematic approach uncovered that researchers engaged the most with the theory of planned behavior. These theoretical frameworks may offer a way to investigate the new paradigm wherein tourism and hospitality firms can provide better services to their customers during and after the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

The objectives of this review were to identify the causes, types, and effects of clinical interactions that medical radiation students (MRS) consider as challenging and assess available support and coping strategies during these challenging interactions. The overarching aim is to understand the current situation of challenging clinical interactions (CCIs) for MRS during clinical placement (CP). A comprehensive literature search on PubMed, Scopus, Web of Science, Ovid Medline, CINAHL, ERIC, OpenDissertation, and ProQuest Digital databases for studies published from 2005 to 2024 found 133 studies, with 11 meeting the inclusion criteria. Most of the studies (n = 8) recruited medical imaging students with no study found for nuclear medicine undergraduates. The main cause of CCIs identified thematically was inadequate support and preparation, while three themes were identified for the types of CCIs: students' self-perceived challenges, clinical scenarios and situations, and unacceptable behaviours. Similarly, three themes were identified regarding the effects of CCIs: attitudinal changes, long-lasting effects, and professional identity development. The identified coping and support strategies were support from supervisors, educators, and students. Compared to nursing and medicine, the issue of CCIs has received little research interest in medical radiation education. This could result in increased attrition, while its potential to impede students' professional capability development cannot be underestimated. These CCIs and their effects need to be studied thoroughly with all stakeholders. To enable MRS to achieve their clinical learning objectives, a major goal in the future will be to assess the effectiveness of the support and coping strategies available to all MRS during CCIs and to ensure the development of effective support strategies. [ABSTRACT FROM AUTHOR]

Autism spectrum disorder (ASD), or autism, is a lifelong neurodevelopmental condition typically detected during early childhood, for which no specific and efficient pharmacological management is currently available. No drugs have been developed specifically for the pharmacological management of autism. Thus, this approach often relies on various conventional psychotropic medications and, depending on the condition, other medications may also be used. Some studies available in the literature indicate that the adjunctive use of corticosteroids can help improve the quality of life of individuals with autism. Therefore, we conducted an integrative review using four databases, which were PubMed, Scopus, Web of Science, and Google Scholar, focusing on clinical trials and animal model studies involving corticosteroids related to autism. We analyzed the effects of treatment on core and associated autism symptoms, as well as adverse effects. Eight studies were selected and analyzed, seven involving humans and one using an animal model. These studies focused on the drugs pregnenolone (3), prednisolone (3), hydrocortisone (1), and betamethasone (1) in trials either alone or in combination with other medications (such as risperidone). We observed that corticosteroids safely and effectively reduced several symptoms, including stereotypical and social behaviors, hyperactivity, and irritability. Furthermore, no serious adverse effects were observed, although all selected studies were of short duration. Thus, corticosteroids are promising options to be included in the pharmacological management of autism, whether or not in combination with other medications, and further studies are needed to evaluate their long-term effectiveness. [ABSTRACT FROM AUTHOR]

Background: Nurse-patient relationships are an integral component of person-centred palliative care. Greater understanding of how nurse-patient relationships are fostered and perceived by patients and nurses can be used to inform nursing practice. Aim: To systematically identify and synthesise how nurse-patient relationships are fostered in specialist inpatient palliative care settings, and how nurse-patient relationships were perceived by patients and nurses. Design: Integrative review with narrative synthesis. The review protocol was registered with PROSPERO (CRD42022336148, updated April, 2023). Data Sources: Five electronic databases (PubMed, CINAHL Complete, Medline, Web of Science and PsycINFO) were searched for articles published from their inception to December 2023. Studies were included if they (i) examined nurse and/or patient perspectives and experiences of nurse-patient relationships in specialist inpatient palliative care, (ii) were published in English in a (iii) peer-reviewed journal. The Mixed Methods Appraisal Tool was used to evaluate study quality. Data were synthesised using narrative synthesis. Results: Thirty-four papers from 31 studies were included in this review. Studies were mostly qualitative and were of high methodological quality. Four themes were identified: (a) creating connections; (b) fostering meaningful patient engagement; (c) negotiating choices and (d) building trust. Conclusions: Nurses and patients are invested in the nurse-patient relationship, benefitting when it is positive, therapeutic and both parties are valued partners in the care. Key elements of fostering the nurse-patient relationship in palliative care were revealed, however, the dominance of the nurses' perspectives signifies that the nature and impact of these relationships may not be well understood. [ABSTRACT FROM AUTHOR]

Ethics is a foundational competency in healthcare inherent in everyday nursing practice. Therefore, the promotion of qualified nurses' and nursing students' moral competence is essential to ensure ethically high-quality and sustainable healthcare. The aim of this integrative literature review is to identify the factors contributing to the promotion of qualified nurses' and nursing students' moral competence. The review has been registered in PROSPERO (CRD42023386947) and reported according to the PRISMA guideline. Focusing on qualified nurses' and nursing students' moral competence, a literature search was undertaken in January 2023 in six scientific databases: CINAHL, Cochrane Library, PsycINFO, PubMed Medline, Scopus and Web of Science. Empirical studies written in English without time limitation were eligible for inclusion. A total of 29 full texts were retrieved and included out of 5233 citations. Quality appraisal was employed using Joanna Briggs Institute checklists and the Mixed Method Appraisal Tool. Data were analysed using inductive content analysis. Research about the factors contributing to the promotion of qualified nurses' and nursing students' moral competence is limited and mainly explored using descriptive research designs. The contributing factors were identified as comprising two main categories: (1) human factors, consisting of four categories: individual, social, managerial and professional factors, and ten sub-categories; and (2) structural factors, consisting of four categories: educational, environmental, organisational and societal factors, and eight sub-categories. This review provides knowledge about the factors contributing to the promotion of qualified nurses' and nursing students' moral competence for the use of researchers, nurse educators, managers, organisations and policymakers. More research about the contributing factors is needed using complex intervention, implementation and multiple methods designs to ensure ethically sustainable healthcare. [ABSTRACT FROM AUTHOR]

Aim and Objectives: To summarise the evidence and present the state of the science on pressure injury care bundles in the community. Specifically, this review examined (i) the extent of pressure injury by studying its prevalence and incidence in the last 10 years, (ii) the risk factors associated with community‐acquired pressure injury and (iii) the components and outcomes associated with effective pressure injury care bundles in the community. Background: PI care bundles have effectively reduced PI rates; however, there is limited evidence of care bundles used in community settings. Design: Integrative review. Methods: This integrative review is guided by the Whittemore and Knafl framework and follows the Preferred Reporting Items for Systematic Reviews and Meta‐analyses (PRISMA) reporting guidelines. Quality appraisal was applied to assess the quality of selected articles. Data relevant to the review aims were extracted, and findings were synthesised and presented. PubMed, Medline, CINAHL and Web of Science were searched. Studies published in the English language between 2012 and 2022 were retrieved. Results: A total of 89 articles were retrieved; 25 met the inclusion criteria. Most studies reported the point prevalence and period prevalence of community‐acquired pressure injuries, and only one study reported the incidence of community‐acquired pressure injuries. The point prevalence and period prevalence of community‐acquired pressure injury were 0.02% to 10.8% and 2.7% to 86.4%, respectively, and the cumulative incidence was 1.3%. The risk factors for community‐acquired pressure injury assessed vary between studies; older age, poor nutrition, immobility and multiple comorbidities are commonly reported. Socioeconomic and caregiving factors were not studied. Very few studies evaluated pressure injury care bundles in the community. Even so, the components of the pressure injury care bundle vary between studies. Conclusions: Pressure injury development is associated with a complex interplay of factors. Socioeconomic and caregiving factors were not examined in any of the papers. There is a lack of understanding of the components and outcomes associated with effective pressure injury care bundles in the community. Relevance to Clinical Practice: Despite their prevalence, community‐acquired pressure injuries (CAPIs) are often underreported due to inadequate follow‐up and reporting mechanisms.Although the risk factors for CAPIs vary across studies, older age, impaired mobility, multiple comorbidities and malnutrition consistently emerge as key contributors.Pressure injury preventive care bundles are more commonly used in the acute care setting rather than the community setting. Patient or Public Contribution: No Patient or Public Contribution. [ABSTRACT FROM AUTHOR]

Trauma‐informed care (TIC) is an approach to healthcare practice that recognises the pervasiveness of trauma, and the deep and life‐shaping impact this has on a person. The literature recognises the negative consequences of trauma both to the people who experience it, and the nurses who provide care for them. Professional supervision is an integral element of workforce wellbeing and practice development, and a largely unexplored avenue of support for those who deliver TIC. Strategies for delivery of TIC were clearly articulated in the background literature, however how professional supervision can support nurses who provide this was less obvious. The research aim was to explore the literature related to trauma‐informed supervision in nursing to answer the question 'what skills and strategies can a supervisor use to support nurses who provide TIC in adult populations?'. An integrative review method was used and identified fifteen published articles for inclusion. These were then analysed using a reflexive thematic analysis. Literature all came from the allied health field, due to paucity of literature related to nursing. Analysis revealed three themes that were developed into an emotion–cognition–action sequence; create a safe supervisory relationship; facilitate TIC learning; and build resilience. Discussion noted the intersection of review findings with the Supervision Alliance Model and TIC framework, and where other skills may be integrated to inform a trauma‐informed supervisor. [ABSTRACT FROM AUTHOR]

An integrative review methodology was employed, following PRISMA guidelines and Whittemore and Knafi's method for integrative review. Thus, the review synthesised the findings of empirical literature published between 2005 and 2023 drawn from four databases: CINAHL, MEDLINE, PsycINFO and Scopus. From the seven studies that met the inclusion criteria, a number of themes emerged: (a) relief of carer burden; (b) benefits for individuals with Mental Illness (MI); (c) barriers to accessing respite care; and (d) inappropriate services model for respite care for individuals with MI. The review findings indicate that using respite care services can decrease a carer's burden and can positively impact both carers and individuals with MI. Conversely, respite care may cause an increase in carers' stress levels due to the lack of service availability, insufficient knowledge and understanding about respite care services for carers, respite accessibility challenges accessible for people with MI and the reluctance of people with MI to accept respite care. [ABSTRACT FROM AUTHOR]

Background: In the United States, 35% of all pregnancy‐related deaths occur between 24 h and 6 weeks after delivery, yet the first outpatient visit is not typically scheduled until 6 weeks postpartum. Thus, the ability to independently navigate this period is critical to maternal well‐being and safety. However, previous research suggests that many women feel unprepared to manage the challenges they encounter during this time, and there is a current need to synthesize the existing evidence. Therefore, the purpose of this integrative review is to describe parent‐identified gaps in preparation for the postpartum period in the United States. Methods: Using the Integrative Review framework by Whittemore and Knafl, a systematic search of Medline, CINAHL, PsychInfo, Web of Science, and a hand‐search was conducted for peer‐reviewed articles published in English between 1995 and 2023. Results were reported according to PRISMA 2020 guidelines. Studies that met eligibility criteria were synthesized in a literature matrix. Results: Twenty‐two studies met inclusion criteria. Four themes were identified: Mental Health Concerns, Physical Concerns, Infant Feeding and Care Concerns, and General Concerns and Recommendations. Many women, regardless of parity, reported feeling unprepared for numerous postpartum experiences, including depression, anxiety, physical recovery, breastfeeding, and infant care. Parents reported difficulty differentiating normal postpartum symptoms from complications. Hospital discharge teaching was viewed as simultaneously overwhelming and inadequate. Parent recommendations included the need for earlier and more comprehensive postpartum preparation during pregnancy, delivered in multiple formats and settings. Parents also reported the need for earlier postpartum visits and improved outpatient support. Conclusions: Our findings indicate that many parents in the United States feel unprepared to navigate a wide variety of emotional, physical, breastfeeding, and infant‐care experiences. Future research should explore innovative educational approaches to postpartum preparation during pregnancy as well as outpatient programs to bridge the current gaps in postpartum care. [ABSTRACT FROM AUTHOR]

Aim: To explore what Internet‐based breastfeeding peer support offers to breastfeeding parents. Design: Integrative review. Data Sources and Review Methods: A systematic literature search was conducted in March 2024 using the following electronic databases: CINAHL, The Cochrane Library, PubMed/MEDLINE and PsycINFO. Database searches yielded 717 results. Two researchers removed the duplicates (n = 256) and screened the remaining titles (n = 461), abstracts (n = 197) and full texts (n = 60) independently. Eventually, 19 studies were included in the review. The chosen studies had qualitative (n = 11), quantitative (n = 6), or mixed methods designs (n = 2) and were published between 2015 and 2024. Qualitative content analysis was conducted. Results: The main categories were supplying support that is responsive to the needs of parents and belonging to a breastfeeding community. The parents looked for and received breastfeeding support, advice, information, emotional support, reassurance and access to shared experiences from various online breastfeeding peer support groups. The support groups helped them in their breastfeeding decisions, thus making a difference in their breastfeeding experience. The support groups created breastfeeding communities for these parents and they were able to bond with others, feel like they belonged and share experiences. Additionally, these breastfeeding communities helped to normalize various breastfeeding practices. Conclusion: Breastfeeding peer support groups can offer parents the support and guidance they seek and a sense that they are part of a breastfeeding community. However, it is vital these groups are efficiently moderated to ensure the advice parents receive is evidence‐based and the support is encouraging. Impact: These findings show that well‐moderated online breastfeeding peer support can offer parents high‐quality support. It is essential for health care professionals to be aware of the various options available in order to recommend high‐quality support groups for breastfeeding parents. Reporting Method: PRISMA. Patient or Public Contribution: This was an integrative review therefore no patient or public contribution was necessary. [ABSTRACT FROM AUTHOR]

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Individual decisions are pivotal to sustainable mobility. However, the disciplines of mobility research, sustainability research, and behavioral science typically explore this topic in isolation. For instance, there is no comprehensive framework for individual mobility decisions, and existing frameworks exhibit several significant shortcomings. Based on an integrative review of existing frameworks, this article therefore integrates concepts from all three perspectives into a novel framework, the CoMoDe-Matrix. The proposed framework emphasizes the importance of the decision context (i.e. private or professional context) and of differentiation between various decision types. Its integrative nature makes the framework a valuable tool for interdisciplinary mobility research, providing a cohesive foundation which could be applied, for instance, in systematic evidence syntheses. Furthermore, it offers practical guidance for policymakers seeking to promote sustainable mobility decisions. [ABSTRACT FROM AUTHOR]

The literature on non-performing assets (NPAs) in the banking sector, though vast, lacks cohesiveness. This article aims to review, synthesize, and track the evolution of research on NPAs in the banking sector. The study undertakes a comprehensive integrative review of the literature, focusing on the quantitative aspects through a bibliometric analysis, and qualitative aspects through a systematic approach. A total of 1,285 research articles, retrieved from the Scopus database, were analyzed for 27 years. The study unveils the theoretical foundations and current status of literature on NPAs. The findings capture the evolution of various themes in the NPA domain across three phases, and the co-citation analysis leads to the identification of six distinct themes that have developed. It also provides an overview of the emerging keywords that present opportunities for further investigation and highlights the gaps for future research. The reliance on a single database for sourcing relevant documents, and the use of a pre-set screening criteria may have led to the exclusion of articles that might have been suitable, but outside the scope of our source. However, by enhancing the understanding of the researchers on the topic, and enabling banks as well as policymakers to have a holistic insight for better decision-making on NPAs, this article has academic as well as practical implications for the banking sector. To the best of our knowledge, this is the first study to combine a qualitative review with a quantitative technique to identify the developments in the NPA literature comprehensively. [ABSTRACT FROM AUTHOR]

ABSTRACT Aim Design Data Sources Review Methods Results Conclusions Impact Reporting Method No Patient or Public Contribution To examine current evidence on health‐related quality of life and its associated factors in women with metastatic breast cancer over the past 10 years.An integrative review.We conducted a comprehensive search across five databases: CINAHL, EMBASE, MEDLINE, PsycINFO, and Web of Science, for studies published between January 2013 and June 2023.Following the integrative review guideline, we screened full‐text papers based on the inclusion and exclusion criteria. The quality of the studies was assessed using the Joanna Briggs Institute's appraisal checklist, and the data were extracted and synthesised.Of 7316 articles, 25 studies met the inclusion criteria. Most of the participants were non‐Hispanic white women from the United States or Europe. Various instruments were used to assess health‐related quality of life. The key factors included sociodemographic and clinical characteristics, physical symptoms and function, disease stability and progression, and psychological attributes. Although targeted agents and immunotherapy are common therapies today, data on their side effects and health‐related quality of life remain limited. Literature gaps included a lack of racially diverse samples, an absence of data on protective factors, and limited insights into symptom experience with novel therapies.Physical and psychological symptoms were still the major influencing factors. Clinicians should prioritise symptom management in women. Future research is needed to increase racial diversity in the study and explore novel agents related to symptoms and protective factors that may improve health‐related quality of life.Women with metastatic breast cancer experience compromised health‐related quality of life. Understanding which factors influence their quality of life, particularly those on novel therapies is critical for providing high‐quality, individualised care and developing targeted interventions to improve their well‐being.PRISMA.This integrative review does not need patient or public contribution. [ABSTRACT FROM AUTHOR]

ABSTRACT Aims Design Methods Data Sources Results Conclusions Implications to the Profession and Patient Care Impact Reporting Method Patient or Public Contribution To systematically review the current application status of ChatGPT in nursing and explore its application effects.An integrative review.Following inclusion and exclusion criteria, two researchers summarised the selected literature and conducted a quality appraisal, followed by narrative synthesis.PubMed, Web of Science and Scopus were searched from January 2022 to June 2024.A total of 31 papers met the inclusion criteria. Fifteen empirical studies were rated as grade 5, while five were rated as grade 4. The references of a minireview were not recently published and lacked ChatGPT‐related articles, and a systematic review was of low quality. The review focused on three main topics: (1) The subsidiary role of ChatGPT in nursing; (2) Comparison of different models' effectiveness and (3) Existing challenges.While adopting new technologies such as ChatGPT, it is important to maintain a balanced perspective on both its benefits and limitations. Nursing professionals must actively address these deficiencies and explore solutions to improve ChatGPT's utility in the field.This review synthesised evidence on ChatGPT's application and highlighted existing challenges in nursing. Nursing researchers, educators and practitioners can further validate these findings to explore its potential in various aspects of nursing practice.For researchers, ChatGPT can enhance language quality and summarise findings effectively, but adherence to research standards is crucial. For educators, ChatGPT can serve as an effective information source for students, though caution should be taken to avoid overreliance. For practitioners, ChatGPT can offer useful suggestions for clinical practice, but these should be critically evaluated and not followed blindly, as issues of inaccuracy must be addressed.This review adhered to Preferred Reporting Items for Systematic Reviews and Meta‐Analyses.No patient or public contribution. [ABSTRACT FROM AUTHOR]

Adoption of dynamic energy tariffs by households is crucial for the transition to carbon-neutral energy systems. Influencing the adoption patterns of these tariffs necessitates an examination of the drivers, decision components, and contextual factors influencing household decisions. Few computational models address this comprehensively, often omitting non-financial decision variables. Moreover, methodologically robust integrative reviews on this topic are scarce. To address this gap, this paper develops a concept-centered integrative review methodology aimed at deriving computer models for socio-techno-economic simulations of household adoption of sustainable technologies. The methodology encompasses five sequential phases: Setup, Literature Search, Analysis, Synthesis and Conceptual Model, and Discussion. To illustrate the methodology, it is applied to the case of household adoption of dynamic energy tariffs, resulting in an abstract conceptual model adaptable to local contexts. The review reveals a lack of consensus on modeled tariffs but highlights the significance of tariff complexity, relative advantage, household heterogeneity, and various agent properties. It also identifies potential improvements in model fundamentals, particularly spatial modeling. The developed process model focuses on the stages 'knowledge', 'decision', and 'reevaluation'. The article contributes by presenting a comprehensive review scheme and delivering a concept-centered integrative review along with an explicit conceptual model derived from it. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of this integrative review was to explore the beliefs and practices used to promote physical and mental health among youth ages 18–25 years, identifying as LGBTIQ+ experiencing housing insecurity. Method: The approach used strategies described by Whittemore and Knafl. Peer‐reviewed, published research articles in English were identified using eight electronic databases. Eighteen research reports using qualitative, quantitative, and mixed methods were identified. Articles were evaluated for quality using the American Association of Critical Care Nurses Evidenced‐Level Hierarchy evaluation tool. Data were analyzed and synthesized using Braun and Clarke's method. Findings: Four themes related to the purpose were extracted: pervasive experiences of stigma and discrimination, constantly attuned to navigating risks, inconsistent engagement in health information and care, and inner strength developed through personal and community experiences. Discussion: There are strong implications for future research, public health nursing practice, and health policy. Public health nurses should incorporate social determinants of health (addressing harmful social processes such as homophobia and racism) as well as a strength‐based upstream approach in research, education, and health care practices. More research must also be done to assess engagement in physical and mental health information and care. [ABSTRACT FROM AUTHOR]

Life review therapy is a form of psychotherapy framework which involves the guided reflection of life events throughout a patient's life journey. Patients are encouraged to actively recall and analyze important life events, both negative and positive. Through this process, patients may be able to come to terms with, or even resolve negative events such as conflicts and regrets. The aim of this study is to gain an understanding of the current knowledge of the use of life review therapy in older adults, and to identify areas for future research. A systematic literature search was conducted across CINAHL, Medline, PsycInfo, Embase and Scopus. Papers were screened and selected using predetermined inclusion and exclusion criteria using Covidence and exported into Excel. Data analysis was conducted to synthesise thematic analyses. One hundred and thirty‐one articles from 1974 to 2023 were included in this study and were used to develop four themes: life satisfaction and self‐esteem, depression and depressive symptoms, institutional care and cognitive decline, and post‐traumatic stress disorder (PTSD) and trauma. Life review has some benefit in older adults in certain groups and situations, although the extent and duration of effectiveness of this benefit is unclear. Life review unlikely improves self‐esteem. However, in the short term, life review appears to improve life satisfaction, depression or depressive symptoms, and PTSD symptoms in the elderly. Life review may be a useful therapeutic tool for older adults with cognitive decline for as long as the intervention continues. Areas for future research are explored. [ABSTRACT FROM AUTHOR]

The purpose of our integrative review was to synthesize the literature examining relationships between depressive symptoms, silencing the self (STS), sexual relationship power (SRP), and HIV vulnerability amongwomenin the United States. Literature searches were conducted through CINAHL, MEDLINE, PsycINFO, SCOPUS, Sociological Abstracts, and SocINDEX. Integrative review methodology of Whittemore and Knafl guided the review process, and 37 articles met inclusion criteria. The Theory of Gender and Power, modified by Wingood and DiClemente, was the guiding framework to organize and synthesize findings. Primary findings suggest that depressive symptoms, STS, and SRP in relationships may individually influence women's vulnerability for acquiring HIV, yet research lags behind. Evidence documenting relationships between these factors is insufficient to draw generalizable conclusions. Findings suggest that the current literature on this topic does not reflect those women most highly affected by HIV and those who identify as African American or Black in the Southeast region of the United States. [ABSTRACT FROM AUTHOR]

Introduction: Symptoms of untreated depression and anxiety during pregnancy are associated with serious adverse effects for the pregnant person, birth outcomes, and child development. However, pregnant persons are less likely to be screened and treated compared with nonpregnant people. In this systematic review, we aimed to explore individual, provider, and systems factors that impact screening, identification, and treatment patterns for depression and anxiety during pregnancy. Methods: Studies were eligible for inclusion if they were conducted within the United States and published in English between January 2012 and January 2023. Each study included analysis that compared rates of screening, identification, or treatment engagement and explicitly discussed disparities or health equity in marginalized groups. Fifteen articles met full inclusion criteria. Results: Results demonstrated variation in the screening, identification, and treatment of depression and anxiety during pregnancy among diverse groups of patients. Screening rates ranged from 51.3% in Puerto Rico to 90.7% in Alaska. Among specific clinical populations, rates were as low as 2.0%. Fewer than half of patients were referred to treatment when indicated by screening or diagnoses. Patient characteristics such as age, race, ethnicity, socioeconomic and health factors, mental health history, and obesity were associated with variation in the rates of screening, diagnoses, or treatment engagement. Language factors were the most common factor associated with lower rates of screening and treatment access. Discussion: Results suggest that many pregnant people are being overlooked and lack appropriate referrals or resources to access treatment. Results are consistent with previous findings that role confusion and lack of time, provider training, and interest contribute to low rates of screening and treatment. Future research must focus on system level factors to address perceived barriers to screening and treating depression and anxiety during pregnancy in a systematic and equitable way. [ABSTRACT FROM AUTHOR]

In this integrative review, the concept of the Circular Economy (CE) is extensively analyzed from the perspective of Systems Thinking (ST) to gain insights into the circular economy. Seventy-two articles from Scopus and Web of Science databases were reviewed to gain a better understanding of the ambivalent nature of circular economy and systems thinking. The main objective of this study is to provide a clear understanding of the circular economy concept through the lens of systems thinking. Therefore, a thematic framework is presented that synthesizes the literature in a tangible form for researchers, practitioners, and policymakers. This review contributes to a better understanding of the circular economy as a complex and dynamic system. It highlights the interdependencies that can arise in the circular economy and emphasizes the need for holistic and systemic approaches to address these challenges. Through this integrative review, six systems thinking applications in the CE are identified, including Stakeholder engagement in decision-making, innovation, and deep transformational change, implementation of circular business models, life cycle management optimization through better resource management, supply chain optimization and reduced unintended consequences and designing sustainable products. This paper contributes to the existing body of knowledge by identifying future research gaps and opportunities to advance in this field of study consistently. It provides a valuable resource for researchers, practitioners, and policymakers seeking to advance the circular economy agenda.

ABSTRACT Aim Design Data Sources Methods Results Conclusions Implications for Nursing Education and Management Reporting Method Patient or Public Contribution To examine and synthesise the current literature to gain insights into nursing students' experiences, their perceived learning effectiveness of patient safety and its influencing factors.Integrative review.CINAHL, Medline, Scopus, and Embase databases from January 2011 to October 2023.Of the 5940 papers initially retrieved, 33 were included after title, abstract, and full‐text screening. No papers were omitted through quality appraisal.Despite nursing students' generally positive attitude towards patient safety, their idealistic view did not translate into actual actions of upholding patient safety due to various factors. Moreover, their experiences and perceived effectiveness of learning patient safety were influenced by factors such as organisational safety culture and pedagogical contexts. Thematic analysis revealed four themes: ‘perception, attitudes, and evaluation towards patient safety’; ‘supportive organizational culture as impetus to promote patient safety’; ‘perceived confidence, knowledge, and competence toward patient safety’; and ‘educational contexts and pedagogies to promote learning of patient safety’.There is an inadequate focus on patient safety in clinical education compared to classroom education. Given that the clinical setting serves as an authentic learning environment of patient safety, nursing faculties play a crucial role in reforming existing nursing curricula to integrate patient safety education in both settings to ensure continuity of learning. Clinical nursing leaders should also proactively review and reform organisational culture and practices to enable nursing students' acquisition and internalisation of patient safety learning.This review highlighted the need for further collaboration between nursing faculties and healthcare institutions to advocate an environment conducive to nursing students' effective learning of patient safety.Reporting adheres to the Reporting items for systematic review and meta‐analyses (PRISMA) 2020 guidelines.No patient or public contribution. [ABSTRACT FROM AUTHOR]

Aim: To develop a framework to guide the successful integration of nurse practitioners (NPs) into practice settings and, working from a social justice lens, deliver comprehensive primary healthcare which advances health equity. Design: Integrative review. Methods: The integrative review was informed by the Whittemore and Knafl's framework and followed the Preferred Reporting for Systematic Reviews and Meta‐Analyses guidelines. Quality was assessed using the Johns Hopkins Research Evidence Appraisal Tool. Findings were extracted and thematically analysed using NVivo. A social justice lens informed all phases. Data Sources: Databases, including CINAHL, PubMed, Scopus and Web of Science, were searched for peer‐reviewed literature published in English between 2005 and April 2022. Results: Twenty‐eight articles were included. Six themes were identified at the individual (micro), local health provider (meso), and national systems and structures (macro) levels of the health sector: (1) autonomy and agency; (2) awareness and visibility; (3) shared vision; (4) leadership; (5) funding and infrastructure; and (6) intentional support and self‐care. The evidence‐based framework is explicitly focused on the components required to successfully integrate NPs into primary healthcare to advance health equity. Conclusion: Integrating NPs into primary healthcare is complex and requires a multilevel approach at macro, meso and micro levels. NPs offer the potential to transform primary healthcare delivery to meet the health needs of local communities. Health workforce and integration policies and strategies are essential if the contribution of NPs is to be realized. The proposed framework offers an opportunity for further research to inform NP integration. Impact Statement: Nurse practitioners (NPs) offer the potential to transform primary healthcare services to meet local community health needs and advance health equity.Globally, there is a lack of guidance and health policy to support the integration of the NP workforce.The developed framework provides guidance to successfully integrate NPs to deliver comprehensive primary healthcare grounded in social justice.Integrating NPs into PHC is complex and requires a multilevel approach at macro, meso and micro levels.The framework offers an opportunity for further research to inform NP integration, education and policy. Summary Statement: What problem did the study address: The challenges of integrating nurse practitioners (NPs) into primary healthcare (PHC) are internationally recognized. Attempts to establish NP roles in New Zealand have been ad hoc with limited research, evidence‐informed frameworks or policy to guide integration initiatives. Our review builds on existing international literature to understand how NPs are successfully integrated into PHC to advance health equity and provide a guiding framework.What were the main findings: Six themes were identified across individual (micro), local health provider (meso) and national systems and structures (macro) levels as fundamental to NP integration: autonomy and agency; awareness and visibility of the NP and their role; a shared vision for the direction of primary healthcare utilizing NP scope of practice; leadership in all spaces; necessary funding and infrastructure; and intentional support and self‐care.Where and on whom will the research have an impact: Given extant health workforce challenges together with persisting health inequities, NPs provide a solution to delivering comprehensive primary healthcare from a social justice lens to promote healthcare access and health equity. The proposed evidence‐informed framework provides guidance for successful integration across the health sector, training providers, as well as the NP profession, and is a platform for future research. Reporting Method: This integrative review adhered to the Preferred Reporting for Systematic Reviews and Meta‐Analyses (PRISMA) method. Patient or Public Contribution: No patient or public contribution. [ABSTRACT FROM AUTHOR]

Background: In nearly all jurisdictions where it is permitted, Medical Assistance in Dying is situated in a healthcare system. Currently, limited evidence demonstrates how supply and demand factors influence access to Medical Assistance in Dying. Objective: The aim of this study is to synthesise empirical research from jurisdictions where Medical Assistance in Dying is legal to identify how supply and demand factors influence access for eligible adults. Method: An integrative review was conducted. CINAHL Complete, PubMed, ProQuest, PsycINFO and Embase databases were systematically searched for studies published between January 1998 and January 2024. Records were independently assessed against inclusion and exclusion criteria. Additional studies were identified by forward and backward citation searching. All studies were assessed for quality. Findings were analysed deductively using an established conceptual framework, and a secondary narrative synthesis was undertaken. Results: Fifty‐eight studies met the inclusion criteria. Most studies (n = 32) reported results related to the supply side, 16 reported on the demand side and 10 reported on both supply and demand dimensions of access. Studies about supply showed that health service policies may obstruct access to Medical Assistance in Dying. For healthcare professionals, the practice entails an additional workload and can create tensions with colleagues. Studies of the demand for Medical Assistance in Dying focused on supporting time‐critical decisions, adequate planning and caregiver support. Conclusion: Access to Medical Assistance in Dying requires the participation of health services and healthcare professionals but is hindered by policies that obstruct access and direct financial and indirect emotional labour costs. Innovative and inclusive models to promote high‐quality, compassionate care at the end of life and access to Medical Assistance in Dying should be considered. Patient or Public Contribution: Patients, caregivers and service users were involved in many of the studies included in this review, and their experiences and perspectives contributed to the analysis and synthesis in this review. [ABSTRACT FROM AUTHOR]

With the global outbreak of COVID-19, it is important that vaccination be emphasized to build herd immunity. However, vaccine hesitancy is negatively associated. Religious views impact the interpretations and acceptance of medical and scientific evidence, leading to a variety of responses to vaccination, such as vaccine hesitancy. The aim of this study was to delve into the reluctance of religious individuals towards vaccines, particularly towards COVID-19. An integrative review was conducted using PubMed/Medline, Web of Science, and Google Scholar databases to find articles from 2020 to 2023. Twenty articles were selected for review. The review found that religiosity is negatively associated with COVID-19 vaccine uptake across different religious groups. The article proposes a theoretical way to mitigate religious influence on COVID-19 vaccine hesitancy. [ABSTRACT FROM AUTHOR]

Purpose: To present a synthesis of evidence related to the factors influencing communication partners' use of augmentative and alternative communication with persons with severe/profound intellectual disability. Materials and Methods: An integrative review guided by five steps; problem identification, literature search, data evaluation, data analysis and presentation was undertaken. In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement, nine databases were searched, 1,342 studies were screened against the eligibility criteria, and 15 studies underwent thematic analysis. Results: Two themes emerged; (1) Achieving Meaningful Communication and (2) Communication Partners' Preparedness to Use Augmentative and Alternative Communication. Achieving meaningful communication was central to communication partners' use of augmentative and alternative communication and was two-fold. It involved identifying the persons' communication methods and encouraging them to communicate. Communication partners' preparedness also influenced their use of augmentative and alternative communication. This preparedness was impacted by communication partners' preconceived thoughts about and knowledge of augmentative and alternative communication, nurturing their belief in augmentative and alternative communication, and the interpersonal dynamic between network members. Conclusion: Communication partners' use of augmentative and alternative communication is influenced by multiple and complex factors. The findings contribute to the knowledge of the potential factors to be considered to prepare communication partners to use augmentative and alternative communication. IMPLICATIONS FOR REHABILITATION: Multiple, complex factors influence communication partners of persons with severe/profound intellectual disability use of augmentative and alternative communication (AAC), which include communication partners' beliefs, attitudes, expectations, knowledge and resources such as training, support and time. To offer individuals with severe/profound intellectual disability opportunities to communicate, communication partners need to recognise their attempts and thus, their ability. Continuously being sensitive to the individuals' communication methods, whilst being cognisant that these methods can change may enhance communication partners' awareness and understanding of the individuals' communication attempts. Communication partners' need to feel prepared to use AAC. To feel prepared, they need to be aware of the potential benefits that AAC can offer the interaction and the long-term outcomes, develop their knowledge, and be surrounded by a supportive team dynamic. [ABSTRACT FROM AUTHOR]

This study delves into a theoretical framework crucial for guiding future empirical research and practices, tackling the challenges and constraints within the current practical approach of ecomuseums in China. It is posited that social factors and theoretical foundations are intertwined, contributing to the existing hurdles in ecomuseum practices, particularly in terms of inadequate community involvement and sustainable growth. Various studies have been examined to establish a framework that integrates various theories, such as critical heritage studies, new museology, and appropriate museology, shifting the focus from object-centred to user-centred approaches. The underlying principle is that heritage value is not fixed but rather constructed, with blurred boundaries between tangible and intangible aspects. Community engagement and development are pivotal in this construction process, necessitating the use of tailored methods and tools based on the unique circumstances of each community to achieve meaningful community participation. [ABSTRACT FROM AUTHOR]

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco 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.)

Copyright of GeSec: Revista de Gestao e Secretariado is the property of Sindicato das Secretarias e Secretarios do Estado de Sao Paulo (SINSESP) 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.)

In this integrative review, the concept of the Circular Economy (CE) is extensively analyzed from the perspective of Systems Thinking (ST) to gain insights into the circular economy. Seventy-two articles from Scopus and Web of Science databases were reviewed to gain a better understanding of the ambivalent nature of circular economy and systems thinking. The main objective of this study is to provide a clear understanding of the circular economy concept through the lens of systems thinking. Therefore, a thematic framework is presented that synthesizes the literature in a tangible form for researchers, practitioners, and policymakers. This review contributes to a better understanding of the circular economy as a complex and dynamic system. It highlights the interdependencies that can arise in the circular economy and emphasizes the need for holistic and systemic approaches to address these challenges. Through this integrative review, six systems thinking applications in the CE are identified, including Stakeholder engagement in decision-making, innovation, and deep transformational change, implementation of circular business models, life cycle management optimization through better resource management, supply chain optimization and reduced unintended consequences and designing sustainable products. This paper contributes to the existing body of knowledge by identifying future research gaps and opportunities to advance in this field of study consistently. It provides a valuable resource for researchers, practitioners, and policymakers seeking to advance the circular economy agenda. [ABSTRACT FROM AUTHOR]

This study provides a comprehensive examination of necessity entrepreneurship, a concept distinct from its counterpart, opportunity entrepreneurship. Necessity entrepreneurship emerges from the compelling need to address economic hardship or unemployment, contrasting with opportunity entrepreneurship, which is driven by the pursuit of new market opportunities. The backdrop of this study is anchored in the escalating unemployment crisis and its implications for sustainable economic growth and the attainment of sustainable development goals. Through an integrative review combining bibliometric–content analysis of 96 publications, following the PRISMA protocol, and a detailed case analysis of 10 globally recognized entrepreneurs who embarked on their ventures driven by necessity, this study unravels the critical factors fueling the rise of necessity entrepreneurship. The findings delineate the relationship between necessity and opportunity entrepreneurship, highlighting how an entrepreneurial orientation can serve as a pivotal link. This orientation not only mitigates the adverse effects of unemployment but also propels the economy toward sustainable growth, thereby contributing significantly to the sustainable development goals. The insights derived from this study traverse multiple domains including entrepreneurial orientation, socio‐economic factors, as well as innovation and digitalization, offering a granular perspective on business policy, entrepreneurial ecosystems, the disparate impacts on developed versus developing nations, and the role of innovation in dynamic entrepreneurship. Through a conceptual framework, this study elucidates how entrepreneurial orientation can effectively bridge the gap between the unemployment crisis and sustainable economic growth. Therefore, this study not only enriches the academic discourse on necessity entrepreneurship but also provides pragmatic insights for entrepreneurs, policymakers, and scholars, emphasizing the crucial role of entrepreneurship in navigating economic and social challenges. [ABSTRACT FROM AUTHOR]

Worldwide, gender equality remains a barrier for women seeking career advancement in corporations. Despite the globalization of corporate social responsibility programs, women have not achieved positional parity with men within the managerial hierarchy. The purpose of this integrative review was to investigate the breadth of the gendered organization literature, summarize the evidence, and inform future research about the career advancement of women in privately owned and publicly traded corporations. Twelve databases were searched between January 1990 and December 2023 for published evidence. Of the 1914 documents screened, 55 articles were included in this review. The gendered organization literature is slowly evolving as a critical area for management research even though fully developed substantive and formal theories are lacking. However, gendered organizations can be conceptualized for theoretical development as a constellation of metaphors embedded in the corporate culture. These metaphors include firewalls, glass ceilings, glass cliffs, glass escalators, labyrinths, queen bees and beehives, and sticky floors. Notably, few intervention studies were reported in the literature. Corporate social responsibility programs had a surprisingly limited impact on eliminating deep-seated structural attributes contributing to gendered organizations. Therefore, management scholars need to engage in theoretical development and research to advance a comprehensive theory of the gendered organization, and studies should investigate why the identified metaphors continue to adversely impact the career advancement of women despite the presence of corporate social responsibility programs. Finally, existing evidence needs to be translated into intervention recommendations for policymakers and corporate leaders. [ABSTRACT FROM AUTHOR]

Providing patients with diabetes of the second kind of self-management help is necessary for easing the strain on the healthcare system and providing people the abilities, information, and self-assurance they need to actively take charge of their health is important. Our review’s objective is meant to offer an outline of the features of applications for diabetes self-care management. A review of published and reviewed literature was conducted to investigate mobile app-based therapies for Type 2 Diabetes patients. The first database search produced 256 papers. Following the completion of the chosen papers, 139 duplicate articles were eliminated and from the remaining 126 publications, 32 were irrelevant, 78 were review pieces, and 6 were abstract articles. The final sample for this review consisted of ten papers that answered the research questions. A total of ten articles were included for evaluation: four at first level, one at second level, two at 4th level, and one at 5th level. This review was successful in identifying the selfcare management function in mobile applications. Each application makes use of at least one of the self-care tools. Aspects of this literature’s effectiveness can provide future knowledge on effective and long-term initiatives for improving the lives of active T2D patients. [ABSTRACT FROM AUTHOR]

This review aimed to develop a framework to understand the process of information management in families with inherited conditions. Electronic databases were searched for relevant peer-reviewed articles. Articles were included if they were original research on families affected by any confirmed inherited condition, described how a family accesses, interprets, conveys, and/or uses information about the disease, included the recruitment of more than one family member, and used family as the unit of analysis. Data were analyzed through directed content analysis. Thirty-four articles from 27 studies were analyzed. We propose a framework for family information management consisting of the following domains: contextual influences, family information management behaviors, and family information management outcomes. This proposed framework expands the understanding of how families manage their genetic information in making health care decisions for their affected and at-risk relatives. [ABSTRACT FROM AUTHOR]

Aim: To describe uncertainty in surrogate decision‐making regarding end‐of‐life care for people with dementia using Mishel's reconceptualized uncertainty in illness theory. Design: Integrative literature review using Whittemore and Knafl's approach. Data Sources: PubMed, CINAHL, EMBASE, Scopus and Web of Science were searched using terms such as uncertainty/unpredictability, decision‐making/advance care planning/end‐of‐life care planning, surrogate/family/caregiver/proxy and dementia. The search was initially conducted on 28 September 2021 and updated on 31 July 2023. Review Methods: Through systematic screening, 20 research articles were included in the analysis. Content related to uncertainty in surrogate decision‐making regarding end‐of‐life care was extracted and analysed, focusing on the reconceptualized uncertainty in illness theory. Results: First, surrogate uncertainty exists in various areas of surrogate decision‐making regarding end‐of‐life care. Second, antecedents of surrogate uncertainty include numerous intrinsic and extrinsic factors. Third, surrogates exhibited some negative psychological responses to uncertainty but continually processed and structured their uncertainty through certain approaches, leading them to grow as decision‐makers. Finally, research‐based evidence on surrogates' processing of uncertainty and shifts to new life perspectives remains limited. Conclusion: Surrogates' uncertainty in decision‐making regarding end‐of‐life care for people with dementia is well characterized using the reconceptualized uncertainty in illness theory. Healthcare providers should help surrogates manage their uncertainty in surrogate decision‐making more constructively throughout the dementia trajectory. Implications for the Profession and/or Patient Care: The findings highlight the importance of assessing how surrogates process uncertainty and gauging how to help them process uncertainty and transition to new life perspectives. Impact: This review contributes to healthcare professionals' understanding of surrogates' uncertainty in end‐of‐life care planning for people with dementia, especially what they are uncertain about, what influences their uncertainty and how they process it. Reporting Method: This study adheres to the PRISMA reporting guidelines. Patient or Public Contribution: No patient or public contribution. [ABSTRACT FROM AUTHOR]

Objectives Early identification of palliative care (PC) needs is crucial to provide appropriate holistic care to patients. The objective of this integrative review is to synthesize the methods used to identify the prevalence of PC needs. Methods An integrative review search of the Cumulative Index to Nursing and Allied Health Literature (CINAHL) Plus with full text, ProQuest, Wiley InterScience, ScienceDirect, Scopus, PubMed, and Web of Science with publications from 2010 to 2020 was carried out in English. Empirical studies examining the methods used to determine the prevalence of PC needs were included. The methods of data extraction of the included articles were categorized by data source, study setting, and data collector. Quality appraisal was performed using QualSyst. Results Of the 5,410 articles screened, 29 were included in this review. Two articles identified the prevalence of PC needs in a community that was supported by a network of volunteers, while 27 studies considered this at a continent, country, hospital, and/or primary care facility level as represented by physicians, nurses, and researchers. Significance of results Various methods have been used to determine the prevalence of PC needs, and the outcomes are valuable for policymakers in developing PC services when allocating resources at the national and community levels. Future research to identify PC needs across health settings, especially primary care facilities, should consider providing PC across a spectrum of care settings. [ABSTRACT FROM AUTHOR]

Introduction: Mass-casualty incidents (MCIs) place extraordinary demands on prehospital medical response. However, there remains limited evidence on best practices in managing MCIs, and therefore, there is a need to systematically synthetize experiences from them to build further evidence. Study Objective: This study aimed to analyze common challenges in prehospital MCI management. Methods: Seventeen case studies or reports describing 15 MCIs (ie, terrorist attacks, chemical incidents, traffic accidents, weather-related incidents, and fires) were subject to a systematic integrative review. Results: Common challenges in prehospital MCI management include victim and responder safety- and security-related issues; the need to develop and communicate situational awareness; to develop and apply a prehospital response plan; the ability to deliver care under severe circumstances; and the need for an extended prehospital medical response management strategy. Conclusion: Resilient prehospital MCI response demands both a clear strategy and improvisation and should be integrated into the overall medical response strategy. Responders must understand the main concepts of prehospital MCI management, have a situational awareness that foresees the event's medical consequences, and have the experience required to interpret the situation. Emergency Medical Services (EMS) personnel and medical incident commanders require specific training and mental preparation to be able to provide care under severe security threats, to improvise beyond routines and guidelines, and to provide care in ways different from their everyday work. [ABSTRACT FROM AUTHOR]