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Osteoporosis is a chronic skeletal condition that significantly affects daily life and may benefit from adequate self-care. The Middle-Range Theory of Self-Care of Chronic Illness conceptualizes self-care as a naturalistic process encompassing maintenance, monitoring, and management, also shaped by contextual and cultural factors. Despite this theoretical framework, limited evidence exists on how people with osteoporosis conceptualize and enact self-care in different cultural contexts. Italy and Spain provide comparable yet distinct settings for exploring cultural influences on self-care practices. This study aims to explore and compare self-care behaviors among Italian and Spanish people with osteoporosis.
A cross-national qualitative study was conducted using an Automatic Analysis of Textual Data approach within the Exploratory Multidimensional Data Analysis framework.
Forty people with osteoporosis (38 women and 2 men; mean age 68.6 years, SD = 5.74) were recruited, equally distributed between Italy (n = 20) and Spain (n = 20). Data were analyzed using Labbé's intertextual distance and correspondence analysis to examine lexical similarities, differences, and semantic structures of self-care narratives.
Although moderate intra-national lexical similarity was observed within each national group, substantial inter-national differences emerged between Italian and Spanish participants in the discursive construction of self-care. Italian participants described self-care as a medically mediated and system-oriented process, closely linked to professional guidance, diagnostic procedures, and prescribed treatments. In contrast, Spanish participants framed self-care as embodied, routine-based, and emotionally expressive, grounded in daily practices and bodily awareness. These findings indicate that participants relied on distinct cultural and epistemic models when interpreting and organizing self-care experiences.
This study highlights clear cross-cultural differences in how people with osteoporosis narrate and conceptualize self-care. Methodologically, it illustrates the potential of multidimensional analysis to support systematic and transparent comparison of qualitative datasets. The findings are consistent with the Middle-Range Theory of Self-Care and suggest that greater attention to cultural contexts may inform the development of self-care interventions that are more responsive to individuals' lived experiences.
Recognizing how cultural contexts influence how people with osteoporosis understand and practise self-care may help nurses tailor communication and educational support to individuals' everyday experiences, supporting more responsive and culturally sensitive care.
Due to the increased survival and stable prevalence rates of preterm birth, every clinician, regardless of the patient population or practice setting, has cared for someone born preterm. Unfortunately, most healthcare teams fail to consider preterm birth as a risk factor to adult health, missing a critical opportunity to mitigate risk in this vulnerable population. The purpose of the study was to explore the health status and health experience of adults born preterm with comparisons between birth year cohorts and gestational age categories.
The study utilized a cross-sectional, quantitative descriptive comparative design, augmented by qualitative analysis of open-ended questions.
The health status and health experience survey was developed in collaboration with leaders of an advocacy group for adults born preterm and based on the available research. Convenience, snowball sampling among members of the advocacy network and other preterm birth groups provided an international sample of participants (N = 80).
Chronic conditions or symptoms, representing health status, were reported by 85.7% of participants, with 75% of those participants taking medications for the condition. Participants born less than 32 weeks of gestation reported experiencing health conditions significantly more than those born at later gestations (91.8% vs. 62.5%, p = 0.008); there was no difference in birth year cohort. The most commonly reported conditions were respiratory, mental health, neurodevelopmental, and musculoskeletal. Two-thirds of participants reported never being asked about preterm birth history by healthcare teams. Healthcare experiences were described as ambivalent or dismissive among those who chose to disclose preterm birth status to providers.
Chronic and comorbid conditions associated with preterm birth are common among adults born preterm. These conditions are responsive to prevention and mitigation strategies and, as such, failure to identify adults born preterm as a population susceptible to chronic health conditions results in unidentified, unmanaged risk.
Missed nursing care threatens quality and safety, but patient counts may not capture shift-level demands. We examined associations of patient-count and perceived workload indicators with missed care, separating within- and between-nurse effects.
A multicenter observational study using repeated shift-level measurements.
The study included 502 shift records from 213 nurses in 16 medical–surgical units across six Italian hospitals; the primary analysis included 480 records from 196 nurses. Patient-count indicators were nurse-reported numbers of assigned, isolated, and specialist-care patients; perceived workload included work rhythm/quantity, mental workload, emotional workload, and work organization. Grouped-binomial generalized estimating equations modeled the proportion of applicable activities missed, with nurse clustering, robust standard errors, exchangeable correlation, and hospital fixed effects. Workloads were decomposed into within- and between-nurse components, and four missed-care domains were examined.
Nurses reported a mean of 6.5 missed activities per shift; 29.9% of shifts had no missed care. The seven workload indicators were jointly associated with missed care (robust Wald χ 2[7] = 22.95, p = 0.002). Work rhythm/quantity was the only individual indicator with a nominal p-value below 0.05 (OR 1.24 per SD, 95% CI 1.03–1.49; p = 0.023), but it did not remain significant after Benjamini–Hochberg correction (q = 0.159). Assigned patient count was not clearly associated (OR 1.14, 95% CI 0.94–1.40; p = 0.192). In exploratory within–between analyses, the between-nurse work rhythm/quantity component was associated with missed care (OR 1.42, 95% CI 1.11–1.82; p = 0.005), whereas the within-nurse component was not (OR 1.03, 95% CI 0.90–1.17; p = 0.649). Domain-specific associations did not remain significant after multiplicity adjustment.
The workload indicators were jointly associated with missed nursing care, with secondary analyses indicating that the global signal was evident in the perceived-workload block. However, no individual workload indicator remained statistically significant after multiplicity adjustment. Work rhythm/quantity and its between-nurse component should therefore be regarded as exploratory signals requiring confirmation in studies with denser repeated measurements.
Workload surveillance research should evaluate patient-count and multidimensional perceived-workload indicators together. The present coefficient-specific findings are insufficient to support the operational use of work rhythm/quantity as a stand-alone workload indicator.
Progressive neurological disorders (PNDs) are life-limiting conditions with complex trajectories. PNDs require holistic, person-centred care that responds to the needs of both individuals and their families, including the provision of palliative and end-of-life (EOL) care.
This systematic review aimed to identify and synthesize existing international guidelines addressing palliative and EOL care in adult PND populations, with particular attention to their quality and scope.
We searched databases and gray literature sources for guidelines published between January 2013 and February 2026. Thirty-three guidelines were included for review. We appraised guidelines to assess quality and comprehensiveness against the World Health Organization's (WHO) domains of palliative care. We conducted inductive content analysis to identify key themes.
Guidelines predominantly were published from high-income countries and focused on dementia. Overall guideline quality was high. Most addressed physical, psychosocial, and social dimensions of care of the WHO domains; however, spiritual wellbeing was inconsistently addressed. Six interrelated themes emerged: (i) holistic symptom management; (ii) recognition of families and caregivers as partners in care; (iii) early and ongoing communication; (iv) value-aligned decision-making; (v) multidisciplinary team expertise; (vi) navigation of medicolegal complexities.
Findings indicate broad international consensus on the principles of high-quality palliative care in PND, while highlighting gaps in disease/diagnosis representation, spiritual care, and global equity. Future research could consider the importance of disease-specific guidelines, covering regions and countries from across a range of high-, middle-, and lower-income countries.
Clinicians caring for people with progressive neurological disorders can draw on the internationally consistent principles identified in this review including early integration of palliative care, proactive and open communication, and recognition of families as partners in care to benchmark and strengthen their practice. Gaps in spiritual wellbeing, condition-specific guidance, clinical supports, and equitable access represent clear targets for workforce education, service development, and health policy advocacy.
To compare HPV vaccination policies across eight countries and examine how actors, context, policy content, and implementation processes influence program performance and coverage outcomes.
Comparative policy analysis using a qualitative cross-case document analysis.
Official national HPV vaccination guidelines, technical advisory documents, WHO and UNICEF monitoring reports, and peer-reviewed literature published between January 2006 and December 2024. Sources were identified through structured searches of PubMed, CINAHL, Scopus, and Web of Science.
The Health Policy Triangle framework guided analysis across four domains: Actors, Context, Content, and Process. A standardized data extraction template was applied across eight countries: Australia, Brazil, Japan, Nigeria, Rwanda, Sweden, the United Kingdom, and the United States. Data were synthesized in comparative matrices and analyzed using iterative cross-case analysis, with coding verified by a second reviewer.
Five policy archetypes were identified: school-based universal programs, decentralized federal models, gender-neutral vaccination strategies, resource-constrained but high-performing systems, and the policy recovery model exemplified by Japan. School-based delivery supported by nursing and school health workforces consistently achieved the highest and most equitable coverage. Rwanda achieved 98% coverage despite a girls-only, donor-supported model, indicating that governance quality and community trust may outweigh policy design alone. The global transition to single-dose HPV vaccination schedules requires country-specific adaptation that accounts for population-based eligibility exceptions and evidence gaps, including the absence of clinical trial data on single-dose protection in males and against non-cervical HPV-associated diseases.
HPV vaccination outcomes are shaped by governance structures, implementation capacity, nursing workforce infrastructure, and public trust. Strengthening school-based delivery, expanding single-dose schedules where supported by evidence, and investing in nursing-led outreach are critical to accelerating progress toward WHO cervical cancer elimination targets.
Nurses are central to HPV vaccination delivery worldwide. This analysis provides evidence to support nursing leadership in advocating for school-based models, workforce investment, and equitable immunization strategies across diverse health system contexts.
Middle Nurse Managers (MNMs) play a pivotal role in translating organizational strategy into operational practice, ensuring care quality, and fostering team performance. Despite their importance, limited research has examined the factors influencing MNMs' competencies, particularly the interplay between individual and organizational determinants.
To examine the direct and moderating effects of self-efficacy and other organizational and individual factors on MNMs' competence knowledge and competence application across Italy.
A cross-sectional, multicenter study was conducted between September 2022 and December 2023 with the participation of 382 MNMs from public and private healthcare organizations. Data were collected using validated instruments, including the Chase Nurse Manager Competencies Scale, the Questionnaire on Experience and Work Evaluation (QEEW 2.0), and the Leadership Self-Efficacy Scale. Structural equation modeling (SEM) tested direct effects of educational appropriateness, leadership training intentions, autonomy, role clarity, and work complexity, and the moderating role of self-efficacy.
Educational appropriateness, autonomy, and role clarity were significantly associated with competence knowledge, while educational appropriateness and autonomy were associated with competence application. Self-efficacy was directly associated with both competence outcomes and significantly moderated the relationship between educational appropriateness and autonomy with each competence dimension, with positive associations observed among individuals with higher self-efficacy (β = −0.456 for knowledge; β = −0.459 for application, p < 0.001).
Self-efficacy was associated with competence outcomes and moderated the associations between organizational factors and competence. High self-efficacy may reduce reliance on perceived educational appropriateness, whereas lower self-efficacy increases its importance.
Professional nursing organizations play a central role in connecting nurse leaders across borders, advancing leadership science, and addressing shared challenges, including workforce sustainability, burnout, and policy influence. Little is known about how specialized professional nursing organizations with a primarily national membership base can build and sustain meaningful international membership. Barriers to and facilitators of international membership in professional nursing leadership organizations have received limited attention in the literature, particularly from the perspectives of international members themselves. The aims of the study are to explore the perspectives of international nurse leaders enrolled in the Association for Leadership Science in Nursing International Ambassador Program on what motivates and sustains their engagement, the leadership-related benefits they seek, the organizational supports that would make engagement more feasible, and the contributions they bring as members of an international nursing leadership community.
A qualitative descriptive design was used.
Data were collected using a Zoom-based focus group with five of 11 nurse leader ambassadors enrolled in the program. Data were analyzed using Braun and Clarke's six-phase reflexive thematic analysis. Trustworthiness was supported through investigator triangulation, peer debriefing, an audit trail, and reflexive review of researcher perspectives.
Four themes were developed: (1) reciprocal exchange, in which members positioned themselves as contributors as well as recipients; (2) engaging on our own terms, framing access and context-sensitivity as preconditions of membership; (3) belonging as more than membership, distinguishing formal affiliation from felt inclusion in a community of nurse leaders; and (4) growth through sustained international relationships, in which professional growth depends on ongoing cross-border connection rather than time-bound programs.
Findings suggest that international nursing leadership organizations should build infrastructure for reciprocal contribution, equitable access, substantive belonging, and sustained cross-border relationships to engage and retain global members.
Engagement in global nursing communities facilitates the exchange of knowledge, best practices, and innovations across healthcare settings. These opportunities can strengthen leadership development, support evidence-based practice, and ultimately improve patient outcomes.
Specialization in nursing is essential to enhance effectiveness, quality, and accessibility of healthcare. Barriers to implementing advanced practice nurses and specialist nurses have been widely reported to limit advanced practice roles in many countries. Identifying these barriers and promoting integration of the role requires an understanding of stakeholders' perspectives. The current study aimed to explore barriers to implementing specialist and advanced specialist nursing roles in Jordan from the perspective of nursing regulators, nursing leaders, and nursing educators.
A qualitative descriptive design was used to collect data from a purposive sample of 23 nursing stakeholders from the private and public sectors. Data were collected through in-depth semi-structured interviews using an interview guide developed specifically for this study. Sample adequacy was guided by data saturation. Inductive thematic analysis following Braun and Clarke's 6-step approach was used.
Based on the participants' narratives, findings were classified into four main themes and six sub-themes: (1) Policy and Regulatory Constraints, with two sub-themes: Scope of Practice limitations and Role Ambiguity, (2) Knowledge and Skill Gaps with two sub-themes: Incompetent Graduates and the Nature of Educational Programs, (3) Organizational and Administrative Obstacles with two sub-themes: Inefficient Management Structures and Burdens, and (4) the Reluctance to Implement. In addition, participants proposed recommendations and approaches such as clarifying scope of practice, defining roles, curricular reforms, and creating a supportive organization to facilitate effective role implementation.
This study demonstrates that implementation of specialist and advanced specialist roles in Jordan is constrained by educational, regulatory organizational structure gaps, and absence of coordinated policy alignment across all levels. Establishing a collaborative implementation model supported by effective policies is crucial to assist healthcare institutions in overcoming obstacles and barriers and to support the specialized roles in Jordan.
Cancer-related symptoms including pain, fatigue, depression, anxiety, and malnutrition drive poor quality of life and adverse clinical outcomes in cancer patients. While machine learning (ML) models are increasingly developed to predict these symptoms, existing studies are marked by significant heterogeneity in algorithms, sample sizes, and predictors, and lack quantitative synthesis of model performance, methodological quality, and clinical applicability. This study aimed to comprehensively summarize the characteristics of models and predictors, evaluate the predictive accuracy, risk of bias, and clinical applicability of ML prediction models.
Systematic review and meta-analysis.
A comprehensive literature search was conducted in PubMed, Web of Science, the Cochrane Library, CINAHL, PsycINFO, CNKI, WanFang, VIP, and SinoMed, from database inception to August 31, 2025. Data were extracted in accordance with the Checklist for Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modeling Studies (CHARMS), and the risk of bias and applicability of included models were assessed using the Prediction Model Risk of Bias Assessment Tool and Artificial Intelligence (PROBAST-AI). The quality of evidence was evaluated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework. A random-effects model was employed for pooled analysis. Subgroup analyses were stratified by cancer type, geographic region, and algorithm type.
A total of 11,217 records were retrieved, and 34 studies were included in the analysis. The pooled AUCs for predicting pain, fatigue, depression, anxiety, and malnutrition were 0.76 (95% CI: 0.69–0.83, I 2 = 97.7%), 0.82 (95% CI: 0.76–0.88, I 2 = 98.5%), 0.76 (95% CI: 0.70–0.82, I 2 = 98.4%), 0.78 (95% CI: 0.69–0.86, I 2 = 37.9%), and 0.86 (95% CI: 0.80–0.91, I 2 = 94.9%), respectively. Subgroup analyses across cancer type, geographical region, and algorithm type revealed no statistically significant sources of heterogeneity. The certainty of evidence was moderate across all outcomes.
This systematic review and meta-analysis showed that ML models achieved acceptable discriminative performance for predicting pain, anxiety, depression, fatigue, and malnutrition in patients with cancer in available datasets. Given predominant internal validation and observed heterogeneity, clinical utility requires further prospective validation and implementation studies. Future research may consider theory-driven predictors and clinically tailored algorithms to improve model performance.
These pooled findings provide a preliminary foundation for the clinical translation of ML models to predict pain, anxiety, depression, fatigue, and malnutrition in cancer patients. Further prospective validation in diverse clinical settings and randomized controlled trials evaluating the effectiveness of model-guided symptom management strategies are needed to improve patient outcomes.
CRD420251130183
This study explored the specific experiences of clinical nurses regarding micro-breaks during work intervals, aiming to provide a reference for nursing managers in building supportive work environments.
The study was conducted and reported in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. From September to November 2025, purposive sampling was used to select 12 clinical nurses from a large teaching hospital in Shanghai. Guided by the Conservation of Resources Theory, we employed a descriptive qualitative research design with semi-structured in-depth interviews. Data were analyzed using directed content analysis.
The experiences of clinical nurses regarding micro-breaks were summarized into three main themes and seven subthemes: (1) the diverse practical forms of micro-breaks (physical disengagement, cognitive detachment, and minimal replenishment); (2) the complex impacts of micro-breaks (potential social costs, potential psychological costs); and (3) the feasibility of micro-breaks in different work environments (department characteristics and work pace, organizational culture and leadership style).
Micro-breaks serve as a proactive self-regulation strategy for clinical nurses in high-intensity work environments. They provide not only a momentary physical pause but also an opportunity for psychological and emotional recovery, contributing to the maintenance of professional resilience. Nursing managers should recognize and respect this behavior, strengthen external environmental support, and aim to enhance nurses work well-being and overall quality of care.
This study did not include patient or public involvement in its design, conduct, or reporting.
Nurses in high-acuity settings face continuous resource depletion that can compromise both their well-being and patient safety. This study offers evidence-based insights into how clinical nurses spontaneously use micro-breaks as a proactive self-regulation strategy to restore personal and social resources. By identifying the diverse forms, dual impacts, and contextual determinants of micro-breaks, the findings provide actionable guidance for nursing managers and healthcare organizations to design psychologically supportive work environments. Recognizing and legitimizing micro-breaks as a legitimate recovery practice may serve as a low-threshold, low-cost intervention to mitigate burnout, sustain work engagement, and ultimately protect the quality and continuity of patient care.
Diabetic peripheral neuropathy (DPN) among older people is associated with significant gait and balance impairments, postural instability, and an increased fall risk. Virtual reality (VR)-based interventions have been shown to be effective in improving balance and mobility; however, their design features and applicability for older people with DPN remain unclear. This systematic review was conducted to examine the effectiveness of VR systems on clinical outcomes in individuals with DPN and translate the findings into geriatric-specific VR design recommendations.
A systematic review design was employed. Five electronic databases (Scopus, PubMed, CINAHL, Web of Science, and Embase) were systematically searched. Guided by the Synthesis Without a Meta-Analysis (SWiM) approach, a narrative synthesis was conducted.
A total of eight studies met the inclusion criteria, with a pooled sample of 341 participants (mean age = 49 to 72). VR systems were primarily used as intervention modalities (6 of 8 studies). Most VR systems employed non-immersive, screen-based platforms with real-time visual biofeedback. Progression algorithms were clinician-guided rather than adaptive. VR-based interventions demonstrated consistent improvements in postural sway, mediolateral stability, and functional mobility measures in adults with DPN.
VR systems, used as either intervention and assessment modalities, were found to be effective in assessing and improving balance and functional mobility in adults with DPN.
Based on these findings, the SAFE STEP PLAN Framework, a geriatric-specific design guidance for VR-based and other technology-assisted rehabilitation interventions in DPN, was developed to inform the design, implementation, and clinical integration of technology-assisted interventions for older people.
Reports of evidence-based practice (EBP) and quality improvement (QI) in nursing journals often vary in reporting quality, hindering translation into practice. A critical appraisal tool for evidence-based practice quality improvement (EBPQI) has recently been made available on the EQUATOR Network.
A descriptive cross-sectional study of full-length articles (Jan–Jun 2025) from 28 nursing journals that accept reports of EBP and/or QI (per submission guidelines); each article was scored by two authors using the open-access critical appraisal tool for EBPQI.
Collectively, these journals published 86 issues and 949 full-length articles; 30 (3.2%) articles were identified as EBP or QI reports and were published among 10 (33%) journals. Of these 30 articles, only 6 (20%) used appropriate EBP and/or QI methods and were therefore appraised using the EBPQI critical appraisal tool. Based on the EBPQI critical appraisal tool, the EBP and QI reports varied in how and to what extent they met EBPQI criteria.
Variation exists in journal guidance and reporting of EBP/QI initiatives. Consistent use of EBPQI criteria highlights the need for standardized reporting to improve transparency, transferability, and translation into practice.
Transparent, standardized reporting of EBP and/or QI initiatives enables clinicians to appraise relevance and transferability to practice. Reporting aligned with recognized guidelines (or clear justification for deviations) is warranted.
The incidence of breast cancer (BC) is increasing in women younger than 40 years of age. In this age group, BC is the most frequent cancer-related cause of death. These women are also ineligible for regular mammogram screening programs and often present with more aggressive cancer subtypes with worse clinicopathologic features, and these women are rarely diagnosed preclinically. Yet many young women are not aware that they may be at risk for this cancer. The aim of this study was to provide an in-depth understanding of an early onset breast cancer diagnosis by interviewing women who have this lived experience.
This study used a qualitative descriptive design.
Women were recruited through collaboration with a community breast cancer coalition and an urban cancer center. The eligibility criteria were women who had been diagnosed with breast cancer before the age of 40, who spoke English, and who lived within proximity to the cancer center. A semi-structured interview guide was developed by two of the researchers who have previously collaborated on qualitative studies of women diagnosed with BC. The interview guide included 25 questions beginning with a broad request for the women to describe their breast cancer journey. Content analysis was used to analyze the data.
Thirty women were interviewed for this study. The average age at diagnosis was 34.4. The themes that were found included: (1) Finding a Lump; (2) Finding Out You Have Breast Cancer; (3) Telling Your Parents and Children; and (4) Making Decisions: Fertility.
Emotional, psychological, and socio-cultural factors are different in young women diagnosed with BC, as compared to older women. Delays in diagnosis were common, as almost all were symptomatic when diagnosed. Research is needed to understand the patient, provider, and system-related factors that lead to delays in diagnosis and treatment. These young women, who will likely live a much longer portion of their lives beyond their cancer diagnosis, are asking for this research to be done.
Screening guidelines exclude women under 40 years of age in all countries with organized screening programs; therefore, few women under the age of 40 are diagnosed preclinically. These often late diagnoses lead to worse prognoses in young women with breast cancer. Additionally, young women diagnosed with breast cancer have age-specific care needs that are currently unmet in the continuum of breast cancer care.
This review aims to synthesize qualitative evidence on patients' lived experiences of advanced practice nursing.
Qualitative systematic review.
The studies included in this review were sourced from PubMed, Web of Science, The Cochrane Library, Embase, and CINAHL. Studies were limited to those published from database inception to March 5, 2026.
The review adhered to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines. Two independent reviewers screened titles, abstracts, and full-text articles to assess eligibility for inclusion. Data were extracted and analyzed using thematic synthesis. Confidence in findings was assessed using the CERQual approach.
Thirty-seven studies were included. Five themes emerged from patients' accounts: (1) feeling seen and heard through therapeutic presence; (2) understanding illness through explanation and dialogue; (3) building trust through competence and respect; (4) gaining confidence and agency in self-management; and (5) experiencing coherent and coordinated care across services.
Patients experienced advanced practice nursing as a relational, educational, and coordinating form of care. APNs were valued not only for their advanced clinical expertise but also for the way they listened, explained, built trust, supported patient agency, and helped patients navigate fragmented healthcare systems. These findings suggest that the effectiveness of APN care is closely linked to relational continuity, individualized communication, and system-level coordination.
Understanding patients' lived experiences of advanced practice nursing can help nurses and healthcare organizations strengthen patient-centred care. The findings highlight the importance of protecting time for listening, supporting clear and individualized communication, building trustful partnerships, encouraging patient participation, and recognizing APNs' role in coordinating care across complex healthcare systems.
Measuring intimate partner violence (IPV) remains a challenge in health research due to the wide range of available measures, with each designed for different purposes, populations, and types of violence. Selecting the most appropriate IPV measure requires careful alignment with a study's overall goals while balancing conceptual, ethical, and pragmatic considerations.
To introduce a decision-making framework to guide researchers in selecting IPV measures for use in health-focused research.
A targeted review was completed to identify all published systematic reviews focused on IPV measures. Using a consensus-driven approach, systematic reviews were appraised to determine the criteria and characteristics most commonly used to categorize and evaluate measures. A set of commonly recurring measurement characteristics was identified across reviews, including shared challenges in IPV measurement.
We identified six domains characterizing variation across IPV measures, including: purpose, populations, types of violence, time frame, context, and data collection methods. Some reviews considered additional characteristics including psychometric evidence and cultural relevance. Others discussed practical considerations, such as language availability and respondent burden. Based on these findings, we developed a decision-making framework and accompanying checklist designed to support researchers in evaluating the fit and appropriateness between available IPV measures and the specific aims, populations, and contextual considerations of their studies.
Structured guidance that draws on the broader IPV field can support intentional and transparent decision-making, improving the quality and fit of IPV measurement.
The proposed framework, along with the IPV measure checklist, supports both researchers and clinicians in selecting the strongest IPV measure for their study. By offering structured guidance on navigating the wide variety of available IPV measures, this framework supports more consistent, interpretable, and methodologically rigorous IPV measurement.
The aim of this study was, with regard to the state of Poland's pediatric healthcare, to assess user experiences from the perspective of caregivers of pediatric patients and to provide a comprehensive picture of its quality. The research involved cooperating pediatric oncology and hematology wards across Poland.
Cross-sectional, multicentre instrument validation study and caregiver's experience survey in Poland.
In-patient study was conducted at 14 pediatric oncology and hematology wards. The cooperating wards represented all of Poland's voivodeships, and the study was coordinated by trained nurses. The reliability and validity of the research conclusions were obtained based on assessments provided by a representative population of 813 (adult) primary caregivers of pediatric patients. Two tools were used: the Pediatric Patient Experience Questionnaire (PPEQ) (the Polish adaptation of the CAHPS Child Hospital Survey (Child HCAHPS)); collected sociodemographic and clinical data.
The highest percentage of Top Box scores, 84.30%, was recorded for the “Responsiveness to the call button”, and the lowest for “Preventing mistakes and helping you report concerns” (25.66%). The presence of verified hospital infrastructure elements ranged from 85% to 99%. Moreover, 68.39% of all respondents gave the Top Box rating to the pediatric oncology and hematology hospital where their child was treated, and 63.22% stated that they would recommend it.
Overall, the quality of healthcare in Poland's pediatric oncology and hematology centers is high. Caregivers evaluated hospitals mainly based on staff communication with the child and caregiver—and on the sense of comfort during the stay. The aesthetics of the interior and accessibility for people with special needs were also important, while ensuring comfort and safety remains an area for improvement.
The use of the PPEQ supports the development of healthcare based on communication, empathy, and partnership with pediatric patients and their families, notably their primary caregivers. Frequent measurement of experiences can provide reliable guidance on adjustments that should be made to the healthcare system.
To critically examine the effect on professional nurses' engagement in non-nursing tasks on nurse, patient, and organizational outcomes.
Research undertaken in several countries indicates that a significant amount of nurses' time is spent in non-direct nursing care, often in non-nursing tasks. Negative outcomes of professional nurses' time spent on non-nursing tasks have been identified, including missed nursing care and burnout and turnover among nurses. Challenges for change in care delivery are addressed.
There are multiple opportunities for workforce redesign, including extending the applications of technology in care delivery. Nurse leaders and professional nurses must seize opportunities to engage in solutions to current challenges of nursing work, particularly within hospitals, to focus professional nursing work directly on patient care that leads to optimal health outcomes.
Reducing the non-nursing work for clinical nurses will reduce the overall workload and potentially lead to positive nurse and patient outcomes.
FreshRSS 