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To identify, appraise and describe the characteristics and measurement properties of instruments assessing Family Focused Care in nursing clinical practice using COSMIN criteria.
A systematic review based on COSMIN methodology.
Methodological quality was assessed using COSMIN methodology and evidence quality using the GRADE approach modified by COSMIN.
The databases PubMed, CINAHL, COCHRANE, Web of Science and SCOPUS were systematically searched from inception until September 2024.
A total of 47 studies and 15 instruments evaluating Family Focused Care were included. Seven were designed for measuring professional's perspective, six for family's and two for both. Three instruments, the Family Nursing Practice Scale (FNPS), the Iceland Family Perceived Support Questionnaire (ICE-FPSQ) and the Perception of Family Centred Care Staff and Parents (PFCC-S/P), exhibited the highest methodological quality and robust psychometric properties, including internal consistency, structural validity, reliability and content validity.
The FNPS, the ICE-FPSQ and the PFCC-S/P questionnaires were identified as the most suitable instruments to assess Family Focused Care. Future research should rigorously evaluate their psychometric properties.
This review provides insight into available instruments for measuring Family Focused Care, helping professionals choose the most suitable tools to enhance family involvement, align care with family needs, and improve patient outcomes and family well-being.
Given that the psychometric properties of instruments measuring Family Focused Care have not been systematically assessed, the present review utilised comprehensive methods according to COSMIN.
No Patient or Public Contribution.
PRISMA statement and COSMIN reporting guideline for studies on measurement properties of patient-reported outcome measures.
This systematic review has been registered at the International Prospective REGISTER of Systematic Review (PROSPERO: CRD42022315249).
The aim of this study was to examine the relationship between health literacy, health protective behaviour, quality of life and social health in older adults living in the community.
A cross-sectional study.
This observational study was carried out by interviewing 600 older adult people living in a province in the South Marmara region of Turkey using a multi-stage cluster sampling method. The dependent variable of the study was social health perception, and multivariate linear regression analysis was used in the analyses. Reporting of the study followed the STROBE checklist.
The social health of the participants is at a medium level. As a result of linear regression analysis, the social health score was found in those who have high school education or higher, those who live with their children and those who live alone to be significantly lower in those with poor general health perception. As age increases, health literacy increases, and quality of life decreases, the social health score decreases (p < 0.05).
In this context, steps should be taken to increase social harmony and social support for the older adult; the perceived environment should be improved, and environments that facilitate the lives of the older adult should be created.
Determining the level of social health of the older adult and identifying the related factors is important in terms of improving the quality of services to be provided for the older adult. In this context, it is important for health professionals to take initiatives to improve the lifestyle, health literacy and quality of life of the older adult.
This study aimed to examine the challenges faced by pediatric nurses in implementing and sustaining clinical handover in intensive care units (ICUs), focusing on identifying key barriers affecting the handover process in these specialised environments.
Pediatric nurses encounter several challenges that hinder the effective implementation of clinical handover in intensive care settings. These challenges can compromise patient safety and care continuity. Understanding these obstacles is essential for identifying areas for improvement and enhancing handover practices in pediatric intensive care units (PICUs) and neonatal intensive care units (NICUs).
A descriptive, cross-sectional study was conducted in the neonatal intensive care unit (NICU) and pediatric intensive care unit (PICU) of the specialised university hospital for children in Alexandria, Egypt. The sample included 127 nurses who provided direct care to critically ill children. Participants were selected using convenience sampling. Data were collected using a self-administered questionnaire designed to assess various challenges encountered during the clinical handover process. The questionnaire covered five key areas: nurse-related challenges, handover quality-related challenges, organisational challenges, environmental challenges and communication challenges. Data were analysed using descriptive and inferential statistical methods, including multivariate regression analysis. The study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.
The study found that the most significant challenges during clinical handover were nurse-related (mean = 74.7, SD = 5.6), followed by organisational challenges (mean = 69.2, SD = 16.7). Statistically significant differences were observed in nurses' characteristics, such as gender, age, marital status, years of experience and the place and duration of handover. Nurses who conducted longer handovers or performed them at the bedside reported fewer challenges compared to those who performed handovers at the nursing station or those with shorter durations.
Pediatric nurses in critical care settings face significant challenges in clinical handover, with barriers such as resistance to change, non-standardised language, time constraints and outdated reports being prominent. Female nurses, older nurses and those working in settings with less standardised handover practices reported more difficulties. Addressing these challenges is critical for improving handover processes, ensuring better patient safety and enhancing care outcomes.
Standardised handover protocols tailored to intensive care workflows, along with targeted training for nurses, are essential to address the identified challenges. These measures will enhance communication, improve handover efficiency and promote patient safety in pediatric ICUs. No patient or public contribution.
To identify and characterise the approaches and instruments used in recent literature to measure the prevalence of restrictive care practices in adult mental health inpatient units. Additionally, it sought to summarise the reported psychometric properties, including reliability and validity of these measures.
A systematic review of recent litratures was conducted using Scopus, MEDLINE, CINAHL, PsycINFO, Web of Science and Embase databases to identify studies published from 1 January 2010 to 11 October 2023. A total of 128 studies measuring the use of restrictive care practices were included. Data on measurement methods were extracted from each study and summarised to compare how consistently these practices have been measured across studies and how authors consistently reported the reliability and validity of these measurment approaches. All findings were reported following the PRISMA 2020 checklist.
There were significant variations in how the prevalence of restrictive care practices was measured, and the reliability and validity of these measurements were unclear for most studies. Only 11 studies reported inter/intra-rater reliability. Key variations were observed in data sources utilised, how and by whom the data were collected, the timing and total duration of data collection during patient admission, how and by whom data were extracted from secondary sources, measurement instruments and the reported reliability and validity of measures.
Methodological inconsistencies about the measurements approaches of restricitve care practices would introduduce potential random and/or systematic biases on the reported data which may obscure the the true prevalance these practices. This hinder the ability to acurately assess the effectiveness of reduction strategies and understand the naturally occuring practices. Establishing a standardised set of reliable measures is crucial for enabling valid comparisons for the rates of restricitve car epractice use across settings and countries, which could enhance the ongoing monitoring and reduction of these practices.
The absence of standardised defintions and measurement approaches for restrictive care practices challenges the global effort to reduce their use. Without reliable and common measures, clinicians and researchers often face challenges in documening RCP incidents accurately, compromising efforts to improve care quality and support a recovery-oriented approach. Such measurment errors would mislead decission-maker which would furhter contribute to the inconsistency the the implementation of these practices.
No patient or public contribution.
PROSPERO: CRD:42022335167; https://www.crd.york.ac.uk/prospero/export_details_pdf.php
To explore the healthcare experiences and needs of older adults living with HIV in Sweden.
A phenomenological study using qualitative thematic analysis.
Data were gathered through semistructured qualitative interviews and analysed using thematic analysis. A purposive sample of individuals ageing and living with HIV was recruited for this study.
A total of 22 participants aged 65 years and older, with a mean age of 75 years, participated in the study. Living with HIV meant a need to rely on consistent healthcare and treatment over the course of one's lifetime. The experiences of older adults were described under four themes: relying on access to health care, desiring involvement and shared decision-making, the importance of trust and confidentiality and experiences of stigma in healthcare visits.
Living and ageing with HIV involved recurring exposure and vulnerability in healthcare encounters, and experiences of being exposed to HIV-related stigma, especially outside HIV clinics. Continuity and being seen as a person in healthcare encounters were important. Enhancing HIV knowledge alongside fostering supportive attitudes and approaches of healthcare professionals is critical for ensuring high-quality and nondiscriminating health care.
Meeting the needs of older adults living with HIV requires a person-centred approach, including active involvement and shared decision-making between patients and healthcare providers.
This study describes the healthcare experiences and needs of older adults, aged 65 years and older, living with HIV, a population that is not typically investigated in qualitative research. Living and ageing with HIV means a vulnerability where the attitudes of professionals and the active involvement of the patient become significant for quality care. The findings can help with the implementation of policies and practices for the care of older adults living with HIV.
The Consolidated Criteria for Reporting Qualitative Studies (COREQ) was used.
Patient representatives were involved in discussions on data collection and the development of the interview guide.
To determine and describe what interventions exist to improve nurse–family communication during the waiting period of an emergency department visit.
Communication between nurses and families is an area needing improvement. Good communication can improve patient outcomes, satisfaction with care and decrease patient and family anxiety.
Scoping Review.
A scoping review was conducted following the Joanna Briggs Institution methodology: (1) identify the research question, (2) define the inclusion criteria, (3) use a search strategy to identify relevant studies using a three-step approach, (4) select studies using a team approach, (5) data extraction, (6) data analysis, and (7) presentation of results.
Medline, CINAHL, EMBASE, PsychInfo and grey literature were searched on 3 August 2022.
The search yielded 1771 articles from the databases, of which 20 were included. An additional seven articles were included from the grey literature. Paediatric and adult interventions were found targeting staff and family of which the general recommendations were summarised into communication models.
Future research should focus on evaluating the effectiveness of interventions using a standardised scale, understanding the specific needs of families, and exploring the communication models developed in this review.
Communication models for triage nurses and all emergency department nurses were developed. These may guide nurses to improve their communication which will contribute to improving family satisfaction.
PRISMA-ScR.
Protocol has been registered with the Open Science Framework, registration number 10.17605/OSF.IO/ETSYB.
No patient or public contribution.
To evaluate the impact of nurse care changes in implementing a blood pressure management protocol on achieving rapid, intensive and sustained blood pressure reduction in acute intracerebral haemorrhage patients.
Retrospective cohort study of prospectively collected data over 6 years.
Intracerebral haemorrhage patients within 6 h and systolic blood pressure ≥ 150 mmHg followed a rapid (starting treatment at computed tomography suite with a target achievement goal of ≤60 min), intensive (target systolic blood pressure < 140 mmHg) and sustained (maintaining target stability for 24 h) blood pressure management plan. We differentiated six periods: P1, stroke nurse at computed tomography suite (baseline period); P2, antihypertensive titration by stroke nurse; P3, retraining by neurologists; P4, integration of a stroke advanced practice nurse; P5, after COVID-19 impact; and P6, retraining by stroke advanced practice nurse. Outcomes included first-hour target achievement (primary outcome), tomography-to-treatment and treatment-to-target times, first-hour maximum dose of antihypertensive treatment and 6-h and 24-h systolic blood pressure variability.
Compared to P1, antihypertensive titration by stroke nurses (P2) reduced treatment-to-target time and increased the rate of first-hour target achievement, retraining of stroke nurses by neurologists (P3) maintained a higher rate of first-hour target achievement and the integration of a stroke advanced practice nurse (P4) reduced both 6-h and 24-h systolic blood pressure variability. However, 6-h systolic blood pressure variability increased from P4 to P5 following the impact of the COVID-19 pandemic. Finally, compared to P1, retraining of stroke nurses by stroke advanced practice nurse (P6) reduced tomography-to-treatment time and increased the first-hour maximum dose of antihypertensive treatment.
Changes in nursing care and continuous education can significantly enhance the time metrics and blood pressure outcomes in acute intracerebral haemorrhage patients.
STROBE guidelines.
No Patient or Public Contribution.
There is a growing consensus to reduce the use of restrictive care practices in mental health settings to minimise the physical and psychological complications for patients. However, data regarding restrictive care practice use and factors contributing to variations in the proportion estimates has not previously been synthesised.
This study aimed to synthesise evidence on (1) the pooled proportions of physical restraint, seclusion or chemical restraint in adult mental health inpatients and (2) sources of variability in these proportion estimates.
Studies were identified from Scopus, MEDLINE, PsycINFO, Web of Science, Embase and CINAHL databases following the PRISMA 2020 guidelines. We conducted a meta-analysis of studies published in English language from 1 January 2010 to 15 August 2022. Binomial data were pooled using a random effect model, with 95% confidence intervals. Meta-regression was also computed to identify factors that may contribute to variations in the proportion estimates.
A total of 77 studies were included in this meta-analysis. The pooled prevalence of physical restraint, seclusion and chemical restraint was 14.4%, 15.8% and 25.7%, respectively. Data were heterogeneous across studies (I 2 > 99%). Reporting practices and geographical locations contributed to the variability in the reported estimates of restrictive care practices, with studies from Asian countries reporting higher proportions.
There appear differences between geographical locations in the proportion of restrictive practices in mental health inpatients; however, this is complicated by how these prevalence data have been measured and defined. Consistency in the reporting of restrictive care practices in mental health is required to make valid comparisons between geographical regions, policy settings and practice innovations.
Efforts are needed to develop training programmes and policy changes to ensure consistency in defining and reporting of restrictive care practices in mental health facilities.
This is a systematic review that analysed data from previously published studies, and there was no patient/public contribution in this study.
The protocol for this review has been registered to PROSPERO: CRD42022335167.
This study aimed to assess mental health nurses' empathy towards consumers with dual diagnosis in Australian mental health settings. The research question was What is mental health nurses' empathy towards consumers with co-existing mental health and drug and alcohol problems?
A cross-sectional survey was carried out to understand mental health nurses' empathy. The convenience sample included 96 mental health nurses from various mental health settings with experience working with consumers with dual diagnosis. We assessed empathy using the Toronto Empathy Questionnaire. We utilised SPSS™ software to analyse both the descriptive data and multiple-regression.
The mean empathy score was 47.71 (SD 8.28). The analysis of the association between demographic variables and individual subscales showed an association between the clinical setting and empathy (p = .031) and sympathetic physiological arousal (p = .049). The work sector was associated with sympathetic physiological arousal (p = .045) and conspecific altruism (p = .008). Emotional contagion (β = .98, p < .001), emotional comprehension (β = 1.02, p < .001), sympathetic physiological arousal (β = 1.01, p < .001) and conspecific altruism (β = 10.23, p < .001) predicted mental health nurses' empathy.
This study found that most mental health nurses showed empathy towards consumers with dual diagnosis. Mental health nurses who are more empathetic towards their consumers experience emotional contagion. They understand emotions better, show sympathetic physiological responses and exhibit kind behaviour towards consumers.
Further research is required to understand how mental health nurses adapt to consumers' emotional states in different mental health settings. This information can help clinicians make better decisions about care quality for consumers with dual diagnosis.
This study addressed mental health nurses' empathy towards consumers with dual diagnosis. Mental health nurses showed increased empathy towards consumers with dual diagnosis. The empathy levels vary based on age, clinical setting, work sector and work experience. Mental health nurses' empathy levels were predicted by emotional contagion, emotion comprehension, sympathetic physiological arousal and conspecific altruism. Empathy enhancement among mental health nurses, particularly towards consumers with dual diagnosis, is crucial and should be regarded as a top priority by healthcare leaders and educators.
Outlined by the Consensus-Based Checklist for Reporting of Survey Studies (CROSS).
No Patient or Public Contribution.
FreshRSS 