1. Practice Assessment Tool for the Care of Patients With Eating Disorders.
期刊:Focus (American Psychiatric Publishing)
日期:2024-06-28
DOI :10.1176/appi.focus.20240009
Eating disorders are characterized by significant disturbances in eating patterns associated with negative attitudes toward one's body, weight, and shape. They are associated with an increased risk of mortality and morbidity as well as significant health, economic, and psychosocial burdens. Additionally, individuals with eating disorders often hesitate to seek treatment and symptoms may be difficult to ascertain without structured assessment. The aims to enhance knowledge and increase the appropriate use of interventions for eating disorders, including anorexia nervosa, bulimia nervosa, and binge-eating disorder, thereby improving the quality of care and treatment outcomes. To this end, this evidence-based Performance in Practice tool can facilitate the implementation of a systematic approach to practice improvement for the care of individuals with eating disorders. This practice assessment activity can also be used in fulfillment of Continuing Medical Education and ABPN Continuing Certification, Improvement in Medical Practice.
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3区Q2影响因子: 2.3
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2. The roles of self-concept and experiential avoidance on post-traumatic growth in individuals with coexisting complex PTSD and epilepsy: The mediating role of ego strength.
期刊:Epilepsy & behavior : E&B
日期:2025-04-24
DOI :10.1016/j.yebeh.2025.110433
This research examined how self-concept and experiential avoidance influence posttraumatic growth (PTG) by considering the mediating effect of ego strength in individuals with epilepsy who have complex post-traumatic stress disorder (C-PTSD). The clinical sample for this study consisted of 137 patients with epilepsy who also had a history of C-PTSD and were selected using a convenience sampling method as part of a cross-sectional descriptive study design from Eqlid City, Iran. In this study, the data was collected using the Post-traumatic Growth Inventory (PTGI-21), the Personal Self-Concept Questionnaire (PSCQ-18), the Multidimensional Experiential Avoidance Questionnaire (MEAQ-62), and the Psychosocial Inventory of Ego Strengths (PIES-64). The results showed that self-concept and ego strength have significant positive direct effects on PTG. While experiential avoidance had a negative significant direct path coefficient with PTG. Furthermore, personal self-concept, experiential avoidance, and ego strengths combined accounted for 77% of the variance in PTG Moreover, ego strength significantly mediated the effect of self-concept and experiential avoidance on PTG. The results have shown a fitted SEM for the direct and indirect effects of self-concept and experiential avoidance on PTG through the mediating role of ego strength. These results have practical implications for psychotherapeutic interventions and community-based programs targeting epileptic patients with C-PTSD.
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4区Q2影响因子: 2.7
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3. Chronotype and sleep disorders in children with epilepsy.
期刊:Epileptic disorders : international epilepsy journal with videotape
日期:2023-05-14
DOI :10.1002/epd2.20034
OBJECTIVE:The circadian rhythm can affect the frequency and resistance of epileptic seizures. In this cross-sectional study, we examined the impact of chronobiology and sleep disturbances on children with epilepsy. METHODS:One hundred and twenty-five children and adolescents (55 patients and 70 controls) were included in the study. All participants were asked to complete the Revised Child Anxiety and Depression Scale-Child Version (RCADS-CV), Sleep Disturbances Scale for Children (SDSC), Childhood Chronotype Questionnaire (CCQ). RESULTS:According to the CCQ results, controls had longer sleep duration (median 595 vs. 570), lower morningness-eveningness scores (median: 28 vs. 30), and higher rates of the morningness (12.9% vs. 1.8%) and intermediate (74.3% vs. 60%) chronotypes. The children and adolescents with epilepsy scored significantly higher in the Sleep breathing disorders (p = .001), Disorders of arousal nightmares (p = .044), Sleep-wake transition disorders (p = .037), Disorders of excessive somnolence (p = .001), and total SDCS (p = .046) scores. According to the RCADS-CV results, the children with epilepsy scored significantly higher in all subscales in comparison to controls (p < .05). SIGNIFICANCE:Children and adolescents with epilepsy had shorter sleep duration were more likely to be evening-oriented and had more significant sleep disturbance symptoms compared to controls.
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2区Q1影响因子: 6
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4. The Role of AI in Nursing Education and Practice: Umbrella Review.
期刊:Journal of medical Internet research
日期:2025-04-04
DOI :10.2196/69881
BACKGROUND:Artificial intelligence (AI) is rapidly transforming health care, offering substantial advancements in patient care, clinical workflows, and nursing education. OBJECTIVE:This umbrella review aims to evaluate the integration of AI into nursing practice and education, with a focus on ethical and social implications, and to propose evidence-based recommendations to support the responsible and effective adoption of AI technologies in nursing. METHODS:We included systematic reviews, scoping reviews, rapid reviews, narrative reviews, literature reviews, and meta-analyses focusing on AI integration in nursing, published up to October 2024. A new search was conducted in January 2025 to identify any potentially eligible reviews published thereafter. However, no new reviews were found. Eligibility was guided by the Sample, Phenomenon of Interest, Design, Evaluation, Research type framework; databases (PubMed or MEDLINE, CINAHL, Web of Science, Embase, and IEEE Xplore) were searched using comprehensive keywords. Two reviewers independently screened records and extracted data. Risk of bias was assessed with Risk of Bias in Systematic Reviews (ROBIS) and A Measurement Tool to Assess Systematic Reviews, version 2 (AMSTAR 2), which we adapted for systematic and nonsystematic review types. A thematic synthesis approach, conducted independently by 2 reviewers, identified recurring patterns across the included reviews. RESULTS:The search strategy yielded 18 eligible studies after screening 274 records. These studies encompassed diverse methodologies and focused on nursing professionals, students, educators, and researchers. First, ethical and social implications were consistently highlighted, with studies emphasizing concerns about data privacy, algorithmic bias, transparency, accountability, and the necessity for equitable access to AI technologies. Second, the transformation of nursing education emerged as a critical area, with an urgent need to update curricula by integrating AI-driven educational tools and fostering both technical competencies and ethical decision-making skills among nursing students and professionals. Third, strategies for integration were identified as essential for effective implementation, calling for scalable models, robust ethical frameworks, and interdisciplinary collaboration, while also addressing key barriers such as resistance to AI adoption, lack of standardized AI education, and disparities in technology access. CONCLUSIONS:AI holds substantial promises for revolutionizing nursing practice and education. However, realizing this potential necessitates a strategic approach that addresses ethical concerns, integrates AI literacy into nursing curricula, and ensures equitable access to AI technologies. Limitations of this review include the heterogeneity of included studies and potential publication bias. Our findings underscore the need for comprehensive ethical frameworks and regulatory guidelines tailored to nursing applications, updated nursing curricula to include AI literacy and ethical training, and investments in infrastructure to promote equitable AI access. Future research should focus on developing standardized implementation strategies and evaluating the long-term impacts of AI integration on nursing practice and patient outcomes.
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5. Evidence-informed practice: simplifying and applying the concept for nursing students and academics.
作者:Kumah Elizabeth Adjoa , McSherry Robert , Bettany-Saltikov Josette , van Schaik Paul
期刊:British journal of nursing (Mark Allen Publishing)
日期:2022-03-24
DOI :10.12968/bjon.2022.31.6.322
BACKGROUND:Nurses' ability to apply evidence effectively in practice is a critical factor in delivering high-quality patient care. Evidence-based practice (EBP) is recognised as the gold standard for the delivery of safe and effective person-centred care. However, decades following its inception, nurses continue to encounter difficulties in implementing EBP and, although models for its implementation offer stepwise approaches, factors, such as the context of care and its mechanistic nature, act as barriers to effective and consistent implementation. It is, therefore, imperative to find a solution to the way evidence is applied in practice. Evidence-informed practice (EIP) has been mooted as an alternative to EBP, prompting debate as to which approach better enables the transfer of evidence into practice. Although there are several EBP models and educational interventions, research on the concept of EIP is limited. This article seeks to clarify the concept of EIP and provide an integrated systems-based model of EIP for the application of evidence in clinical nursing practice, by presenting the systems and processes of the EIP model. Two scenarios are used to demonstrate the factors and elements of the EIP model and define how it facilitates the application of evidence to practice. The EIP model provides a framework to deliver clinically effective care, and the ability to justify the processes used and the service provided by referring to reliable evidence.
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4区Q3影响因子: 1
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6. Disadvantages of various methods of gastrointestinal feeding in patients admitted to the intensive care unit: A systematic review.
期刊:Caspian journal of internal medicine
日期:2024-10-19
DOI :10.22088/cjim.16.1.28
Background:Gastrointestinal tube feeding is one of the most important and beneficial methods of nutrition in patients admitted to the intensive care unit. There is still no consensus on the best nutritional method that will lead to fewer complications. This study aimed to investigate the disadvantages of different methods of tube feeding in patients admitted to the adult intensive care unit. Methods:The present study is a review study conducted in 2022. Articles published in the English language databases including Web of Science, Scopus, Science Direct, and PubMed, between 2000 and 2022 were used. Results:In the initial search phase, 2893 articles were obtained. In the next step, after the review of titles and abstracts, 760 articles remained. Finally, based on inclusion criteria and full text review, 14 related articles were selected. Disadvantages of tube feeding methods were classified into four categories: "respiratory complications", "gastrointestinal complications", "metabolic complications" and "bed occupancy". Conclusions:Based on the results of this study, in terms of complications, intermittent and continuous methods are safer and more preferable than the bolus method. However, low-speed bolus feeding has fewer side effects.
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1区Q1影响因子: 3.1
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7. Advance care planning readiness among older adults in aged service centers: A cross-sectional study.
期刊:International journal of nursing sciences
日期:2024-12-16
DOI :10.1016/j.ijnss.2024.12.005
Objective:This study aimed to explore the readiness for advance care planning (ACP) among older adults in Macau's day service centers and investigate the influencing factors. Methods:A cross-sectional study was conducted from October to December 2022 using a convenience sampling method. A total of 312 older adults were selected from 13 day service centers for older adults in Macau, China. The Advance Care Planning Acceptance Questionnaire and the Family Adaptation, Partnership, Growth, Affection, Resolve (APGAR) Scale were used to survey the older adults. Results:A total of 306 older adults completed the survey. The score for advance care planning readiness was 65.55 ± 10.69, and 59.5% of participants ( = 182) were willing to participate in ACP. The family function score was 7.24 ± 2.51, while 70.3% of participants were from a highly functional family. The higher family function indicating a higher readiness for advance care planning ( = 0.396, < 0.001). The multiple linear regression analysis indicated that the variables "age," "knowledge of ACP," "experience with ACP," and "received resuscitation of yourself, relatives or friends" combined with "family function" can influence advance care planning readiness among older adults ( = 0.317, = 27.898, < 0.001). Conclusions:Older adults in Macau's day service centers were willing to engage in ACP. The importance of family involvement is highlighted in the ACP readiness. Health education and improved family communication are vital for promoting ACP, which ensures individuals receive care when they lack the capacity to make that choice. Additionally, healthcare professionals should enhance communication and education with older adults during the medical care process.
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2区Q1影响因子: 3
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8. Development, validation and reliability testing of the hospice care environment scale.
期刊:BMC palliative care
日期:2024-05-28
DOI :10.1186/s12904-024-01450-2
BACKGROUND:WHO stated the environment is an important factor affecting the development of hospice care. The environment is the sum of factors affecting behavior besides the individual factors. Currently, a scale to comprehensively assess the hospice environment of nurse is still lacking. This study aimed to develop an instrument to investigate the environmental factors affecting hospice care of nurses. METHODS:Literature review and a semi-structured interview were conducted to form the items pool of the Hospice Care Environment Scale. Two rounds of Delphi expert consultation were conducted by 16 experts to revise the scale dimensions and entries to form the Hospice Care Environment Scale. A psychometric evaluation was then performed among 530 oncology nurses in a large tertiary oncology hospital in Hubei Province. The 500 valid questionnaires were randomly divided into two groups in a 1:1 ratio, sample 1 (n1 = 250) for item screening and sample 2 (n2 = 250) for quality evaluation of the resulting scale. Item analysis, reliability analysis, validity analysis and acceptability analysis were performed. RESULT:The Hospice Care Environment Scale consists of two dimensions and 13 entries. The Cronbach's α coefficient of the Hospice Care Environment Scale was 0.970, and the Cronbach's α coefficient of the two dimensions were 0.952 and 0.969, respectively, with the Item-content validity index and average Scale- content validity index of the scale was both 1.000. The validation factor analysis showed the standardized path coefficients of each item were basically above 0.5, and the factor structure model was stable and suitable. The average completion time of the scale was about 3 min, which had good feasibility. CONCLUSION:The Hospice Care Environment Scale to assess the environment of hospice care services, has good content and construct validity and reliability. This scale can provide guidance to evaluate the hospice care environment.
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1区Q1影响因子: 9.3
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9. Instruments to assess post-intensive care syndrome assessment: a scoping review and modified Delphi method study.
期刊:Critical care (London, England)
日期:2023-11-07
DOI :10.1186/s13054-023-04681-6
BACKGROUND:The assessment of post-intensive care syndrome (PICS) is challenging due to the numerous types of instruments. We herein attempted to identify and propose recommendations for instruments to assess PICS in intensive care unit (ICU) survivors. METHODS:We conducted a scoping review to identify PICS follow-up studies at and after hospital discharge between 2014 and 2022. Assessment instruments used more than two times were included in the modified Delphi consensus process. A modified Delphi meeting was conducted three times by the PICS committee of the Japanese Society of Intensive Care Medicine, and each score was rated as not important (score: 1-3), important, but not critical (4-6), and critical (7-9). We included instruments with ≥ 70% of respondents rating critical and ≤ 15% of respondents rating not important. RESULTS:In total, 6972 records were identified in this scoping review, and 754 studies were included in the analysis. After data extraction, 107 PICS assessment instruments were identified. The modified Delphi meeting reached 20 PICS assessment instrument recommendations: (1) in the physical domain: the 6-min walk test, MRC score, and grip strength, (2) in cognition: MoCA, MMSE, and SMQ, (3) in mental health: HADS, IES-R, and PHQ-9, (4) in the activities of daily living: the Barthel Index, IADL, and FIM, (5) in quality of life: SF-36, SF-12, EQ-5D-5L, 3L, and VAS (6), in sleep and pain: PSQI and Brief Pain Inventory, respectively, and (7) in the PICS-family domain: SF-36, HADS, and IES-R. CONCLUSION:Based on a scoping review and the modified Delphi method, 20 PICS assessment instruments are recommended to assess physical, cognitive, mental health, activities of daily living, quality of life, sleep, and pain in ICU survivors and their families.
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10. Quality indicators in intensive care medicine for Germany - fourth edition 2022.
期刊:German medical science : GMS e-journal
日期:2023-06-23
DOI :10.3205/000324
The measurement of quality indicators supports quality improvement initiatives. The German Interdisciplinary Society of Intensive Care Medicine (DIVI) has published quality indicators for intensive care medicine for the fourth time now. After a scheduled evaluation after three years, changes in several indicators were made. Other indicators were not changed or only minimally. The focus remained strongly on relevant treatment processes like management of analgesia and sedation, mechanical ventilation and weaning, and infections in the ICU. Another focus was communication inside the ICU. The number of 10 indicators remained the same. The development method was more structured and transparency was increased by adding new features like evidence levels or author contribution and potential conflicts of interest. These quality indicators should be used in the peer review in intensive care, a method endorsed by the DIVI. Other forms of measurement and evaluation are also reasonable, for example in quality management. This fourth edition of the quality indicators will be updated in the future to reflect the recently published recommendations on the structure of intensive care units by the DIVI.
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11. The future development of intensive care quality indicators - a methods paper.
作者:Kumpf Oliver , Nothacker Monika , Braun Jan , Muhl Elke
期刊:German medical science : GMS e-journal
日期:2020-10-30
DOI :10.3205/000285
Medical quality indicators (QI) are important tools in the evaluation of medical quality. Their development is subject to specific methodological requirements, which include practical applicability. This is especially true for intensive care medicine with its complex processes and their interactions. This methods paper presents the status quo and shows necessary methodological developments for intensive care QI. For this purpose, a cooperation with the Association of the Scientific Medical Societies' Institute for Medical Knowledge Management (AWMF-IMWi) was established. Review of published German manuals for QI development from guidelines and narrative review of quality indicators with a focus on evidence and consensus-based guideline recommendations. Future methodological adaptations of indicator development for improved operationalization, measurability and pilot testing are presented, and a development process is proposed. The development of intensive care quality indicators in Germany is based on an established process. In the future, additional evaluation criteria (QUALIFY criteria) will be applied to assess the evidence base. In addition, a continuous exchange between the national steering committee of the DIVI responsible for QI development and guideline development groups involved in intensive care medicine is planned. Intensive care quality indicators will have to meet improved methodological requirements in the future by means of an improved development process. Future QI development is intended to improve the structure of the development process, with a focus on scientific evidence and a link to guideline projects. This is intended to achieve the goal of a broad application of QI and to further evaluate its relevance for patient outcome and performance of institutions.
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3区Q1影响因子: 2.7
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12. Nonpharmacological interventions for agitation in the adult intensive care unit: A systematic review.
期刊:Australian critical care : official journal of the Confederation of Australian Critical Care Nurses
日期:2022-05-02
DOI :10.1016/j.aucc.2022.02.005
BACKGROUND:Person-centred nonpharmacological strategies should be used whenever possible to reduce agitation in the intensive care unit due to issues related to an overreliance on physical restraints and psychoactive drugs. However, the effect of nonpharmacological interventions to reduce agitation is unclear. OBJECTIVES:The objectives of this study were to systematically review studies that evaluate the effectiveness of nonpharmacological interventions designed to prevent and minimise or manage patient agitation in the adult intensive care unit. METHODS:This systematic review was conducted following the Joanna Briggs Institute's Systematic Review of Effectiveness method and a priori PROSPERO protocol. Quantitative studies were identified from seven databases, including MEDLINE, EmCare, CINAHL, Web of Science, PsycINFO, Scopus, and Cochrane Library. In addition, grey literature from several repositories and trial registers was searched. The primary outcome of interest was the effect on prevention, minimisation, and management of agitation. The quality of the evidence was assessed using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE). RESULTS:Eleven studies were included (n = 882). Meta-analyses of two studies demonstrated significantly lower levels of agitation (measured with the Richmond Agitation Sedation Scale) in the group receiving a multicomponent nonpharmacological intervention than in those receiving usual care. Individual studies showed a significant effect of nature-based sounds, music, foot reflexology, healing touch, and aromatherapy. The type of the endotracheal suction system did not affect levels of agitation. Overall, the certainty of the findings was rated very low. Harms and adverse effects were not reported in any studies. CONCLUSIONS:Nonpharmacological interventions have the potential to reduce levels of agitation in the intensive care unit. However, inconsistencies in reporting, low quality of methodological designs, and small sample sizes impact the certainty of the results. Future trials must include larger sample sizes, use rigorous methods to improve knowledge in this field, and consider a range of other outcomes.
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4区Q3影响因子: 1.2
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13. Construction and validation of a tool to assess nursing interpersonal relations.
作者:Dias Jennifer Specht , Rocha Laurelize Pereira , Carvalho Deciane Pintanela de , Tomaschewski-Barlem Jamila Geri , Barlem Edison Luiz Devos , Dalmolin Graziele de Lima
期刊:Revista brasileira de enfermagem
日期:2019-04-18
DOI :10.1590/0034-7167-2018-0229
OBJECTIVE:construct and validate a tool to identify the factors that influence interpersonal relations and the health of nursing workers in a University Hospital in the South of Brazil. METHOD:methodological study, in nine steps. The face validation was carried out, with the participation of five experts, professor nurses doctors in Nursing, content with 26 nurses, stricto sensu Nursing Postgraduate students, and the validation of the construct was performed through a quantitative approach with 213 nursing workers. We used the exploratory factorial analysis and the Cronbach's Alpha in the validation of the construct. RESULTS:the tool consisted of 29 questions and six constructs were identified. The Cronbach's Alpha value.879 showed satisfactory internal consistency. CONCLUSION:the tool was valid and reliable for use in the assessment of interpersonal relations among nursing workers in Brazilian University Hospitals.