Research has shown that providing high-quality supportive care to ischemic stroke survivors can promote their physical rehabilitation. Therefore, understanding the supportive care needs of this patient group is essential. To investigate ischemic stroke survivors' supportive care needs at various rehabilitation stages. This phenomenological study used purposive sampling to recruit ischemic stroke patients from a tertiary hospital in Xuzhou, China, between April 2023 and October 2023. Data were collected at four rehabilitation stages through in-depth interviews and observations of ischemic stroke survivors. Forty-eight semi-structured interviews were conducted, and data were analysed using Colaizzi's phenomenological method to identify study themes. The themes of ischemic stroke survivors' supportive care needs at various rehabilitation stages were as follows: (1) comprehensive stroke knowledge (acute hospitalisation stage), (2) comprehensive rehabilitation support (1 month after stroke onset), (3) continuity of care services (3 months after stroke onset) and (4) systemic social support (6 months after stroke onset). Ischemic stroke patients' supportive care needs vary according to the stages of the disease. Healthcare providers and caregivers should deliver stage-specific holistic care to help enhance these patients' rehabilitation.

The aim of this study was to identify and summarize the roles of nursing schools in disaster management within the context of advanced disaster nursing. Little is known of the roles, responsibilities and concrete contributions of nursing schools in disaster management. This study was conducted as a scoping review. This scoping review was conducted following the five-stage methodological framework and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist. EBSCO, PubMed, Science Direct, Medline, Proquest, Web of Science and Scopus were searched to find articles. Only articles in English published in the last 25 years were considered, and 16 articles were included in the study. The included articles were analysed using inductive content analysis. Nursing schools exhibit notable gaps in disaster preparedness and response processes, with particular emphasis on the need to clearly define disaster-specific roles and strengthen leadership. Thematic analysis yielded two main themes and corresponding subthemes that directly address the research questions: (1) Roles of nursing schools in disaster (education and preparedness, simulation and practical experience, psychosocial support skills, collaboration and coordination, public health and prevention strategies, rapid decision-making and stress management); and (2) efforts of nursing schools to develop advanced disaster nursing knowledge (collaboration and stakeholder relations, leadership and management skills, sustainability and assessment, community engagement and awareness). Nursing schools play multifaceted and comprehensive roles in disaster contexts, actively adopting diverse approaches to advance disaster management nursing knowledge and competencies.

ABSTRACTAimThe aim of the present study is to evaluate the psychometric properties and factor structure of the Quality in Psychiatric Care–Outpatient Staff (QPC–OPS) instrument and briefly describe the staff's views on the quality of care provided in general outpatient clinics as well as demographic and clinical factors associated with quality of care.MethodThe study employed a cross‐sectional design to conduct a psychometric evaluation and survey of staff perspectives. A sample of 143 permanently employed members of staff in multiprofessional teams at 15 outpatient clinics in Sweden completed the QPC–OPS, which consists of 30 items covering eight dimensions of quality of care.ResultsThe QPC‐OPS exhibited excellent psychometric properties, with a total alpha coefficient of 0.94, a test–retest reliability of 0.96 and a goodness‐of‐fit measure for the proposed model with a RMSEA value of 0.048. The staff's rating was generally high. Ratings were highest for Encounter and lowest for Accessibility. Staff who rated their own mental health as higher rated quality of care higher in most of the dimensions.ConclusionThe Swedish QPC–OPS showed excellent psychometric properties and is a useful, inexpensive and simple way to evaluate the quality of care in outpatient care and contributes to health care improvement in the field of psychiatric care. The low quality of the dimension of Accessibility indicates an important area for improvement.

The aim of this study was to examine the effect of a nurse-led self-management program on psychomotor vigilance and sleep of nurses working on the night shift. Psychomotor performance and sleep quality of nurses working night shifts deteriorate due to disruption in the sleep-wake cycle. This situation negatively affects employee health and patient safety due to errors in medical practices. This randomised controlled trial was conducted between October 2021 and April 2022. The study sample consisted of 52 nurses. Within the scope of the nurse-led self-management program, the nurses in the experimental group underwent an 8-week intervention that included health training, incentives, individual consultancy and reminders. Data were collected before the intervention, after the intervention and at the third month using the Descriptive Characteristics Form, Psychomotor Vigilance Test, Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS). After an 8-week intervention, there was a statistically significant decrease in the mean number of lapses, PSQI total and subjective sleep quality, sleep duration, sleep latency, daytime dysfunction subscale scores and ESS total scores in the intervention group compared to the control group. Nurse-led self-management program can improve the psychomotor performance and sleep of nurses working night shifts. The study protocol has been registered at ClinicalTrials.gov (Identifier Code: NCT05185466; January 2021).

To evaluate the evidence for implementation strategies for evidence-based diabetic foot ulcer care in healthcare settings. Evidence-based practice in diabetic foot ulcer care improves healing rates and reduces complications. However, facilitating the uptake of evidence-based practice is challenging. To overcome this, a number of different strategies are used. However, there is little literature to support which strategies are effective in implementing evidence-based practice in diabetic foot ulcer care in healthcare settings. A systematic search was undertaken of Medline, PubMed, CINAHL, Cochrane Library databases, APA Psych INFO, Health & Medical Collection, India Database, Nursing & Allied Health Database and Google Scholar from 24 March 2010 to 01 May 2023. Original, English language, peer-reviewed research articles and systematic reviews that relate to the implementation of diabetic foot ulcer care in any healthcare settings with healthcare professionals were included in the review. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA-P) 2015 guided the reporting of this review. A total of 42 articles were included in the final analysis. Implementation strategies such as educational workshops, educational resources, creating champions, audit and feedback, reminders, creating networks and tools were determined to support the implementation of evidence-based strategies for diabetic foot ulcer care. The use of multiple implementation strategies aids in the successful implementation of evidence-based diabetic foot ulcer care in healthcare settings.

Chinese nursing students face mental health challenges, with mindfulness-based interventions (MBI) commonly utilized to mitigate these issues. Neurofeedback-assisted MBI (NF-MBI) might be a promising alternative. The study aims to explore the short- and long-term effectiveness of the NF-MBI and MBI in improving mental well-being among Chinese nursing students. This three-armed randomized controlled trial included 147 nursing students in Beijing, China. MBI and NF-MBI groups completed a 6-week online MBI, with NF-MBI adding electroencephalogram-based neurofeedback. Controls received general mental education. Mental health was evaluated four times at baseline and post-intervention. Latent growth curve modeling was used to evaluate intervention effects. In the short term, the NF-MBI group exhibited decreased depression symptoms, anxiety symptoms, fatigue, and increased mindfulness. The MBI group showed increased mindfulness and decreased fatigue compared with the control group. In the long term, the MBI group showed increased depression symptoms, anxiety symptoms and fatigue. The NF-MBI group observed decreased mindfulness compared with the control group. NF-MBI and MBI can effectively improve the mental health of nursing students in China, with NF-MBI performing better in certain indicators. Tailored interventions should be implemented to enhance their mental well-being. This study has been registered on the Chinese Clinical Trial Registry (ID: ChiCTR2400080314).

Preoperative anxiety and postoperative complications significantly impact recovery among orthopaedic surgery patients. Nursing interventions, including education, psychological support and physical care, have shown potential in improving surgical outcomes. This review evaluated the effectiveness of nursing interventions in reducing anxiety, pain and postoperative complications among patients undergoing orthopaedic surgeries. A comprehensive search was conducted across PubMed, CINAHL, EMBASE, Cochrane Library and Scopus, resulting in the inclusion of 59 studies. Outcomes assessed were preoperative anxiety (eight studies), postoperative anxiety (nine studies), pain (16 studies), surgical site infections (36 studies), poor incision healing (three studies) and deep vein thrombosis (two studies). Standardized mean differences (SMD) and odds ratios (OR) were pooled using random-effects models. Heterogeneity was assessed using I2 and tau2, and sensitivity analyses were performed. Nursing interventions showed no significant effect on preoperative anxiety (SMD -0.301; p = 0.082), postoperative anxiety (SMD -0.408; p = 0.137) or postoperative pain (SMD -0.203; p = 0.325). However, significant reductions were observed for surgical site infections (OR 1.122; p < 0.001), poor incision healing (OR 0.381; p = 0.012) and DVT (OR 0.132; p = 0.020). Heterogeneity was high for anxiety and pain outcomes but minimal for infections and healing. Sensitivity analyses confirmed the robustness of results. Nursing interventions significantly reduce surgical site infections, poor incision healing and DVT, underscoring their role in perioperative care. However, their impact on anxiety and pain remains inconclusive, warranting further research. Standardized intervention protocols and targeted studies are needed to optimize nursing care in orthopaedic surgery.

This study aimed to determine the effect of progressive muscle relaxation on disease activity, anxiety, sleep quality and quality of life in patients with ulcerative colitis. This randomised, assessor-blinded, three-arm study was conducted in a university hospital in western Turkey between February and December 2022. Sixty patients were randomly assigned to three groups of 20: a progressive muscle relaxation group, a relaxing music group and a standard care group. The intervention groups received their respective therapies for 8 weeks, while the standard care group received routine treatment. Data were collected using instruments measuring disease activity, anxiety, sleep quality and quality of life. Repeated-measures ANOVA was used for comparisons. There were improvements in the quality of life, anxiety and sleep quality in the progressive muscle relaxation group compared to the relaxing music and standard care groups. Although disease activity was evaluated, no statistically significant differences were observed between the groups. Progressive muscle relaxation, an affordable and easily applicable method, was found to be an effective nursing intervention for improving psychological and functional outcomes in patients with ulcerative colitis.

The purpose of this study is to determine the relationship between organizational support, work-family conflict and occupational well-being in nurses. The sensitivities and problems in the nursing profession may lead to conflicts between work and family. The available solution to moderate this conflict is the organizational support available in hospitals, which can ultimately lead to job well-being in the nurses' work environments. In this cross-sectional study, 291 nurses from four hospitals in the Iranian province of East Mazandaran were interviewed between November and January 2022 using the well-being at work scale (WBWS), the work-family conflict scale, the family-work conflict scale and the perceived organizational support (POS) questionnaire. Descriptive analysis, independent t-tests, analysis of variance, and linear regression were performed for data analysis. The overall mean scores of nurses' organizational support, work-family conflict, and occupational well-being were 16.70 ± 5.10, 29.62 ± 7.6 and 75.22 ± 17.81, respectively. In addition, organizational support was negatively correlated with work-family conflict (B = -0.25, p < 0.003), and by increasing one score of organizational support, the conflict score decreased by 0.25. Organizational support was positively correlated with occupational well-being (B = 0.81, p < 0.001). Employees who are supported by their organization are more likely to experience higher levels of well-being, which may reduce conflict in both the home and the workplace. These findings are valuable to hospitals because they can improve the quality of care provided by nurses.

This meta-analysis examines the effectiveness of nursing interventions on various outcomes, including mortality, postoperative complications, quality of life (QoL), anxiety, depression and pain in HCC patients undergoing surgery. Hepatocellular carcinoma (HCC) is a prevalent liver malignancy often requiring surgical intervention. Postoperative outcomes in HCC patients are heavily influenced by perioperative management, with nursing interventions playing a critical role in improving recovery, minimizing complications and enhancing QoL. Systematic review and meta-analysis. This review was conducted following PRISMA guidelines, evaluating studies on nursing interventions in surgical HCC patients. Databases were searched for studies reporting clinical and psychological outcomes, with eligible studies pooled using random-effects models. Heterogeneity, sensitivity analyses and publication bias assessments were performed to ensure robustness. Twenty-seven studies were analysed. Nursing interventions significantly reduced postoperative complications (OR 0.23; 95% CI: 0.17-0.31) and shortened hospital stay (WMD -5.92 days; 95% CI: -7.76 to -4.08). Additionally, significant improvements were observed in QoL (SMD 2.00; 95% CI: 0.74-3.27), anxiety (SMD -3.42; 95% CI: -5.95 to -0.89) and depression (SMD -3.70; 95% CI: -6.52 to -0.88). Pain levels were significantly reduced (WMD -2.02; 95% CI: -3.03 to -1.02), while nursing satisfaction was enhanced (OR 4.80; 95% CI: 2.42-9.51). Mortality did not show significant differences between groups. Nursing interventions significantly enhance postoperative outcomes in HCC patients by reducing complications, improving QoL and alleviating psychological distress. These findings support integrating comprehensive nursing protocols into postoperative HCC care, emphasizing both physical and mental health.