bluuebunny/crossref_metadata_2025_split huggingface dataset:
Frontline nurse leaders' competences in evidence‐based healthcare: A scoping review
Authors: Koivunen Kirsi , Kaakinen Pirjo , Päätalo Kati , Mattila Outi , Oikarinen Anne , Jansson Miia , Mikkonen Kristina , Pölkki Tarja , Meriläinen Merja , Kääriäinen Maria , Holopainen Arja , Tuomikoski Anna‐Maria , Kanste Outi 
Published: December 2023

AbstractAimTo identify evidence on frontline nurse leaders' competences in evidence‐based healthcare (EBHC) and the instruments measuring these competences.DesignA scoping review.Data SourcesThe search was conducted in June 2021 and complemented in June 2022. The CINAHL, ProQuest, Medline (Ovid), Scopus, Web of Science databases and MedNar along with the Finnish database Medic were searched.Review MethodThe scoping review was conducted in accordance with the Joanna Briggs institute methodology for scoping reviews. Titles, abstracts and full‐text versions were screened independently by two reviewers according to the inclusion criteria. Deductive‐inductive content analysis was used to synthesize data.ResultsA total of 3211 articles published between 1997 and 2022 were screened, which resulted in the inclusion of 16 articles. Although frontline nurse leaders had a positive attitude towards EBHC, they had a lack of implementing EBHC competence into practice. Part of the instruments were used in the studies, and only one focused especially on leaders. None of instruments systematically covered all segments of EBHC.ConclusionThere is a limited understanding of frontline nurse leaders' competence in EBHC. It is important to understand the importance of EBHC in healthcare and invest in the development of its competence at all levels of leaders. Frontline nurse leaders' support is essential for direct care nurses to use EBHC to ensure the quality of care and benefits to patients. Leaders must enhance their own EBHC competence to become role models for direct care nurses. It is also essential to develop valid and reliable instruments to measure leaders' competence covering all EBHC segments. The results can be utilized in the assessment and development of frontline nurse leaders' EBHC competence by planning and producing education and other competence development methods.
Research Electronic Data Capture (REDCap) in an outpatient oncology surgery setting to securely email, collect, and manage survey data
Authors: Majumdar Jennifer R. , Fromkin Jillian B. , Yermal Stephen J. , Fatata‐Haim Alexandria M. , Barton‐Burke Margaret , Jairath Nalini N. 
Published: December 2023

AbstractBackgroundNursing interventions in the post‐operative time period including psychological and emotional support, adverse event education, and instructions for follow‐up care contribute patient satisfaction, safety, and quality of life. However, the time spent in the post‐anesthesia care unit (PACU) and hospital continues to shorten around the world to reduce health care spending and improve patient outcomes. Nurses conducting research during the important post‐operative recovery period need to utilize unique techniques and emerging technologies to contact, recruit and collect data outside of the hospital setting including the Research Electronic Data Capture (REDCap) platform.AimsThis paper describes the feasibility and acceptability, facilitators and barriers of the software application, REDCap, to complete a repeated‐measures, descriptive correlational study in patients undergoing outpatient breast cancer surgeries.Methods & MaterialsThe recruitment, data collection and storage were completed utilizing the secure REDCap Platform. The Institutional Research Board (IRB)‐approved study was a repeated‐measures, descriptive, correlational study with data collection at three time points. The data points aligned with important transitions and routine visits to improve data collection feasibility and increase relevance to clinical practice.ResultsThe sample consisted of women diagnosed with breast cancer undergoing breast conserving surgery between August 15 and October 15, 2020. There were 123 potential participants, of which 76 started the surveys and 75 participated (61%) responded and participated in the study on Post‐operative Day 1. Fifty‐nine participants (78%) completed the surveys on post‐operative Day 14.DiscussionAs the frequency of outpatient treatment increases, nurses conducting post‐operative research will need to collect the data outside of the hospital setting.ConclusionEmail provides a method of studying new phenomena by recruiting participants, providing information about the study, and collecting results in a non‐traditional setting. REDCap provides a method to facilitate nursing research through a securely encrypted integrated process.
The meaning of preparedness for informal caregivers of older adults: A concept analysis
Authors: Dal Pizzol Fernanda L. F. , O'Rourke Hannah M. , Olson Joanne , Baumbusch Jennifer , Hunter Kathleen 
Published: December 2023

AbstractAimTo examine the concept of preparedness over time in research with informal caregivers of older adults.DesignConcept analysis.MethodsRodgers' evolutionary method of concept analysis was used to guide this theoretical paper due to the dynamic nature of preparedness, which is influenced by both context and time. Using Rodgers' inductive approach, concept elements were derived from a content analysis of included studies. In the final step, to generate hypotheses and implications regarding the concept, the conceptual structure of preparedness of informal caregivers of older adults was connected to a theoretical problem in the nursing discipline using the Caregiving Stress Process Framework.Data SourcesFour databases (EBSCO CINAHL, Ovid MEDLINE, Ovid PsycINFO and Scopus) were searched in November 2022 and updated in September 2023. No date limits were set for searching, as the intent was to analyse possible variations of the concept over time.ResultsThe attributes of preparedness include self‐confidence, having knowledge, skills and abilities to perform daily tasks, handling emotions and developed over time. These attributes can be compared with the stressors outlined in the Caregiving Stress Process Framework (i.e., the moment the caregiver identifies some ‘stressor’; something that prevents them from feeling confident in their preparedness).ConclusionThe concept of preparedness of informal caregivers of older adults is defined as caregiver's self‐confidence about their current competence related to the knowledge, skills and abilities to perform daily tasks, and to handle emotions over time. To link the concept to a theoretical perspective, we propose adaptations to a well‐known theory, the Caregiving Stress Process Framework. Future research on caregiving preparedness needs to avoid circular definitions and work with the attributes of preparedness to support caregivers.Implications for the Profession and/or Patient CareThis paper contributes to the development of interventions that focus on the health and preparedness of informal caregivers of older adults. Clarifying the concept of preparedness helps nurses to support caregivers since it is then known which aspects are included in the preparedness of caregivers (e.g., daily tasks and handling emotions). A more fulsome understanding of preparedness supports us to see beyond stressors of caregiving.ImpactThis study addresses informal caregivers of older adults' preparedness to provide care. We synthesized existing definitions that have been used in research with this population to propose a robust conceptualization of the concept of preparedness, which contributes to better understanding of how preparedness can be supported.Reporting MethodWe were unable to locate a reporting method related to this kind of work (concept analysis).Patient or Public ContributionNot applicable as no new data generated.
Researcher‐initiated role play, stimulated recall interview, storycrafting, painting and drawing as research methods to reach children's perspectives in health sciences
Authors: Ortju Laura , Kankkunen Päivi , Haaranen Ari , Karlsson Liisa 
Published: December 2023

AbstractAimTo describe the application of selected creative and participatory research methods in nursing science.DesignResearch methodology paper.MethodsResearcher‐initiated role play, stimulated recall interviews, the Storycrafting method, painting and drawing. Altogether, 11 children (5–7 years old) and 12 parents participated in the research.ResultsEach small group (n = 3) acted differently during the data collection. Not every child wanted to play, draw or tell stories, but they all expressed their views through some method. Although the same themes emerged from children's narratives, they could not have been verified by just one method.ConclusionsUsing creative and participatory methods and the principles of studies of child perspectives are applicable ways of conducting research in nursing science. Children must be treated as individuals during the research process, and they must have opportunities to use several communication methods to express their views.Implications for the profession and patient careUnderstanding different ways to interact with children and hear children's views will help nurses to encounter children.ImpactIn this article, we present a valid way of conducting research with children. By following our protocol, nursing research from a child perspective can be implemented.Reporting MethodConsolidated criteria for reporting qualitative research (COREQ).Patient ContributionThe child participants were involved in choosing physical places for data collection and the usage and order of the selected methods. Both the children and the adult participants took part in interpreting the research data.
Exploring fear of cancer recurrence and related factors among breast cancer patients: A cross‐sectional study
Authors: Li Yang , Fang Chao , Xiong Meidi , Hou Hao , Zhang Yanting , Zhang Chunhua 
Published: December 2023

AbstractAimsFear of cancer recurrence (FCR) is a multifaceted concept influenced by individual characteristics, social support, psychological factors. This study aims to identify distinct FCR profiles among breast cancer patients and explore the associated variables with these patterns.DesignA cross‐sectional study was conducted from April 2022 to March 2023.MethodsA convenience sample of 339 patients completed a questionnaire that assessed general and disease‐related data, including the Fear of Progression Questionnaire‐Short Form, Social Support Rating Scale, Medical Coping Modes Questionnaire. Statistical analysis involved latent profile analysis (LPA) and multinomial logistic regression.ResultsThree latent patterns of FCR were found: the low fear (28.9%), the moderate fear (51.3%), and the high fear (18.0%). The study identified the social support, family monthly income, employment status, utilization of confrontation coping mode and avoidance coping mode, as factors that impacted the FCR.ConclusionsSocial support, family monthly income, employment status, and medical coping modes have been found to impact the FCR among newly diagnosed breast cancer patients. Healthcare professionals should focus on addressing FCR at diagnosis and implement effective interventions, such as promoting social support and encouraging adaptive coping, to alleviate this concern.ImpactUrgently addressing the FCR in Chinese breast cancer patients is imperative due to its profound influence on their holistic health. Through advanced LPA, we categorized the FCR progression, highlighting risks. These findings have implications for healthcare strategies, offering new insights to manage the FCR and improve patient well‐being. Our study adds a fresh perspective to the factors underlying the FCR in breast cancer patients, contributing to the broader comprehension and management of this complex survivorship issue.Patient or Public ContributionNo patient or public contribution.
Impact of dementia special care units for short‐stay nursing home patients
Authors: Chen Amanda C. , Epstein Arnold M. , Joynt Maddox Karen E. , Grabowski David C. , Orav E. John , Barnett Michael L. 
Published: December 2023

AbstractBackgroundImproving quality of care provided to short‐stay patients with dementia in nursing homes is a policy priority. However, it is unknown whether dementia‐focused care strategies are associated with improved clinical outcomes or lower utilization and costs for short‐stay dementia patients.MethodsWe performed a national survey of nursing home administrators in 2020–2021, asking about the presence of three dementia‐focused care services used for their short‐stay patients: (1) a dementia care unit, (2) cognitive deficiency training for staff, and (3) dementia‐specific occupational therapy. Using Medicare claims, we identified short‐stay episodes for beneficiaries residing in surveyed skilled nursing facilities (SNFs) with and without dementia. We compared clinical, cost, and utilization outcomes for dementia patients in SNFs, which did and did not offer dementia‐focused care services. As a counterfactual control, we compared these differences to those for non‐dementia patients in the same facilities. Our primary quantity of interest was an interaction term between a patients' dementia status and the presence of a dementia‐focused care tool.ResultsThe study population included 102,860 Medicare episodes of care from 377 SNF survey respondents in 2018–2019. In adjusted comparisons of the interaction between dementia status and the presence of each dementia‐focused care tool, dementia care units were associated with a 1.5‐day increase in healthy days at home in the 90 days following discharge (p = 0.01) and a 3.1% decrease in the likelihood of a subsequent SNF admission (p = 0.001). Cognitive deficiency training was also associated with a 2.0% increase in antipsychotics (p = 0.03), whereas dementia‐specific occupational therapy was associated with a 1.2% increase in falls (p = 0.01) per patient episode.ConclusionsSelf‐reported use of dementia care units for short‐stay patients was associated with modestly better performance in some, but not all, outcome measures. This provides hypothesis‐generating evidence that dementia care units could be a promising mechanism to improve care delivery in nursing homes.
Macrocystis pyrifera ferment‐containing creams for optimizing facial skin rejuvenation
Authors: Gold Michael , Bae Yoon‐Soo Cindy , Goldberg David J. , Jamal Sumayah , Lewis Amy B. , Marchbein Shari , Ros Adriana , Santhanam Uma , DiNatale Lisa , Emmetsberger Jaime 
Published: December 2023

AbstractBackgroundThere is an increasing demand for facial skin rejuvenation. Specialized aesthetic skincare treatments may be one of the first steps to help prevent or treat facial signs of aging. This article discusses aesthetic skin care for facial skin rejuvenation, particularly data on two creams containing Macrocystis pyrifera ferment.MethodsThe authors convened a dermatology advisory board to discuss challenges and practices in using skincare for facial rejuvenation, combining their expert opinion and experience on facial rejuvenation with preclinical and clinical data on two creams containing Macrocystis pyrifera ferment and a review of the literature.ResultsPreclinical and clinical studies on Macrocystis pyrifera ferment and two creams containing the ferment exhibit anti‐inflammatory, anti‐aging, and healing properties. In preclinical studies, the ferment demonstrated collagen type I enhancing properties in ex vivo skin models, and skin cells treated with the ferment migrated faster than untreated cells in the in vitro study. In clinical studies measuring visible anti‐inflammatory activity, the ferment alone and the ferment‐containing products significantly decreased erythema, and in anti‐aging studies, they improved visible skin aging parameters. Finally, in clinical studies on the stratum corneum, the two creams increased moisture levels and decreased transepidermal water loss (TEWL), reflecting healing by enhancing barrier strength and recovery.ConclusionsThe Macrocystis pyrifera ferment and creams containing the ferment are effective skin care treatment products to decrease the visible effects of inflammation and signs of aging while promoting healing by enhancing barrier resilience and recovery.
Children's and young people's experiences of expressing their views and having them heard in health care: A deductive qualitative content analysis
Authors: Davies Clare , Waters Donna , Fraser Jennifer 
Published: December 2023

AbstractAimTo gain an understanding of children's experiences of expressing their views and having them heard in Australian healthcare settings.DesignChild‐centred qualitative research. A deductive qualitative content analysis was undertaken.MethodsData were collected from 20 Australian children and young people between the ages of 7 and 18 years old using the ‘draw, write and tell’ method.ResultsChildren's experiences of ‘space’ and ‘voice’, and therefore the opportunity to express their views in health care were, in the main, positive. At the same time, their experiences of ‘audience’ and ‘influence’, the situations in which those views are given due weight, were overwhelmingly described as negative.ConclusionAustralian paediatric health services appear to have responded to calls to provide children with the opportunity to express their views and thus are delivering on the elements of ‘space’ and ‘voice’, whereas the realisation of ‘audience’ and ‘influence’ has some way to go. Due weight is not always given to children's views.Implications for the Profession and/or Patient CareThe Lundy model can be used to facilitate a better understanding of the concept of voice, and the responsibility of health organisations in implementing the rights of children and young people, as articulated in Article 12.Impact

Children and young people have a right to express their views and have them heard in health care, but their experiences in Australian health care are unknown.

While children's experiences of expressing their views in health care were mostly positive, their views are not always taken seriously or given due weight.

This research impacts child health professionals in Australia and internationally.

Reporting MethodThe study is reported using the Standards for Reporting Qualitative Research (SRQR).Patient or Public ContributionMembers of the Youth Advisory Council of two tertiary children's hospitals were consulted and invited to become members of the research team.
How gender shapes sibling tension in adulthood following parental death
Authors: Suitor J. Jill , Gilligan Megan , Ogle Destiny , Frase Robert T. , Hou Yifei , Stepniak Catherine , Bauldry Shawn 
Published: December 2023

AbstractObjectiveThis study investigates gender differences in the effect of parents' deaths on sibling tension among bereaved adult children.BackgroundPrevious scholarship on adult sibling relations following the deaths of parents presents inconsistent results. These disparate findings may stem from past studies not taking into consideration the gender of both the deceased parent and the bereaved child.MethodAnalyses are based on three harmonized waves of quantitative and qualitative data collected from 654 adult children nested within 303 families as part of the Within‐Family Differences Study.ResultsMultilevel models revealed that for daughters, but not sons, mothers' deaths in the past 5 years were associated with increases in sibling tension, whereas fathers' deaths did not predict changes in either sons' or daughters' sibling tension, regardless of timing. Qualitative analyses showed marked differences by child's gender in perceptions of patterns of shared work and support surrounding parents' deaths. Typically, sons expressed solidarity with siblings when mothers died and felt that the division of caregiving prior to mothers' deaths and arrangements following their deaths were fair. In contrast, daughters expressed increased solidarity with sisters surrounding mothers' deaths and disdain toward brothers who failed to contribute caregiving, support, or instrumental tasks.ConclusionThese findings underscore how gender of both parents and adult children differentially shape changes in adult children's relationships with their siblings in the face parental deaths, much as they do in other contexts across the life course.
Sustainable feed formulation to community‐based aquaculture: Oreochromis niloticus fingerlings performance and antioxidant status
Authors: Pires Sílvia F. S. , Vital Inês , Pereira Vitória , Bustani Henriques , Aragão Cláudia , Engrola Sofia , Cabano Miguel , Dias Jorge , Soares Amadeu M. V. M. , Rodrigues Andreia C. M. , Rocha Rui J. M. 
Published: December 2023

AbstractCommunity‐based aquaculture can reduce dependence on natural resources, promote biodiversity conservation, and improve local economies and food security. However, this activity is highly dependent on local conditions regarding natural resources, such as the availability of produced organisms, adequate feeds, and environmental factors. As ectothermic organisms, fish are more susceptible to temperature fluctuations in culture conditions. A set of raw ingredients (e.g., cassava and local beans) produced or available in villages from Cabo Delgado (Mozambique) with nutritional potential for fish feed were selected to produce an experimental diet. The following objectives were defined: (1) evaluate growth performance of tilapia fingerlings fed a diet produced with local ingredients, compared with a commercial‐like diet; and (2) evaluate the response to thermal stress (18, 26, and 32°C) by tilapia fingerlings fed with tested diets. Tilapia fed with an experimental diet presented lower growth rates, lower DNA damage, higher neurophysiological, and antioxidant activity, leading to increased oxidative stress. Regarding energy budget, tilapia fed with the experimental diet presented higher protein content at 26°C and lipids at 18°C, leading to greater energy available at these temperatures. Overall, local ingredients can be successfully used as an additional feed source for tilapia production in community‐based aquaculture in earthen ponds.
A cluster randomized controlled trial of a community‐based initiative to reduce stunting in rural Indonesia
Authors: Beatty Amanda , Borkum Evan , Leith William , Null Clair , Suriastini Wayan 
Published: December 2023

AbstractWe evaluate the impacts of a $120 million project in Indonesia conducted between 2014 and 2018 that sought to reduce stunting through a combination of (1) community‐driven development grants targeted at health and education outcomes, (2) training for health providers on infant and young child feeding and growth monitoring and (3) training for sanitarians on a local variation of community‐led total sanitation. This cluster randomized controlled trial involved 95 treatment and 95 control subdistricts across South Sumatra, West Kalimantan, and Central Kalimantan provinces. Overall, we find no significant impacts on stunting, the study's primary outcome measure (0.5 pp; 95% confidence interval [CI]: −3.0 to 4.1 percentage points [pp]), or other longer‐term undernutrition outcomes about 1 year after the end of the project. The project had a modest impact on some secondary, more proximal outcomes related to maternal and child nutrition, including the percentage of mothers consuming the recommended number of iron‐folic acid pills during pregnancy (8.7 pp; 95% CI: 4.1–13.3 pp), 0–5‐month‐olds being exclusively breastfed (8.7 pp; 95% CI: 1.8–15.6 pp) and 6–23‐month‐olds receiving the number of recommended meals per day (8.5 pp; 95% CI: 3.8–13.2 pp). However, there were no significant impacts on other proximal outcomes like the number of pre‐natal and post‐natal checkups, child dietary diversity, child vitamin A receipt or the incidence of child diarrhoea. Our findings highlight that successfully implementing an integrated package of interventions to reduce child stunting may be challenging in practice. Project design needs to consider implementation reality along with best practice—for example, by piloting the synchronous implementation of multifaceted interventions or phasing them in more gradually over a longer timeframe.