bluuebunny/crossref_metadata_2025_split huggingface dataset:
Global reasons for missed nursing care: a systematic review and meta‐analysis
Authors: Gong Fengxiang , Mei YuChen , Wu Mengying , Tang Chao 
Published: January 2025

AbstractBackgroundWhile numerous studies have quantified the prevalence of reasons for missed care, a comprehensive synthesis of evidence across various health systems remains lacking.AimTo estimate the pooled prevalence of the reasons reported by nurses for missed care, using data from the MISSCARE surveys.IntroductionMissed nursing care, which refers to any aspect of essential patient care that is omitted or delayed, presents substantial risks to patient safety and the quality of care.MethodologyFour databases (PubMed, Web of Science, Embase, and Scopus) were searched, without language restrictions. Study quality was assessed using Joanna Briggs Institute's critical appraisal tool. A random‐effects meta‐analysis was used to calculate prevalence estimates and evaluate heterogeneity via prediction intervals. Subgroup analyses were conducted to assess potential sources of heterogeneities. Time trends were estimated using linear regression modeling.ResultsTwenty‐eight studies (2011–2024) totaling 20768 nurses from 121 hospitals from 14 countries were included. The raw prevalence of missed care ranged from 6.8% to 98.1%, with a median of 56.4% (IQR: 41.0–75.4). The most frequently reported reasons were “unexpected rise in patient volume and/or acuity on the unit” (78.1%; 95% confidence intervals (CI) 71.5–54.1), “inadequate number of staff” (76.5%; 95% CI, 68.7–83.5), and “urgent patient situation” (73.5%; 95% CI, 66.6–79.9). Most of the investigated reasons for missed nursing care showed no significant changes over time.ConclusionThis meta‐analysis provides valuable insights that can inform interventions and policies aimed at mitigating missed nursing care, ultimately improving patient safety and healthcare outcomes.Implications for nursing and health policyThis study underscores the global prevalence reasons for missed nursing care. The findings call for comprehensive strategies to address this crucial challenge, regardless of geographic region and economic status of countries. However, special attention should be given to non‐university hospitals and hospitals with specific demographic characteristics of nurses.
A Novel Tool to Communicate the Needs of Survivors of Trauma to Health Professionals: A Mixed Methods Pilot Study
Authors: Lewtas Holly , Field Michael , Ahmad Kabir 
Published: January 2025

ABSTRACTAim(s)To explore the acceptability and feasibility of using a trauma‐informed communication tool to convey client needs to health professionals; and to understand the barriers and enablers for clients using the tool.DesignMixed methods design pilot study conducted by nurses from a regional community health service in Victoria, Australia, of purposively sampled clients who have a history of sexual assault and/or family violence and clinicians from a primary care service.MethodsThe investigators developed a pocket‐sized communication card to convey clients' history of trauma and the clients' emotional and physical needs to health care providers.Pre‐intervention and post‐intervention surveys using validated scales (‘Acceptability of Intervention Measure’ and ‘Intervention Appropriateness Measure’) were administered via anonymous online or paper‐based survey.ResultsSixteen clients completed the pre‐intervention survey and 12 clients completed the post‐intervention client survey. Seven Nurses and three Social Workers completed the clinician survey.Both clients and clinicians reported high rates of acceptability and appropriateness of the tool on the outcome measures. The most commonly reported barriers to using the tool were clients forgetting to use the card and concern about how health professionals may respond.Content analysis of qualitative data revealed themes categorised as positive impacts (prevention of re‐traumatisation), negative impacts (negative response from health professionals) and suggestions for improvement of the tool (developing a digital version, raising clinicians' awareness of the tool).ConclusionThis novel tool has demonstrated a high degree of acceptability and applicability in a sample of clients with a history of trauma secondary to sexual assault and/or family violence, and community health clinicians, and several positive and negative impacts have been identified. Further research should focus on larger participant numbers and include developing a digital version and a clinician education component.Implications for the Profession and/or Patient CareUse of a tool to communicate impacts of trauma may prevent re‐telling of traumatic stories by clients and enhance quality of care delivery.Reporting MethodThe Good Reporting of a Mixed Methods Study (GRAMMS) has been used to report the results of this study.Patient or Public ContributionDuring development of the tool, it was reviewed by a lived experience consumer representative, the health organisations' consumer advisory panel, and a small sample of clients.
Quality of Nursing Care: Addressing Sexuality as Part of Prostate Cancer Management, an Umbrella Review
Authors: Neenan Catherine , Chatzi Anna V. 
Published: January 2025

ABSTRACTBackgroundSexuality is a fundamental aspect of health and wellbeing. The management of prostate cancer can result in erectile dysfunction and body feminisation, resulting in loss of masculinity and alterations of body image. Prostate cancer patients identify sexuality as an unmet need and report little or no communication with their healthcare providers on the topic.AimThis umbrella review aims to determine the barriers that may preclude nurses from discussing sexuality with prostate cancer patients.DesignAn umbrella review of systematic review studies was undertaken using the PRISMA guidelines.MethodFive databases were comprehensively searched, CINAHL, MEDLINE, PsycINFO, Cochrane and Prospero, from October 1, 2013 to December 1, 2023, using the defined criteria. A total of 11 systematic reviews were included in this review consisting of 10 with quantitative and 1 with quantitative/mixed methods approach.ResultsThis study identified common themes, which were categorised into four groups: (a) lack of training and education, (b) age and years of clinical experience of nurses, (c) personal values and attitudes and (d) organisational factors. These factors contribute to why nurses feel unprepared and admit to not having adequate knowledge or expertise to have this discussion.ConclusionThe findings of this study illustrate that nurses require specialised communication skills to manage sensitive discussion with patients. Education is crucial to facilitate and empower nurses to discuss sexuality with their patients. Developing a pathway to specialist referrals will encourage nurses to address this with their patients.No Patient or Public ContributionFor the preparation of this paper, no direct involvement of patients or public has been deemed applicable to this work. This is an umbrella review paper.
Recent Advances in Non‐Invasive Digital Nursing Technologies for Chronic Pain Assessment and Management: An Integrative Review
Authors: Lee James , Mowat Rebecca , Blamires Julie , Foster Mandie 
Published: January 2025

ABSTRACTAimThis integrative review aims to identify what nurses currently offer through digital technology and their success in managing chronic pain.DesignAn integrative review guided by Whittemore and Knafl was conducted.Data SourcesFive databases—CINAHL, Medline, PsycINFO, PubMed, and Scopus—were utilised to gather relevant studies from January 2018 to November 2024.Review MethodsSelected studies were assessed using the Mixed Methods Appraisal Tool and the Joanna Briggs Appraisal Tool. Braun and Clarke's thematic analysis was applied to identify pertinent themes.ResultsDigital nursing technologies such as telehealth and web‐based interventions effectively deliver interventions to assess and manage chronic pain; these technologies can reduce healthcare resource utilisation and increase accessibility. This review highlights that nurses commonly deliver exercise, cognitive‐behavioural therapy, acceptance and commitment therapy and self‐management techniques through digital technology.ConclusionThis review indicates that web‐based interventions and telemedicine are the primary digital technologies employed by nurses for chronic pain management providing psychosocial interventions, with evidence supporting their effectiveness. Digital and web‐based technology is essential to bridge healthcare access gaps as nurses can provide this successfully with minimal nursing support and cost to the patient.ImpactEvidence supports nurses in providing psychosocial interventions for the management of chronic pain, particularly web‐based psychosocial interventions. Nurses need to adopt digital technology to improve access to care and patient outcomes and to maintain professional development in an increasingly digital world.Patient or Public ContributionNo patient or public contribution was used for this study.
Compassion Fatigue Among Australian Oncology Nurses Caring for Adult Cancer Patients: Antecedents, Impact and Mediators
Authors: Banks Janneka , Lopez Violeta , Thapa Deependra Kaji , Sahay Ashlyn , Cleary Michelle 
Published: January 2025

ABSTRACTAimsTo explore how Australian oncology nurses perceive and experience compassion fatigue when caring for adult cancer patients, how they mitigate compassion fatigue and identify potential interventions to address compassion fatigue.DesignA qualitative, descriptive study.MethodsTwenty Australian oncology nurses caring for adult cancer patients were interviewed between August and September 2023. Participants were recruited from a larger, quantitative study. Interviews were conducted virtually, transcribed verbatim and analysed using thematic analysis.ResultsThree themes and nine sub‐themes were identified. Participants viewed heavy workloads, low staffing and organisational support as contributing factors to compassion fatigue. They described compassion fatigue as a feeling of having nothing left to give, impacting their ability to self‐care, deliver quality patient care and maintain relationships. The pride participants felt in their cancer care work helped mitigate compassion fatigue. Self‐care strategies, workplace mentoring and support were identified as ways to mitigate compassion fatigue.ConclusionThe work of oncology nurses can contribute to compassion fatigue, which may impact nurses and patient care. Organisations would benefit from supporting staff to engage in self‐care activities, professional development and mentoring.Implications for ProfessionalFindings support a multi‐tiered approach to addressing compassion fatigue among oncology nurses. Organisations can prioritise adequate staffing levels, mentoring opportunities, focused well‐being interventions and provide avenues for meaningful recognition.Reporting MethodThis study adheres to the COREQ reporting guidelines.Patient or Public ContributionNo patient or public contribution.
Oligocene Odyssey: Molecular Phylogenetic Analyses Describe the Origin and Diversification of Freshwater Gammarus in Eastern North America
Authors: Cannizzaro Andrew G. , Berg David J. 
Published: January 2025

ABSTRACTAimMembers of the amphipod genus Gammarus have served as an excellent model for testing biogeographic hypotheses given the number of species within the genus and its unique history, with multiple taxa transitioning from marine to freshwater environments independently. However, while attention has been placed on Palearctic Gammarus, little is known about members in the Nearctic. Given trends observed within the genus, Gammarus from eastern North America (ENA) may represent another independent lineage, likely reaching the continent using a heretofore unknown pathway. We investigate the phylogenetic and evolutionary history of Gammarus spp. in this region.LocationEastern North America.Taxon
Gammarus.
MethodsSequence data for two nuclear and two mitochondrial loci were obtained for 75 individuals, four of which are newly sequenced. Based on a partitioned dataset, phylogenetic trees were reconstructed using both maximum likelihood and Bayesian inference. Bayesian trees were time‐calibrated based on a set of five mixed calibration points. RASP software was used to investigate potential ancestral areas.ResultsENA Gammarus spp. were recovered as monophyletic, showing affinity to both Palearctic Gammarus and G. duebeni. Newly generated sequences solidify the position of Gammarus bousfieldi, which is found to be related to G. minus. Time‐calibrated phylogenies place the crown age of the ENA lineage during the Eocene/Oligocene. These timings suggest a marine origin for the lineage followed by dispersal into freshwaters.Main ConclusionsMembers of the “ENA Gammarus” are a unique lineage within the genus, originating from a marine ancestor during the Eocene/Oligocene and colonising the Nearctic shortly after. The exact route the lineage may have taken is unclear; however, three routes are proposed: (i) the Gulf of St. Lawrence, (ii) the Chesapeake Bay, and (iii) the Mississippi River. Results generated here emphasise the lineages' unique evolutionary history, highlighting novel colonisation pathways not often considered for invertebrate taxa.
Glacial History and Ecological Restrictions Shape Island‐Scale Genetic Structure and Demography in the Southernmost Bird of Prey
Authors: Balza Ulises , Lois Nicolás A. , Harrington Katie J. , León Fabiola , Pütz Klemens , Raya‐Rey Andrea , Ceballos Santiago G. 
Published: January 2025

ABSTRACTAimTo understand the influence of Andean uplifts and glacial cycles on South American biodiversity, we delve into the population genetics and evolutionary history of a unique subantarctic island raptor specialised in exploiting marine food webs.LocationIslands in Tierra del Fuego and Malvinas/Falklands.Time periodLast glacial period to the present.Taxon
Phalcoboenus australis.
MethodsWe used RAD sequencing to assess genetic diversity, population structure and to model demographic history through descriptive and hypothesis‐based evolutionary methods.ResultsWe found evidence of two independent lineages: one inhabiting the Fuegian archipelago and the other one occurring in the Islas Malvinas/Falkland Islands, with the latter presenting higher genetic diversity and evidence of finer‐scale population structure. The best supported demographic scenario places the divergence time of these lineages during the last glacial period (ca. 50,000 years ago), with the occurrence of gene flow during the first 27,000 years after their divergence. Recent demographic modelling supports the general pattern of increasing genetic variability as landmasses were uncovered following the glacial period (i.e., the Fuegian archipelago) in contrast with a decrease in genetic diversity associated to island fragmentation (i.e., in the Islas Malvinas/Falkland Islands).Main ConclusionsWe propose that post‐glacial sea level rise and the subsequent isolation across the submerging Patagonian Shelf have driven population fragmentation and recent genetic structure in this species. Our findings advocate for recognising the two identified divergent lineages as distinct conservation units. We highlight the intricate interplay of ecological factors, glacial cycles and population dynamics in shaping the evolutionary trajectory of this unique and threatened raptor species in southern South America.
Energy Availability and Spatial Effect Determine the Multi‐Scale Distributional Patterns of Multi‐Dimensional Diversity of Amphibians in China
Authors: Liao Ziyan , Zhang Wenyan , Guo Zeguang , Qian Qian , He Yuxiao , Xiao Qi , Wu Na , Shi Xiaoqin , Liu Zhidong , Liang Liwen , Fan Huizhong , Chen Youhua 
Published: January 2025

ABSTRACTAimThis work focused on the multi‐scale distributional patterns of multi‐dimensional diversity among different groups of amphibians in China and systematically investigated the underlying environmental driving mechanisms by evaluating the performance of multiple ecological hypotheses.LocationChina.TaxonAmphibians.MethodsWe examined the effects of different spatial scales on the distribution patterns of taxonomic, functional and phylogenetic diversity of amphibians. Additionally, we assessed the relative importance of eight hypotheses in explaining these multi‐scale diversity patterns using hierarchical partitioning.ResultsThe spatial distributional patterns of amphibian taxonomic, functional and phylogenetic diversity exhibited scale dependency. Generally, the explanatory powers of hypotheses‐related covariates increased with larger spatial grain sizes. Across eight spatial grains (ranging from 0.25 to 2 arc‐degree), energy availability and spatial effect emerged as principal determinants for different amphibian groups in China. This was consistent for all species (469 species), as well as endemic, threatened and both endemic and threatened species.Main ConclusionMulti‐group biodiversity patterns are characterised by multi‐dimensional components and exhibit multi‐scale dependency. Our study highlights the significant influences of spatial scale on biodiversity pattern and on the explanatory power of ecological hypotheses. These findings provide valuable insights for future conservation planning of amphibians in China.
Instruments for Value Elucidation in Older Adults in Clinical Practice—A Scoping Review
Authors: van den Bosch Geerke , Versteeg Kathelijn , Metselaar Suzanne , Koot Lotte , Burchell George , Geerse Olaf , Stoffels Josephine M. J. 
Published: January 2025

ABSTRACTBackgroundTo ensure appropriate care for the individual older adult, an ideal treatment should align with patients' values. However, healthcare professionals struggle with how to elucidate patient values effectively. To offer guidance to healthcare professionals, we performed a scoping review, thereby mapping and categorizing instruments specifically developed to elucidate values of older adults in clinical practice.MethodsA systematic search was conducted from inception up to October 2023 in PubMed, Psychinfo, CINAHL, and Cochrane Library. Articles on instruments clarifying older adults' values in a clinical setting were included. Articles on instruments elucidating patients' wishes, preferences, or goals were excluded.ResultsAfter screening 7759 eligible studies, we included 37 studies outlining unique instruments. Instruments were subdivided into the following categories, based on the setting in which the instruments were used: “instruments with a general scope,” “health record‐based interventions,” “advance directives,” “advance care planning programs,” and “decision support tools.” Values were made plain in different ways, and instruments promoted different approaches. We further categorized these approaches alongside different axes: “open versus closed,” “process‐oriented versus decision‐oriented,” “confronting versus nonconfronting,” and “explicit versus implicit.” Some instruments focused on establishing a process of deliberation, whereas others focused on achieving treatment decisions.ConclusionWe found and categorized a large range of instruments, which promoted different ways to elucidate older adults' values. This scoping review serves as an introduction for healthcare professionals to available instruments, which help to clarify patients' values. By categorizing the instruments along different axes of approaching value clarification, we offer healthcare professionals guidance for selecting an appropriate instrument.
Nurse Practitioner–Led Community Urgent Care Services: Actions to Support Growth
Authors: James‐Scotter Miriam , Giacon William Louis , Burwood Nicky , Komene Ebony , Davis Josephine , Adams Sue 
Published: January 2025

ABSTRACTAimTo explore the role of nurse practitioners (NPs) in delivering models of acute and urgent care in local communities informing the development of NPs as a solution to providing sustainable and effective healthcare in these settings.DesignDescriptive qualitative multicase study.MethodsThe study population comprised NPs, clinic managers and general practitioners from NP‐led acute and urgent care clinics across urban and rural Aotearoa New Zealand. Data were gathered from 20 semistructured interviews across seven sites. Data were thematically analysed to identify themes. Clinic‐level operational data relating to the governance, team structures, and service delivery models were also collated and content from these data was integrated into the analysis and findings.ResultsFive key themes were identified: meeting the needs of the community; development of NP‐led acute care services; NPs as part of the healthcare team; training and support systems and supporting junior NPs and NP candidates.ConclusionNurse practitioners have a valuable role to play in delivering acute and urgent care services to local communities. Increasing awareness of the NP role, the prioritisation of community needs and strengthening training and support structures at both a workforce and clinic level were key findings from this research.Implications for the Profession and/or Patient CareFindings from this research guided the development of a set of recommendations which consider community, clinic and wider national perspectives and aim to support the future growth of NP‐led community acute/urgent care.Reporting MethodThis research has adhered to the Standards for Reporting Qualitative Research (SRQR) guidelines.Patient or Public ContributionThe authors have nothing to report.
Correlates Between Temporomandibular Disorder Symptom Severity, Psychological Distress, Well‐Being, and Oral Health‐Related Quality of Life: Insights From Chinese Young Adults
Authors: Yap Adrian Ujin , Lei Jie , Liu Chengge , Huang Zhiwei , Fu Kai Yuan 
Published: January 2025

ABSTRACTBackgroundThere is limited understanding of how temporomandibular disorder (TMD) symptoms, psychological distress, and well‐being are related to each other and to OHRQoL in Chinese young adults.ObjectivesThis study aimed to identify correlations between TMD symptom severity, psychological status, and OHRQoL while also examining factors associated with low OHRQoL.MethodsParticipants, recruited from a major university in the capital city, completed a survey that included demographics, the Chinese versions of the expanded five TMD symptoms (5Ts) screener, Depression, Anxiety, Stress Scales‐21 (DASS‐21), Ryff's Scales of Psychological Well‐being‐18 (SPWB‐18), and Oral Health Impact Profile for TMDs (OHIP‐TMD). Data were analysed using Chi‐square and Kruskal‐Wallis/Mann–Whitney U tests, Spearman's correlation, and logistic regression (α = 0.05).ResultsThe study sample consisted of 414 individuals (mean age 22.0 years [SD 2.1], 77.8% female). Among them, 23.4%, 22.2%, 15.7%, and 38.6% had no (NT), intra‐articular (IT), pain‐related (PT), and combined (CT) TMD symptoms, respectively. Significant differences were observed in global TMD severity (CT>IT, PT>NT), global distress (CT>IT, NT), and OHRQoL (CT>IT, PT, NT), but not global well‐being. Global TMD severity was significantly, albeit weakly, correlated with global distress (rs  = 0.32) and global well‐being (rs  = −0.12). Global distress, in turn, showed a significant but weak negative association with global well‐being (rs  = −0.34). Both global TMD severity and global distress exhibited moderate correlations with global OHIP (rs  = 0.63/0.42).ConclusionsGlobal TMD severity, incorporating symptom duration, frequency, intensity, and interference, was the main determinant of low OHRQoL in Chinese young adults.