Frontiers of Nursing Feed

Review of diabetes education intervention targeting parent/caregiver of children with type 1 diabetes

Tue, 24 Mar 2026 00:00:00 GMT

Objective This review aimed to evaluate existing evidence of educational interventions targeted at parents and caregivers of children with type 1 diabetes (T1D) to improve diabetes management outcomes. Methods A general review was conducted with primary caregivers of children younger than 18 with T1D as the population of interest. Journal searches were performed using the CINAHL, EBSCO, PubMed, Scopus, Science Direct, and Google Scholar, databases for publications between 2017 and 2024, with full text in English. Results A total of 26 studies were included in the review. Nine of these studies focused on various educational interventions, both technology-based and non-technology-based. By contrast, 17 studies examined the impact of these interventions on caregiver outcomes, such as treatment adherence and glycemic control in children with T1D. So, the following research questions guided this review: (1) What is the effectiveness of diabetes education interventions on glycemic control in children with T1D? (2) How do caregiver knowledge and self-efficacy affect diabetes management outcomes? Conclusions Diabetes interventions highlight the vital role of empowering caregivers of children with T1D with knowledge, skills, and support to improve and enhance their adherence to treatment, knowledge, and self-efficacy that ultimately contribute to better glycemic control of children as reflected by their HbA1c levels. This review highlights the importance of diabetes education interventions for caregivers of children with T1D. The evidence indicates that such interventions can improve caregiver knowledge, self-efficacy, and glycemic control in children. However, variability in outcomes suggests that further research is needed to identify the most effective educational strategies.

Research advances in the application of early enteral nutrition in elderly patients with severe acute pancreatitis†

Tue, 24 Mar 2026 00:00:00 GMT

This article reviews research advances in the application of early enteral nutrition (EEN) in elderly patients with severe acute pancreatitis (SAP). Elderly SAP patients are associated with higher mortality rates due to age-related immune dysfunction, whereas EEN has been demonstrated to improve clinical prognosis, reduce infection and complication rates, and shorten hospital stays. However, ongoing debates exist regarding the optimal timing, route selection, and complication management of EEN. Through a systematic review of the literature, this study synthesizes current evidence on EEN in elderly SAP populations, critically examines unresolved clinical controversies, and proposes future research priorities to inform evidence-based practice.

Root cause analysis from the perspectives of patients in primary care units: cases study of typical adverse drug events†

Tue, 24 Mar 2026 00:00:00 GMT

Objective To identify the root causes of typical adverse drug events through the lens of patient experiences proposing novel strategies to mitigate preventable harm. Methods A qualitative case study leveraging in-depth interviews with patients and families, anchored by Interactive Patient Participation Theory, to analyze 4 high-severity adverse drug events (ADE) cases.Cases were purposively sampled from 8 communities in China’s National Adverse Event Monitor Center (2018–2023). Semi-structured interviews explored patient perspectives, with data analyzed via thematic coding and triangulation against clinical records. Results Five interconnected themes emerged: (1) erosion of trust, (2) communication breakdowns, (3) information asymmetry, (4) environmental inadequacies, and (5) technological alienation. Notably, 75% of participants had ≤high school education, and 50% used ≥7 medications daily, compounding ADE risks. Conclusions We considered elements mentioned by theory, exploring trust, communication, information, and support as the root causes. In addition, we added “adaptability to new technology” as an important and necessary component. It is important and necessary to analyze typical adverse drug events from the perspectives of patients.

Inadequate glycemic control among patients with type 2 diabetes in Jordan: prevalence and associated factors

Tue, 24 Mar 2026 00:00:00 GMT

Background: Diabetes mellitus (DM) is a chronic illness with potentially fatal and debilitating consequences. Problems with glycemic management are a major issue that adds an added strain to public health services. Objectives: The purpose of this study is to evaluate the prevalence of poor glycemic control and its related variables among type 2 diabetes mellitus (T2DM) patients in southern Jordan. Methods: A cross-sectional study was carried out in the Prince Hashem bin Abdullah II Hospital in Jordan’s southernmost province. For the period April–July 2024, 516 individuals with T2D were enrolled. A structured questionnaire that had been pre-prepared was used to collect data. As an index of glycemic control, a glycated hemoglobin (HbA1c) 7% cut-off point was adopted. Results: Poor glycemic control was prevalent in 81.0% of T2DM individuals. Inadequate glycemic control was significantly worse in non-married patients and those with 10 or more years of diabetes duration, insulin treatment, dyslipidemia, neuropathy, cardiovascular illness, and glomerular filtration rate (GFR = 60 mL/min; [P < 0.05]). Moreover, dyslipidemia and insulin administration increased the likelihood of poor glycemic control (odds ratio [OR]: 2 and 5, respectively) (P < 0.05). Conclusions: Inadequate glycemic control was common among the current study participants. To prevent disease consequences and enhance the health of patients with diabetes, health care professionals should pay special attention to related risk factors such as dyslipidemia, neuropathy, cardiovascular disease (CVD), extended illness duration, and insulin usage.

Caregiver burden and related factors on caregivers of the elderly with chronic diseases

Tue, 24 Mar 2026 00:00:00 GMT

Objective The aging population is growing rapidly, leading to a rise in chronic diseases and placing significant physical, emotional, and financial strain on caregivers. Managing chronic conditions alongside caregiving responsibilities often results in burnout, adding to the burden on caregivers. This issue also affects society and healthcare systems through increased costs and greater demands for support services. Understanding the factors contributing to caregiver burden is crucial for creating effective interventions to address these challenges. The aim of this study is to describe the extent of caregiver burden and identify some factors related to burden among caregivers of chronically ill elderly people. By gaining insight into these relationships, this study seeks to identify strategies to reduce the burden on caregivers. Methods This study utilized a cross-sectional design to examine caregivers of the elderly with chronic diseases receiving treatment in the public healthcare facility. Data collection involved administering structured questionnaires that gathered information on the demographic characteristics of both the elderly and their caregivers, the level of social support received, the functional status of patients as measured by daily activity indices, and the level of caregiver burden. Description was used to elaborate the characteristics of participants. Mann–Whitney, Kruskal–Wallis, and Spearman’s correlation test were applied to explore the relationship between variables. Statistical significance was determined at P value <0.05. Results Caregivers of the elderly with chronic diseases had a moderate care burden score (22.62 ± 11.24, CI: 95%). The patients’ level of dependence, relationship with the patients, and time spent as a caregiver were factors related to caregiver burden (P < 0.05). Conclusions Those who care for elderly people with chronic diseases suffered great burden. The finding had found a number of factors that influence the caregivers’ weight loss. Healthcare providers should consider these relevant factors when developing intervention plans to reduce caregiver burden.

Biopsychosocial health status of Indonesian student nurses on the new normal Jakarta Indonesia

Tue, 24 Mar 2026 00:00:00 GMT

Nursing education in Indonesia experienced a number of changes during the new normal. The biopsychosocial health status reveals how students can complete their studies well at nursing school in the new normal. A quantitative, descriptive correlational study sampled 368 student nurses from2 universities. This study used a biopsychosocial questionnaire, which included biological, physiological, and social dimensions. In this study, there was no significant demographic student nurse relationship with the biological, psychological, and social dimensions of health, at P-value 0.05 (Age P = 0.70, P = 0.27, P = 0.93) sex (P = 1, P = 0.919, P = 0.5), as well as grade level P = 0.9, P = 0.37, P = 0.64). Student nurses were dynamic, such as process input, resulting in coping adaptation and the ability to care for themselves. There was a relationship between both universities with a psychological dimension and a P-value of 0.049. In terms of Generation Z technology, both universities played a role. Lifestyle influences can lead to intense feelings of isolation and loneliness in some teens, including self-negativity, fear of missing out on information, and shame about not meeting appropriate standards for social media. The influence of an unhealthy lifestyle impacts stress and anxiety. The student nurses assigned considered themselves to be “healthy” in terms of their biopsychosocial health status. Student nurses continued to develop in their biopsychosocial health by utilizing different coping strategies to adapt and adjust to their environment in their school of nursing.

Risk factors for kinesiophobia after total hip arthroplasty: a prospective observational study†

Tue, 24 Mar 2026 00:00:00 GMT

Objective To investigate the related factors of motility after total hip arthroplasty (THA). Methods The convenience sampling method was used to include 213 patients receiving THA in our hospital from June 2020 to June 2023. They were divided into 2 groups according to the occurrence of kinesiophobia after THA. The demographic data of the 2 groups were analyzed by single-factor analysis. The factors with statistically significant differences were analyzed by binary logistic regression as independent variables. Finally, Spearman analysis was used to analyze the relationship between risk factors and the degree of kinesiophobia. Results Among 213 THA patients, 38 patients were diagnosed with kinetophobia, and the incidence of kinetophobia was 17.84%. visual analogue scale (VAS) and pain duration before operation were higher in patients with kinetophobia than in patients without kinetophobia. The scores of education level, self-efficacy, and social support were significantly lower than those of the non-phobia group, with statistical significance (P < 0.05). Logistic regression analysis showed that VAS was a risk factor for kinetophobia after THA. Education level and self-efficacy were protective factors to reduce the occurrence of kinetophobia after THA (P < 0.05). Spearman correlation analysis showed that the degree of pain (r = 0.697, P < 0.001) was positively correlated with the degree of kinetophobia, while the degree of education (r = –0.647, P < 0.001) and self-efficacy (r = –0.756, P < 0.001) were negatively correlated with the degree of kinetophobia. Conclusions The degree of pain is a risk factor of kinesiophobia after THA, and it is positively correlated with the degree. Educational level and self-efficacy were protective factors to reduce the incidence of kinesiophobia and were negatively correlated with the degree of kinesiophobia.

Risk for physical inactivity due to inadequate health literacy among middleaged Japanese adults: a cross-sectional study†

Tue, 24 Mar 2026 00:00:00 GMT

Objective We assessed the risk for physical inactivity due to inadequate health literacy using multivariable analysis in a large middleaged population. Methods This cross-sectional mail survey using a self-administered questionnaire was conducted in 2020 and included 33,902 community residents aged 40–64 years from 5 cities in Osaka Prefecture, Japan. Of these, 12,446 (36.7%) agreed to participate in the survey. After exclusion of those with regular visits to medical institutions and those with missing data, the analysis included 3742 participants. Health literacy was measured by the communicative and critical health literacy (CCHL) scale, and participants were classified into 3 groups (low, medium, and high health literacy groups) by the tertiles of the CCHL scale score. Physical inactivity was defined as not completing at least 150 min of moderate-intensity physical activity throughout the week. Results After adjustment for age, gender, education level, occupation, economic status, living alone, and stages of health behavior change, the multivariable-adjusted odds ratios (ORs) for physical inactivity were 1.36 (95% confidence interval [CI]: 1.16–1.59, P < 0.001) in the medium health literacy group and 1.70 (95% CI: 1.36–2.11, P < 0.001) in the low health literacy group compared with the high health literacy group. Conclusions This large-scale study provides compelling evidence that those with inadequate health literacy are at higher risk for physical inactivity among middle-aged adults.

From classroom to bedside: nursing students’ perspectives on implementing a best practice guideline for developing and sustaining nursing leadership

Tue, 24 Mar 2026 00:00:00 GMT

Objective To explore the application of the Registered Nurses’ Association of Ontario (RNAO) Best Practice Guideline (BPG) for Developing and Sustaining Nursing Leadership through the lens of nursing students transitioning from classroom learning to clinical practice. Through this reflection, the authors hope to inspire and empower future nursing leaders to champion innovation, resilience, and excellence in healthcare. Methods By integrating evidence-based leadership principles, the authors reflect on their personal experiences, challenges, and successes in implementing these guidelines in real-world settings. Results The paper highlights the significance of leadership in fostering healthy work environments and improving patient outcomes, emphasizing the role of nursing students as emerging leaders. Practical strategies for applying BPG, the RNAO BPG suggests leadership skills on professional development, and recommendations for embedding leadership principles into nursing education and practice are discussed. Conclusions Implementing nursing leadership from the beginning of a nursing student’s journey is vital for shaping the next generation of healthcare leaders. By integrating leadership principles early in nursing education, students can develop the skills needed to navigate clinical challenges, collaborate effectively with healthcare teams, and advocate for positive change. Starting with leadership guidelines in nursing school ensures that future nurses are equipped to foster supportive work environments, improve patient outcomes, and drive innovation from the very start of their careers, making leadership an inherent part of their professional identity.

Death anxiety in patients with heart failure: an updated integrative review

Tue, 24 Mar 2026 00:00:00 GMT

Objective This integrative review aims to synthesize observational evidence on the prevalence, predictors, and psychosocial correlates of death anxiety in patients with heart failure (HF). Methods A comprehensive literature search was conducted using 5 major databases: Scopus, PubMed, ScienceDirect, Embase, and ProQuest. Inclusion criteria were primary research studies published in English between January 2014 and March 2025 that quantitatively assessed death anxiety among patients with HF and explored its associations with demographic, clinical, or psychosocial variables. Results A total of 12 eligible studies were identified and systematically reviewed, revealing that death anxiety is moderate to high among most samples. Key predictors of this anxiety included older age, feelings of loneliness, low socioeconomic status, and longer duration of HF. Additionally, several studies highlighted protective factors such as spiritual orientation, religious coping, and resilience. Interventions, including cognitive-behavioral therapy (CBT) and illness perception training, showed significant reductions in death anxiety. Conclusions Death anxiety is a prevalent and impactful concern among Patients with HF, influenced by both individual and contextual factors. Routine assessment and integration of psychosocial and spiritual care—alongside evidence-based psychological interventions—are essential to address this critical aspect of HF management.

An investigation of nursing practices and processes and patient experiences in relation to virtual outpatient clinics in an acute care hospital–considerations for nurse managers†

Tue, 24 Mar 2026 00:00:00 GMT

Objective Nurse-led virtual outpatient clinics are now a familiar component of healthcare delivery across many disciplines, including cancer care, orthopedics, rheumatology, and gastroenterology. However, establishing a nurse-led virtual clinic is challenging for nursing management, particularly regarding resources. We aimed to investigate nursing practices and processes and patient experiences in relation to virtual outpatient clinics. Methods This was a cross-sectional, descriptive study using mixed data collection methods. Patients (n = 324) from 4 specialist clinics completed the Virtual Clinics Patient Satisfaction Questionnaire (VCSQ) survey. Five Nurse Specialists participated in a focus group interview. Results Most participants (86.3%) reported being satisfied/very satisfied with the virtual clinics, particularly those that were nurse-led. Nurse specialists identified electronic health records (EHRs) and additional IT and administrative support as important for efficiency and effectiveness of the clinics. Conclusions Nurse-led virtual clinics can be an effective and efficient way to provide care to patients. Nurse managers need to ensure supportive structures are in place, for example, dedicated administrators, IT support and infrastructure, education/training, and relevant policies/procedures. The success of nurse-led virtual services requires key infrastructure to support nursing staff and sustain this service.

Incidence of readmission, mortality, and quality of life in patients with heart failure: a comprehensive assessment at a tertiary care hospital in India

Tue, 24 Mar 2026 00:00:00 GMT

Objective Heart failure (HF) is a complex clinical syndrome that affects nearly 64 million individuals globally. Frequent hospital readmissions lead to poor health outcomes, impact quality of life (QoL), and are associated with high mortality rates. This study assessed readmissions, mortality, and QoL outcomes in patients with HF in a tertiary care hospital setting. Methods Patients aged ≥18 years with HF, who visited the tertiary care hospital in Karad, India were included in the study (November 2019 to October 2021). Demographics, disease characteristics, and condition at discharge were recorded using the medical records of patients. The quantitative data included readmission rates and mortality rates. The qualitative aspects describing patients’ QoL were assessed using a patient-reported 21-question QoL questionnaire. Results A total of 98 patients, predominantly male (63.3%), with a mean age of 62.9 years were included. The majority of the patients (80.6%) required <15 days of hospitalization. The 2-year readmission rate was 24.4%, while the mortality rate was 43.9%. Self-care pattern showed that patients seemed to be taking mild to average care while taking good care was rare. The QoL data showed that 22.4% were living a good quality life, 44.9% average, while 32.7% were living a low-quality life. Better education and better self-care were associated with a low rate of readmission. Conclusions We were able to assess the incidence of readmission, mortality, and QoL in patients with HF in a tertiary care hospital setting. The study showed that HF impacts patients’ physical, emotional, and psychological wellbeing.

Navigating change: the educational and cultural transition experiences of migrant Filipino nurses

Tue, 24 Mar 2026 00:00:00 GMT

Objective This research examines the socio-educational and acculturation experiences of Filipino nurse-migrants within the context of international healthcare systems. It seeks to understand the multifaceted emotional and professional system-related difficulties they face and how these impact their adaptation strategies and integration processes elsewhere. Methods A qualitative phenomenological strategy, as described by Colaizzi’s 7-step analysis method, was employed. A purposeful sample of 10 Filipino nurses deployed to Saudi Arabia, Oman, the United States, Finland, Australia, Ireland, Norway, and Germany was chosen. Participants took part in video conferencing structured interviews, which were conducted remotely. Manually and using NVivo (Version 15, Lumivero, 2024), thematic analysis was conducted to identify important themes from the participants’ stories. Results Seven major themes emerged: (1) emotional and cultural dimensions of guilt, isolation, and professional identity negotiation; (2) language and communication barriers, which comprise code-switching and cultural deference challenges; (3) systematic barriers such as credential recognition, licensing examinations, and bureaucratic obstacles; (4) gaps in clinical practice standards, patient care ethics, and discrepancy; (5) family and finances as motivation and resilience; (6) bridging programs and adaptation to student-centered learning as educational transitions; and (7) cultural adaptation depicts discrimination, the workplace hierarchical order, discerning and pragmatically fluent challenges. Despite systemic inequities, participants demonstrated remarkable adaptability, which was visibly rooted in Filipino cultural values such as pakikisama, utang na loob, and bayanihan. Conclusions The migration experience of Filipino nurses is associated with profound and emotional changes on professional and cultural levels. While these individuals adapt remarkably well due to their multifaceted resilience, they face unforgiving barriers, including credentialing, cultural, and systemic issues. Policies that foster intercultural understanding alongside psychosocial support and fair recognition of foreign credentials would enhance the positive impact of migrant nurses on international healthcare. These considerations will enhance the integration experience for migrant nurses and have a positive impact on patient care worldwide.

Implementation of evidence-based practice among clinical nurses practicing at an oncology hospital in Vietnam: a cross-sectional study

Tue, 24 Mar 2026 00:00:00 GMT

Objective To describe the implementation of evidence-based practice (EBP) and identify the associated factors among clinical nurses working at an oncology hospital in Central Vietnam. Methods A cross-sectional study was conducted with 190 clinical nurses recruited from an oncology hospital in Central Vietnam. The self-administered Evidence-Based Practice Questionnaire (EBPQ) was employed to assess the nurses’ knowledge/skills, attitudes, and implementation of EBP Data analysis utilized descriptive statistics, the Mann–Whitney test, the Kruskal–Wallis test, and Spearman’s rho correlation. Results The mean total score for EBP implementation among the nurses was 29.52 (SD = 7.14) out of 42 scores. The most frequently undertaken activity was sharing evidence with colleagues, whereas finding relevant evidence was the least performed. The level of EBP implementation significantly varied based on the nurses’ role types and their participation in related courses (P < 0.05). Moreover, a strong positive correlation was observed between EBP implementation and both knowledge/skills (r = 0.703, P < 0.001) and attitudes toward EBP (r = 0.536, P < 0.001). Conclusions The implementation of EBP by oncology nurses is generally moderate and is significantly positively correlated with their knowledge/skills and attitudes toward EBP These findings underscore the importance of enhancing educational programs and facilitating supportive institutional policies to further encourage the adoption of EBP among nurses.

Prevalence and sociodemographic predictors of bullying among university students in Jordan: a cross-sectional study

Tue, 24 Mar 2026 00:00:00 GMT

Objective To determine the prevalence of bullying among university students in Jordan. The study also aims to identify potential predictors of bullying within the context of university students in Jordan. Methods A cross-sectional study using a convenience sampling method was conducted with 350 university students from 3 institutions (2 public and 1 private), who participated in this study. Data were collected through a self-reported questionnaire. Data analysis employed descriptive statistics, and multivariate linear regression was executed through the SPSS program (version 26) (IBM Corporation, Armonk, New York, United States) at 5% level of significance. Results The findings revealed that 30% of the surveyed students reported never experiencing bullying, 41.1% indicated rare exposure, 20% reported occasional bullying, 4.3% noted frequent exposure, and 4.6% reported constant exposure. Statistical analysis identified university and academic year as significant predictors of bullying. The university exhibited significance (B = −0.403, P ≤ 0.05), while the academic year was also a significant predictor (B = 0.213, P ≤ 0.05). Conclusions Given the prevalence and predictors identified, this study recommends the implementation of policies in universities to safeguard students from bullying. These policies should specifically target the most affected individuals.

A correlational study to assess the intergenerational ambivalence and psychological well-being among mothers of young adults in selected areas of Udupi district, Karnataka

Tue, 24 Mar 2026 00:00:00 GMT

Objective Intergenerational ambivalence is the conflicts or differences in opinion occurring between 2 or more generations. Advanced technology, busy lifestyles, working parents, etc., have widened the area of ambivalence between the mother and young adult. Therefore, the present study aimed to assess the intergenerational ambivalence and psychological well-being of mothers and young adults. Methods A descriptive correlational survey was done among 150 participants (75 mothers and 75 young adults) of the Shirva panchayat area of Udupi taluk, Karnataka, India. Participants were selected based on the study inclusion criteria. Data were obtained using the demographic pro forma, followed by the Intergenerational Ambivalence Scale and Ryff Psychological Wellbeing Scale. Results Based on the objectives and hypotheses of the study, the data analysis was done with SPSS version 20 (IBM Corporation, Armonk, New York, United States). The mean age of mothers was 46.20 years, and that of young adults was 21.49 years. Both mothers and young adults have moderate levels of intergenerational ambivalence with scores of 70.7% and 73.3%, respectively. The psychological well-being of 57.3% of mothers was at a moderate level. A significant relationship was found between intergenerational ambivalence and psychological well-being (ρ = −0.035, P = 0.0767). Conclusions The present study concluded that as the intergenerational ambivalence of mothers increases, their psychological wellbeing decreases.

Analysis relationship between body composition and blood pressure among rural adults†

Tue, 24 Mar 2026 00:00:00 GMT

Objective Hypertension is a serious public health concern that is influenced by a variety of body composition parameters. This study examines the associations between body composition metrics and blood pressure (BP) in a rural population, specifically how variations in body fat distribution and other metrics affect systolic blood pressure (SBP) and diastolic blood pressure (DBP). Methods A cross-sectional study of 226 participants examined the relationships between body composition metrics—such as total body fat, visceral fat, and body mass index (BMI)—and BP Correlation and regression analyses were used to assess these relationships. Results The study found substantial positive correlations between visceral fat and total body fat with both SBP and DBP Visceral fat was strongly connected with both SBP (r = 0.145, P = 0.030) and DBP (r = 0.331, P < 0.01), while total body fat was significantly correlated with DBP (r = 0.268, P < 0.01) but not SBP Body composition variables explained 12.8% of the variance in SBP (R2 = 0.128, P = 0.001) and 15.0% in DBP (R2 = 0.150, P < 0.001). Conclusions The study found substantial connections between body composition, particularly visceral and subcutaneous fat and systolic and DBF. Higher levels of visceral fat were linked to elevate BP Body composition accounted for a significant amount of BP fluctuation.

Factors influencing participation in horticultural activities in nursing care homes: a qualitative study†

Tue, 27 Jan 2026 00:00:00 GMT

Objective To explore the barriers and facilitators associated with the implementation of horticultural activities (HA) in nursing care homes, and aim to identify findings that will enhance the development of more effective implementation strategies for such activities. Methods This qualitative descriptive study recruited a purposive sample of potential adopters related to HA in nursing care homes, and the conventional content analysis method was adopted. Results A total of 6 older adults, 3 social workers, 1 nurse, and 1 physician participated in this study. The analysis revealed 4 themes barriers and 2 themes facilitators to the implementation of HA. Conclusions Future intervention programs should be meticulously designed to address the identified influencing factors, and the insights gained can serve as a reference for identifying and mitigating barriers in the implementation of other physical activity programs. In turn, this will contribute to improved physical functioning and healthy aging.

Analysis of the current situation and intervention strategies for the healthcare of disabled cancer patients based on health education in the home network hospital

Tue, 27 Jan 2026 00:00:00 GMT

Objective To understand the healthcare needs of disabled oncology patients, explore the impact of home network hospital-based health education on disabled oncology patients’ healthcare needs, activity of daily living (ADL) scores, quality of survival, and caregiver burden, and to provide a reference basis for the effective implementation of health education for disabled oncology patients in the home and the improvement of their quality of life. Methods From May 2021 to May 2024, 112 patients with ADL Scale scores ≤60 who were hospitalized in 7 tertiary-level hospitals in Guangdong Province were selected for the questionnaire survey and implementation of the intervention analysis. The 112 study subjects chosen were randomly divided into 56 in the intervention group and 56 in the control group. The patients in the control group were discharged from the hospital and followed up once a month by telephone, health education, and disease rehabilitation guidance. The intervention group constructed a home network hospital on a routine basis, utilized the micro letter public number and APP applet intervention guidance for 6 consecutive months, and used the general information questionnaire, Barthel index, SF-36 quality of life scale (the Medical Outcomes Study item short-form health survey, SF-36), the caregiver’s quality of life scale (the SF-36), and the Caregiver Burden Scale ZBL (Zarit Burden Interview, ZBI), to investigate the number of care needs, quality of life, and the degree of caregiving burden of the 2 groups of patients. Results The quality of survival of all patients with disabling tumors was poor. Patients with moderate to severe dependence on ADL were not only impaired in physiological dimensions but also had varying degrees of reduction in psychological dimensions, with the lowest scores in physiological functioning and the highest scores in somatic pain. There was no statistically significant difference in the comparison of the general information and scores of patients in the 2 groups (P > 0.05). After 3 months and 6 months of intervention, the difference in scores between the 2 groups was statistically significant (P < 0.05), in which the SF-36 score of the intervention group was higher than that of the control group, and the ADL score was lower than that of the control group. There was a statistically significant difference in ADL and ZBI scores between the intervention and pre-intervention (P < 0.05) groups. In the control group, after 3 months of intervention, ADL and ZBI scores were statistically different compared with pre-intervention (P < 0.05); after 6 months of intervention, there was no statistical difference (P > 0.05). Conclusions Health education based on home network hospitals can reduce the healthcare needs of disabled oncology patients and meet their safety and physiological health guidance needs. The quality of life of disabled oncology patients is at the bottom level, the burden of family care is heavy, and the burden of care for the primary caregiver is heavy. At the root of the problem, there is a lack of scientific, effective, and practical interventions, which can be sorted by clarifying the patients’ needs for home care and providing targeted nursing skills can improve the quality of life of the patients and reduce somatic discomfort.

Unveiling the landscape of research methodologies in nursing literature: a comprehensive analysis

Tue, 27 Jan 2026 00:00:00 GMT

Objective To analyze the uses of research methodologies applied in nursing articles published in esteemed journals. Nursing research uses various methodologies to examine different aspects of the field. Understanding the frequency and trends of these approaches is important. Methods A comprehensive analysis of 697 peer-reviewed research articles (RAs) was conducted. These articles encompassed quantitative, qualitative, and mixed-methods designs. Results The analysis revealed a dominance of quantitative methodologies (78%) among the examined RAs. Qualitative approaches were less prevalent (14%) but showed a growing presence. Mixed-methods studies constituted approximately 7% of the analyzed articles. Conclusions This systematic exploration of research methodologies in nursing literature from 2018 and 2022 highlights the dynamic and diverse nature of research the field. This comprehensive understanding of research methodologies is a valuable guide for researchers, educators, and policymakers in shaping the future of nursing research.