Conectar
Type 2 diabetes mellitus (T2DM) is a chronic non-communicable disease that requires long-term management to maintain blood glucose levels and prevent complications. Smart healthcare technologies have shown promising potential in enhancing self-management and treatment adherence among people with T2DM. However, current research on the use of smart healthcare in the continuum of care for T2DM showed considerable variation in intervention approaches, content and evaluation metrics, resulting in substantial heterogeneity across studies.
This scoping review aims to identify recurring intervention strategies, summarise commonly reported components and outline outcome indicators in the application of smart healthcare within the continuum of care for T2DM, to inform future research and practice by healthcare professionals.
This scoping review will follow the methodological framework proposed by Arksey and O’Malley. A comprehensive literature search will be conducted across PubMed (National Library of Medicine), Embase (Elsevier), Cumulative Index to Nursing and Allied Health Literature (CINAHL; EBSCO), Web of Science (Clarivate Analytics), the Cochrane Library (Wiley), Scopus (Elsevier), China National Knowledge Infrastructure (CNKI; China Academic Journals (CD-ROM) Electronic Publishing House), Wanfang Data (Beijing Wanfang Data Co., Ltd.), VIP Database (Chongqing VIP Information Co., Ltd.) and Chinese Biomedicine Literature Database (CBM; Chinese Academy of Medical Sciences). The search will include studies published from the inception of each database up to 25 April 2025. Two reviewers will independently screen the literature and extract data. Any disagreements will be resolved through discussion with a third reviewer. The review will be reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews.
Ethics approval is not required. Findings will be disseminated through professional networks, conference presentations and publication in a scientific journal.
To evaluate the satisfaction and self-confidence levels among midwifery students in clinical training programmes at Palestinian universities and to identify associated factors.
A descriptive, cross-sectional study.
Clinical training programmes at five universities across the West Bank, Palestine, during the second semester of the 2023—2024 academic year.
A convenience sample of 116 final-year (third- and fourth-year) midwifery students actively engaged in clinical training.
The primary outcomes were satisfaction and self-confidence, measured using validated scales adapted from the National League for Nursing. Demographic factors (university, academic year, training area, gender) were analysed as secondary measures influencing the primary outcomes.
Students reported moderate satisfaction (mean=3.38±0.75, 95% CI: 3.25 to 3.51) and high self-confidence (mean=3.61±0.73, 95% CI: 3.49 to 3.73). A strong positive correlation was found between satisfaction and training area (r=0.693, p
Geographical disparities and gender significantly influence midwifery students’ clinical training experiences in Palestine. These findings highlight the need for equitable distribution of training resources, the implementation of gender-sensitive mentorship programmes and tailored support for students in advanced academic years to improve educational outcomes and build a capable healthcare workforce.
Understanding maternal perceptions of the quality and safety of care serves as a crucial management tool for the planning and enhancement of health interventions. In Iran, where cultural norms emphasise mothers’ central role in caregiving and healthcare resources are often limited, incorporating their perspectives into nursing care strategies is essential. This study aimed to assess the perception of key nursing safety practices among Iranian mothers of children with leukaemia undergoing their first chemotherapy course.
A longitudinal study.
Oncology wards of hospitals affiliated with Tabriz University of Medical Sciences.
Mothers of children with leukaemia.
The mean perception score increased from 2.75 (out of 4) at baseline to 2.99 by week 4. The largest increases in perception were observed in patient identification and hand hygiene, with mean differences of 0.41 and 0.38, respectively. A significant increase in overall perception and subscales was observed (p
Actively involving mothers in the care process enhances their perceptions of safety and quality during hospitalisation. Supportive and educational interventions are needed to further improve the safety and quality of nursing care.
Left ventricular assist devices (LVADs) have become important treatments for end-stage heart failure; however, studies of post-LVAD life experiences are limited. The aim of this study was to investigate post-LVAD life experiences and coping strategies in patients who underwent LVAD implantation as destination therapy.
This study used a qualitative descriptive design with a phenomenological approach. Semistructured face-to-face interviews were conducted to collect data. The data were analysed via inductive content analysis.
Participants were recruited from a high-volume cardiovascular disease centre in Nanjing, China.
A purposive method was employed to recruit 10 patients who had an LVAD support time of more than 6 months.
The life experiences of participants who underwent LVAD implantation can be summarised into two main themes and five subthemes: hope (subthemes: LVADs signify survival and hope for returning to normal life) and fear (subthemes: fear of device malfunction, fear of complications and fear of increasing the family burden). Coping strategies for fear, including self-support, family support, social support and professional healthcare support, were noted.
Patients who undergo LVAD implantation experience significant fluctuations in their life experiences. Attention should be given to the physical and mental health of patients with an LVAD, and individualised professional consultation and nursing should be provided.
Compassion fatigue (operationally defined as a nursing student’s reduction in empathetic capacity or interest towards ‘bearing the suffering of clients’ manifesting as consequent emotional and behavioural responses to secondary exposure of others’ traumatic experiences) among nursing students affects not only their physical and mental health, but it may also spread and undermine the stability of the nursing profession as a whole. Therefore, this study aims to delve deeply into the causes and trends of compassion fatigue among undergraduate nursing students and gain a better understanding of nursing students’ feelings, experiences and coping mechanisms in relation to compassion fatigue.
This mixed-methods study will be conducted in two phases. This study will recruit 110 nursing students from a teaching hospital in China. Eligible participants will be asked to complete validated questionnaires. Student interns will also be asked to participate in semistructured qualitative interviews to investigate their feelings, experiences and coping mechanisms in relation to compassion fatigue. Statistical analysis of survey data will include descriptive and inferential statistics, as well as qualitative content analysis.
This study has been approved by the Ethics Committee of the Chinese Medical University. The findings will be disseminated at conferences and journal articles.
Current status and factors influencing compassion fatigue in clinical placement nursing students: a mixed study (ChiCTR2500097955; Pre-results).
Hip fractures are a prevalent type of fracture and a leading cause of disability and mortality among older patients, imposing a substantial burden on both families and society. As surgical intervention is considered the primary means of improving patient outcomes, perioperative optimisation management is essential for enhancing prognosis. A key component of the Enhanced Recovery After Surgery (ERAS) protocol for hip surgery is the innovation of preoperative fasting concepts, which includes the recommendation of preoperative oral carbohydrates for surgical procedures, particularly hip surgery. While preoperative oral carbohydrates have been shown to alleviate hunger and thirst symptoms in patients and promote postoperative recovery, concerns regarding intraoperative aspiration and gastric content retention persist, rendering the safety and feasibility of this approach for surgery a topic of debate. This study aims to investigate and summarise the clinical outcomes of preoperative oral carbohydrates in patients undergoing hip surgery, providing a comprehensive evaluation of their impact on patient recovery and safety.
A systematic and comprehensive search will be conducted across multiple databases, including CINAHL, PubMed, CNKI, VIP database, Wanfang database, Embase, CBM, Web of Science, Cochrane Central Register of Controlled Trials and ClinicalTrials.gov (
This study uses previously published data, and as such, does not require additional ethical approval. The findings will be disseminated through peer-reviewed journals.
CRD42024611468.
Perineal trauma is one of the most common complications of childbirth, impacting approximately 9 out of 10 women who undergo a vaginal delivery. Perineal trauma is a public health issue leading to increased maternal morbidity and decreased quality of life. Although race is being studied as a potential risk factor and predictor of perineal trauma, other contributing factors like racism and social determinants of health have not been adequately studied in the same context. We set out to synthesise the available peer-reviewed evidence evaluating the prognostic association between race and perineal trauma.
This systematic review and meta-analysis adheres to the PRISMA-P (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols) and PROGRESS (Prognosis Research Strategy) guidelines and is registered with PROSPERO. The review explores the association between racial status (non-Hispanic white vs non-white) and perineal birth trauma using the PECOTS (Population, Intervention/Exposure, Comparator, Outcome, Timing and Setting) framework. We will search PubMed, CINAHL, Web of Science and Embase. Peer-reviewed observational studies will be included. Data extraction and screening will be done in duplicate. Analyses will use random-effects models in R, reporting both unadjusted and adjusted risk differences. Risk of bias will be assessed using ROBINS-I (Risk of Bias in Non-randomised Studies of Interventions). Heterogeneity and certainty of evidence will be evaluated using I² and GRADE (Grading of Recommendations Assessment, Development and Evaluation), respectively.
This is a systematic review based on previously published data, and therefore ethical approval is not required. The findings of this review will be disseminated through publication in a peer-reviewed journal and presented at academic conferences.
CRD42025590093.
The global healthcare landscape is undergoing a significant shift in demographics, evolving disease epidemiology and an ageing population, prompting the expansion of healthcare roles, including the healthcare assistant (HCA). However, there remains limited clarity regarding the scope and standards of their competence.
A scoping review will be conducted following the updated Joanna Briggs Institute methodological framework. Five databases encompassing PubMed, Cumulative Index to Nursing and Allied Health Literature Complete (EBSCOhost), EMBASE, Web of Science and PsycINFO (EBSCOhost) will be searched. Selected studies will include all types of studies on the competence of HCAs. Two reviewers will independently perform the screening and data extraction process. The quality of evidence in this review will be assessed by the Crowe Critical Appraisal Tool. Data synthesis will be presented using the narrative descriptions and tabular illustrations. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews will be employed for transparent reporting.
No ethical clearance is required for this review. The final review will be submitted for publication to a peer-reviewed journal. Additionally, the results of the final review will be disseminated both locally and nationally to inform clinical practice.
This protocol has been registered with the Open Science Framework. Registration number is OSF.IO/5RGUC.
Cultural safety is critical to addressing healthcare disparities for Aboriginal and Torres Strait Islander peoples. The Deadly Aboriginal and Torres Strait Islander Nursing and Midwifery Mentoring (DANMM) programme was developed to support Aboriginal and Torres Strait Islander Nurses and Midwives through culturally responsive mentorship. This pilot study evaluates the feasibility and acceptability of the DANMM programme and its impact on cultural safety knowledge and workplace experiences.
A mixed-methods exploratory study research design was employed. Data collection methods were underpinned by the Ngaa-bi-nya evaluation framework.
Four Local Health Districts in New South Wales, Australia.
20 participants completed the Ganngaleh nga Yagaleh (GY) cultural safety tool (n=12 pre-DANMM programme and n=8 post-DANMM programme), between June 2023 and October 2024. Five of these participants also took part in individual yarns between August and November 2024.
Changes in median cultural safety knowledge scores (pre- to post-programme), measured using the GY tool, were analysed using the Wilcoxon rank-sum test for unpaired data (p
Statistically significant positive changes in median GY tool scores (pre to post) were observed for item 13 (median pre=4.5, post=5.0; p=0.02), item 32 (median pre=4.0, post=5.0; p=0.03) and item 40 (median pre=3.5, post=5.0; p=0.03); with a statistically significant negative change in scores observed for item 6 (median pre=3.0, post=2.0; p=0.01). Qualitative themes included: (1) fostering growth and navigating barriers, (2) the power of connection and (3) navigating prejudice and racism in the workplace. Participants valued the mentorship model, though programme participation was affected by organisational barriers, including time constraints and a lack of managerial support.
The DANMM programme was found to be acceptable and feasible with evidence of enhanced cultural safety knowledge and mentorship benefits. However, the findings highlight the enduring impacts of colonial and cultural load and the need for greater organisational support to ensure the successful implementation and long-term sustainability of cultural safety initiatives. Future research should examine the longer-term effects on workforce retention and overcoming barriers to implementation and scalability.
This study aimed to examine the reproductive concerns and their influencing factors among adolescents and young adults with acute leukaemia and to explore the relationship between reproductive concerns and patients’ quality of life.
A cross-sectional study.
The haematology departments of four tertiary-level hospitals in Hunan province, China.
Convenience sampling method was used to recruit 233 adolescents and young adults with acute leukaemia, from June 2024 to December 2024.
The primary outcome was assessed using the Chinese version of the Reproductive Concerns After Cancer and the secondary outcome was measured by the 12-item Short Form Health Survey.
Adolescents and young adults with acute leukaemia had a mean reproductive concerns score of 55.57±7.57, a quality of life physical component summary (PCS) score of 38.54±8.58 and a mental component summary (MCS) score of 39.84±8.78. Univariate analysis showed significant differences in reproductive concerns based on fertility status, place of residence, education level, fertility counselling and family history of acute leukaemia (p
Adolescents and young adults with acute leukaemia exhibited moderately high levels of reproductive concerns, particularly those who had no children, had a low education level, resided in rural areas, had a family history of acute leukaemia or had received fertility counselling. Therefore, we suggest that healthcare providers prioritise addressing reproductive concerns in high-risk patients by offering tailored, high-quality and continuous fertility counselling and psychological support. Strengthening these strategies can help alleviate reproductive concerns and improve both mental health and overall quality of life in this population.
This study sought to evaluate the prevalence of empathy for pain among nurses in Chinese hospitals through latent profile analysis, identify latent subgroups and their demographic characteristics and examine the relationship between different subgroups and coping styles.
A multicentre cross-sectional study.
The study was conducted in 43 hospitals across Guangdong Province, China, comprising 36 general medical hospitals and 7 specialty hospitals.
This study recruited 1656 registered nurses with over 1 year of clinical experience from 43 hospitals in Guangdong Province, China, using a convenience sampling method between June and September 2023. A total of 1601 valid questionnaires were returned, with a response rate of 96.68%.
Data were collected through online questionnaires using the General Information Questionnaire, the Chinese Version of the Empathy for Pain Scale and the Simplified Coping Style Questionnaire. Latent profile analysis was applied to assess the characteristics of nurses’ empathy for pain, while logistic regression analysis was employed to identify factors influencing the different empathy for pain profiles.
The mean empathy for pain score among the 1601 clinical nurses was 2.92±0.79. Nurses’ empathy for pain was categorised into three latent profiles: low empathy sensitivity (33.9%), balanced response (48%) and empathy contradiction (18.1%). Univariate analysis demonstrated significant variations in the distribution of nurses across different profiles concerning age, marital status, childbearing status, perceived pain tolerance, job satisfaction, participation in pain-related knowledge training, designation as a pain resource nurse and coping styles scores. Logistic regression analysis identified perceived pain tolerance, job satisfaction and coping styles as significant determinants of nurses’ latent empathy for pain profiles (p
Nurses’ empathy for pain characteristics exhibits heterogeneity and can be categorised into three latent profiles. Nursing managers should implement targeted interventions tailored to each profile, focusing on the key determinants such as perceived pain tolerance, job satisfaction and coping styles. These interventions can enhance nurses’ empathy for pain, promote the adoption of positive coping styles and ultimately improve clinical pain management and overall nursing care quality.
Evidence-based early rehabilitation intervention after heart valve surgery has been proven to have many benefits, but the experience of implementing nurse-led early rehabilitation combining exercise and psychology is still lacking. It is urgent to find a more acceptable and cost-effective method to provide exercise intervention and psychological support. The aim of this study is to design a nurse-led cardiac rehabilitation programme to increase the physical capacity and mental health for heart valve patient based on broaden-and-build theory.
A non-blinded randomised controlled trial will be conducted. A total of 86 adults diagnosed with heart valve disease will be recruited and randomly assigned to the control group and intervention group. The recovery for valvular heart disease intervention, based on the broaden-and-build theory, will be guided one-on-one by a multidisciplinary team and will consist of two main components: physical intervention and psychological intervention. The baseline assessment will be conducted 1 to 2 days after admission, and sequent evaluations will be implemented at post-intervention, 3 months after intervention and 6 months after intervention. The primary outcome is the finding of six-min walk test and mental state. Other outcomes include quality of life, 36-item short-form health survey, Short Physical Performance Battery, stress, coping modes and social support.
This study was conducted following the Helsinki Declaration and was approved by the ethics committee of the Zhong Da Hospital, Southeast University (2024ZDSYLL098-P01). The results of this study are scheduled to be published in relevant peer-reviewed journals.
Registered at the Chinese Clinical Trials.gov (ChiCTR2400090853).
We aimed to understand the factors affecting psychological well-being of patients undergoing haemodialysis (HD). First, we explored how physical symptom severity, emotional distress and social support influence psychological well-being. Second, we examined the impact of different types of social support. Third, we investigated whether any variables mediate the relationship with psychological well-being.
A cross-sectional study, a type of observational design, was conducted on patients at a medical centre in Taiwan in 2020.
A total of 117 outpatients who had undergone regular HD for at least 3 months were enrolled.
The psychological well-being was assessed through self-report questionnaires.
We found that emotional distress (β=–0.25, p=0.033) had a significant negative impact on psychological well-being. However, the presence of appraisal support mitigated this effect. Specifically, appraisal support fully mediated the adverse impact of emotional distress on psychological well-being. In addition, the severity of physical symptoms was generally mild and did not influence psychological well-being.
Receiving appraisal support from family, friends and healthcare professionals not only alleviates emotional distress but also enhances psychological well-being both directly and indirectly among patients undergoing HD. Healthcare professionals should address issues of personal importance while serving as consultants, educators and evaluators to support patients in managing their chronic condition.
Artificial intelligence (AI) technologies are increasingly being developed and deployed to support clinical decision-making, care delivery and patient monitoring in healthcare. However, the adoption of AI-driven solutions by nurses, who comprise the largest segment of the healthcare workforce and are central to patient care, has been limited to date. Understanding nurses’ perceptions of barriers and facilitators to AI adoption is critical for successful integration of AI in nursing practice. This systematic review aims to identify, appraise and synthesise qualitative evidence on nurses’ perceived barriers and facilitators to adopting AI-driven solutions in their clinical practice.
We will conduct systematic searches across eight electronic databases (PubMed, Web of Science, Embase, CINAHL, MEDLINE, The Cochrane Library, PsycINFO and Scopus) from inception to January 2025, supplemented by hand-searching reference lists and grey literature. Primary qualitative studies and qualitative components of mixed-methods studies exploring licensed/registered nurses’ perceptions of AI adoption in clinical settings will be included. Two independent reviewers will screen studies, extract data using standardised forms and assess methodological quality using the Critical Appraisal Skills Programme checklist. We will employ meta-ethnography to synthesise the qualitative evidence, involving systematic comparison and translation of concepts across studies to develop overarching themes and a theoretical framework. The Grading of Recommendations Assessment, Development and Evaluation Confidence in the Evidence from Reviews of Qualitative Research (GRADE-CERQual) approach will be used to assess confidence in review findings. The protocol follows the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) guidelines and the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) statement.
No ethical approval is required as this systematic review will synthesise data from published studies only. The findings will provide valuable insights to inform the development, implementation and evaluation of nurse-oriented strategies for AI integration in healthcare delivery. Results will be disseminated through peer-reviewed publication, conference presentations and stakeholder engagement activities.
CRD42024602808.
To enhance nursing students’ critical thinking abilities, numerous educators have explored alternative teaching methods. While meta-analyses have confirmed that various approaches are effective in developing critical thinking, consensus regarding their comparative effectiveness remains elusive. Furthermore, few investigations have directly contrasted the outcomes across these methods, highlighting the necessity to undertake a comprehensive evaluation of their impact on nursing students’ critical thinking skills. Accordingly, this study aims to assess the effects of six teaching methods on nursing students’ critical thinking abilities.
A comprehensive literature search will be carried out up to May 2025 across various databases, such as PubMed, Embase, The Cochrane Library, Web of Science, OVID, CNKI, Wanfang Database and the China Biological Literature Database (CBM). The search strategy will specifically target randomised controlled trials meeting predefined inclusion criteria. Two independent reviewers will screen the selected studies and extract pertinent data. The methodological quality of the included studies will be assessed using the Cochrane risk of bias tool. A network meta-analysis will then be performed using Stata software, incorporating the following analytical components: heterogeneity, network evidence diagrams, publication bias plots, league tables, forest plots, subgroup analyses or meta-regression and sensitivity analyses. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) system will be leveraged to appraise the overall quality of evidence related to critical thinking abilities across all compared interventions.
No formal research ethics approval is required. The results will be submitted to a peer-reviewed journal for publication.
CRD42024618735.
Hospital-based nurses and midwives play a pivotal role in promoting, protecting and supporting breastfeeding. However, variation in preservice education, in-service training and institutional policies contributes to inconsistent breastfeeding support across healthcare systems. Given the global push toward improving breastfeeding outcomes and the centrality of skilled nursing support, this scoping review protocol aims to systematically map the breadth, characteristics and reported outcomes of breastfeeding education and training initiatives targeting hospital-based nurses and midwives.
This scoping review will be conducted in accordance with the methodological framework developed by Arksey and O’Malley and advanced by the Joanna Briggs Institute (JBI). A systematic search will be conducted across major databases including OVID Medline, CINAHL, Scopus and Web of Science, as well as grey literature sources. Studies will be selected using the Population–Concept–Context (PCC) framework, focusing on breastfeeding-related education and training interventions designed for nurses and midwives in hospital settings. Two independent reviewers will screen all titles, abstracts and full texts, extract data using a standardised tool and resolve discrepancies via discussion or third-party consultation. The extracted data will be analysed using descriptive statistics and thematic synthesis to identify trends, gaps and directions for future research. The literature search will be conducted between August and October 2025.
This scoping review involves the analysis of existing literature and does not require ethical approval. The findings will be reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. Results will be disseminated through peer-reviewed publication and presentations at nursing and maternal–child health conferences to inform educators, hospital administrators and policy makers involved in breastfeeding support and clinical education.
The specific preferences that shape the daily lives of people with dementia serve as the basis for the concept of person-centred care. However, information on the complex experiences of culturally and linguistically diverse people with dementia (CALDPwD), which determine their multifaceted preferences, is lacking. Therefore, the objective of this scoping review is to identify the range, extent and nature of evidence available in peer-reviewed and grey literature examining how the multilayered experiences of CALDPwD influence everyday living preferences.
We aim to conduct a scoping review to explore the multilayered experiences of CALDPwD and the intersectional determinants of their everyday living preferences. Using PubMed, MEDLINE (via Ovid for precision and controlled searching), CINAHL (via EBSCO), Scopus and the Cochrane Library, as well as grey literature, we will systematically search for literature in English, German and Turkish without any publication date restrictions. The titles/abstracts and full texts of the identified records will be independently screened by two reviewers. Data extraction will be performed by one researcher and verified by another. All the authors will discuss the conflicts. We will analyse the identified intersectional determinants of preferences using inductive content analysis.
There are no ethical concerns related to conducting this study. We will share our findings with nursing care practitioners. The results will be presented at conferences and disseminated through peer-reviewed articles and practical publications.
The findings of the study will address the important gaps in knowledge on the complex intersecting factors that influence the preferences of CALDPwD. A key strength of this study is its comprehensive search strategy, which includes multiple databases and citation tracking to capture diverse, intersectional perspectives of CALDPwD. However, excluding the studies focused on caregiver’s burden may limit insights into how care systems shape the needs and expectations of this population.
Agents used in antitumour therapy have toxic effects on the cardiovascular system of breast cancer (BC) patients, increasing the risk of cardiovascular disease, which has become the most common non-cancer cause of death in BC patients. Exercise can effectively prevent or reduce the occurrence of cardiotoxicity, however, most BC patients have low levels of physical activity. The Health Action Process Approach (HAPA) model has been successfully applied to encourage patients to adhere to physical exercise. This study aims to explore the impact of exercise interventions based on the HAPA model on the monitoring indicators related to cardiotoxicity in BC patients during chemotherapy, aiming to prevent cardiotoxicity in BC patients and improve their physical activity level, exercise self-efficacy, exercise social support and exercise compliance.
In a protocol for a quasi-randomised controlled trial involving a 4-month intervention, 62 patients with BC will be recruited from a tertiary care centre in China. Participants from the first oncology department will be assigned to the HAPA model-based exercise intervention group (n=31), while participants from the second oncology department will be assigned to the control group that will receive standard exercise guidance (n=31). The primary outcome will be the incidence of cardiotoxicity assessed by Electrocardiogram (ECG). The secondary outcomes will include physical activity level, exercise self-efficacy, exercise social support and exercise compliance, which will be evaluated by the short form of the International Physical Activity Questionnaire (IPAQ-SF), Self-Efficacy for Exercise Scale (SEE), Social Support Scale for Exercise (SSSE), and percentage of achieving the recommended total time of exercise per week. The chi-square test or Mann-Whitney U tests will be applied to compare the differences in ECG results and exercise compliance between the two groups. To evaluate the effect of exercise intervention on IPAQ-SF, SSE and SSSE, repeated measures ANOVA will be employed to examine the group-by-time interactions and main effects.
This study has been approved by the Ethics Committee of the First Affiliated Hospital of Dalian Medical University (PJ-KS-KY-2024-267(X)). The results of this study will be published via peer-reviewed publications and presentations at conferences.
ChiCTR2400090672.
The transition to parenthood presents significant psychological and emotional challenges for mothers and their partners. Stress during the puerperium can undermine parenting confidence. Understanding how cognitive processes and couple-level coping mechanisms influence parenting competence is essential for designing effective nursing interventions.
This longitudinal study will recruit couples from maternity wards during the early postpartum period. Assessments will be conducted at 3 days, 2 weeks and 6 weeks postpartum using validated instruments: the Chinese version of the Parenting Sense of Competence Scale, the Chinese version of the Dyadic Coping Inventory and the Chinese Event-Related Rumination Inventory. The study aims to explore longitudinal changes in parenting sense of competence (PSC) and investigate how rumination and dyadic coping influence PSC in couples during the postpartum period. Structural equation modelling based on the Actor-Partner Interdependence Mediation Model will be used to estimate actor and partner effects.
Ethical approval has been obtained from the Shanxi Bethune Hospital Ethics Committee (No. YXLL-2023–060). All participants will be fully informed about the study aims, procedures, risks and benefits and will provide written informed consent prior to data collection. Findings will be disseminated through peer-reviewed journals and academic conferences to inform interventions that support the transition to parenthood and enhance family well-being.
Fear of cancer recurrence (FCR) is one of the most prevalent psychological concerns among young adult cancer survivors. Despite its clinical relevance, little is known about how survivors overcome this fear and the role of healthcare professionals in that process. This protocol outlines a systematic review and qualitative meta-synthesis to explore the coping mechanisms and support resources that facilitate overcoming FCR in young adult cancer survivors.
This study will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols guidelines. A comprehensive search will be conducted across five databases (PubMed, EMBASE, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, Social Sciences Citation Index) and supplemented by hand-searching. Methodological quality will be assessed using the Critical Appraisal Skills Programme checklist. Data synthesis will follow Thomas and Harden’s thematic synthesis approach, guided by the post-traumatic growth theory. The review aims to identify key support systems and professional interventions that aid in coping with FCR, emphasising the unique developmental and psychosocial context of young adulthood. The final synthesis will inform targeted, resource-based interventions by healthcare providers.
As this study is a retrospective review involving secondary analysis of publicly available primary data, ethical approval is not required. The findings of this review will be disseminated through publication in peer-reviewed journals and presented at scholarly conferences and other relevant professional forums. This protocol has been registered with PROSPERO.
CRD420251029414.
FreshRSS 