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Recommendations for Arterial Blood Gas Collection in Intensive Care: Scoping Review

ABSTRACT

Objectives

To map and synthesise the main recommendations for arterial blood gas (ABG) collection in intensive care units (ICUs).

Design

A scoping review was conducted according to the PRISMA-ScR Checklist, supported with The PAGER framework and guided by the Joanna Briggs Institute methodology to ensure methodological rigour and analytical comprehensiveness.

Methods

Data collection was conducted from February to April 2024. The data sources included: Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, PubMed Central, Scientific Electronic Library Online (SciELO), Web of Science (WoS), SCOPUS, Science Direct, Virtual Health Library (VHL), Excerpta Medica database (Embase), CAPES Thesis and Dissertation Catalogue, Brazilian Digital Library of Theses and Dissertations (BDTD), Scientific Open Access Repository of Portugal (RCAAP), Theses Canada and the Oswaldo Cruz Foundation (Fiocruz) repository.

Results

Key findings recommend the radial artery as the preferred puncture site, an insertion angle of 30° to 45°, the use of 1 or 3 mL syringes and 20G or 23G gauge needles. Transport and storage at room temperature are advised. Cryoanalgesia and subcutaneous analgesia methods were found to be effective for pain management.

Conclusion

The review highlights the best practices for arterial blood gas collection in critical care. The synthesized evidence strengthens clinical practice, informs guidelines for intensive care nursing and promotes safer, higher-quality care for critically ill patients.

Implications for the Profession and/or Patient Care

The evidence-based recommendations identified can enhance nursing care related to arterial blood gas collection. Adherence to these practices promotes safer, more humanised and evidence-based care during the procedure.

Reporting Method

The report of this study followed the PRISMA-ScR Checklist.

Patient or Public Contribution

There was no patient or public involvement in this scoping review.

Wearable Electronic Monitoring of Vital Signs in Hospitalised Adults: A Nursing Focused Scoping Review of Clinical, Economic and Implementation Outcomes

ABSTRACT

Aim

To synthesise evidence on wearable devices for continuous vital signs monitoring in adult hospital inpatients, focusing on clinical effectiveness, nursing perspectives, workflow impact, patient experience and resource implications.

Design

Scoping review.

Review Methods

Joanna Briggs Institute methodology reported using PRISMA-ScR guidelines.

Data Sources

Six databases (CINAHL, MEDLINE, EMBASE, Scopus, Web of Science, Cochrane), Scite.ai, and hand searching for studies published between January 2015 and November 2025. Data were synthesised using reflexive thematic analysis.

Results

Sixty-seven studies from 19 countries were included. Four integrative themes were identified. (1) Enhancing clinical safety through continuous monitoring: wearable devices consistently enable earlier recognition of physiological deterioration; however, downstream outcomes such as length of stay and transfers to intensive care units were mixed and context dependent. (2) Transforming nursing practice and workflow integration highlighted improved situational awareness and potential efficiency gains, alongside challenges related to alarm overload, parallel documentation and implementation workload. (3) Patient experience of wearable monitoring: most patients reported reassurance and perceived safety, though experiences reflected a tension between monitoring as care and monitoring as surveillance; discomfort, anxiety, and privacy considerations were infrequently examined. (4) Economic and organisational consequences: potential system value was suggested through workforce efficiencies, but economic benefits were largely inferred, with infrastructure and training costs often underreported.

Conclusion

Wearable continuous monitoring technologies show clear potential to support nursing observations enabling improved early detection of deterioration. Realising these benefits depends on effective integration into workflows, robust governance, and sustained nursing leadership rather than technological capability alone. Significant evidence gaps remain regarding long-term outcomes, economic evaluation, and large-scale implementation.

Impact

Wearable devices for continuous vital signs monitoring have the potential to transform inpatient surveillance by enabling earlier recognition of physiological deterioration and enhancing nurses' situational awareness. This scoping review synthesises international evidence demonstrating that, although wearable monitoring can improve patient safety and workflow efficiency, its impact depends on effective integration into nursing practice, governance structures, and organisational preparedness. Continuous monitoring also introduces new challenges including alert fatigue, data interpretation, and workflow redesigns, highlighting the vital role of nursing leadership in digital health implementation. The review also identifies critical evidence gaps, particularly concerning long-term clinical outcomes, patient experience, and cost-effectiveness, providing priorities for future research and policy to promote safe, ethical, and sustainable adoption.

Patient or Public Involvement

None.

Associations Between Interruptions and Medication Administration Errors Among Nurses in Hospital Settings: A Scoping Review of Quantitative Studies

ABSTRACT

Aim

To provide an overview of quantitative research studies that report inferential statistics on the associations between interruptions and medication administration errors among nurses in hospital settings.

Design

A scoping review guided by the Joanna Briggs Institute methodology for scoping reviews.

Methods

Quantitative research studies conducted among nurses in hospital settings and published in English were sought. Covidence software was used by two authors to independently screen titles, abstracts, and full-text articles. Two authors performed an independent data extraction using a standardised extraction template.

Data Sources

Ovid Medline, EMBASE (Elsevier), CINAHL (EBSCOHost), Web of Science, and Scopus databases were searched from the database inception through October 2024. Citation searching was also used to locate relevant studies.

Results

Twenty-two studies met the review criteria. Studies were conducted in nine different countries, often in more than one hospital, and in various nursing units. Definitions of interruption and medication administration error frequently differed across studies or were not provided. Data were collected via direct observation, self-report survey, a combination of direct observation and self-report, or retrospective review of records. Most (n = 16; 73%) studies reported a statistically significant positive association between interruptions and medication administration errors.

Conclusion

Globally, interruptions are prevalent during nurse medication administration, and a majority of studies report a positive association between interruptions and medication administration errors. Continued investigation of this association using standard definitions of interruption and medication administration error, as well as consistent methods, is needed to strengthen research in this area.

Implications

The findings from this review can be used to inform future primary research, potential systematic reviews, and the development of targeted interventions to enhance medication safety and nursing practice in hospital environments worldwide.

Reporting Method

Reporting was guided by Joanna Briggs Institute scoping review method and the PRISMA extension for Scoping Reviews.

Patient or Public Contribution

No patient or public contributions were made to this scoping review.

Successful Retention Strategies for Nurses in Home Visiting Nursing Services: A Scoping Review

ABSTRACT

Aim

To identify successful strategies and underpinning mechanisms for retaining nurses in home visiting nursing services.

Design

Scoping review.

Data Sources

MEDLINE, CINAHL, Google Scholar, Theses Global Databases (1 January 2000 to 23 November 2023); international nursing organisations websites (January–April 2024).

Review Methods

The methods followed the Joanna Briggs Institute guidance. Two researchers independently screened and reviewed, with disagreements resolved through discussion. Included papers were analysed for underlying mechanisms.

Results

Of 1219 records identified, seven met the criteria. Four papers reported senior administrators' experience of successful multiple types of strategies (unspecified), but none reported retention outcomes. Three papers reported evaluations of initiatives providing clinical and peer support to nurses new to home visiting nursing. All three papers reported improved retention rates at 12 months in comparison to the year previous, although there was no consideration of other potentially influencing factors. We identified eight underlying mechanisms in the seven papers: (1) finance incentives; (2) work schedule flexibility for individuals; (3) team level management; (4) positive feedback on job performance; (5) team level interpersonal relationships; (6) the work organisation and resources; (7) support to individual's development in knowledge, clinical skill and confidence and (8) participation in organisation's decision making.

Conclusion

This review identified noticeable few papers over a time when all countries have been trying to address the growing health needs of the older populations. The gap in evidence as to the most effective combinations of retention strategies for home visiting nursing requires urgent attention. Clinical leaders and managers require evidence to inform their strategies for retaining home visiting nurses in order to provide high quality care as more health care systems increase the provision of acute, chronic, and palliative care in patients' own homes.

Reporting Method

This paper conforms to PRISMA reporting guidelines for scoping reviews.

Patient or Public Contribution

No patient or public contribution.

Communication Dynamics Between Professional Nursing Organisations and Their Stakeholders: A Scoping Review

ABSTRACT

Background

Communicating a clear, authentic and socially coherent image among nurses and their associations is essential because it helps shape an accurate perception of their role in society. Thus, although each nurse plays a crucial role individually, real transformation in the public perception of the profession requires coordinated and strategic actions by the organisations representing them.

Objective

This study explored existing knowledge on how nursing colleges, professional associations and unions communicate with their stakeholders.

Methods

A scoping review was performed following the methodological framework proposed by Arksey and O'Malley and the Joanna Briggs Institute. Eight electronic databases were searched, including CINAHL, Cochrane, Dialnet, Scopus, Scielo, PsycINFO, PubMed and Web of Science for both peer-reviewed articles and grey literature (e.g., reports, policy documents), using both MeSH terms and keywords. Data were collected using the Covidence platform, and articles published in English, Spanish, Portuguese and Italian were included. No limitations were applied regarding the publication year of the articles. They were then independently analysed based on their titles, abstracts and full text according to predefined inclusion and exclusion criteria. Conflicts were resolved via discussions with a third reviewer.

Results

In total, 2033 articles were analysed from databases, of which 47 met the inclusion criteria. Eighteen studies used a structured methodology, while 29 were categorised as grey literature. The findings were organised into five key themes: (1) what organisations communicate (e.g., labour conditions, political content, health information); (2) with whom they communicate (e.g., nurses, journalists, political actors, the public); (3) for what purpose (e.g., advocacy, education, recruitment); (4) through what media (e.g., social media, websites, professional journals) and (5) how communication is evaluated (limited but promising insights on effectiveness).

Conclusions

This review provides the first diagnosis of communication management in professional nursing organisations. The lack of communication structures, trained professionals and effective strategies limits the effectiveness of communication among the entities. Studies are necessary to diagnose these shortcomings and design plans to improve the visibility and impact of their messages, positioning nurses as qualified and respected professionals.

Registration

A review protocol was developed and registered in the Open Science Framework platform.

No Patient or Public Contribution

Because the research is a scoping review.

Implementing Transitional Care Interventions for Surgical Patients: A Scoping Review

ABSTRACT

Aims

To synthesise the evidence on implementation strategies used to implement transitional care interventions for adult surgical patients.

Design

Scoping review.

Data Sources

Medline, CINAHL and EMBASE were searched in August 2023 and updated June 2025, followed by citation searches. Studies were screened independently by two researchers, and one extracted data, another verified its accuracy. Studies about transitional care interventions for adult surgical patients were coded according to the ‘Five classes of implementation strategies’ and the ‘Patterns, Advances, Gaps, Evidence for practice and Research recommendations’ framework, to illuminate the review findings.

Results

Based on 27 studies included in the scoping review, staff education, changes to staffing and electronic systems, and change management techniques were frequently used implementation strategies. Implementation strategies were mostly used with patients undergoing colorectal and cardiac surgery in Asia and the United States. Scale-up strategies and capacity-building initiatives for people in charge of spearheading the change initiatives were less common.

Conclusions

To further the field, future research could focus on capacity-building and scale-up strategies, fidelity reporting, and financial implications of implementation in a wider range of surgical populations and settings. Work is needed to effectively implement surgical transitional care interventions in real-world settings.

Implication for the Profession and/or Patient Care

Our findings provide strategies for hospital leaders to adopt when implementing transitional care interventions for surgical patients.

Reporting Method

Scoping Reviews (PRISMA-ScR) checklist.

Patient or Public Contribution

Determined review focus, interpreted findings, and contributed to manuscript.

Review Registration

The Open Science Framework.

Culturally and Linguistically Diverse Informal Carer Experiences of Older Adult Care Transitions From Hospital to Home: A Scoping Review

ABSTRACT

Aim

To review the evidence on the experiences and perceptions of culturally and linguistically diverse informal carers supporting older adults during transitions from hospital to home, including their interactions with transitional care interventions.

Design

Scoping review guided by Arksey and O'Malley's framework.

Data Sources

We searched CINAHL, MEDLINE, Embase, Emcare, AMED, PsycINFO, Global Health, Social Work Abstracts, JBI EBP, Scopus, Web of Science Core Collection, ProQuest and Informit for studies published between January 2010 and November 2024.

Methods

Two reviewers independently screened studies and extracted data. Analysis followed the Patterns, Advances, Gaps, Evidence for Practice and Research recommendations framework.

Results

Seventeen studies involving 1275 carers were included. Carer experiences were summarised into four themes: (1) cultural and communication barriers; (2) role ambiguity and practical challenges; (3) limited involvement in discharge planning and (4) barriers to accessing support and services. Perceptions of transitional care interventions were mixed. While some interventions improved carer preparedness and reduced stress, most lacked cultural tailoring and did not address carers' psychosocial and communication needs.

Conclusion

Culturally and linguistically diverse informal carers face challenges navigating transitional care. While involving them in care planning improves outcomes, implementation remains inconsistent. Emotional support and culturally tailored services are insufficient.

Implications for the Profession and/or Patient Care

There is a need for culturally and linguistically tailored transitional care programmes that prioritise carer education and communication support. Key areas for improvement include: (1) health literacy and system navigation; (2) involvement in care planning; (3) communication with providers; (4) psychosocial and emotional support and (5) culturally appropriate services. Future research should explore the unique emotional and psychosocial needs of these carers to inform targeted support strategies.

Reporting Method

This review follows the PRISMA guideline for reporting.

Patient or Public Contribution

No patient or public contribution.

Risk Factors of Secondary Traumatic Stress: A Scoping Review

ABSTRACT

Aim

To establish current knowledge about the risk factors of secondary traumatic stress (STS) in healthcare workers.

Design

A scoping literature review was conducted following the preferred reporting items for systematic and meta-analysis extension for the scoping reviews (PRISMA-ScR).

Data Source/Review Method

A literature search was conducted using the following electronic databases of studies published between January 2014 and the end of May 2024: The Cumulative Index to Nursing and Allied Health Literature, PubMed and PsycInfo. Eligibility of the literature found in the three databases was screened using the PRISMA-ScR. The literature was reviewed using the framework by Arksey and O'Malley and further developed by Levac, Colquhoun and O'Brien.

Results

The review identified three main themes of STS, including personal history and support mechanisms, workplace influences affecting employee well-being and high-stress healthcare environments.

Conclusion

The most significant source of risks associated with STS is related to the workplace influences affecting the well-being of a healthcare worker. The factors within this environment include increased workload and workplace demands, low job satisfaction levels and high job burnout levels. The main implications of this scoping review are the impact the workplace has on the development of STS and the potential ability employers and healthcare workers have to address the risk factors of STS.

Implications for the Profession and/or Patient Care

The problem addressed was secondary traumatic stress in healthcare workers. The main findings of the scoping review were the identification of secondary traumatic stress risk factors originating in the personal history and support mechanisms, workplace influences and high-stress environments within the healthcare structure.

Impact

Due to the strong correlation between work environment and STS, healthcare employers must be aware of the influence the workplace has on the development of STS in employees. Healthcare workers can use the information from the scoping review to be aware of and identify the modifiable and non-modifiable risk factors of STS and enact lifestyle and workplace actions to help address STS. The research will mainly impact healthcare workers, healthcare employers and patients within the healthcare system.

Reporting Method

Relevant EQUATOR (Enhancing the QUAlity and Transparency Of health Research) guidelines were followed for this scoping review using the PRISMA-ScR reporting method.

Patient or Public Contribution

This study did not include patient or public involvement in its design, conduct or reporting.

Scope of Nursing Work and Models of Service Delivery in Australian Primary and Secondary Schools: A Scoping Review

ABSTRACT

Aim

To map the scope of nursing work and models of service delivery in Australian primary and secondary schools for children aged 3–18 years.

Design

Scoping Review.

Data Sources

A search of CINAHL, Medline, PsycINFO, ERIC, Informit and Google was conducted in August 2024 for peer reviewed, non-peer reviewed and grey literature giving insight into nursing work in primary and secondary Australian schools in urban, regional and remote areas of all Australian states and territories.

Methods

The review employed Johanna Briggs Institute methodology for scoping reviews and reported the findings in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Checklist.

Results

One hundred and forty-two sources were included. Findings indicate that nurses working in Australian schools conduct a wide range of activities which vary by jurisdiction, education sector, employer and school type. Models of nursing service delivery are similarly varied and range from full-time school-based nurses to nurses who visit schools on an occasional basis.

Conclusion

The varied scope of nursing work and models of service delivery provide evidence that the nursing workforce in schools is adaptable and flexible, but unequal access to nursing services raises important questions about equity. There is an urgent need for a national approach to nursing work in Australian schools.

Impact

This is the first review to map the scope of nursing work and models of service delivery in Australian primary and secondary schools.

Medication Errors in Perioperative Nursing: A Scoping Review

ABSTRACT

Aim

To map the current literature on the characteristics of nurse-related medication errors in perioperative healthcare settings.

Design

A scoping review.

Methods

This scoping review used the five-stage framework developed by Arksey and O'Malley (2005). The five stages are: (1) Identifying the Research Question; (2) Identifying Relevant Studies; (3) Study Selection; (4) Charting the Data; and (5) Collating, Summarising, and Reporting the Results. Findings were synthesised using the PAGER framework. An Ishikawa diagram was used to illustrate contributing factors of nurse-related medication errors.

Data Sources

In October 2024, using key search terms, five databases (Scopus, EBSCO Cumulative Index to Nursing and Allied Health Literature, OVID Embase, EBSCO Medline, EBSCO PsycInfo) and two grey literature platforms (opengrey, Policy commons) were searched. The articles were imported to the Covidence database from Endnote after removing duplicate literature. Selected article titles and abstracts, and subsequently full-text articles, were screened by two trained reviewers based on a priori inclusion and exclusion criteria. Data were extracted from the included full-text articles by one author, checked by another, and analysed descriptively.

Results

Of the 967 articles identified through the searches, 7 full-text articles were included. The incidence of nurse-related medication errors in perioperative settings ranged from 6.4% to 33.7%, with errors including incorrect medication routes, missed or delayed doses, and miscommunication-related overdoses. Contributing factors were multifaceted, involving workload pressures, communication failures, system flaws, and organisational influences such as leadership and safety culture.

Conclusion

Medication errors in the perioperative setting pose a significant threat to patient safety yet remain underexplored compared to other healthcare contexts. A holistic approach incorporating human factors frameworks, improved communication, workload management, and leadership can help address the complex causes of these errors and guide targeted interventions to enhance perioperative safety and patient outcomes.

Reporting Method

Scoping Reviews (PRISMA-ScR) checklist.

Patient or Public Contribution

No Patient or Public Contribution.

Trial and Protocol Registration

Open science Framework Website. Registration DOI https://doi.org/10.17605/OSF.IO/EXT8C

Personal Family‐Centred Care for LGBTQ+ Individuals in Acute Hospital Settings: A Scoping Review

ABSTRACT

Aim

To identify and synthesise existing evidence on family-centred care for Lesbian, Gay, Bisexual, Transgender, Queer and other diverse identities (LGBTQ+) people in acute hospital settings, including hospital-based palliative care, oncology, general in-patient and intensive care.

Design

A scoping review guided by the JBI methodology.

Methods

Nine databases and grey literature sources were searched. Inclusion criteria focused on LGBTQ+ adults and family-related care experiences in hospital-based acute settings. After screening, qualitative, quantitative, and narrative data were extracted. Thematic analysis synthesised findings, with quantitative data narratively integrated.

Data Sources

Searches were conducted across nine databases and grey literature up to April 2025.

Results

Five studies met inclusion criteria: three qualitative, one quantitative, and one reflective narrative. Four themes emerged: (1) invisibility and disclosure dilemmas, (2) exclusion of chosen families from visiting and decision-making, (3) barriers to inclusive communication and provider competence, and (4) enabling conditions for affirming care. Challenges occurred at interpersonal (e.g., provider assumptions, discomfort) and structural (e.g., lack of inclusive protocols, failure to recognise legal surrogates) levels. In the two studies reporting gender identity, transgender participants described heightened misrecognition and exclusion.

Conclusion

LGBTQ+ individuals and their chosen families face relational and structural barriers in acute hospital care. Inclusive interventions, protocols, and training are urgently needed to ensure affirming care.

Implications for the Profession and/or Patient Care

Acute and intensive care providers should promote inclusive family engagement by using patient-preferred terminology, recognising chosen families, and advocating for inclusive policies and staff training.

Reporting Method

This scoping review adhered to PRISMA-ScR guidelines.

Patient or Public Contribution

No Patient or Public Contribution.

Trial Registration

Registered with the Open Science Framework: 10.17605/OSF.IO/FSU8D (23/02/2025)

Digital Health Technology Applications in Home Care for Children With Complex Medical Conditions: A Scoping Review

ABSTRACT

Aim

To synthesise the evidence on digital health technologies in home care for children with medical complexity in order to inform improvements in care practices.

Design

Scoping review.

Data Sources

The search was conducted in August 2025, covering five databases.

Methods

Two reviewers independently retrieved full-text studies and conducted the initial screening of titles and abstracts, followed by full-text analysis and data extraction.

Results

A total of 30 articles were included in this review. Articles were published between 2015 and 2025. The digital health technologies identified were categorised into six primary types and these technologies were found to serve five core functions.

Conclusion

Digital health technologies show broad potential in home care for children with medical complexity, optimising care and empowering families. Future work should evaluate long-term effectiveness, integrate systems, and prioritise personalised, culturally adaptive designs.

Impact

This study addresses the challenge of managing home-based care for children with medical complexity. It identifies six types of digital health technologies and their five core functions, providing a framework to guide healthcare professionals, organisations, policymakers, and developers in creating more effective, integrated support systems for these children and their families.

Reporting Method

This study adhered to the PRISMA-ScR guideline.

Patient or Public Contribution

No patient or public contribution.

Implications for the Profession and/or Patient Care

The findings can guide the strategic implementation and development of digital health tools to enhance care coordination, support family caregivers, and improve the quality and experience of home-based care for children with complex medical needs.

A Scoping Review of Available Scales and Tools Used to Measure Obstetric Violence

ABSTRACT

Aim

To identify and describe instruments used to assess obstetric violence and evaluate their methodological quality and psychometric properties.

Design

A scoping review.

Data Sources

Ten databases [Medline (via PubMed), Web of Science, the Cochrane Library, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), SinoMed, Wanfang Database, China National Knowledge Infrastructure (CNKI), VIP Database and China Medical Journal Full-text Database] were searched from inception to June 2025.

Methods

Studies focusing on the development or validation of obstetric violence measurement tools were eligible for this review. Methodological quality and psychometric properties were evaluated using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist and criteria.

Results

A total of 19 studies encompassing 25 obstetric violence measurement tools were included. These studies were conducted in 15 countries between 2018 and 2025. The tools targeted postnatal and pregnant women, healthcare providers, students and other populations. Most studies reported data on content validity, structural validity and internal consistency. Limited information was available on cross-cultural validity/measurement invariance, reliability, measurement error, criterion validity, hypotheses testing for construct validity and responsiveness.

Conclusion

This review identified multiple obstetric violence instruments used across diverse populations and settings. Whilst the methodological quality and measurement properties of the included tools were sub-optimal, they nevertheless provide a foundation for the timely assessment of obstetric violence and subsequent research.

Implications for the Profession

Future research should prioritise the establishment of a unified definition of obstetric violence, alongside the development, adaptation and rigorous validation of measurement instruments to enhance their reliability and validity.

Impact

This review underscores the need for maternity care professionals and educators to critically evaluate existing tools for measuring obstetric violence, given their current methodological limitations.

Reporting Method

The PRISMA Extension for Scoping Reviews (PRISMA-ScR) checklist.

Patient or Public Contribution

No patient or public contribution.

Geriatric Models of Surgical Care: A Scoping Review

ABSTRACT

Aim

To synthesise literature on hospital-based geriatric models of care for older adults undergoing surgery, examining structures, team composition, governance and nursing contributions.

Design

Scoping review.

Methods

Following JBI methodology, two reviewers independently screened articles against eligibility criteria (Population: adults ≥ 65 years, Concept: multidisciplinary geriatric surgical care model; Context: acute hospital settings), with conflicts resolved by a third reviewer. Data were extracted and charted for descriptive synthesis.

Data Sources

Six databases (CINAHL, MEDLINE, Embase, Scopus, AgeLine, Cochrane Library) searched for studies published between January 2015 and February 2025.

Results

Of 2753 records identified, 81 studies were included. Models were commonly co-managed between surgical and geriatric teams, implemented at varying surgical pathway points. Orthopaedics represented 57% of studies. Geriatricians were involved in 90% of models; 38% included advanced practice nurses or specialist gerontological nurses. Comprehensive Geriatric Assessment was used in nearly half the studies, typically preoperatively. Considerable heterogeneity existed in model design, professional roles and care settings.

Conclusion

Integrated geriatric perioperative care is expanding globally but remains limited outside orthopaedics. Research should shift from improvement projects to rigorous implementation for sustainable transformation, including nurse-led models. Critical examination is needed of whether current outcomes address comprehensive needs of older surgical patients or primarily optimise hospital flow.

Implications for the Profession and/or Patient Care

Findings highlight opportunities to expand geriatric models beyond orthopaedics and enhance nursing roles, particularly advanced practice nurses, in delivering comprehensive perioperative care for older adults.

Impact

Addressed the gap in understanding how geriatric models of surgical care are operationalised. Identified underutilisation of nursing expertise and limited expansion beyond orthopaedics. Will impact service design, policy development and clinical implementation for older surgical patients.

Reporting Method

Adhered to PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines.

Patient or Public Contribution

No patient or public involvement.

Protocol Registration

Open Science Framework Registries Network.

Which Cultural Safety Strategies Are Making a Difference? Exploring Hospital Initiatives for First Nations Peoples in Australia. A Scoping Review

ABSTRACT

Aim

To explore the barriers, facilitators, and outcomes of strategies that have been implemented to improve the experience of cultural safety for First Nations inpatients in the Australian hospital setting.

Design

Scoping review.

Methods

Guided by the Joanna Briggs Institute scoping review methodology and reported using PRISMA-ScR, six databases were searched with data extracted and synthesised.

Data Sources

Cumulative Index to Nursing and Allied Health Literature (CINAHL), Emcare, Informit, Medline, ProQuest and Scopus databases. Searches were undertaken in March 2024.

Results

Forty-three articles representing 39 studies were included. Strategies were categorised as governance, service delivery, hospital environment, clinician education, and First Nations workforce. First Nations researchers were co-authors in most studies, and emergent themes were grounded in First Nations priorities, with an emphasis on developing the First Nations health workforce. Findings included (i) First Nations health staff being identified as cultural brokers between First Nations patients and non-First Nations clinicians; (ii) experiences of cultural safety being amplified when First Nations and non-First Nations health staff worked together; and (iii) strong governance being critical to addressing institutional racism and enabling cultural safety.

Conclusions

Embedding the voice of First Nations peoples in governance and an organisational commitment to strengthening the First Nations workforce are essential drivers for implementing cultural safety strategies in Australian hospitals.

Implications for the Profession and/or Patient Care

Working together respectfully and collaboratively offers a pathway forward for First Nations and non-First Nations health service clinicians and management to deliver culturally safe hospital care.

Impact

Culturally safe hospital care is integral to promoting the health of First Nations people. This study maps cultural safety strategies used in the Australian inpatient hospital setting, explores if and how these strategies have improved cultural safety and identifies barriers and facilitators to implementation. Fostering approaches to support understanding and respect between First Nations and non-First Nations clinicians and staff is integral to promoting culturally safe hospital care. Hospital leadership, policymakers and staff can benefit from understanding the drivers of culturally safe hospital care.

Reporting Method

Reported using PRISMA-ScR.

Patient or Public Contribution

Guidance on this research was received from Aboriginal leaders at the first author's hospital workplace.

Protocol Registration

A research protocol was prepared in advance and registered: https://osf.io/sfzby/?view_only=03c2349ebdae4a7ba95a621d9b7e8bc4.

Nursing Literature Mapping in Neurodegenerative Diseases: A Scoping Review

ABSTRACT

Aim

To explore the topics and themes covered in published research studies in nursing about neurodegenerative disease, synthesise the available evidence, and discuss future directions.

Design

Scoping review following the Joanna Briggs Institute guidelines.

Methods

A multi-step search strategy was applied across different databases to identify studies published in English or Italian up to September 2023. Data were analysed using a Nursing Data Matrix based on the nursing meta-paradigm and the Child Health and Nutrition Research Initiative (CHNRI) 4D-framework. Screening and data extraction were performed independently by pairs of reviewers; data were extracted and thematically analysed to identify existing research questions and potential priorities.

Data Sources

Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, and Embase databases were searched for studies published from 2013 to 2023.

Results

A total of 351 studies met inclusion criteria. The majority of studies originated from the United States (35%). Parkinson's disease and Alzheimer's disease were the most studied conditions, while rare diseases were scarcely represented. Most studies focused on nursing care (39%), with limited attention to rehabilitation (0.8%) and cost-effectiveness (1%). Although 70% of articles included at least one nurse author, 22% lacked any nursing authorship despite addressing nursing-related topics. Thematic and matrix analyses revealed an uneven distribution of research, with a predominance of descriptive studies and limited work in discovery-oriented research.

Conclusion

This review provides a comprehensive overview of nursing research in neurodegenerative diseases, highlighting key themes and gaps. The findings informed the preliminary identification of new nursing research priorities in neurodegenerative diseases to guide future studies and enhance evidence-based nursing care.

Implications for the Profession and/or Patient Care

The study highlights key trends and gaps in nursing research on neurodegenerative diseases, calling for a more inclusive, equitable, and comprehensive research agenda.

Reporting Method

PRISMA-ScR guidelines.

Patient or Public Contribution

This study did not include patient or public involvement in its design, conduct or reporting.

Trial and Protocol Registration

Review registration was done on Open Science Framework, and can be viewed at https://osf.io/tn5v9 (https://doi.org/10.17605/OSF.IO/TN5V9)

Student Incivility and Its Management From a Nursing Academic's Perspective: A Scoping Review

ABSTRACT

Aims

To examine published studies on nursing academics' experience with student incivility, explore their management strategies, and identify existing knowledge gaps.

Design

This scoping review was guided by Arksey and O'Malley's five-stage framework.

Data Sources

Studies published between 2009 and June 2024 in English were retrieved from PubMed, CINAHL Complete, ProQuest, and Scopus.

Methods

The review included qualitative, quantitative, and mixed-methods studies on nursing academics' experiences or perceptions of student incivility and/or interventions to manage it in higher education. Data were analysed using descriptive methods.

Results

Thirty-five studies met the inclusion criteria. The studies mostly explored nursing academics' experiences (n = 18) or perceptions (n = 15) of student incivility. Of the eleven studies that investigated how academic staff address student incivility, nine were interventional studies and two qualitative studies explored academics' experiences.

Conclusion

The prevalence of reported nursing student incivility is substantial in the literature, yet there is limited evidence on sustainable, targeted management strategies to address the issue and support nursing academics.

Implications for the Professional

Further research is needed to evaluate the feasibility and long-term effectiveness of strategies and interventions aimed at reducing student incivility and to explore effective management strategies adopted by nursing academics across diverse cultural and online learning settings. It is critical to develop interventions that address the root causes of student nurse incivility and strengthen institutional support systems.

Impact

This scoping review addresses gaps in the literature on managing nursing student incivility across diverse learning environments, providing evidence to inform the development of contextually appropriate strategies that support nursing academics in managing incivility effectively within evolving educational settings.

Reporting Method

This review followed the PRISMA Extension for Scoping Review (PRISMA-ScR) Checklist.

Patient or Public Contribution

No patient or public involvement.

What We Know—and Need to Know—About Nursing PhD Programs and Influences on the PhD–Faculty Pipeline: A Scoping Review

ABSTRACT

Aims

To identify: (1) current evidence and gaps of PhD program components influencing PhD students' career outcomes; and (2) methods and tools used to assess the relationships between PhD program components and career outcomes.

Design

PRISMA scoping review.

Methods

Search terms included PhD nursing students, PhD education, PhD-prepared nurse, PhD in nursing, nursing faculty, and assistant professor. Studies empirically assessing PhD program components and career outcomes (e.g., desires, attitudes, actual employment) were included. Two researchers conducted screening, data extraction, and inductive content analysis.

Data Sources

PubMed, Scopus, and CINAHL in October 2025, without year and geographic location restrictions.

Results

The search yielded 379 studies. After title, abstract, and full-text screening, 13 studies were included. Analysis resulted in 10 factors spanning four categories: program preparation, readiness and satisfaction, impressions of the faculty role, and program support.

Conclusion

Experiences in the PhD program likely influence students' desire to pursue academia. While this review synthesized influential factors, given significant gaps in the literature, there are likely more factors influencing student career desires. A more robust understanding of the factors during the PhD program which influence career outcomes is needed.

Patient or Public Contribution

This study did not include patient/public involvement in design, conduct, or reporting.

Recent Trends in Doctoral Theses in Nursing Across Eight Countries: A Scoping Review

ABSTRACT

Aim

To explore and map the landscape of doctoral nursing research across eight countries.

Design

A scoping review.

Methods

This review followed the Joanna Briggs Institute methodology for scoping reviews and included doctoral theses in nursing defended between 2020 and 2023 in Austria, Italy, Israel, the Netherlands, Poland, Portugal, Slovakia and the United Kingdom.

Data Sources

Searches were conducted across 15 national and university repositories (4 national, 11 university) in the eight participating countries.

Results

This review included 431 doctoral nursing theses, the majority of which employed quantitative methodologies and focused on patient populations and healthcare professionals. Key topics included clinical nursing care, quality of care, quality of life, home care, perinatal care and the work environments.

Conclusion

Nursing doctoral research shows progress in healthcare delivery, patient care and education via digital tools, holistic approaches and professional development. Yet gaps persist in mental health, paediatrics and marginalised groups. Limited qualitative/mixed-methods research and weak interdisciplinary collaboration reveal further opportunities.

Implications for the Profession and/or Patient Care

This review underscores that nursing doctoral research is addressing major healthcare and professional challenges. Nonetheless, the identified gaps emphasise the need for more comprehensive and inclusive research to enhance equity and guide future nursing practices and policies.

Impact

This review provides an overview of the scope of doctoral nursing research across eight countries, identifying key trends and research gaps. The findings are expected to inform nursing academia, policymakers, and healthcare professionals by guiding future research priorities, fostering interdisciplinary collaboration, and promoting equitable, patient-centred care practices.

Patient or Public Contribution

No direct involvement in data collection; one lay reviewer gave feedback on readability and practice implications, informing minor refinements.

Educational Interventions to Enhance Delegation Practices Among Nursing Students and Newly Graduated Nurses: A Scoping Review

ABSTRACT

Aim

To scope international evidence on educational interventions to support delegation practices of nursing students and newly graduated nurses.

Design

A scoping review was undertaken following the Joanna Briggs Institute methodology, reported using the preferred reporting items for systematic reviews and meta-analysis scoping reviews extension (PRISMA-ScR) checklist.

Methods

CINAHL, ProQuest, Medline (Ovid), Scopus, EMBASE, Open grey and grey literature, from January 2014 to September 2024 were searched. Studies in English, empirical, evaluative, and available in full text were included.

Results

Eighteen studies were included in this review. Nine papers were evaluative. Fourteen of the papers were American. Educational interventions included role-play, case scenarios and peer learning. Three studies defined delegation, with four aligned to a delegation framework. Three studies were in clinical settings.

Conclusion

This review highlighted heterogeneity in educational interventions to support delegation practices. Gaps in the evidence base were highlighted, limited interventions in the clinical setting, absence of evidence underpinning educational effectiveness and minimal long-term follow up.

Implications for the Profession

Students and new graduate nurses were able to demonstrate learning after an intervention, highlighting the benefit of case studies, peer learning and simulation. However, the long-term impact is unknown. Interventions need to support theory to practice transition. Professional standards, roles, responsibilities and scope of practice need to be incorporated, and educational interventions should occur more than once to support meaningful and ongoing learning.

Impact

This scoping review highlighted variation in delegation educational interventions for nursing students and new graduate nurses, with limited interventions in the clinical setting. Knowledge acquisition regarding roles and responsibilities was not always evident within interventions. Given the evolving context of healthcare practice, interventions aligned to professional standards necessitate supporting the acquisition of knowledge regarding roles, responsibilities and scope of practice of healthcare workers registered nurses delegate too.

Patient or Public Contribution

No Patient or Public Contribution.

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