Current Issue : April-June Volume : 2025 Issue Number : 2 Articles : 5 Articles
Diabetes mellitus is an important chronic disease that affects the health of the population worldwide, causing a serious impact on patients’ quality of life and increasing the burden on the healthcare system. With the increasing number of diabetic patients, the traditional healthcare model is under tremendous pressure. In recent years, the nurse-led diabetes management model, as an innovative approach to nursing intervention, has gradually become an important part of comprehensive diabetes management. This article reviews the conceptual model, specific types of nurse-led diabetes management models, barriers faced by nurses during implementation, and corresponding strategies, with a view to providing a reference for the management of diabetic patients and the development of diabetes specialty nurses....
The main aim of this study is to investigate the opportunities, challenges, and barriers in implementing generative artificial intelligence (Gen AI) in personalized patient care plans (PPCPs). This systematic review paper provides a comprehensive analysis of the current state, potential applications, and opportunities of Gen AI in patient care settings. This review aims to serve as a key resource for various stakeholders such as researchers, medical professionals, and data governance. We adopted the PRISMA review methodology and screened a total of 247 articles. After considering the eligibility and selection criteria, we selected 13 articles published between 2021 and 2024 (inclusive). The selection criteria were based on the inclusion of studies that report on the opportunities and challenges in improving PPCPs using Gen AI. We found that a holistic approach is required involving strategy, communications, integrations, and collaboration between AI developers, healthcare professionals, regulatory bodies, and patients. Developing frameworks that prioritize ethical considerations, patient privacy, and model transparency is crucial for the responsible deployment of Gen AI in healthcare. Balancing these opportunities and challenges requires collaboration between wider stakeholders to create a robust framework that maximizes the benefits of Gen AI in healthcare while addressing the key challenges and barriers such as explainability of the models, validation, regulation, and privacy integration with the existing clinical workflows....
Background: Glaucoma is a leading cause of irreversible blindness worldwide, characterized by progressive optic nerve damage and visual field loss, often associated with elevated intraocular pressure (IOP). Traditional treatment options include medications and surgical interventions; however, many patients experience refractory glaucoma that does not respond adequately to standard therapies. Ultrasound cycloplasty has emerged as a promising alternative for managing refractory glaucoma by reducing IOP through targeted tissue ablation. Due to the limited relevant research on the perioperative nursing of UCP, this study explores the key nursing points during the perioperative period of ultrasound cycloplasty. Methods: A retrospective analysis was conducted on the clinical data of 53 glaucoma patients, including preoperative and postoperative intraocular pressure (IOP) changes, use of antiglaucoma medications, and ocular pain scores. Preoperative nursing includes medical history assessment, surgical explanation, and ocular examination. Postoperatively, IOP monitoring and medication guidance were provided. Results: Postoperative IOP was significantly reduced, the number of antiglaucoma medications used decreased, and ocular pain scores were notably lower. At three months postoperatively, 96.23% of patients exhibited a decrease in IOP. Ultrasound Cycloplasty effectively lowered IOP, alleviated ocular pain, and reduced the use of antiglaucoma medications in patients with various types of glaucoma. Conclusion: Ultrasound Cycloplasty is a safe and effective minimally invasive procedure for treating glaucoma. Proper clinical nursing plays a crucial role in the success of the surgery and the patient’s recovery, including preoperative communication and education, intraoperative monitoring and technical proficiency, as well as postoperative IOP monitoring and care. Long-term IOP monitoring and regular nursing assessments are recommended for patients undergoing this procedure to ensure the durability and safety of the treatment outcomes....
Background: Depression and falls are highly prevalent, interrelated concerns for nursing home (NH) residents. Relationships between depression and falls should guide nurses towards developing evidence-based practices for assessing these conditions together. This study aimed to ascertain NH nurses’ clinical practices and perceptions regarding the assessment of depression and fall risk. Methods: This study was an exploratory descriptive study on the reported practices and perceptions from NH nurses in the canton of Vaud,Western Switzerland. Statistical analyses included descriptive statistics, nonparametric tests and a content analysis of responses to open-ended questions. Results: The mean age of our 116 responding nurses was 44.6 years old (SD = 11.3), 99 were women and their mean work experience in NHs was 13.1 years (SD = 9.2). The reporting showed that 88.8% of nurses relied on mood observation for assessing depression and 88.8% relied on the history of falls to identify fall risk. Only 75.9% and 61.2% of nurses used validated scales to detect depression and fall risk, respectively. Additionally, 56.9% of participants considered depression to be a significant factor in fall risk. Conclusion: Validated tools to assess depression and fall risk in NHs should be used more widely. Health policies must support and enhance NH nurses’ training and skills....
Background: Technical skills play an integral part in perioperative nurse work in preventing adverse outcome in operating rooms (OR). Pervasive critical shortage of skills and evolution of technologies has pushed for integration of different approaches to training to address the deficit in technical skills. Objective: The aim is to investigate the impact of training in technical skills on operating theatre nurses’ clinical competence and describe important factors of clinical competence for operating theatre nurses (OTNs). Method: We used systematic review of the evidences on the best practice in design and delivery of training for operating theatre nurses. The review systematically searched for six relevant articles in PubMed, CINAHL and Embase using keywords and mesh terms for studies on training of perioperative nurses in December 2024. We extracted information on training and the impact of training on participant’s technical skills. Results: The systematic review screened 518 sources from the three identified databases where six peer-reviewed sources met the inclusion criteria developed by the authors and were included for analysis. The authors used the Cochrane Risk of Bias tool to assess the level of empirical evidence based on five domains of bias. Finding: Our findings demonstrate that simulation and technology-based approaches significantly improve nurses’ technical skills and confidence. Conclusion: The review underscores the importance of structured and technology-driven training programs in enhancing operating room (OR) nurses’ technical skills. The lack of standardized training approaches and limited research on long-term outcome indicates a need for further studies to optimize training designs and delivery methods for operating room nurses....
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