What is already known about this topic?

• The number of systematic reviews on traditional Chinese medicine nursing has increased, but their epidemiology, quality, and reporting characteristics have not been assessed.

What this paper adds:

• The deficiencies in reporting characteristics were mainly in the lack of structured abstract or protocol, incomplete reporting of search strategies, study selection, and risk of bias.
• The deficiencies in methodological quality were reflected in the lack of a priori design and a conflict of interest, incomplete literature searches, and assessment of publication bias.

The implications of this paper:

• This study can help nurses objectively evaluate the quality of systematic reviews and meta-analyses on traditional Chinese medicine nursing interventions.
• This study can contribute to the promotion of evidence-based traditional Chinese medicine nursing practice in clinical settings because high-quality systematic reviews or meta-analyses can provide appropriate knowledge for clinical decision making.

What is already known about this topic?

• First-line nurse managers have a very complex role in health care and have a great impact in improving quality of care and patient outcome.
• There is a degree of ambiguity regarding definition of managerial competence of first-line nurse managers.
• Little research has been addressed to antecedents and consequences of the concept.

What this paper adds?

• The attributes of managerial competence of first-line nurse managers are (1) developing self, (2) planning, (3) organizing, (4) leading, (5) managing legal issues, (6) managing ethical issues, and (7) delivering health care
• Antecedents include internal factors— namely, achievement, recognition, advancement, work itself, responsibility, and growth—and external factors include organizational structure, policy and administration, supervision, interpersonal relations, salary, job security, personal life, working conditions, status, and education.
• Consequences include nurse performances, nurse and patient outcomes, intention to stay of nurses, and nurse and patient satisfaction.

The implications for this paper:

• This paper clarifies the meaning and understanding of the concept of managerial competence of first-line nurse managers that reflects their roles and responsibilities.
• The middle and top managers should consider the antecedents, which are related to internal and external factors, to improve first-line nurse managers' managerial competence.
• Further research needs to be conducted to examine the attributes of managerial competence of first-line nurse managers in relation to antecedents and consequences.

What is already known about the topic?

• The total number and frequency of procedures specified in each clinical trial protocol, such as laboratory tests, imaging, examinations, and office visits, is increasing annually.
• This increased activity affects the workload of clinical trials nurses who are required to perform these activities. Accurate trials workload estimation is required for patient safety and data quality, but current knowledge and tools are poor at determining this.

What this paper adds?

• This study identified a clinical trial nurse profile as comprised of 30 core activities, 11 related to the trial activation phase and the remainder to trial conduct.
• This study determined average times required by a clinical trials nurse to complete each core activity, expressed as a standard coefficient of time required to perform each activity.

The implications of this paper:

• This study proposes the “Nursing Time Required by Clinical Trial—Assessment Tool” that can be used to calculate the total clinical trials nursing time required per patient enrolled in a trial.
• The identified clinical trials nurse profile should be considered internationally to achieve consensus on the expected clinical trial nurse competence profile.
• Clinical trials are usually multicenter, and the application of this tool in clinical trials practice and education could support consistent management of research across sites and countries.

SUMMARY STATEMENT

What is already known about this topic?

• Worldwide, several pressure ulcer risk assessment scales are available.
• The most frequently used and tested scales are the Braden, Norton, and Waterlow scales.
• In the Czech Republic, only the Braden Scale has been validated so far. We do not know which pressure ulcer risk assessment scale is the most valid in long-term care facilities in the Czech Republic.

What this paper adds?

• The best predictive validity values in the Czech long-term care clinical setting were observed for the Norton Scale.
• The Waterlow Scale showed the lowest levels of predictive validity
• All 3 pressure ulcer risk assessment scales overpredicted pressure ulcer development..

The implications of this paper:

• In Czech clinical practice, pressure ulcer risk should be assessed using validated scales.
• Pressure ulcer risk assessment scales should continue to be evaluated in the Czech clinical setting.
• Training of present and future health professionals in the area of pressure ulcer risk assessment scales should be based on results of scale validation in the clinical setting.

What is already known about this topic?

• The importance of involving families in health care has been evidenced in much of the literature and current guidelines.
• Case studies may serve as a good educational approach for family nursing.

What this paper adds?

• The “Case Study In-house Group Training Program for Family Nursing”, in which in-hospital specialists and expert nurses teach midlevel staff nurses, led to better scores for attitudes toward family nursing than a family nursing training course by a visiting lecturer is new.

The implications of this paper:

• Participants who received case study training specifically described how they were utilizing what they had learned from the training in practice, and did not tend to perceive the presence of families as a burden.

What is already known about the topic?

• Research has shown that lifestyle, certain medical factors, and stress status are associated with outcomes in heart transplant recipients. Comparable research, however, has not been conducted in Taiwan.

What this paper adds?

• The lifestyle of heart transplant recipients is unstable. The trends for lifestyle mean scores from baseline to 3 months and then at 6 months were toward the lifestyle of recipients' becoming increasingly worse. Nevertheless, some individual trends were the opposite—lifestyle improved over the 6 months after baseline.
• The trend for each of the 6 subscales of lifestyle was not consistent with the mean of the total score. The trends for health responsibility, exercise, and interpersonal support were similar to the trends for the total scores; however, the trend for the remainder of the subscales—self-actualization, nutrition, and stress management—was different.

The implications of this paper:

• The use of demographic factors and stress status can help to identify people who are more likely to have a poor lifestyle.
• Clinicians need to design appropriate interventions, based on individual needs, to promote a healthy lifestyle.

What is already known about the topic?

• Many studies had showed that MHD experience high rates of mortality. However, few studies have found variables capable of predicting mortality of the patients.
• If predictive variables were identified, they could be used to develop effective measures that would, in time, lower mortality.

What this paper add?

• This study demonstrated that exercise is beneficial for patients undergoing hemodialysis and that physical activity can predict the mortality of patients undergoing hemodialysis.

The implication of this paper:

• Patients undergoing hemodialysis should be encouraged to increase their level of physical activity.
• More studies of physical activity in hemodialysis patients are needed.
• In line with study findings, guidelines should be formulated to support physical activity for patients undergoing hemodialysis.

What is already known about this topic?

• Older primiparae are more likely to have abnormal births compared with younger mothers and are at greater risk of having an insufficient supply of breast milk.

What this paper adds?

• Older primiparae were more severely fatigued and at higher risk of postpartum depression than multiparae.
• Older primiparae had lower maternal confidence and maternal satisfaction compared with younger primiparae and younger or older multiparae during the first month postpartum.

The implications of this paper:

• Postpartum nursing must offer education and support for older primiparae to assist them in making a successful physical and psychological transition to become a healthy mother.

What is already known about this topic?

• The DOSE index is a composite index grading system to evaluate the severity of COPD. It has been confirmed that the DOSE index can predict the health status of COPD patients.
• Self-management interventions in patients with COPD can reduce hospitalization, mortality, and improvement in health status.
• Health professionals need to understand the factors that potentially influence DOSE index in patients with COPD, in order to decrease mortality and improve the quality of life.

What this paper adds

• No previous studies have examined whether the demographic characteristics and health behaviors (physical activity and taking medication) can affect DOSE index; the relationship between DOSE index and self-management is underresearched.
• Study results showed that lower physical activity, lower body mass index, and male sex were related to higher DOSE index, which means poorer prognosis.

The implications of this paper for policy/practice/research/education

• Professional nurses must understand that interventions in which patients with COPD learn to manage their conditions should be individualized and specifically increase physical activity for men and poor nutritional status for patients with COPD.

What do we know?

• An Ethiopian Demographic and Health Survey of 2011 showed institutional delivery care utilization was very low and varied from place to place ranging from12.1% to 38.1%.
• Despite extensive work on the prevalence of institutional delivery, little has been done to explore the extent of urban-rural disparity and its determinants.

What this study adds?

• This study showed institutional delivery in 45.9% (260/567) of participants; the majority (69.3%) of whom were urban women.
• Statistically significant associations with delivery care utilization were mass media exposure and antenatal care attendance for urban women; in rural women, previous childbirth, partner's occupation, autonomy of the respondent, and pregnancy-related health problems encountered during pregnancy were significant.

The implications of this paper:

• Optimal awareness creation and public health information need to be provided, and the importance of antenatal care service and institutional delivery has to be promoted.
• There have to be alternative ways to start antenatal care for women who have difficulty bringing their partner along.