Nursing Practice Today

Navigate through Parkinson’s disease in Italy: Is it time for a more comprehensive nursing care?

2025-09-15T09:39:58+0430

Preparing the infrastructure for telenursing: An immediate priority for strengthening the resilience of the national health system during crises

2025-09-15T09:39:55+0430

Challenges and opportunities for HIV screening with the support of health digital technology: A scoping review

2025-09-15T09:40:02+0430

Background & Aim: HIV screening is a crucial step in the prevention and treatment of HIV/AIDS, but challenges related to accessibility, efficiency, and service quality in many regions. With the rise of digital technologies, digital health applications hold significant potential to address these challenges. This review evaluates the opportunities and challenges of applying digital technologies in HIV screening, focusing on accessibility, privacy, and healthcare quality.
Materials & Methods: A scoping review was conducted using the framework of Arksey & O'Malley (2005), as modified by Levac et al. (2010). Systematic searches were performed in PubMed, Scopus, DOAJ, Wiley Online Library, Cochrane Library, and EBSCOhost for studies published between 2015 and 2024. Relevant studies were selected based on criteria focused on technology accessibility, privacy, and infrastructure reliability. Data were extracted, mapped, and findings categorized by geographical context and key challenges.
Results: Ten studies involving over 3,500 participants were analysed, including randomized controlled trials, observational studies, and program evaluations. Major challenges identified included limited access to technology, particularly in low-resource areas, as well as privacy concerns and technology reliability. Despite these challenges, significant opportunities to improve healthcare services through digital technologies were noted, especially when adapted to local contexts and supported by user training.
Conclusion: Despite challenges in accessibility and privacy, digital technologies provide opportunities to enhance HIV screening, especially with contextual adaptations and user training. These findings suggest a path forward for integrating digital solutions in HIV care.

Factors related to the knowledge and skills of evidence-based practice among hospital nurses: A cross-sectional study

2025-09-15T09:40:13+0430

Background & Aim: This study aimed to clarify the aspects related to the knowledge and skills of evidence-based practice (EBP) among hospital nurses by incorporating potential factors into a single model.
Methods & Materials: This cross-sectional study was conducted among nurses at six hospitals in Japan, selected for convenience. All nurses (n=2,672) who met the eligibility criteria were invited to participate, and data were collected using a structured, self-administered paper-based questionnaire. Knowledge and skills of EBP were measured using the Japanese version of the EBP Questionnaire. Personal factors, such as educational level, participation in EBP education, and experiences conducting research, as well as work-environment factors, including access to a literature database, were measured. Multiple regression analyses were used to evaluate these relationships.
Results: Seven hundred eighteen nurses (26.9%) were included in the final analysis. Having a master’s degree (β= 0.153, p < 0.001), received education on all five evidence-based practice steps (β = 0.354, p < 0.001) and any of the steps (β = 0.172, p < 0.001), and experiences conducting research twice (β = 0.201, p < 0.001) or more and once (β = 0.094, p= 0.017) were associated with higher knowledge and skills of EBP. Gender, clinical experience, position, certification, database use, and organizational attitude showed no association.
Conclusion: Effectively enhancing the knowledge and skills of hospital nurses in EBP requires education on all five steps of EBP and experience in conducting research. Furthermore, consideration could be given to strengthening EBP education and research in bachelor’s programs to potentially improve evidence-based practice knowledge and skills among more nurses.

Patients' and caregivers' needs in palliative care from the perspective of home care providers: A qualitative study

2025-09-15T09:40:10+0430

Background & Aim: Palliative care is an approach designed to enhance the quality of life and alleviate suffering associated with life-threatening illnesses. It should also be included in Home Care Services. This study aimed to identify the needs of patients in palliative care and their caregivers from the perspective of Home Care Service providers.
Methods & Materials: This qualitative research study was conducted with a multidisciplinary team of providers under the Home Care Service program in the interior of São Paulo state, Brazil. Data were collected through semi-structured interviews and analyzed using the Content Analysis method.
Results: Three categories emerged from the provider's narratives: insufficient knowledge about palliative care, the needs of patients in palliative care, and the needs of caregivers of patients in palliative care. Additionally, nine subcategories were identified: palliative care as end-of-life care, palliative care as an opportunity to provide comfort measures, lack of palliative care training for the multidisciplinary team, pain management, nutrition, emotional support, and psychological care, presence of family members, psychological support, and assistance in care management.
Conclusion: This study identified the needs of patients in palliative care and their caregivers from the perspective of Home Care staff. The primary needs of patients, as identified by the staff, encompassed both physical and psychosocial support, including the presence of family members. For these patients’ caregivers, staff emphasized the importance of psychological support and assistance in managing care. The study highlights the importance of continuous education in the home palliative care setting that recognizes the needs of both patients and caregivers.