Objective: This article aims to elaborate the recent research status of perioperative nutrition optimization, in order to help clinical practice. Methods: This study employed a comprehensive and systematic method to search prominent databases, including PubMed and Web of Science, using carefully selected keywords. Following meticulous screening, the inclusion of high-quality studies was prioritized, and a thorough review of the references was conducted to comprehensively analyze the latest evidence on perioperative nutrition optimization. Results: The main contents include preoperative nutritional risk screening and assessment, nutritional support pathway, immune enhancing nutrition, preoperative and postoperative nutritional management, as well as personalized nutrition optimization strategies for specific populations (such as children, bariatric surgery patients, and cancer patients). Conclusions: In clinical practice, the importance of perioperative nutrition should be emphasized, and personalized nutrition management plans should be developed based on the characteristics and needs of patients. Further research and promotion of perioperative nutrition optimization strategies will help improve the overall prognosis and quality of life of surgical patients

Objective: This study aimed to assess breast cancer (BC) awareness among reproductive women in low- and middle-income countries (LMICs), identify influencing factors, and propose feasible interventions or programs. Methods: We followed a 5-step process using a modified version of Arksey and O’Malley framework methodology. A comprehensive search was conducted on the Embase, PubMed, and CINAHL electronic databases for literature published within 10 years (from 2012 to 2022). Results: Thirty-three papers published between 2012 and 2020, spanning 18 countries, were included. Of these, 45.6% described a good level of knowledge, while 24.2% reported that women at reproductive ages had good awareness. Twelve influencing factors were identified in 3 categories: socio-demographic (family history, personal history, marital status, age, religion, income status, living place, and occupation), personal (self-efficacy, education, and perceived level), and external (advertisements promoting awareness). Educational programs were recommended in most (>72%) of the included studies. Conclusions: While most studies reported high levels of knowledge and awareness, some found low prevalence among certain groups. Factors affecting knowledge and awareness were classified into socio-demographic, personal, and external categories, with sociodemographic factors such as age, education, income, and marital status being the most frequently cited. The studies recommended implementing educational programs, health prevention strategies, and social interventions to increase BC knowledge and awareness

Objective: The concept of family resilience of cancer patients was discussed through literature review, which provided reference for nursing of cancer patients. Methods: China National Knowledge Infrastructure (CNKI), Wanfang Database, SinoMed, PubMed, Web of Science, and Embase were systematically searched, and the concept analysis method proposed by Walker and Avant was adopted. Results: In this study, we defined the concept of family resilience, identified attributes, and analyzed the antecedents and consequences. The proposed operational definition of family resilience was: After a family member is diagnosed with cancer, the whole family can actively explore its own unique internal and external resources and advantages, strengthen self-regulation, jointly cope with the crisis by establishing close family relationships, providing mutual support to family members, and interacting with the outside world. Conclusions: The definition of family resilience of cancer patients is conducive to the development of measurement tools and the improvement of family outcomes of adult cancer patients by intervening family resilience factors.

Objective: The study aims to review and discuss the outcomes of emergency preparedness training programs among nursing students. Methods: A scoping review was conducted based on the guidelines of Arskey and O’Malley. Databases through PubMed, Science Direct, and Google Scholar were used to obtain the relevant articles within the scoping review. Results: The researchers found 1175 articles. After manual review, 28 articles were identified and assessed. The review reported that the emergency preparedness training program significantly affects preparedness, knowledge, performance, self-efficacy, learning motivation, self-confidence, satisfaction, critical decision-making, and problem-solving. Conclusions: Emergency training effectively increases knowledge, skills, confidence, satisfaction, and team performance

Objective: To examine what challenges and experiences a mother faces in caring for children with cerebral palsy (CP). As the main caregiver of children with CP, mothers are under multiple pressures. Even though mothers’ challenges and experiences of children with CP will affect their quality of life and the rehabilitation of the children, little is known about their challenges and experiences during the whole care. Methods: A qualitative meta-synthesis was conducted to extract and analyze qualitative research from the PubMed, CINAHL, PsycINFO, Web of Science, Ovid and MEDLINE databases. Thirteen articles were selected and analyzed using thematic syntheses. Results: From 2522 screened abstracts, 84 texts were reviewed, and 13 studies met the inclusion criteria. Mothers’ challenges and experiences of children with CP include 4 themes, both positive and negative. Conclusions: The mothers of children with CP suffer from physical burden, as well as psychological pressure, in the care experience; social and healthcare support are their main challenges. Interventions to help them face the difficulties and adapt to the role of caregivers as soon as possible should target multiple aspects in order to maximize effectiveness, to promote the healthy growth of children with CP

Background: The Internet plus nursing service program is being piloted in China, which has become a new home nursing service model led by nurses. To enable safe and effective homecare service delivery, nurses working in the program need a high level of competency. However, the content of these core competencies and the training needs of nurses for Internet plus nursing services are still unknown. Aim: To describe nurses’ perceptions of core competencies and training needs to work in the Internet plus nursing service program, thereby providing a reference for the development of training programs. Methods: A qualitative descriptive study using semi-structured interviews was conducted on 15 nurses with experience of working in the Internet plus nursing service program. Interviews were audio-recorded and transcribed verbatim, and the data were analyzed using thematic analysis. Results: Core competencies involved comprehensive assessment competence, direct care practice competence, health education and consulting competence, risk estimation and response competence, and communication competence. Training needs involved complex operational items, knowledge of chronic disease management, professional communication, risk identification and response, nursing standards, norms, and procedures, and utilization of information technology. Conclusions: The training system may be developed based on nurses’ core competencies and their training needs to promote professional development of the Internet plus nursing service.

Objective: The objective of the study was to explore the connection between peer pressure and academic stress among junior high school students. Methods: This descriptive correlational study was conducted to investigate the link between perceived peer pressure and academic stress. The study involved a total of 525 adolescents, aged 14–19 years, drawn from 6 public junior high schools (PJHS) in Padang, Indonesia, using purposive sampling. Academic stress and perceived peer pressure were assessed using the Educational Stress Scale for Adolescents (ESSA) and the Perceived Peer Pressure Scale (PPPS). Results: The findings indicated significant variations in stress levels among students in different grade levels (7th, 8th, and 9th grades) (P < 0.05), while there were no noteworthy differences in peer pressure across these grade levels (P > 0.05). Additionally, there was a positive correlation observed between perceived peer pressure and academic stress (r = 0.14, P < 0.05). Furthermore, multiple regression analyses, incorporating demographic variables and perceived peer pressure as independent factors, yielded statistically significant results (adjusted R2  = 0.082, F = 4.33, P < 0.001). Notably, peer pressure had a direct impact on academic stress among adolescents, with class level and parents’ educational background mediating the relationship between academic stress and adolescent behavioral problems. Conclusions: These findings underscore the importance of addressing both external and internal factors at the individual, family, school, and societal levels to enhance adolescents’ psychological resilience and mitigate problem behaviors.

Objective: This study aimed to determine the effect of the relaxation breathing exercise (RBE) on fatigue and cortisol levels among Indonesian women with gynecological cancer undergoing chemotherapy. Methods: This pilot study consecutively recruited 44 gynecological cancer patients to receive RBE (22) or usual care (22). Cortisol level was measured before and after completion of the intervention (day 8). Fatigue was measured using the Piper Fatigue Scale (PFS). Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS) at the baseline days of the study for days 1, 4, and 8. The obtained data were analyzed using Fisher’s exact test, the independent t-test, and the Mann–Whitney U test. Results: There were significant increases in cortisol levels within the groups, either the intervention or control groups, respectively (P-value = 0.0003 and 0.001). Despite there being no statistical significance between the intervention and control groups, there were noticeable differences in the cortisol levels, indicating the extreme increase in cortisol levels in the control group (Median [IQR1– IQR3]: 2.30 [0.99–9.09]; Min–Max: 0.43–23.38) compared with the intervention group (Median [IQR1–IQR3] = 2.97 [1.26–5.18]; Min–Max = 0.39–6.91). Conclusions: RBE helps prevent a significant increase in cortisol levels that can alleviate fatigue for women with gynecological cancer. Further research was recommended to compare several intervention modalities for fatigue and cancer-related symptom management based on cortisol level changes.

Objective: This study aimed to translate the Academic Nurse Self-Efficacy scale (ANSE), assess its appropriateness for use in Korean nursing students, and evaluate the Korean Version of the Academic Nurse Self-Efficacy scale’s (K-ANSE) validity and reliability. Methods: The data of 444 nursing college students at 10 universities across the country were collected from November 1, 2020 to June 8, 2021. The K-ANSE was analyzed utilizing SPSS 25.0 and AMOS 25.0 programs. The K-ANSE’s content validity, construct validity, convergent/discriminant validity, criterion-related validity, and reliability were evaluated. Results: Internal emotion management, auto-regulatory behavior, external emotion management, and sociality were established. The Cronbach’s α for the overall scale was 0.87, and that of the 4 subscales ranged from 0.70 to 0.89. Conclusions: The Korean version of the ANSE seems to be a valid and reliable instrument to measure Korean bachelor-level nursing students.

Objective: This study aimed to examine the causal model of eating behaviors among pregnant women working in industrial factories. Methods: This cross-sectional study was conducted on 210 participants, attending 4 healthcare centers, at a tertiary care hospital in Chonburi province, Thailand. Data were collected using 7 questionnaires: demographic form, eating behavior questionnaire, perceived benefits of the healthy eating questionnaire, perceived barriers to the healthy eating questionnaire, perceived self-efficacy questionnaire, social support questionnaire, and accessibility to healthy foods questionnaire. Descriptive statistics and path analysis were used for data analysis. Results: The participants had relatively high mean scores for eating behaviors. The final model fitted well with the data χ2  = 12.86, df = 10, P = 0.23; χ2 /df = 1.29; comparative fit index (CFI) = 0.98; goodness-of-fit index (GFI) = 0.98; adjusted goodness-offit index (AGFI) = 0.95; root mean square error of approximation (RMSEA) = 0.04. Four factors—perceived benefits (β = 0.13, P  <  0.05), perceived self-efficacy in healthy eating (β  =  0.22, P  <  0.001), pregnancy planning (β  =  0.28, P  <  0.001), and accessibility to healthy foods in the factory (β = 0.12, P < 0.05)—positively affected eating behavior, while only perceived barriers to healthy eating had a negative effect on eating behavior (β = −0.24, P < 0.001). All the above factors explained 27.2% of the variance in eating behaviors. Conclusions: Nurses or healthcare providers can apply these findings to create an eating behavior modification program, focusing on pregnancy planning, behavior-specific variables, and interpersonal and situational influence, to promote the nutritional status of pregnant women working in industrial factories.