Abstract: Background: Gender-based violence (GBV) represents a major public health issue with significant clinical, psychological, and legal implications. Healthcare professionals play a critical role in the detection, documentation, and medico-legal assessment of GBV cases, particularly in judicial contexts. Methods: A qualitative document analysis was conducted on Spanish Supreme Court judgments issued between 2023 and 2025 under Organic Law 10/2022. A thematic coding matrix was developed to identify interpretative patterns, criteria for evidentiary assessment, and the role of healthcare professionals. Data were analyzed using Atlas.ti, with triangulation against legal and healthcare literature. Results: The victim’s testimony was consistently established as the primary form of evidence when meeting criteria of persistence, coherence, and credibility. The gender-based aggravating factor was applied in a contextualized manner, requiring evidence of domination or discrimination. Sentence reviews reflected the principle of favorable retroactivity, although interpretative variability persisted. Healthcare professionals contributed as key evidentiary agents, particularly through clinical documentation and forensic reports, which reinforced testimonial credibility and supported the classification of habitual abuse. Conclusions: The findings highlight the increasing integration of healthcare-related evidence in judicial decision-making on GBV. Strengthening clinical documentation, interdisciplinary training, and medico-legal protocols is essential to improve both patient outcomes and judicial accuracy. A coordinated healthcare–legal approach is crucial to address GBV as a complex public health challenge.

Abstract: Background/Objectives: Severe brain injuries generate complex, long-term needs requiring intensive physical, cognitive and relational care. These conditions also profoundly affect families, who often experience emotional distress, uncertainty and a heavy caregiving burden. Although neuro-palliative care is increasingly recognised, the early integration of palliative care for this population remains limited. This study aimed to explore healthcare professionals’ perceptions of the palliative care needs of patients with severe brain injuries and their caregivers, and to identify factors that hinder or facilitate early palliative care implementation in specialised settings. Methods: An interpretive qualitative study was conducted using Reflexive Thematic Analysis. Fifteen semi-structured narrative interviews were carried out with healthcare professionals working in specialised hospital units in Northern Italy. Data were analysed inductively through an iterative and reflexive process following Braun and Clarke’s six phases. Methodological rigour and transparency were ensured using the COREQ checklist. Results: Five themes were identified: (1) intensive, individualized patientcare needs with complex communication issues; (2) palliative needs centred on dignity, quality of life and early integrated management; (3) caregivers’ involvement and expectation related difficulties; (4) continuous or anticipatory grief requiring structured psychological support; (5) facilitators and barriers influencing care pathways. Conclusions: Healthcare professionals identify intertwined and evolving palliative care needs in both patients with severe brain injuries and their families. Findings underscore the importance of early, integrated and multidisciplinary neuro-palliative care models focused on dignity, symptom relief and sustained emotional support.

Abstract: Background Basic life support (BLS) competency is essential for nurses, who are often the first healthcare professionals to recognize and respond to cardiac arrest in hospital settings. Maintaining up-to-date resuscitation knowledge and skills through continuing education is critical for improving patient outcomes. Method This prospective educational intervention study evaluated the impact of a standardized BLS training program on nurses’ knowledge and cardiopulmonary resuscitation (CPR) performance. A total of 321 nurses participated in a 45-minute training session based on European Resuscitation Council guidelines. Knowledge was assessed using a 10-item questionnaire administered before and after training. CPR performance was evaluated using a simulation-based cardiac arrest scenario and a structured 10-item checklist. Results Post-training knowledge scores increased significantly (2.9 ± 1.6 vs 4.2 ± 1.1, p < 0.001; Cohen’s d = 0.97). Successful CPR performance was observed in 81.3% of participants. Higher post-training knowledge scores were independently associated with CPR success (OR = 1.56, 95% CI: 1.13–2.16, p = 0.007). Knowledge scores demonstrated modest predictive ability for CPR success (AUC = 0.62). Conclusion Integrating structured BLS training with simulation-based assessment may strengthen nurses’ preparedness for cardiac arrest situations. Integrating simulation-based resuscitation training into continuing nursing education programs may strengthen nurses’ preparedness for cardiac arrest situations.

Abstract:

Background: Nursing professionals must fulfill their care duties within a system that requires 24-hour coverage. This necessitates hospitals implementing a shift-work system to meet care demands. Purpose: To assess sleep quality and its relationship with interconnected health variables among nursing professionals working shifts. Method: A cross-sectional descriptive observational study. 247 nursing professionals, 85.8% of whom were women, aged between 21 and 65, from Son Espases University Hospital in Spain. A corporate email was sent containing a link to an online: the Pittsburgh Sleep Quality Index (PSQI), Munich Chronotype Questionnaire (MCTQ) to determine chronotype, the Perceived Stress Scale (PSS-14), General Health Questionnaire (GHQ-12), Memory Failures of Everyday Life Questionnaire (MFE-30), and the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF), applied across different work shifts. Results: Nurses, regardless of shift work, reported poor sleep quality (score > 5), a higher proportion of undefined chronotype (60%), moderate levels of perceived stress (26 points), a tendency toward poorer general mental health (14 points), and more memory complaints (60 points), but a favorable perception of their quality of life (90 points), with no statistically significant differences found. Female professionals working rotating shifts showed significant differences, presenting a higher number of memory complaints compared with males. Professionals over the age of 50 working night shifts displayed significantly poorer general mental health and severe memory complaints. Conclusion/Implications for Practice: Nursing professionals show poor sleep quality, elevated stress levels, signs of emotional disorders, and moderate memory complaints, particularly on night and rotating shifts, which were observed, albeit without significantly affecting perceived quality of life. These findings support the need to implement organizational strategies that safeguard the well-being of nursing professionals and to consider individual patterns to improve sleep health.

Abstract: Background/Objectives: Needle-related procedures such as venous catheter access are common in pediatric hospitals and are a major cause of pain, stress and anxiety for those affected. Nowadays, a wide range of evidence-based support options are available, but it is often the professionals who decide which interventions are offered. In this study, we adapted the CARD^TM (Comfort, Ask, Relax, Distract) system for needle-related proce-dures in hospitals. CARD^TM was originally developed to encourage children to actively participate in their vaccination process at school. It allows them to choose from numerous evidence-based interventions in the four different letter categories (C-A-R-D) to reduce pain, anxiety and related vaccination symptoms. Our aim was to examine the experiences of using CARD^TM during needle-related procedures in a children's hospital. Methods: A qualitative descriptive design was used. The sample included nine children aged 10 to 15 undergoing needle-related procedures and seven nurses who performed these procedures. We conducted individual interviews and asked them about their experiences with CARD^TM. Data were evaluated using qualitative content analysis. Results: Four themes were identified: Awareness of options and needs; relationship building; empowerment; and acceptability. CARD^TM was helpful for children in identifying available options, pre-paring themselves, recognising their own needs and developing strategies. CARD^TM of-fered a concrete framework for action that promotes participation and self-efficacy and strengthens the relationship between nurses and children. In practice, CARDTM proved to be easy to implement and highly accepted. Conclusion: The present findings largely confirm previously published research results on CARD^TM in the school vaccination setting.

Abstract: This study aimed to evaluate the effectiveness of counseling and educational interventions delivered during pregnancy and early motherhood in promoting maternal health knowledge, self-care behaviors, and related health outcomes among adolescent and young women. A systematic review of randomized controlled trials and quasi-experimental studies published in English or Spanish was conducted using Medline, Web of Science, Scopus, Cinahl, and the Cochrane Library. Methodological quality was assessed using Joanna Briggs Institute critical appraisal tools, and risk of bias was evaluated using the Risk-of-Bias 2 and ROBINS-I tools. Data were synthesized narratively and in tables. When comparable outcomes were reported, preliminary meta-analyses were performed using standardized mean differences with random-effects models. The certainty of evidence was assessed using the GRADE approach. Seven studies (n = 7) involving 776 participants were included. Interventions consisted of counseling or educational programs delivered through face-to-face sessions, group activities, or digital resources. Overall, the interventions showed improvements in pregnancy-related knowledge, self-care behaviors, psychological outcomes, and maternal health practices and attitudes. Meta-analysis suggested a large effect favoring the intervention for pregnancy-related health knowledge (SMD = 1.90; 95%CI: −0.02 to 3.83) and self-care behaviors (SMD = 2.39; 95%CI: 0.29–4.49), although substantial heterogeneity across studies was observed and the certainty of evidence ranged from low to very low. Counseling and educational interventions during pregnancy may improve pregnancy-related health knowledge and self-care among pregnant adolescents and young women. Nevertheless, the evidence remains limited and heterogeneous. Further well-designed studies conducted in diverse settings are needed to confirm these findings and strengthen the evidence base.

Abstract: To explore the internal path through which smart elderly care technology influences older adults' sense of self-control and social connectedness, and to provide empirical evidence and theoretical support for optimizing the smart elderly care service system and enhancing older adults' psychological well-being, this study integrated the Empowerment Theory and the Technology Acceptance Model (TAM). A cluster sampling method was adopted to conduct a questionnaire survey among 1,031 older adults in communities in Jiangsu, Shandong and other provinces in China. A structural equation model was constructed, and Bootstrap method, multi-group analysis and other approaches were used to test the research hypotheses. The results showed that the use of smart elderly care technology significantly and positively improved older adults' sense of self-control through the empowerment effect (β=0.382, p< 0.01) and technology acceptance (β=0.415, p< 0.01), and significantly enhanced their social connectedness through the construction of social support networks (β=0.363, p< 0.01). Empowerment played a partial mediating role between the use of smart elderly care technology and sense of self-control, with the mediating effect accounting for 38.2%. Technology acceptance exerted a partial mediating effect between the use of smart elderly care technology and social connectedness, with the mediating effect accounting for 40.1%. Technology acceptance also played a partial mediating role between empowerment and sense of self-control, and there was a significant interaction effect between empowerment and technology acceptance, which jointly and positively affected older adults' sense of self-control (β=0.103, p< 0.05) and social connectedness (β=0.087, p< 0.05). This study verified the chain mechanism of "technological empowerment - psychological acceptance - social integration" of smart elderly care technology. It is suggested to construct an optimized path for smart elderly care services with the core concepts of "digital inclusion" and "relational empowerment", and promote the in-depth integration of technological empowerment, humanistic care and traditional Chinese medicine health management.

Abstract: Background: Emergency obstetric situations require rapid clinical decision-making, technical competence, and emotional preparedness to ensure safe and compassionate care for both mother and newborn. However, nursing students often have limited opportunities to experience such high-risk, low-frequency events during clinical placements. Simulation-based education has emerged as an effective strategy to prepare future nurses for caring in emergency contexts, allowing them to develop both technical and non-technical skills in a safe learning environment. This study aimed to evaluate the impact of a high-fidelity obstetric emergency simulation program on nursing students’ knowledge, perceived safety, and learning experience. Methods: A mixed-methods design was employed, combining a quasi-experimental pretest–posttest assessment without a control group and qualitative analysis of open-ended reflections. Eighty-two third-year nursing students participated in two simulation sessions addressing obstetric emergencies such as breech birth, shoulder dystocia, out-of-hospital delivery, eclampsia, postpartum hemorrhage, and maternal cardiac arrest. Data were collected using validated instruments measuring knowledge, perceived safety, and satisfaction and self-confidence in learning, and were analyzed using Wilcoxon signed-rank tests and thematic analysis. Results: Significant improvements were observed in students’ knowledge of complex obstetric maneuvers and in their perceived safety when managing emergency situations (p &lt; .001, r &gt; .40). Participants reported high levels of satisfaction and confidence in learning. Qualitative findings highlighted increased emotional preparedness, improved clinical reasoning, and recognition of the importance of teamwork and reflective debriefing in emergency care contexts. Conclusions: High-fidelity simulation is an effective educational strategy for preparing nursing students to provide safe and confident care in obstetric emergencies. Integrating simulation into nursing curricula can strengthen both technical competence and the emotional readiness required for caring in urgent and high-pressure clinical situations.

Abstract: Background: This study aims to psychometrically validate the abbreviated version of the Connor-Davidson Resilience Scale (CD-RISC-10) in Peruvian nurses, evaluating its convergent validity through its association with perceived stress and empathy. Methods: A cross-sectional psychometric study was conducted in 374 Peruvian nurses to evaluate the psychometric properties of CD-RISC-10 through confirmatory factor analysis (CFA). In addition, convergent validity was examined by correlational analysis with Spearman's ρ coefficient with empathy and resilience. Results: The CFA confirmed that the one-dimensional model has a good fit (CFI = 0.978, TLI = 0.971, RMSEA = 0.080, and SRMR = 0.044). Cronbach's alpha of 0.89 and McDonald's omega of 0.81 were obtained. Convergent validity showed significant correlations with perceived stress (ρ = -0.23, p < 0.001) and empathy (ρ = 0.31, p < 0.001). Conclusion: The CD-RISC-10 has excellent psychometric properties in Peruvian nurses. Future studies are needed to evaluate their factorial invariance between clinical specialties and determine cut-off points.

Abstract: Background: Spirituality and religious diversity are increasingly recognized as essen-tial components of holistic nursing care in global healthcare systems. However, their integration into undergraduate nursing education remains heterogeneous and often insufficiently structured, creating a gap between professional values and students’ preparedness to address spiritual needs in culturally diverse clinical environments. This study aimed to explore nursing students’ perceptions, attitudes, and perceived skills regarding spirituality, religion, and spiritual care, and the factors associated with these dimensions. Methods: A descriptive exploratory survey was conducted on a sample of 69 third-year students of the Degree Course in Nursing belonging to two Roman universities. Data were collected between May and July 2025 using the Nursing Care and Religious Diversity Scale (NCRDS), consisting of 31 items. Statistical analyses included descriptive statistics, internal reliability analyses, group comparisons, and multivariate regression models. Results: Students showed moderate levels of attention to patients' spiritual needs and integration of spirituality into care practice, while high importance was given to spiritual care skills. University education was perceived as only partially adequate. Multivariate analyses showed that students' personal spiritu-ality is positively associated with the assessment of spiritual needs and the perception of competence, while exposure to contexts characterized by greater religious diversity is associated with a lower perception of preparedness. Conclusions: The results high-light a discrepancy between professional values and perceived operational skills, sug-gesting the need to systematically integrate spirituality and religious diversity into nursing curricula. A structured training approach could strengthen transferable pro-fessional skills and promote truly holistic and person-centred care.

Abstract: Background/Objectives: Patient safety culture represents a holistic approach to ensuring the safety of patient care. When nurses experience abusive behaviors, patient safety culture is undermined. Methods: A cross-sectional study was conducted in Greece, and data were collected via an online survey between October and December 2025. Workplace gaslighting and patient safety culture were measured using the Gaslighting at Work Scale and the Safety Organizing Scale, respectively. Multivariable linear regression analyses were performed using IBM SPSS Statistics 28.0. The level of statistical significance was set at 0.05. Results: The sample included 448 nurses. Almost nine out of ten of the participants (87.3%) were women, with an average age of 38.04 years (SD = 10.27). Regarding educational level, 42.2% held a MSc or PhD degree. Respondents reported moderate perceived workplace gaslighting with a mean score of 2.37 (SD = 1.04) on the Gaslighting at Work Scale. For safety culture, the Safety Organizing Scale yielded a mean score of 5.00 (SD = 0.91). In the univariable analysis, workplace gaslighting was significantly and negatively associated with safety culture (beta = -0.195, 95% CI = -0.275 to -0.115, p < .001), indicating that higher levels of workplace gaslighting were related to worse safety culture behaviors. This association was still significant even when potential confounding variables were considered (adjusted beta = -0.223, 95% CI = -0.305 to -0.142, p < 0.001). Conclusions: This study highlighted the negative impact of workplace gaslighting on patient safety culture. Healthcare organizational leadership is urged to establish and enforce zero-tolerance policies toward gaslighting behaviors and to foster an environment in which nurses are encouraged to speak up openly and report such behaviors.

Abstract: Background/Objectives: Limited research exists on the correlates of lifestyle habits among nursing students, particularly regarding their engagement with the Health-Promoting Lifestyle Profile-II, a widely used instrument. Bridging this gap is essential to advance nursing education and practice both at national and international levels. The objectives of this study were to assess health-promoting lifestyle behaviors, examine their relationships, and identify the correlates of positive health behaviors among nursing students. Methods: A cross-sectional study was conducted among 476 students in Spain. Collected data included sociodemographic–academic and health-related variables, along with Health-Promoting Lifestyle Profile-II scale. Correlation and hierarchical multivariate logistic regression analyses were performed. Results: The participants reported modest health-promoting behaviors (2.62±0.33), especially in health responsibility (2.20±0.48) and stress management (2.33±0.44). Health-related variables were more strongly associated with positive behaviors than sociodemographic–academic variables (p&lt;0.001). Significant correlates included Mediterranean diet adherence (high vs. medium and low adherence: AOR = 0.30 [95%CI=0.19–0.49]; p&lt;0.001 and AOR = 0.06 [95%CI=0.02–0.20]; p&lt;0.001), physical activity (high vs. moderate and low level: AOR = 0.52 [95%CI=0.32–0.85]; p=0.008 and AOR = 0.37 [95%CI=0.17–0.80]; p=0.012), and working status (employed vs. unemployed: AOR = 0.56 [95%CI=0.32–0.98]; p=0.042). Conclusions: Strengthening nursing curricula and training environments is essential to promote healthy behaviors. Empowering students can improve self-care, enhance their role as health educators, and support the sustainability of the nursing profession.

Abstract: Background/Objectives: The aim is to assess public stigma related to people with mental health problems and to observe the influence of sociodemographic factors on it. Methods: This observational, descriptive, and cross-sectional study was conducted with a sample of 404 participants who completed a self-administered online questionnaire that included sociodemographic variables and the Community Attitudes towards Mental Illness Scale (CAMI-S, Spanish version). Non-parametric tests, multiple linear regression, and statistical power analyses were applied. Results: The mean CAMI-S total score was 84.89 (SD = 11.122), indicating a generally positive attitude towards community integration. Statistically significant associations (p-value ≤ 0.05) were found between CAMI-S scores and variables such as gender, age, place of residence, educational level, mental health disorder, and close contact with someone with mental health disorders. The regression model revealed four significant predictors of lower stigma: identifying as female (β = 2.523; p = 0.037), having a medium or higher educational level (β = 5.061; p = 0.002), experiencing a mental health diagnosis (β = 4.535; p = 0.014), and a close contact (β = 4.183; p &lt; 0.001). Conclusions: These findings underscore the need for targeted anti-stigma strategies and reinforce the role of nursing in promoting mental health inclusion.

Abstract: Background/Objective: Nurses play a central role in operationalizing integration through coordination, screening, nursing care processes, community empowerment, and reporting. This study to examine the empirical distribution of an Implementation Fidelity Index (IFI) for nurse-led integrated primary care in Indonesia, grounded in five core domains: planning and coordination, early detection, nursing care processes, community education and empowerment, and reporting. Methods: We conducted a cross-sectional, facility-based online survey in 2025 among registered nurses working in Indonesian primary health care facilities (Puskesmas) and involved in integrated primary care activities. Implementation was measured using a structured 28-item questionnaire across five domains: planning/coordination, early detection, nursing care processes, community education/empowerment, and reporting (Likert 1–5). Domain scores were calculated as the mean of items within each domain; the overall Implementation IFI was calculated as the mean across all items and as the summed total score (range 28–140). We summarized domain and overall distributions (mean, SD, range) and examined inter-domain associations using Spearman correlations. Results: A total of 252 nurses completed the survey with no missing item responses. Overall IFI (item-mean) was 3.99 (SD 0.92; range 1.04–5.00), corresponding to a total score mean of 111.84 (SD 25.90; range 29–140). Domain means were highest for nursing care processes (4.28, SD 0.91) and early detection (4.09, SD 0.94), and lowest for community education/empowerment (3.75, SD 1.10). Using mean ±1 SD thresholds, 12.3% of nurses were categorized as low implementers, 71.8% moderate, and 15.9% high, indicating substantial heterogeneity. Inter-domain correlations were consistently positive and moderate-to-strong (ρ≈0.54–0.80; p&lt;0.001). Conclusions: Nurse-led integrated primary care implementation in Indonesia was moderate-to-high overall but uneven across nurses and domains, with comparatively weaker performance in community empowerment and reporting.

Abstract: Introduction: Climate change is increasingly affecting the health of older people. This study aimed to determine the knowledge, skills, and attitudes of nurses and undergraduate nursing students regarding the effects of climate change on older people’s health. Material and Methods: A descriptive cross-sectional study was conducted between January and April 2024 with 708 participants (210 nurses and 498 undergraduate nursing students). The Nursing Competencies Questionnaire on Environmental Health of Older People (NCQ-OPEH) was used to assess environmental competencies. Descriptive values were calculated and interrelationships between knowledge, attitudes, and skills were analysed. Results: A total of 115 nurses (54.75%) and 185 students (37.15%) demonstrated good-excellent knowledge. Similarly, a higher percentage of nurses (50.77%) reported better perceived skills than students (42.52%). However, the majority of both samples (98.97% and 87.85%, respectively) had good to excellent attitudes. These differences were significant for knowledge (p< .001) and attitudes (p= .013), but not for skills (p= .054). Furthermore, a significant relationship was found between prior education on climate change and health and greater knowledge (p= .019) and skills (p= .027) among nurses and better skills and attitudes (p< .001 in both) among nursing students. Conclusion: Nurses have better environmental competencies than undergraduate nursing students. Therefore, it is important to include education on climate change and older people's health to be included in the academic curriculum of university nursing degrees. Nurses also need to reinforce these competencies through specific educational programmes. This new tool will evaluate educational and formation sessions on climate change and the health of older adults.

Abstract: Epidemiological Surveillance of Nursing Diagnoses (ESND) represents an emerging field within Community and Public Health Nursing, aiming to strengthen the visibility of nursing‑sensitive phenomena in health information systems. This study applied the Community Assessment, Intervention and Empowerment Model (MAIEC) to evaluate the empowerment level and diagnose the community process of a Primary Health Care Island Unit in the Autonomous Region of the Azores, Portugal, regarding the promotion of ESND. A descriptive, cross‑sectional design was used, combining documental analysis, a community empowerment assessment, and a structured questionnaire administered to 172 nurses. Results revealed substantial gaps in community leadership, including low levels of knowledge about ESND, the Local Health Diagnosis, and documentation in priority ICNP® foci. Community participation indicators showed limited clarity of the ESND process, low awareness of organizational structures and partnerships, and a lack of visible formal leadership. Community coping was characterized by minimal prior ESND experience and low training levels, although more than half of participants identified contextual strengths. Overall, the findings indicate a community with developmental potential but requiring targeted interventions to strengthen leadership, participation, and coping capacities. Enhancing training, communication, and organizational structures will be essential to support the sustainable implementation of ESND and reinforce the contribution of nursing to public health surveillance.

Abstract: Background: Social and emotional support strongly influences quality of life (QoL) in women with breast cancer, yet detailed profiles of support needs and their sociodemographic determinants in routine care remain underexplored. Furthermore, strategies for integrating nurse-led and telehealth-enabled psychosocial interventions into oncology practice require consolidation. Objectives: To describe perceived and received social support among women with breast cancer using the Berlin Social Support Scales (BSSS), identify sociodemographic predictors of support levels, and synthesize recent evidence on peer support, nurse-led follow-up, and telehealth-based psychosocial care to inform a practical nursing framework. Methods: A cross-sectional survey was conducted among 65 women treated in a surgical oncology unit in Poland (May–August 2024). The BSSS assessed perceived emotional/instrumental support, need for support, support seeking, currently received emotional/instrumental/informational support, and satisfaction. Non-parametric tests (Mann–Whitney U, Kruskal–Wallis, Spearman rho) were applied. Evidence synthesis included systematic reviews and randomized trials published between 2023 and 2025. Results: Overall perceived and received support were high. Living with family and being married/partnered were associated with higher emotional, instrumental, and informational support and satisfaction (p < 0.05), while older age correlated weakly with lower instrumental support (rho ≈ −0.26, p < 0.05). No significant associations were found for education, disease stage, or duration. Literature review confirmed that peer support improves QoL and anxiety, nurse-led follow-up reduces fear of recurrence and distress, and telehealth interventions provide modest but significant psychosocial benefits. Conclusions: Although most women report strong social support, those living alone or widowed/divorced remain vulnerable and should be prioritised for targeted interventions. Embedding routine psychosocial screening, structured peer mentorship, and telehealth-enabled stepped care into oncology nursing can enhance QoL and mental health outcomes.

Abstract: Background/Objectives: The rapid expansion of telemedicine has reshaped healthcare delivery, positioning telenursing as essential for continuity of care and patient management. This scoping review maps current evidence on telecare nursing practices, examining organizational models, professional roles, and key clinical and organizational outcomes. Methods: The review was conducted across five international databases, following the methodological framework proposed by Arksey and O’Malley, the interpretive extension by Levac et al., and the Joanna Briggs Institute guidelines, with reporting aligned to PRISMA-ScR recommendations. The search identified 1760 records, of which 1215 remained after duplicate removal. After title and abstract screening and full-text evaluation, 27 studies met the inclusion criteria. Results: Telenursing was implemented across diverse clinical contexts, particularly in chronic disease management, oncology, postoperative care, and emergency settings. Evidence indicates improvements in symptom management, therapeutic adherence, quality of life, and complication reduction, suggesting positive clinical and organizational impacts. The literature highlights the need for advanced digital, communication, and relational competencies, emphasizing the importance of targeted professional training. Cross-cutting trends include enhanced continuity of care, greater patient autonomy, improved integration between hospital and community services, and reduced healthcare costs. Conclusions: This review provides an updated overview of telenursing applications, highlighting their adaptability across clinical settings and the expanding strategic role of nurses in digital care. The findings indicate a rapidly evolving field and emphasize the need for further research to strengthen organizational frameworks, define advanced competencies, and support the sustainable integration of telenursing into healthcare systems.

Abstract: Background/Objectives: Peristomal skin complications are common among individuals with a stoma and are associated with decreased quality of life, increased healthcare costs, social isolation, and various other challenges. However, these complications can often be prevented through appropriate care, patient education, counseling, and follow-up. This quasi-experimental study aimed to evaluate the effectiveness of education based on Orem’s Self-Care Deficit Nursing Theory (SCDNT) in preventing peristomal skin complications. Methods: The study sample included 45 patients with newly formed stomas, divided into an experimental group (n=24) and a control group (n=21). Data were collected using the Patient Characteristics Form, Self-Care Agency Scale (SCAS), Stoma Quality of Life Scale (SQOL), Patient Outcomes Evaluation Form, and Patient Opinions Questionnaire. The experimental group received education and counseling structured according to the components of SCDNT. Patient care, education, and follow-up were carried out in alignment with this framework. Results: Among the participants, 73.3% had undergone stoma surgery due to cancer, and 53.3% had an ileostomy. Peristomal skin complications were observed in 54.2% of patients in the experimental group and 95.2% in the control group (p<0.05). The most frequently reported complications were irritant dermatitis (71.4%) and hyperplasia (22.7%). The average complication recovery time was significantly shorter in the experimental group (21 ± 12.95 days) compared to the control group (44.65 ± 23.56 days) (p<0.05). Conclusions: Education, counseling, and follow-up based on SCDNT were effective in reducing both the incidence and duration of peristomal skin complications and enhancing patient engagement in self-care.

Abstract: Background/Objectives: To identify existing evidence on strategies for standardising nursing handovers in paediatric hospital settings, given their impact on communication, safety, and quality of care. International bodies such as the WHO and The Joint Commission recommend standardisation as a key measure to reduce patient safety incidents. Methods: An integrative review was conducted in December 2022 using Medline, Cochrane Library, Scopus, and CINAHL databases. The search strategy included documents published between 2012 and 2022, in Spanish, English, Catalan, French, and/or Portuguese. We screened according to inclusion criteria (professional nurses and hospitalisation) and exclusion criteria (intensive care and medical professionals) and tabulated the results according to concurrent themes. Methodological quality was independently assessed using CASPe Network tools, the MMAT, and STROBE checklist. The PRISMA-ScR guidelines were followed. Results: A total of 308 results were obtained, 139 were reviewed and 25 were accepted, assessing acceptable methodological quality in 19 (one randomised clinical trial, four systematic reviews, one integrative review, five non-randomised clinical trials, three observational studies, two qualitative studies, and three mixed-methods studies). Structuring and standardisation strategies are found in hospitalisation, including SBAR, I-PASS, and Flex 11. There are tools to assess the quality of patient handover, such as the Handover CEX Scale. Conclusions: There are tools for structuring patient handoffs that have obtained positive results in improving quality of care, although the results in the paediatric hospitalisation nursing setting are limited.