Kiang Wu Nursing College of Macau

Socially assistive robots (SARs) have been introduced to enhance the quality of life of older adults. However, a comprehensive understanding of SARs for older adults to guide future research is still lacking. The current study was performed to identify the current research status and emerging trends. Bibliometric analysis using six software tools was combined with a quasi-systematic review approach. A growing trend was observed, with 551 publications identified (R2 = 0.95). Six research themes and three emerging trends were identified: emotion-related SARs, chatbots, and technology acceptance models. Findings highlight the richness and diversity of SARs research in supporting older adults, demonstrating that SARs are increasingly designed with emotional attributes, accessibility features, and a focus on user acceptance. These advancements underscore the significant benefits and developmental potential of SARs in transforming care practices for older adults.

Background Out-of-Hospital Cardiac Arrest (OHCA) is a significant global public health concern, with survival rates ranging from 2% to 11%. Bystander Cardiopulmonary Resuscitation (CPR) is crucial for improving survival rates. However, public willingness to perform CPR varies widely because of many determinants. This study aims to systematically synthesize qualitative evidence on the determinants of public participation in Out-of-Hospital Cardiopulmonary Resuscitation (OHCPR). It provides insights for enhancing public engagement in emergency response. Methods Following the Joanna Briggs Institute (JBI) methodology for qualitative systematic reviews, a comprehensive search was conducted across six electronic databases (PubMed, Web of Science, Embase, CINAHL, ProQuest, and The Cochrane Library) for studies published up to February 2025. Data extraction and thematic analysis were conducted to identify themes and sub-themes. This study is registered with PROSPERO (CRD42024593820). Results The analysis identified 10 categories and synthesized into 3 themes: (1) The Situational Web, which includes patient characteristics and need for assistance; (2) Knowledge, skills and training, highlighting the impact of first aid knowledge and training on willingness to act; and (3) Inner Self, focusing on intrinsic drive and·psychological distress. These themes collectively shape public decision-making in emergency situations. Conclusions Public participation in OHCPR is determined by a complex interplay of the situational web, knowledge, skills and training, and inner self. Enhancing public training programs, providing clear guidance, and addressing psychological barriers are crucial for improving the willingness of bystander intervention. Future research should focus on optimizing training effectiveness and addressing cultural and regional differences to further enhance public participation in CPR.

<title>Abstract</title> <bold>Background</bold> Terminally ill patients frequently exhibit symptoms of existential distress, encompassing a diminished sense of life meaning, diminished self-efficacy, and heightened death anxiety. Although narrative nursing has demonstrated potential as a psychosocial intervention, its utilisation within a group-based palliative care framework remains under-explored. <bold>Methods</bold> A quasi-experimental pre-post study was conducted with convenience sampling. A total of fifty patients with advanced cancer were enrolled in the study, of whom forty-three completed a four-week group narrative nursing intervention. The programme encompassed weekly storytelling sessions, individual interviews, and multimedia-supported reflection. The measurement of outcomes was conducted using validated scales for life meaning, self-efficacy, and death anxiety. Paired <italic>t</italic> -tests were then conducted to statistically analyze the pre- and post-intervention data. <bold>Results</bold> A substantial enhancement in the observed outcomes was evident subsequent to the intervention. The mean scores for the construct of life meaning increased from 2.28 ± 0.65 to 2.70 ± 0.52 ( <italic>P</italic> &lt; 0.001), self-efficacy increased from 2.38 ± 0.58 to 2.88 ± 0.47 ( <italic>P</italic> &lt; 0.001), and death anxiety decreased from 2.23 ± 0.57 to 2.71 ± 0.44 ( <italic>P</italic> &lt; 0.001). The improvements demonstrated in this study were consistent across all subdomains of each measure, indicating a comprehensive psychological benefit. <bold>Conclusion</bold> The present study set out to investigate the hypothesis that structured group-based narrative nursing would significantly enhance psychological well-being among patients receiving palliative care. The findings support the integration of narrative interventions into holistic end-of-life care, particularly for improving existential outcomes.

ObjectiveTo investigate the influencing factors of dysphagia in Alzheimer’s disease (AD) patients.MethodsThe study evaluated the demographic characteristics, nutritional status, social functioning, and swallowing dysfunction of 109 hospitalized AD patients.ResultsThe sample include 65.1% of female patients, mainly concentrate in >70 years old (72.5%). The illness duration is mainly 0~5 years (62.4%). After adjusting for confounding factors such as gender, poor lifestyle habits, illness duration, marital status, route to admission, concomitant medical illness, nutritional status, and social functioning, we find that the swallowing function in patients with AD is related to route to admission and concomitant medical illness (mainly includes: circulatory disease and respiratory disease). Age ≥90 years old and more concomitant medical illness contribute to a lower swallowing dysfunction score in patients with AD (P<0.05).ConclusionAge and concomitant medical illness are the important influencing factors in swallowing dysfunction in patients with AD. Therefore, we believe that future research should focus on the treatment and care of patients with medical conditions in order to enhance the swallowing function in patients with AD.

BackgroundThere is currently no dedicated measurement for assessing nursing students’ study interest in China. Considering the good reliability, validity, and widespread applicability of the Study Interest Questionnaire-Short Form (SIQ-SF), the objective of this study was to validate its usage among Chinese nursing students.MethodsThe translation and cross-cultural adaptation rigorously followed the modified Brislin model. A cross-sectional survey was conducted using the Chinese version of the SIQ-SF and convenience sampling was employed to select nursing students. The Psychometric evaluation of the Chinese version of the SIQ-SF was conducted based on Classical Test Theory and Item Response Theory.ResultsA total of 1158 participants were included in the analysis. The item-level content validity index (CVI) ranged from 0.9 to 1.0, and the scale-level CVI was 0.98. In the Exploratory factor analysis, three factors with eigenvalues above 1 were identified, accounting for 62.554% of the cumulative variance. In the confirmatory factor analysis, the CMIN\\DF was 5.639, the GFI was 0.953, the CFI was 0.902, and the IFI was 0.904. The Cronbach’s α coefficient of the Chinese version of the SIQ-SF was 0.70. Thirty-one participants were invited to sign the scale after two weeks. The intraclass correlation coefficient was 0.784, and that of items ranged from 0.70 to 0.819. The infit MnSQ values ranged between 0.76 and 1.51, and the outfit MnSQ values ranged between 0.72 and 1.76. The point-measure correlation value ranged between 0.30 and 0.68. The item difficulty measures ranged from − 0.66 to 1.44 logit and the individual learning interest estimations ranged from − 4.22 to 4.97 logit. DIF contrast ranged from 0.00 to 0.33 logits, with all p values greater than 0.05.ConclusionsThe Chinese version of the SIQ-SF demonstrated acceptable reliability and validity among Chinese nursing students and could be used to assess nursing students’ study interest in China. With the aid of this scale, teachers can gain a better understanding of nursing students’ study interests, thereby maximizing their learning effects through appropriate content and methods.

BackgroundEducation in nursing has noticed a positive effect of simulation-based education. There are many studies available on the effects of simulation-based education, but most of those involve a single institution, nonrandomized controlled trials, small sample sizes and subjective evaluations of the effects. The purpose of this multicenter randomized controlled trial was to evaluate the effects of high-fidelity simulation, computer-based simulation, high-fidelity simulation combined with computer-based simulation, and case study on undergraduate nursing students.MethodsA total of 270 nursing students were recruited from five universities in China. Participants were randomly divided into four groups at each institution: the high-fidelity simulation group, the computer-based simulation group, the high-fidelity simulation combined with computer-based simulation group, and the case study group. Finally, 239 participants completed the intervention and evaluation, with 58, 67, 57, and 57 participants in each group. The data were collected at three stages: before the intervention, immediately after the intervention, and three months after the intervention.ResultsThe demographic data and baseline evaluation indices did not significantly differ among the four groups. A statistically significant difference was not observed between the four methods for improving knowledge, interprofessional collaboration, critical thinking, caring, or interest in learning. While skill improvement differed significantly among the different groups after the intervention (p = 0.020), after three months, no difference was observed (p = 0.139). The improvement in skill in the computer-based simulation group was significantly lower at the end of the intervention than that in the high-fidelity simulation group (p = 0.048) or the high-fidelity simulation combined with computer-based simulation group (p = 0.020).ConclusionsNursing students benefit equally from four methods in cultivating their knowledge, interprofessional collaboration, critical thinking, caring, and interest in learning both immediately and over time. High-fidelity simulation and high-fidelity simulation combined with computer-based simulation improve skill more effectively than computer-based simulation in the short term. Nursing educators can select the most suitable teaching method to achieve the intended learning outcomes depending on the specific circumstances.Trial registrationThis clinical trial was registered at the Chinese Clinical Trial Registry (clinical trial number: ChiCTR2400084880, date of the registration: 27/05/2024).