Mapping the evidence-based practice research field in nursing from 1995 to 2021: A bibliometric analysis

Trends in patient safety education research for healthcare professional students over the past two decades: a bibliometric and content analysis

Research and practice in patient safety education have garnered widespread attention; however, a comprehensive bibliometric analysis is lacking. This study aimed to provide a comprehensive understanding of the research focus and research trends in the globalization of the field of patient safety education and to describe the general characteristics of publications. Data on articles and reviews about student safety education were extracted from Web of Science. Microsoft Excel 2019, CiteSpace 6.1.R3, VOSviewer 1.6.18, SATI 3.2, Scimago Graphica, and Pajek were used for quantitative analysis. Collaboration networks of countries, institutions, journals, authors, and keywords were visualized based on publications from January 2000 to September 2022. A total of 573 papers were published between 2000 to 2022, showing an overall increasing trend. The USA, England, and Australia are the top three most prolific countries; Johns Hopkins University, the University of Technology Sydney, and the University of Toronto are the top three most productive institutions; Nurse Education Today, Journal of Nursing Education, and BMC Medical Education are the most productive journals; Based on content analysis five research hotspots focused on: (1) Quality Improvement of Patient safety Teaching and Learning; (2) Patient safety Teaching Content; (3)Specialized Teaching in Patient Safety; (4) Integrating Patient Safety and Clinical Teaching; (5)Patient Safety Teaching Assessment Content. Through keyword clustering analysis, five research hotspots and relevant contents were identified. According to this study, simulation, communication, collaboration, and medication may attract more attention from researchers and educators, and could be the major trend for future study.

Bibliometric Analysis of Studies on Surgical Smoke: Bibliometric Analysis

PURPOSE

The aim of this study was to examine the studies on surgical smoke by bibliometric analysis and science mapping methods.

DESIGN

Bibliometric analysis and science mapping methods study.

METHODS

Data were obtained by searching the SCOPUS database. The keywords "surgical smoke," "operating room," "operating room staff," and "nurse" were used. Due to the ongoing scientific flow to the database, the search was performed on December 25, 2023 as a single day.

FINDINGS

As a result of the research, a total of 51 studies were reached. We found 49 research articles and 2 review publications in the field of nursing and medicine. Most publications related to surgical smoke were published in 2021 (21.5% n: 11), and the journals with the highest number of publications were the Journal of Perioperative Nursing (5.9% n: 3) and AORN Journal (5.9% n: 3). The most common keyword in the studies was "surgical smoke." "Surgical smoke" was used in common with all other keywords, the most publications on the subject were made in the United States, the most publications were made in English (92% n: 47), and the most citations were made by Barrett and Garber in 2003 with 250 citations (25.4%).

CONCLUSIONS

This study provides a comprehensive overview of the current state of research on surgical smoke, highlighting its prevalence in recent literature. The findings underscore the need for continued investigation and awareness among health care professionals. The results obtained are important in terms of understanding the current situation in the relevant literature and will provide resources for new studies to be carried out by nursing and other surgical team members in the future.

Nursing diagnoses for people hospitalized with heart failure: an integrative review

OBJECTIVES

to identify in the literature the main nursing diagnoses according to the NANDA-I diagnostic classification for people hospitalized with heart failure.

METHODS

an integrative literature review, carried out in February 2019 and updated in July 2023, in the MEDLINE via PubMed, LILACS, SciELO and CINAHL databases. Given the use of acronym PEO, studies without a time cut in Portuguese, English and Spanish were included. Descriptive analysis was carried out to present the identified information.

RESULTS

analysis of 27 articles identified 24 nursing diagnoses, with emphasis on Decreased Cardiac Output, Excessive Fluid Volume, Decreased Activity Tolerance and Fatigue.

FINAL CONSIDERATIONS

evidence can contribute to better diagnostic decisions centered on people with heart failure in search of more assertive health results and have the potential to support future studies on a possible syndromic pattern in this population.

Clinical reasoning and clinical judgment in nursing research: A bibliometric analysis

AIMS

To characterize the thematic foci, structure, and evolution of nursing research on clinical reasoning and judgment.

DESIGN

Bibliometric analysis.

METHODS

We used a bibliometric method to analyze 1528 articles.

DATA SOURCE

We searched the Scopus bibliographic database on January 7, 2024.

RESULTS

Through a keyword co-occurrence analysis, we found the most frequent keywords to be clinical judgment, clinical reasoning, nursing education, simulation, nursing, clinical decision-making, nursing students, nursing assessment, critical thinking, nursing diagnosis, patient safety, nurses, nursing process, clinical competence, and risk assessment. The focal themes, structure, and evolution of nursing research on clinical reasoning and judgment were revealed by keyword mapping, clustering, and time-tracking.

CONCLUSION

By assessing key nursing research areas, we extend the current discourse on clinical reasoning and clinical judgment for researchers, educators, and practitioners. Critical challenges must still be met by nursing professionals with regard to their use of clinical reasoning and judgment within their clinical practice. Further knowledge and comprehension of the clinical reasoning process and the development of clinical judgment must be successfully translated from research to nursing education and practice.

IMPLICATIONS FOR THE PROFESSION

This study highlights the nursing knowledge gaps with regard to nurses' use of clinical reasoning and judgment and encourages nursing educators and professionals to focus on developing nurses' clinical reasoning and judgment with regard to their patients' safety.

IMPACT

In addressing nurses' use of clinical reasoning and judgment, and with regard to patient safety in particular, this study found that, in certain clinical settings, the use of clinical reasoning and judgment remains a challenge for nursing professionals. This study should thus have an effect on nursing academics' research choices, on nursing educators' teaching practices, and on nurses' clinical practices.

REPORTING METHOD

Relevant EQUATOR guidelines have been adhered to by employing recognized bibliometric reporting methods.

Construct validity and reliability of the BARRIERS scale in the Spanish context

OBJECTIVE

To establish the construct validity of the Spanish version of the BARRIERS scale.

METHOD

Methodological study of validation of a measurement instrument based on data from previously published studies. The study population consisted of nurses from the Basque Health Service and the Canary Health Service. The following variables were extracted and unified: Years of professional experience, possession of a specialist nursing degree, possession of a doctorate, type of activity performed by the professional and field of work. For construct validation, a confirmatory factor analysis (CFA) was performed based on the initial model proposed for the scale and RASCH analysis. A polychoric correlation matrix, factor extraction by unweighted least squares and PROMIN oblique rotation were used. For the RASCH analysis, the Joint Maximun Likelihood estimation (JMLE) method was used; the fit of the items and persons were estimated by means of outfit - Unweighted Mean Square fit statistic (UMS) and infit -Weighted Mean Square Fit Statistic (WMS), as well as the reliability and separation of items and persons.

RESULTS

A total of 1200 nurses and midwives made up the final validation sample (n = 1200), with a mean professional experience of 21.22 ± 9.26 years. The CFA presented a good fit to the data (KMO = 0.935 [95% CI: 0.921-0.945]), changing the factorial assignment in 6 items, while 5 items received factorial scores in more than one factor. The fit values for the 4-factor solution were RMSEA = 0.026 [95% CI: 0.026-0.027] and GFI = 0.991 [95% CI: 0.986-0.991]. In the RASCH analysis most items presented infit-WMS and outfit-UMS values with a good fit.

CONCLUSIONS

The Spanish version of the BARRIERS scale has adequate construct validity although there are changes in the assignment of items to the dimensions compared to the original model. The RASCH analysis indicates adequate fit for both persons and items.

A Scientometric Overview of the Current Status and Trends of Holistic Nursing Studies

Holistic nursing care, which has been discussed a lot recently, provides better quality and more effective patient care. This study was planned to analyze the studies conducted on holistic care, by using the bibliometric method and to reveal which types of studies are needed to increase the effectiveness of holistic nursing care and to make it more widespread. The study has the potential to guide scientists who would like to work on this subject. This study describes the current published evidence about holistic nursing between January,1, 1979 and March 18, 2023. The study's data obtained from the Web of Science (WOS) database were analyzed using both quantitative and qualitative measures. The Excel program was used to analyze the study's data, and VOSviewer was used to visualize it. A total of 3887 publications (reviews and articles) obtained in the search for holistic nursing have been published. A total of 2716 (69 875%) of all publications on holistic nursing were published since 2013, and these publications were cited 45 843 times, and 77.832% of all citations were cited to publications published since 2013. The top 5 countries that made the highest number of contributions were the United States (1259 documents), England (457 documents), Australia (380 documents), Canada (253 documents), and Sweden (183 documents). The University of London in England was the top institute focused on holistic nursing. Holistic nursing is a growing and developing subject, especially considering the number of citations and publications in the last 10 years. Most research and cooperation has occurred in a few developed nations: America, Australia, and European countries.

Effect of comprehensive nursing based on evidence-based nursing on reducing the incidence of pressure ulcers in patients undergoing posterior orthopedic surgery

To analyze the effect of comprehensive nursing based on evidence-based nursing during the perioperative period on reducing the incidence of pressure ulcers in patients undergoing posterior orthopedic surgery. Data on 120 patients who underwent orthopedic posterior surgery in our hospital from February 2021 to December 2022 were retrospectively analyzed. The patients were divided into an observation group (n = 60) and a control group (n = 60) based on different nursing methods. Patients in the control group received routine nursing, whereas those in the observation group received comprehensive nursing under the guidance of the concept of evidence-based nursing. The incidence of postoperative pressure ulcer was also recorded. Fasting venous blood (5 mL) was collected from patients before and after surgery and used to measure levels of myeloperoxidase (MPO) and superoxide dismutase (SOD) using enzyme-linked immunosorbent assay. Ulcer tissue samples of patients with pressure ulcers were collected and used to detect the expression of caspase-3 protein, vascular endothelial growth factor (VEGF) mRNA, tumor necrosis factor-α (TNF-α) mRNA, and interleukin-1β (IL-1β) mRNA. The incidence of postoperative pressure ulcers was 8% in the observation group and 23% in the control group (P = .024). The scores of sensory perceptions of the patients in the observation group were significantly lower than those in the control group (P < .001), as were the scores for moisture (P < .001), activity (P = .008), mobility (P < .001), nutrition (P = .003), friction, and shear (P < .001). After surgery, the serum MPO level in the observation group was significantly lower than that in the control group (P < .001), whereas the SOD level in the observation group was significantly higher than that in the control group (P < .001). The expression of TNF-α, IL-1β, VEGF mRNA, and caspase-3 protein in pressure ulcer tissues in the observation group was significantly lower than that in the control group. Comprehensive nursing based on the concept of evidence-based nursing can significantly reduce the incidence of postoperative pressure ulcers following posterior orthopedic surgery.