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Background Unfinished nursing care is becoming increasingly more of a concern in worldwide healthcare settings. Given their negative outcomes, it is crucial to continuously assess those nursing interventions that are commonly postponed or missed, as well as the underlying reasons and consequences. The worldwide COVID-19 pandemic has made it difficult for health facilities to maintain their sustainability and continuity of care, which has also influenced the unfinished nursing care phenomenon. However, no summary of the studies conducted during the COVID-19 pandemic was produced up to now. The main aim of this study was to systematically review the occurrence of, reasons for, and consequences of unfinished nursing care among patients in healthcare settings during the COVID-19 pandemic. Methods Systematic review registered in PROSPERO (CRD42023422871). The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement guideline and the Joanna Briggs Institute Critical Appraisal tool for cross-sectional studies were used. MEDLINE-PubMed, the Cumulative Index to Nursing and Allied Health Literature, and Scopus were searched from March 2020 up to May 2023, using keywords established in the field as missed care, unfinished nursing care, or implicit rationing. Results Twenty-five studies conducted mainly in European and Asiatic countries were included and assessed as possessing good methodological quality. The following tools were used: the MISSCARE Survey (= 14); the Basel Extent of Rationing of Nursing Care (= 1), also in its revised form (= 2) and regarding nursing homes (= 2); the Perceived Implicit Rationing of Nursing Care (= 4); the Intensive Care Unit-Omitted Nursing Care (= 1); and the Unfinished Nursing Care Survey (= 1). The order of unfinished nursing care interventions that emerged across studies for some countries is substantially in line with pre-pandemic data (e.g., oral care, ambulation). However, some interesting variations emerged at the country and inter-country levels. Conversely, labour resources and reasons close to the emotional state and well-being of nurses were mentioned homogeneously as most affecting unfinished nursing care during the pandemic. None of the studies investigated the consequences of unfinished nursing care. Conclusions Two continents led the research in this field during the pandemic: Europe, where this research was already well established, and Asia, where this research is substantially new. While unfinished care occurrence seems to be based on pre-established patterns across Europe (e.g., regarding fundamentals needs), new patterns emerged across Asiatic countries. Among the reasons, homogeneity in the findings emerged all in line with those documented in the pre-pandemic era.

Background Unfinished Nursing Care (UNC) has been documented also during the Coronavirus (COVID-19) pandemic; however, while several secondary studies were conducted before this period to summarise occurrences, reasons, and consequences of UNC and provide a global picture of the phenomenon, no synthesis of the evidence produced during the pandemic has been documented to date. Therefore, the aim of this review is to identify differences, if any, in the UNC occurrence, reasons, and consequences perceived by nurses caring for COVID-19 and non-COVID-19 patients. Methods This study is a systematic review (PROSPERO CRD42023410602). According to the Population, Exposure, Comparator, and Outcomes framework, primary comparative cross-sectional, longitudinal, and cohort studies, randomised/non-randomised controlled trials were included from Medline, CINAHL, and Scopus, collecting perceptions of nurses with tools measuring UNC between COVID-19 and non-COVID-19 patients and published in English, Italian, or Turkish. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline and Johanna Briggs Quality Appraisal Tool were used, and findings were summarised narratively. Results Five hospital-based cross-sectional studies using the self-administered MISSCARE and UNC Survey comparing data collected (a) before the pandemic vs. in the first wave; (b) before, in the second and in the third wave; and (c) simultaneously among COVID-19 and non-COVID-19 patients in the second wave. Three main patterns emerged suggesting a higher UNC occurrence among COVID-19 patients in the first wave, less occurrence among them compared to non-COVID-19 patients in the second wave, and contrasting findings with some in favour and others in contrast to COVID-19 patients. Similar patterns emerged regarding UNC reasons while no studies investigated the UNC consequences. Conclusions In the first wave, COVID-19 patients were likely to be at increased risk of UNC, while in later waves non-COVID-19 patients were at increased risk of UNC. Reasons also were different across waves. Findings documented during the COVID-19 pandemic may help to prevent UNC in future disasters.

Background Nursing students’ mindful attention awareness and empathic tendencies are essential for the sustainability of individualized care. Aim To investigate the mediating effect of empathic tendencies on the relationship between mindful attention awareness and perception of individualized care among nursing students. Methods This cross-sectional study involved 546 nursing students from two nursing faculties in Türkiye. Participants completed a sociodemographic questionnaire, the Individualized Care Scale, the Mindful Attention Awareness Scale, and the Empathic Tendency Scale between September 2023 and June 2024. Correlation and mediation analyses were applied to investigate the meditating role of empathic tendencies in the correlations between mindful attention awareness and perception of individualized care. Results Mindful attention awareness had a significant effect on empathic tendencies ( β  = 1.516, p  = 0.001) and perception of individualized care ( β  = 4.601, p  = 0.002). Empathic tendencies positively affected the perception of individualized care ( β  = 0.627, p  = 0.001). Empathic tendencies played a mediating role between mindful attention awareness and perception of individualized care ( β  = 4.245, 95% confidence interval 0.002, 0.014). Conclusions The study adds evidence on the mechanisms of action between mindful attention awareness and perception of individualized care among nursing students and empathic tendency. This study’s results showed that empathic tendency mediates the relationship between mindful attention awareness and perception of individualized care. Clinical trial number Not applicable.

Background Falls are a worrying and growing phenomenon worldwide that especially affects the elderly. With the development of technology, one way of studying the real-life falls that occur in healthcare settings is by using video cameras. Aims To (a) map the patterns of the research on real-life falls among older adults in healthcare settings as assessed with digital video camera supports; and (b) highlight the advances, the evidence produced, and the gaps still present regarding the biomechanics of falls as assessed technologically. Methods A scoping review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. CINAHL, PubMed and Google Scholar were searched. All studies regarding falls investigated with video cameras among older individuals in healthcare settings published from 1st January 1990 to 1st January 2022 were eligible. Findings were summarised according to the Patterns, Advances, Gaps, Evidence and Recommendations framework for Scoping Reviews. Results In total, 1943 studies were retrieved, and 16 met the inclusion criteria. Studies were mostly conducted in Canada. They described the real-life falls that occurred mainly in common and living areas of long-term facilities among older individuals, mainly females. Thirteen studies investigated falls through biomechanics, while three provided advances in the reliability of the measures as collected with video cameras. Studies reported that the biomechanics of a fall, reflecting the direction of the fall and protective responses, increase or decrease the likelihood of serious impact. In addition, the direction of the landing after a fall has been determined as having a significant impact on the severity and outcome of the fall. Conclusion The use of video cameras to investigate the biomechanics of falls is a well-established research area that offer interesting insight regarding (a) how to prevent falls and their injuries and (b) the direction of the research in the field of falls.

Background In line with the impetus traceable among the nursing staff, studies regarding the perception of Unfinished Care among students have increased in recent years as also recommended by some policy documents in the consideration that, as future members of the staff, they are expected to raise concerns about failures in the standards of care. However, no discussion of their methodological requirements has been provided to date. The aim of this study is to debate Unfinished Care explorations among nursing students and developing recommendations. Methods A Rapid Review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, followed by a scientific discussion based on empirical evidence that emerged from the review combined with expert knowledge. Medline, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Scopus databases were searched up to May 2022. Results In the last five years, seven studies have been conducted by researchers affiliated at the university level, involving from 18 to 737 undergraduate students across Europe. By critically analysing their key aspects, there are derived some recommendations in conducting investigations in this field as, (a) the hidden meaning of Unfinished Care investigations among students by also deciding which concept is mostly appropriate to investigate; (b) the need of establishing alliances with the clinical settings in order to involve them in such explorations; (c) more complex research methods capable of exploring this issue among students by promoting learning outcomes and not only a simple data collection; and (e) the influences of these explorations on students’ wellbeing, as well as on ethical implications and that regarding the relationship between the healthcare services and the universities. Conclusion Policymakers consider students to be key informants of the quality of nursing care issues witnessed during their clinical placements. The related emerging line of research is intriguing because of the underlying methodological, ethical and system complexities that need to be addressed according to some considerations.

Background Educational health interventions play a crucial role in the prevention of respiratory infections, particularly among people with vulnerabilities, who bear a disproportionate burden, which can lead to severe complications such as increased morbidity and mortality. Tailored educational approaches, including digital interventions, are essential to engage and empower these groups, promote self-care behaviors, and reduce health inequities. Despite their significance, evidence on educational interventions, particularly those leveraging digital platforms, has yet to be systematically mapped. To identify and analyze existing educational interventions designed to foster self-care behaviors and prevent respiratory infections among people with vulnerabilities in community settings was the intent of this study. Methods The PRISMA-ScR checklist was followed to conduct this scoping review. Systematic searches were performed in PubMed, CINAHL, Cochrane, and Scopus, supplemented by grey literature and reference screening. Studies involving educational interventions for people with vulnerabilities in community settings were included, with no publication date restrictions. The review protocol was registered in the Open Science Framework on February 21, 2024. Data extracted were narratively synthesized, focusing on interventions characteristics, different populations included, and outcomes. Results Twelve studies were included, reporting in-person education, tailored materials, e-health, telehealth, digital and computer-based educational interventions. Older adults, children, individuals with chronic conditions, and groups with socioeconomic vulnerabilities were involved. Interventions have triggered significant improvements in knowledge, attitudes, and preventive behaviors. Digital approaches enhanced outreach and engagement but revealed barriers such as technological disparities due to limited digital literacy among people with vulnerabilities. In-person and culturally tailored interventions proved effective in promoting behavior change, particularly when aligned with community needs. Conclusions Tailored, community-based and hybrid approaches that combine face-to-face and digital components are recommended to close knowledge and behavioral gaps regarding preventive measures against respiratory infections in people with different vulnerabilities. However, there are challenges such as inequality in digital access and variability in intervention outcomes that suggest hybrid models and culturally sensitive approaches. Further research is needed to assess the long-term impact of these strategies on reducing respiratory infections and improving health equity. Clinical trial number Not applicable.

Financial literacy refers to a process in finance based on knowledge, skills and attitudes, enabling people to make significant financial decisions and ensuring their well-being. This process is undertaken daily by thousands of people in many circumstances. Here, Bayram and Palese discuss the importance of financial literacy in nursing.

This study aimed to explore nursing students' practice skills learning experiences in online education based on Anderson's Theory and to investigate and interpret these experiences among students. Besides, this study proposes to evaluate the planned online nursing education based on Anderson's theory. With a phenomenological qualitative design, the study sample included 17 nursing students using purposive sampling. In-depth semi-structured interviews were performed to collect data. The data were analysed using the interpretative phenomenological analysis method. Three major themes were identified as follows: (a)Practice skills learning experiences; (b)Coping process in practice skills learning; (c)Suggestions to improve online practice skills learning process. Students expressed both positive and negative experiences. To cope with the process, they used different learning materials as well as individual ways of coping. They also offered suggestions on the learning process, teaching content and interaction and evaluation for practice skill learning in online education. The findings demonstrated that students perceived inadequacy in these skills but also expressed that they improved their psychomotor, cognitive and affective skills. In addition, Anderson's theory created positive results in the online nursing skill training process.

Missed care, a phenomenon born in the United States more than 30 years ago and currently called unfinished nursing care (UNC), has been compared in pre‐ and postpandemic to detect changes in the trends as perceived by nurses. However, no studies have compared the perceptions of nursing students before and after these challenging times. The aim of this study was to compare pre‐ and postpandemic UNC occurrence and the reasons for it as perceived by Italian nursing students during their clinical rotations. A secondary analysis of data collected in 2018 (prepandemic) and 2023 (postpandemic) was conducted and here reported according to STROBE guidelines. The Unfinished Nursing Care Survey for Students (UNCS4S), measuring 22 expected interventions (from 22 [ never ] to 110 [ always left unfinished ]) and 18 possible reasons for it (from 18 [ nonsignificant ] to 90 [ very significant ]), was administered. The UNCS4S total scores of 231 (prepandemic) and 352 (postpandemic) students were 39.80 (CI 95% 37.06–42.54) and 50.89 (CI 95% 47.66–54.12), respectively ( p ≤ 0.001). No significant differences between groups emerged for reasons (47.91, CI 95% 45.10–50.71 vs. 45.92, CI 95% 43.91–47.93, respectively; p  = 0.257). Postpandemic students perceived a higher occurrence of UNC but with similar reasons to those reported before the pandemic.