Search Results (20)

Background: Nursing research has evolved through different historical stages, from the initial development of theoretical models to today’s challenges involving advanced practice and emerging technologies. Within this context, Middle-Range Nursing Theories (MRNTs) play a crucial role as a bridge between abstract conceptual frameworks and clinical practice. However, their recent production appears limited. Aims: To identify MRNTs published in the last five years, determine the main thematic fields addressed, and analyze current trends in their development. Methods: A scoping review was conducted in accordance with PRISMA-ScR guidelines. Databases searched included MEDLINE, CINAHL, PsycINFO, EMBASE, and Education Research Complete (August 2025). Eligible studies were published within the last five years in journals indexed in the Journal Citation Reports and explicitly proposed an MRNT. Exclusion criteria encompassed non-nursing theories, secondary applications of existing models, and purely methodological studies. Results: From 1230 initial records, 18 articles met the inclusion criteria. The Revista Brasileira de Enfermagem accounted for the highest number of publications. The identified MRNTs predominantly addressed clinical diagnoses and phenomena such as heart failure self-care, overweight, occupational stress, peripheral tissue perfusion, and social support networks. Most theories were derived from established nursing models (Orem, Roy, Levine, Neuman, Watson). Despite thematic diversity, few MRNTs had undergone methodological validation. Conclusions: Recent MRNT development remains limited and geographically concentrated, with Brazil emerging as a leading contributor. Strengthening methodological validation, clinical integration, and international dissemination is essential, as MRNTs continue to be pivotal tools for advancing nursing science, reinforcing disciplinary identity, and reducing the persistent gap between theory and practice. Full article

Entrepreneurship serves as a vital engine of economic development, yet the mechanisms translating entrepreneurial intention into behavior have gradually emerged. This study employs bibliometric analysis of 61 SSCI-indexed articles (2014–2024) using CiteSpace to examine co-authorship networks, co-citation patterns, and research hotspots. Our findings demonstrate that individual-level factors (personality traits, entrepreneurial self-efficacy, and entrepreneurship education) drive both entrepreneurial intention and entrepreneurial behavior. More importantly, environmental factors (university milieu, regional social legitimacy, and national cultural dimensions) moderate the relationship between entrepreneurial intention and behavior. The study also identifies a temporal pattern in the entrepreneurial intention–behavior correlation. These results advance theoretical understanding of the intention–behavior transition and offer practical insights for entrepreneurship education and policy design. Full article

Sexual and gender minorities (SGMs) experience a higher mental health burden compared to their cisgender, heterosexual counterparts. Role models and mentors are important for wellbeing and development; however, little evidence exists exploring their impact on SGM people. This systematic scoping review identifies their association with mental and physical wellbeing. Eight databases (Medline, Embase, Cochrane CENTRAL, ERIC, Science Citation Index, Scopus, EPub and PsychInfo) were searched for eligible publications from 2000 to 2022. Two researchers identified studies, extracted data, completed quality appraisals using CASP checklists, and grouped data into outcomes relating to role model impact. From 501 citations, 12 studies (n = 1468 SGM people aged 15–63 years) were included. Positive role models and mentors encouraged identity acceptance through destigmatisation and positive affirmation, increased SGMs’ psychological wellbeing through improved psychological safety and self-confidence and improved their sexual health knowledge. Potential role models and mentors displaying negative behaviours could cause stigmatisation, as well as reduce identity acceptance and psychological safety. Information regarding the perceived influence of role models and mentors on substance abuse and other physical health outcomes was limited. SGMs report greater benefits from relationships with others of shared minority status, providing incentives to match mentees with role models and mentors who share or empathise with their experiences of marginalization. Full article

The index of success of the researchers is now mostly measured using the Hirsch index (h). Our recent precise demonstration, that statistically $h\sim \sqrt{N_c}\sim \sqrt{N_p}$, where $N_p$ and $N_c$ denote, respectively, the total number of publications and total citations for the researcher, suggests that average number of citations per paper ($N_c/N_p$), and hence h, are statistical numbers (Dunbar numbers) depending on the community or network to which the researcher belongs. We show here, extending our earlier observations, that the indications of success are not reflected by the total citations $N_c$, rather by the inequalities among citations from publications to publications. Specifically, we show that for highly successful authors, the yearly variations in the Gini index (g, giving the average inequality of citations for the publications) and the Kolkata index (k, giving the fraction of total citations received by the top $(1-k)$ fraction of publications; $k=0.80$ corresponds to Pareto’s 80/20 law) approach each other to $g=k\simeq 0.82$, signaling a precursor for the arrival of (or departure from) the self-organized critical (SOC) state of his/her publication statistics. Analyzing the citation statistics (from Google Scholar) of thirty successful scientists throughout their recorded publication history, we find that the g and k for the highly successful among them (mostly Nobel laureates, highest rank Stanford cite-scorers, and a few others) reach and hover just above (and then) below that $g=k\simeq 0.82$ mark, while for others they remain below that mark. We also find that all the lower (than the SOC mark 0.82) values of k and g fit a linear relationship, $k=1/2+cg$, with $c=0.39$, as suggested by an approximate Landau-type expansion of the Lorenz function, and this also indicates $k=g\simeq 0.82$ for the (extrapolated) SOC precursor mark. Full article

This study aimed to comprehensively evaluate the oral health statuses of children and adults within the autism spectrum disorder (ASD) population through an umbrella review approach. The prevalence of dental caries, periodontal disease, and associated variables were investigated across selected studies. A systematic search was conducted across databases including PubMed, Scopus, EMBASE, Science Citation Index, Science Direct, Web of Science, MEDLINE, and Wiley Online Library to identify relevant studies. The assessed variables included dental caries prevalence, periodontal disease prevalence, oral hygiene indicators, and the necessity of dental treatment. The pooled prevalence rates, odds ratios, and standardized mean differences were calculated where applicable. The pooled prevalence of dental caries among ASD individuals ranged from 60.6% to 67.3%, while the periodontal disease prevalence ranged from 59.8% to 69.4%. High rates of dental treatment under general anesthesia were reported. Heterogeneous dental caries and periodontal disease prevalence rates were identified, highlighting the need for collaboration and preventive care. Several studies also reported higher prevalence rates of dental trauma and self-inflicted oral injuries among individuals with ASD. However, the review also identified significant methodological limitations in the included studies, including inconsistency in oral health assessment methods and potential bias. The necessity for targeted policies due to high prevalence rates and the requirement for integrated care systems in high DMFT regions were also observed. The umbrella review synthesized diverse findings, revealing variations in dental caries and periodontal disease prevalence among ASD individuals. This review underscores the need for tailored interventions and policies to address oral health disparities. It highlights the necessity of integrated care systems, methodological improvements, and longitudinal studies to comprehensively address the multifaceted oral health challenges within the ASD population. Full article

Mindfulness practice and mindfulness-based interventions are widely known, especially for women’s sexuality. However, it is currently unknown how this practice affects the experience of male sexuality, possibly due to the existence of pharmacological treatments that are usually the first choice of treatment for men. The objectives of this study are to explore the influence of mindfulness on different components of men’s sexuality from a scoping review of relevant scientific articles existing in the literature. A literature search from 2010 to 2022 was carried out in the electronic databases MEDLINE, Embase, PsycINFO, Web of Science, Scopus, PubMed, Dialnet, SciELO Citation Index, and Redalyc. Out of the 238 studies, 12 that met the defined selection criteria were selected. The analysis of these studies seems to indicate that the practice of mindfulness favours different variables of male sexuality, such as satisfaction and sexual functioning or genital self-image. Mindfulness-based interventions represent a valuable and promising contribution. No adverse effects were detected from the review of scientific articles considered in this work. Nevertheless, more randomized studies with active control groups are necessary to establish the benefits of mindfulness-based interventions in sex therapy for men. Full article

eHealth or digital health innovations expanded tremendously during the COVID-19 pandemic. Innovation and digitalization offer creative solutions to build up a healthy society. The eHealth technologies are quickly taken up by Southeast Asia countries and continue to flourish to alleviate the burden of healthcare challenges. This study is the first review exploring and analyzing the whole literature of eHealth, specifically in the Southeast Asia region. The objective of this study is to document the size, growth trajectory, and geographical distribution of eHealth in Southeast Asia research, identify high-impact authors and documents, explore the intellectual knowledge structure, and analyze the topical trends of the field. The bibliometric analysis was used to analyze a data set of 1405 Scopus-indexed documents between 1976 and 2021. Descriptive analysis, citation, co-citation, and keyword co-occurrence analyses were conducted to gain insights into eHealth in the Southeast Asia knowledge base. The growth rate of literature has rocketed up since 2018, reflecting the significant increase in demand for eHealth in Southeast Asia. Among the eleven Southeast Asian countries, Indonesia, Malaysia, Singapore, and Thailand were the top four countries where the most eHealth-related research was conducted. The intellectual structure of eHealth in Southeast Asia literature comprises four schools of thought (i.e., four groups of similar theoretical perspectives and research interests): (1) analysis and adoption of hospital information system/eHealth records, (2) user intention and acceptance of information technology, (3) technology for healthcare and disease management, and (4) mobile health technology (m-Health). Mobile applications, social networks, the COVID-19 pandemic, patient referral, follow-up, self-care, quality of life, psychology, diabetes mellitus, and hypertension are the recent emerging research themes in the field of study. The eHealth development should consider long-term sustainable management along with the rapid evolution of the field. Additionally, eHealth systems should be holistic and pay attention to technology adoption, data security, and ethical issues involved in medical practices. This bibliometric review delivers reference points for scholars interested in Southeast Asia eHealth, reveals the emerging intellectual structure of this interdisciplinary field, and provides guidance to future research on this domain. Full article

Relevant studies published between January 2010 and June 2021 were identified through relevant databases, including the Science Citation Index Expanded (SCIE) database of Web of Science, PubMed, and Embase, in order to assess the effect of health literacy (HL) intervention on patients with diabetes. A total of 21 articles were eligible. The results showed that: (1) this review involved different HL assessment tools, most of which were self-designed scales and assessment tools focused on measuring functional HL. (2) The differences in glycosylated hemoglobin (HbA1c) (weighted mean difference [WMD] = −0.78, 95% confidence interval [CI]: −0.94, −0.62) and medication adherence (standardized mean difference [SMD] = 1.85, 95% CI: 0.19, 3.52) between the HL intervention group and the usual care group were statistically significant. There was no significant improvement in systolic blood pressure (SMD = −0.05, 95% CI: −0.34, 0.25). Furthermore, this review reported that self-efficacy (SMD = 0.85, 95% CI: 0.65, 1.04) was increased, and the level of HL was improved. In the assessments of risk of bias, 90% of the studies were classified as medium. The quality of the evidence of medication adherence was very low, and the reliability of the conclusions was not enough to confirm the effect of HL. Full article

Pulmonary drug delivery systems (PDDS) have gained particular attention of pharmaceutical scientists due to their potency in the therapy of both pulmonary diseases and systemic diseases. Metered dose inhalers (MDI) as a delivery approach of PDDS have ample advantages over other approaches. No drying process is associated with MDI, which avoids the chemical and physical instability. MDI are cost-effective, portable and can be self-administered. It was recently reported that MDI have occupied a large proportion of the respiratory drug market since the last century. To facilitate the future studies on MDI, this work was aimed at conducting bibliometric analysis of the publications of MDI in Science Citation Index Expanded database of Web of Science from 2000 to 2020 (2858 in total). The documents were processed by Clarivate Analytic tool equipped by Web of Science, VOSviewer, Statistical Analysis Toolkit for Informetric (SATI) and bibliometric online platform, and the data were visualized. After describing the detailed bibliometric profile of MDI publications, which included publication years, countries/regions, organizations, research areas, publication media, authorship and funding agencies, we assessed the publication tendencies by virtue of analysis of co-citation, bibliographic coupling, keywords and co-occurrence. Based on the results, we put forward three promising topics for future studies of MDI. Taken together, we believe that MDI became a topic under investigation around the world, and will still be important for fundamental and translational researches. Full article

Teacher mobility represents a serious problem due to the instability of the teaching force that has persisted over time in many countries. Therefore, retaining qualified teachers represents a challenge given the difficulty of having the necessary workforce to face the educational challenges of each year. Our objective was trying to identify how mobility is understood and measured, that is, teacher turnover and attrition, and to identify the results of the related factors according to the different perspectives. The PRISMA-Scr protocol was used, which establishes the information that should be included in a systematic review. The following key phrases were used: “teacher rotation” or “teacher mobility” or “teacher desertion” or teacher leavers or teacher stayers. The databases used were Web of Science, Scielo Citation Index and Google Scholar, which yielded an initial total of 760 documents published between 2008 and 2018, that after identification, screening, eligibility, and inclusion processes, were reduced to 213. The selection of articles was carried out independently by two researchers using a structured and recursive hierarchical strategy. The existence of multiple ways of defining and measuring teacher mobility was identified and a definition based on two perspectives was proposed that summarizes the conceptual and operational findings, which are indirect and direct mobility. The first refers to the intention to leave and the second to leave. We have identified more evidence related to direct studies of a quantitative approach and focused on teachers with medium or short experience. The factors associated with mobility were identified based on the approaches used and a key element was identified when distinguishing teacher mobility, which is voluntary and involuntary mobility. We identified multiple factors associated with teacher mobility, among which the precarious working environment, poor organizational conditions such as lack of leadership and support among colleagues, excessive workload and low self-efficacy stand out. The limitations of this study are discussed. The findings of this study are highly relevant since they allow proposing medium or short-term policies, such as improving the organizational conditions of the school to promote the retention of the teaching workforce. Full article

This study comprehensively summarizes research in the field of meditation, especially mindfulness meditation from 1900 to 2021, by analyzing the knowledge map through CiteSpace and VOSviewer software. Using “mindfulness *” or “meditation *” as the topic, articles included in the Science Citation Index Expanded and Social Sciences Citation Index were searched in the web of science core database, resulting in the selection of 19,752 articles. Over half a century ago, Deikman published the field’s first article in the Journal of Nervous and Mental Disease in 1963, and publications have soared in subsequent decades. The USA is in the core position in terms of global collaboration, total publication numbers, and total citations. The Mindfulness journal ranked first for the most published articles and citations. “The benefits of being present: Mindfulness and its role in psychological well-being,” written by Brown and Ryan, was the most cited article. Mindfulness, meditation, depression, intervention, stress reduction, stress, and anxiety are the top co-occurrence keywords. The timeline of cluster analysis discloses that before 2010, hypertension, cancer, mindfulness, generalized anxiety disorder, and other topics received great attention. In the decade since 2010, scholars have shown interest in meta-analysis, attention, and self-assessment, and keen attention to mindfulness-based interventions. These findings provide an important foundation to direct future research. Full article

This study aims to identify and synthesize recent literature on the effect and strategies of flipped learning in the health professions education. Participant–intervention-comparator-outcome (PICO) strategies were used to identify articles from published peer-reviewed papers from January 2017 to March 2020 in Korea Med, Korean Citation Index, National Digital Science Library, and Korean Studies Information Service System. Of the 83 screened articles, 10 published articles met all the inclusion criteria. Most of articles targeted nursing students and focused on practicum classes. The effects of flipped learning were measured based on satisfaction, self-motivated learning, information literacy, and critical thinking disposition. Further, pre-class, in-class, and post-class activities were analyzed. The findings revealed that flipped learning improved class performance, overall evaluation, self-motivated learning, self-efficacy, and problem-solving abilities. The study suggests implementing a tailored flipped learning design based on class characteristics and appropriate post-class activities for enhancing students’ learning abilities. Full article

Dyslexic employees are likely to be more at risk of low levels of personal resources because of their cognitive makeup compared to their non-dyslexic counterparts. Low personal resources, in turn, may lead to low employability because of difficulties in positively facing transitions. This research aimed to systematically review evidence on interventions for improving psychological resources in dyslexic adults. We searched Scopus, ERIC EBSCOhost, PsycINFO, Social Science Citation Index Web of Science, and Universe up to May 2020. We also examined the reference lists of published studies. We included studies that compared any intervention format against no intervention, any other intervention considered as a comparator by the authors, or that had no control group. Participants were dyslexic adults aged minimum 18 years old. We included four studies with 278 participants. Studies were run in the UK, Sweden, and Finland. Two studies involved a control group, and two studies were observational. Interventions varied between studies in intensity, duration, and format (individual and small groups). Risk of bias was unclear for most risk criteria. Findings from this review show that there is initial evidence suggesting initiatives can be effective in supporting a set of personal resources, i.e., self-confidence, organization, time, and stress-management, which are important in allowing dyslexic adults’ positive adjustment in the workplace. Yet, more studies are needed to improve outcome assessment and study design. Full article

In recent times, rankings seem to play an increasingly important role, influencing the lives of individual researchers or academics and their institutions. Individual and institutional rankings used for promotion and research or academic funding seem to illustrate more and more the “publish or perish” mantra, relying sometimes almost exclusively on publications and their citations. Eastern Europe found itself part of this new world after a period of isolation, uneven for the countries within the area. The present study uses SCImago data to perform a regional analysis of individual and aggregated domains, for individual countries and the entire region, based on a novel “adjusted citation index”, in order to measure the performance and identify, using correlations with additional data and information, the mechanisms that can increase the research performance of a country. In a nutshell, the results indicate that the national research policies are responsible for performance. Adaptive research policies simulate a real performance, in comparison with more restrictive ones, which are more likely to stimulate unethical behaviors such as self-citations or citation stacking, especially when used for the assessment of researchers. The importance of the findings lies in the possibility of replicating the methodology, adapting it to different spatial scales. Full article

As digitalization is gradually transforming reality into Big Data, Web search engines and recommender systems are fundamental user experience interfaces to make the generated Big Data within the Web as visible or invisible information to Web users. In addition to the challenge of crawling and indexing information within the enormous size and scale of the Internet, e-commerce customers and general Web users should not stay confident that the products suggested or results displayed are either complete or relevant to their search aspirations due to the commercial background of the search service. The economic priority of Web-related businesses requires a higher rank on Web snippets or product suggestions in order to receive additional customers. On the other hand, web search engine and recommender system revenue is obtained from advertisements and pay-per-click. The essential user experience is the self-assurance that the results provided are relevant and exhaustive. This survey paper presents a review of neural networks in Big Data and web search that covers web search engines, ranking algorithms, citation analysis and recommender systems. The use of artificial intelligence (AI) based on neural networks and deep learning in learning relevance and ranking is also analyzed, including its utilization in Big Data analysis and semantic applications. Finally, the random neural network is presented with its practical applications to reasoning approaches for knowledge extraction. Full article