Welcome to the Current Issues section of the International Journal of Vital Nursing Perspectives. Here, you can access our most recent publications as well as explore past volumes and issues that showcase scholarly contributions in the field of nursing.
Featured Articles in the Latest Issue
- Volume 2 (Issue 1) JANUARY- JUNE 2026
Research Articles
Telemonitoring-Guided Nursing Interventions for Postoperative Recovery in Cardiac Surgery Units
Vol.2(1); Pages:1-11. Published on March-2026
Abstract
The modern technological developments in telemonitoring have had a considerable impact on postoperative management of patients, in cardiovascular care units. The proposed research examines how effective a telemonitoring-based nursing intervention is in enhancing the recovery rates of patients who are undergoing cardiac surgery. The study was conducted as a prospective cohort study in two tertiary care hospitals and comprised 210 adult patients who were subject to the coronary artery bypass grafting or valve replacement surgeries. The nursing teams introduced nonstop distant observation of vital levels, such as heart rate variability, oxygen saturation, and blood pressure tendencies, and organized by the nursing follow-up practices. Intervention group was provided with timely nursing interventions and assessments with the help of telemonitoring and control group with the help of standard nursing care after surgery. The outcome measures were the complication rates, frequency of readmission, patient satisfaction, and the duration of recovery. The outcomes showed a statistically significant decrease in the rate of postoperative complications and hospital readmission in the telemonitoring group. Also, patients who were provided with telemonitoring-based nursing care indicated better satisfaction rates because of the increased communication with nurses and the early identification of possible complications. Results indicate the possible importance of digital monitoring systems as an addition to nursing practice, which allows for the proactive provision of care and the optimization of patient recovery patterns within the cardiac surgical departments. The introduction of telehealth technologies into nursing practice can help achieve better clinical outcomes and efficiency of healthcare systems.
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Nurse-Delivered Self-Management Education for Patients with Chronic Obstructive Pulmonary Disease
Vol.2(1); Pages:12-21. Published on April-2026
Abstract
COPD poses significant difficulties in the management of this disease in the long term as patients may have to be educated continually and follow self-management principles. The study is a randomized controlled trial which examines the efficacy of nurse led educational interventions in enhancing the disease self-management of COPD patients at outpatient pulmonary clinics. One hundred and eighty participants were chosen at random and allocated to either a structured nursing education program or a standard clinical counseling education program. The intervention consisted of personal instruction, demonstration of inhaler technique, guidance on symptom monitoring and counseling of lifestyle modification with a duration of three months. Self management competency scores, exacerbation frequency, medication adherence, and quality-of-life measures were the outcome measures assessed at baseline and follow-up. Results showed that the patient knowledge levels, treatment regimens compliance, and acute exacerbation rates reduced significantly among those nurses who were educated by nurses. In addition to that, quality-of-life measurements also reported better respiratory functioning and less anxiety as to the disease progression. The paper focuses on the great role played by the specialized nursing education in chronic respiratory care and the effectiveness of the structured strategy of engaging the patients. The adoption of standard nurse-led educational systems through pulmonary clinics can lead to the improvement of patient autonomy, decrease healthcare uptake, and promote long-term stabilization of the disease among COPD patients.
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Impact of Shift Work Fatigue on Clinical Decision-Making Among Intensive Care Unit Nurses
Vol.2(1); Pages:22-31. Published on May-2026
Abstract
The work schedules used in intensive care include shift work schedules as an inseparable part but the long working hours and rotating shifts could negatively affect the cognitive processing and clinical decision-making. This analytical study is cross-sectional research that will be used to be able to understand the associations between shift work fatigue and clinical judgment among nurses in intensive care units. A total of 156 ICU nurses (four tertiary hospitals) were recruited by administering validated fatigue assessment scales and clinical decision-making simulation tests. The participants were required to fill in questionnaires that assessed the quality of sleep, the severity of fatigue and perceptions of workload, after which the standardized patient-care scenario tests were administered to determine the diagnostic accuracy and prioritization of interventions. Statistical analysis revealed that the high levels of fatigue levels were significantly connected with low scores of decision making accuracy, especially when night shifts were more than 10 hours and consecutive. Nurses with a higher level of fatigue also reported greater inability to prioritize clinical interventions in the case of complex patient situations. The analysis also found out the protective factors such as structured rest breaks, and the sufficient staffing ratio, which had some effect in alleviating fatigue-induced performance deterioration. The findings highlight the significance of organizational policies that can be involved to control fatigue associated with shifts in order to protect patient safety and ensure that high standards of nursing practice are observed in critical care settings. Evidence-based scheduling activities and fatigue management interventions can likely be employed to increase cognitive performance and clinical outcomes during work in intensive care environments.
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Effectiveness of Nurse-Led Early Mobility Programs in Preventing Hospital-Acquired Functional Decline Among Older Adults
Vol.2(1); Pages:32-39. Published on May-2026
Abstract
Older adults who are hospitalized often have functional decline caused by a long period of bed rest and lack of physical activity in the inpatient setting. This quasi-experimental research study examines how the nurse-led early mobility programs can work in preventing functional deterioration among elderly patients in the medical wards. The intervention plan entailed organized mobility evaluations, assisted ambulation on a daily basis, and the physical activity plans that were planned progressively, in cooperation with the physiotherapists and all organized by the nursing personnel. The study involved 140 patients aged 65 years and above, 70 of them are under the mobility intervention and 70 under conventional nursing care. Standardized mobility and standardized independence scales at admission and discharge were used to measure functional status. Findings showed that patients under the early mobility program had a lot more functional independence than the control group. Also, there was a shorter hospital stay and fewer hospital-acquired complications including pressure injuries and muscle deconditioning amongst the intervention group. The results demonstrate the critical place of proactive nursing intervention in the maintenance of functional ability in hospitalized aged groups. The implementation of early mobility protocols into daily nursing care could help to achieve better patient outcomes, lower healthcare expenses, and quality geriatric care in hospitals.
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Evaluating the Role of Compassion-Focused Nursing Care in Reducing Anxiety Among Oncology Patients
Vol.2(1); Pages:40-50. Published on May-2026
Abstract
The distress, especially anxiety, is a typical phenomenon among cancer patients undergoing treatment, which tends to influence the compliance with treatment and general health. It is a mixed-method clinical study which measures how compassion-focused nursing care affects the reduction of anxiety in oncology patients undergoing chemotherapy. Research was done on 120 adult patients who were invited to participate in the research carried out in treatment centers, consisting of both quantitative and qualitative analysis of anxiety and interviewing the patient. The intervention involved guided compassion based nursing interventions, such as empathetic communication, emotional bolstering meetings, and patient-centred counselling as part of the regular nursing care within a six-week posture. At baseline and post intervention, standardized psychological scales were used to measure levels of anxiety. Quantitative results showed the statistically significant anxiety score decrease in patients in the compassion-focused care group over patients in the traditional nursing support group. Qualitative results also pointed to the better emotional coping, better patient-nurse trust, and better satisfaction of the experience of care. Subjects stated that they felt more encouraged and educated during the treatment process. The findings indicate that caring nursing practices can be a crucial factor in meeting the emotional needs of patients with cancer. The integration of the compassion-focused frameworks into the oncology nursing practice can result in better delivery of holistic care and higher psychological outcomes in cancer patients.
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