Amid the converging tides of globalization and technological revolution, the fields of nursing and healthcare are encountering unprecedented opportuni ties and challenges. As an international academic jour nal with a global vision, Healthcare and Nursing Practice is committed to advancing healthcare innova tion, deepening evidence-based practice, and promot ing health equity. We strive to build bridges connect ing research, education, and clinical practice. On be half of the editorial team, we extend a sincere invita tion to scholars, clinicians, and policymakers world wide to join us in co-authoring the future of nursing and healthcare.

Objective: This study aims to systematically review the factors influencing frailty in cancer patients and related interventions through a scoping review approach. It summarizes the main factors affecting frailty in cancer patients, as well as the intervention measures for cancer-related frailty and their effectiveness, providing references for clinical practice and research. Methods: Following the Joanna Briggs Institute's scoping review methodology, we systematically searched seven databases: PubMed, Embase, CINAHL, Web of Science, China National Knowledge Infrastructure (CNKI), Sinomed and Wanfang Database for studies published up to 25 March, 2025. Data were extracted and analyzed from eligible studies that investigated frailty in cancer patients. Results: A total of 29 studies were included, covering eight different cancer types and utilizing 12 distinct frailty assessment tools. The key factors influencing frailty included demographic, physiological, psychological, and biological mechanisms, as well as treatment factors. Intervention approaches identified included exercise training, combined with traditional Chinese medicine and exercise therapy, prehabilitation interventions, nutritional management, intraoperative hypothermia interventions, and caregiver training program interventions. Conclusion: Evidence for effective interventions remains limited, and there is a lack of long-term management strategies and preoperative intervention. Future research should focus on increasing the sample size, conducting longitudinal follow-ups, refining assessment tools, and standardizing intervention protocols.

Abnormal Eating Behaviors (AEBs) are prevalent among people with dementia. It not only affect the nutritional status and quality of life of people with dementia, but also significantly increase the caregiving burden on caregivers and financial burden, ultimately compromising the quality of care. Given the multifaceted negative impacts of AEBs on both people with dementia and their caregivers, a deeper understanding of their core clinical features, as well as evidence-based assessment and management strategies, holds significant importance. This article provides a review of current research in this field, with particular emphasis on identifying critical gaps in existing intervention paradigms to guide future research directions, aiming to inform evidence-based clinical practice.

Objective: To identify the characteristics and research status of symptom clusters in patients with head and neck cancer undergoing radiotherapy and chemotherapy. Design: Scoping review. Methods: Based on the Joanna Briggs Institute scoping review guidelines as the methodological framework, a comprehensive search was performed in PubMed, Embase, CINAHL, Web of Science, China National Knowledge Infrastructure, Wanfang Database, China Biology Medicine Disc, and VIP database on studies focused on symptom clusters in patients with head and neck cancer during chemoradiotherapy from database inception to August 30, 2023. The data extraction and summary of the included literature were performed for analysis. Results: A total of 13 articles were included in our study. The identified elements of symptom clusters covered assessment and analysis methodologies. 25 symptom clusters were identified in patients with head and neck cancer undergoing chemoradiotherapy, with gastrointestinal symptom clusters and head and neck cancer-specific symptom clusters consistently observed. The number of symptom clusters experienced by patients with head and neck cancer increased as treatment progressed. Conclusions: Our findings suggest that multiple symptom clusters dynamically coexist in patients with head and neck cancer undergoing radiotherapy, with the composition of these symptom clusters exhibiting marked heterogeneity across studies. Future studies may explore the development of symptom assessments tailored specifically for head and neck cancer patients undergoing radiotherapy. Advanced analytical techniques, such as machine learning or more advanced statistical methods, could improve the identification of symptom clusters and core symptoms, providing a basis for subsequent symptom management strategies. Strengths and limitations of this study: 1. This study provides the first comprehensive overview of symptoms experienced by HNC patients throughout the course of chemoradiotherapy. 2. This study describes the key symptoms and persistent symptoms experienced by patients with head and neck cancer at different stages of chemoradiotherapy. 3. A formal assessment of publication bias or study quality was not performed. 4. There are no established effective interventions to systematically summarize the symptoms of patients with head and neck cancer undergoing chemoradiotherapy.

Aim: This study aimed to develop a list of quality indicators (QIs) for palliative care to elderly patients in Chinese general hospitals. Design: A modified Delphi method was used to develop the QIs. Methods: An extensive literature review, semi-structured interviews and a focus group discussion were performed to identify QIs. The finalized QIs were emailed to professionals in geriatrics or palliative care asking them to score importance and relavence of each item and to add suggestion about the QIs. The Analytic Hierarchy Process(AHP) was used to determine the weight of indicators. Results: The final list consisted of 4 first-level QIs, 15 second-level QIs, and 34 third-level QIs. Amongst the first-level indicators, symptom management had the highest weighting (0.53), followed by comfortable care (0.20), social and cultural support (0.20), and psychological and spiritual support (0.08). The Delphi experts' authority coefficient, judgment coefficient, and familiarity degree were 0.84, 0.86, and 0.81, respectively. Conclusion: Based on the improved Delphi method, this study established a set of palliative care quality indicators for general hospitals in China. These indicators provide practical reference for nurses to dynamically evaluate and improve nursing, in order to improve the comfort of elderly patients at the end of life, and promote patients to spend their last time peacefully and with dignity.

Objective: This study aims to retrieve, select and consolidate the relevant evidence of enteral nutrition-related abdominal distension in stroke patients, providing a decision-making basis for healthcare professionals to carry out evidence-based practice on abdominal distension in these patients. Method: According to the “5S” model of the evidence pyramid, relevant evidence on the prevention and management of enteral nutrition-related abdominal distension in stroke patients was retrieved from domestic and foreign databases, including clinical decision-making studies, guidelines, evidence summaries, best practices, expert consensus, and systematic reviews. The search spanned from the establishment of the database to March 25, 2025. During the process of evaluation and data extraction, the retrieved guidelines were evaluated by four researchers who had received systematic training in evidence-based methodology, and the remaining literature was independently and rigorously evaluated by two researchers. Result: A total of 12 articles were included in this review, consisting of 1 clinical decision-making study, 1 guideline, 3 expert consensus documents, 1 summary of evidence, and 6 systematic reviews. From ten aspects, including forming a multidisciplinary team, risk assessment, management of enteral nutrition, feeding position, dietary adjustment, aerobic exercise, psychological support, drug management, Traditional Chinese Medicine therapy, and monitoring and recording, we extracted a total of 32 pieces of best evidence. Conclusion: Given the results of this study, we suggest that future researchers conduct larger-scale, multi-center, longitudinal studies to verify our findings and further explore the association between increased abdominal circumference and the severity of abdominal distension in stroke patients, as well as the development of specific abdominal distension rating scales. Such research will provide high-quality evidence and contribute to the development of evidence-based management of enteral nutrition-related abdominal distension in stroke patients.

Objective: To retrieve, evaluate, and integrate evidence on the prevention of aspiration in older adults, with the aim of reducing the incidence of aspiration and improving the quality of care. Methods: Following the 6S pyramid model of evidence-based resources, domestic and international databases and websites for clinical decisions, recommended practices, evidence summaries, guidelines, expert consensuses, systematic reviews, and consensus statements related to aspiration prevention in older adults were systematically searched. Two researchers independently assessed the quality of the literature and extracted evidence according to thematic areas. The search period extended from the inception of each database to March 2025. Results: A total of 21 publications were included, comprising 8 guidelines, 6 expert consensuses, 2 systematic reviews, 2 clinical decisions, 1 evidence summary, 1 best practice recommendation, and 1 consensus statement. From these, 28 best evidence recommendations were summarized across seven areas: oropharyngeal cleansing, secretion management, positioning, feeding care, observation and monitoring, artificial airway care, and rehabilitation training and guidance. Conclusion: This study summarizes the best available evidence for preventing aspiration in older adults. Healthcare professionals should apply these recommendations in conjunction with clinical context and patient preferences to ensure patient safety and reduce the risk of aspiration.

Objective: This study aimed to explore the factors influencing self-management behavior in gout patients to provide a basis for future intervention research. Methods: According to the scope review method framework, the research questions were established. The Chinese and English literatures (EMBASE, PubMed, CINAHL, Web of Science, China Biology Medicine Disc, China National Knowledge Infrastructure, Wan Fang Database.) published up to March 2023 were searched and screened to identify relevant studies. The PRISMA-ScR checklist was adopted in this study. Results: A total of 52 articles were included. The influencing factors of gout patients' self-management behavior included the social demographic data such as gender, age, education level, economic situation, and disease awareness of gout patients, disease-related factors such as course of disease and complications, psychological factors such as self-efficacy of patients, and the level of social support all have a certain impact on the self-management behavior of gout patients. Conclusion: Based on previous literature, we reviewed various influencing factors of self-management behavior of gout patients to provide theoretical basis for precise nursing intervention for patients, and lay the foundation for improving self-management behavior of gout patients and reducing gout recurrence.