Background/Objectives: Problematic smartphone use is common among nursing students and has been linked to academic and psychosocial difficulties. This PROSPERO-registered systematic review (CRD42024559668) identified the instruments used to assess smartphone addiction in nursing students and, secondarily, pooled typical addiction levels using the Smartphone Addiction Scale–Short Version (SAS-SV; 10–60) and examined psychosocial correlates. Methods: Following PRISMA 2020, we searched PubMed, Scopus, Web of Science, CINAHL and ScienceDirect from 1 January 2014 to 9 May 2024. Eligible studies assessed problematic smartphone use in undergraduate nursing students with validated instruments, while development-only studies and pandemic-specific contexts were excluded. Methodological quality was appraised using the JBI checklist, and a random-effects meta-analysis was performed to estimate pooled scores and explore cross-study variability. Results: Fifty-three studies met inclusion; eleven contributed to the SAS-SV meta-analysis (N = 5586). The pooled mean score was 29.5 (95% CI 27.7–31.3), with very high heterogeneity (I² = 98%). Sensitivity analyses yielded similar results, and no publication bias was detected. Across studies, higher smartphone addiction was correlated with elevated stress and anxiety, sleep disturbance, and poorer academic and clinical performance. Conclusions: Nursing students’ SAS-SV scores cluster around ~29/60, with substantial between-study variability. Higher addiction scores were consistently associated with stress, anxiety, poor sleep, and reduced academic and clinical performance. However, interpretation is limited by the cross-sectional nature of the included studies and the very high heterogeneity observed. Standardising measurement is essential, but equally important is developing targeted educational interventions to foster healthier smartphone habits in nursing education. These results may guide nursing educators and institutions to design programs that foster healthier digital habits and support students’ academic and clinical performance.

The development of male hormonal contraceptives (MHCs) is underway, and they may be available soon. Gender norms in family planning and predictors of use of MHCs need to be considered when addressing MHC promotion and adherence strategies. For this reason, an evaluation of the acceptability factors of MHC methods in the population is carried out from a gender perspective. A systematic review following the PRISMA 2009 checklist has been performed. Articles indexed in PubMed, EMBASE, Scopus, PsycINFO, Web of Science and CUIDEN databases were included. Twenty-nine original articles were evaluated. Most evidence comes from Europe and North America. There is a high acceptability of MHCs in both sexes (reaching more than 70%). There are differences between countries and cultures. The main factors influencing willingness to use MHCs are: side effects; route of administration (MHC pill preferred by most men and injections by most women); frequency of administration (influenced by the previous factors); level of education and health behaviours; religion; perception of shared responsibility; perception of masculinity; and impaired sexual function/desire. Efficacy has not been sufficiently explored. Gender-dependent attitudes towards contraceptive responsibility need to be further explored, so that policies that favour equal reproductive rights can be formulated once MHCs are marketed.

Objectives The aim of this study was to determine the prevalence of risky alcohol consumption and regular binge drinking, and their associated factors, in Spanish college students. Design A cross-sectional study was conducted. Setting This study took place at a private university in a northern region of Spain. Participants A total of 330 Spanish undergraduate university students enrolled in the 2022–2023 academic year voluntarily agreed to participate in this investigation. Primary and secondary outcome measures Data collection included sociodemographic information and health-related behaviours. The Alcohol Use Disorders Identification Test was used to assess alcohol consumption. Logistic regression models were used to identify independent predictors for risky alcohol consumption and regular binge drinking. Results 40.0% of participants reported risky alcohol consumption, and 26.7% were classified as regular binge drinkers. Factors associated with risky alcohol consumption included smoking (OR=3.54, 95% CI 2.03 to 6.14) and problematic internet use (OR=2.10, 95% CI 1.24 to 3.53). Conversely, being older than 30 years was associated with a lower likelihood (OR=0.22, 95% CI 0.08 to 0.60). Regular binge drinking was associated with living outside the family home (OR=2.78, 95% CI 1.56 to 4.95), smoking (OR=3.53, 95% CI 1.94 to 6.40) and problematic internet use (OR=2.19, 95% CI 1.23 to 3.89). In contrast, being female (OR=0.50, 95% CI 0.27 to 0.94) and being over 30 years old (OR=0.28, 95% CI 0.10 to 0.86) were inversely associated. Conclusions Risky alcohol consumption and binge drinking are relatively common among Spanish university students. Interventions to promote responsible alcohol consumption among this population should be implemented in collaboration with other stakeholders.

Foreign body airway obstruction is a time-critical emergency. Traditional techniques such as back blows and abdominal thrusts are widely recommended yet may be ineffective in certain populations. Antichoking suction devices such as LifeVac and Dechoker have gained popularity in out-of-hospital settings, despite limited supporting evidence. We conducted a systematic review and meta-analysis following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies involving humans or simulation models in which antichoking devices were used for foreign body airway obstruction management were included. Seven databases were searched. Methodological quality was assessed using the Mixed Methods Appraisal Tool and Strengthening the Reporting of Observational Studies in Epidemiology. A meta-analysis of proportions was performed to estimate airway clearance success rates, and subgroup analyses were conducted by device and study model (human vs manikin). Six studies (n = 789) met the inclusion criteria. The overall success rate for airway clearance was 92.26%. LifeVac had the highest success rate (97.79%) and lowest heterogeneity (I² = 34.2%), followed by Dechoker (94.82%; I² = 80.4%) and the Heimlich maneuver (71.11%; I² > 80%). Studies using human subjects showed slightly higher success and lower variability than manikin-based studies. A mean of 2 attempts per device was needed. However, high heterogeneity and potential publication bias were noted. Antichoking devices may be useful in selected scenarios, but their comparative effectiveness remains unproven. Current evidence is limited and affected by bias. Traditional techniques should remain the priority in airway obstruction management. Further independent, high-quality research is needed to clarify the clinical value of antichoking devices.

Objective: To estimate the efficiency of a nurse‐led telephone program for nonadherent to treatment Type 2 diabetics with comorbid depression (TELE‐DD program).Design: Secondary analysis of cost‐consequence and budget impact, utilizing data from a randomized clinical trial conducted in the primary healthcare setting. The target population consisted of Type 2 diabetic patients with comorbid depression who were nonadherent to their pharmacological treatment.Method: The average cost per controlled patient (glycated hemoglobin < 7%) and the incremental cost‐effectiveness ratio were calculated. Similarly, the budgetary impact over 1 year of implementing this program in the region of reference of the randomized clinical trial was assessed.Results: The number of controlled patients is higher in the TELE‐DD group at 6, 12, and 18 months. The average cost per controlled patient was higher in the TELE‐DD group than in the control group at 6 months (€160.31 vs. €49.79), but lower at 12 (€150.09 vs. €179.59) and 18 months (€209.22 vs. €376.88). The incremental cost‐effectiveness ratio at 6, 12, and 18 months was €254.47, €143.65, and €177.46, respectively. The budget impact analysis revealed that implementing the TELE‐DD program would result in a reduction of €721,940.68 in expenditure for the funder in the first year of application.Conclusions: A nurse‐led telephone program for nonadherent Type 2 diabetics with comorbid depression is an efficient option in the management of healthcare resources. These results highlight the role of nursing in chronic patient management and the efficient use of healthcare resources.Trial Registration: ClinicalTrials.gov Identifier: NCT04097483.

As the clinical trials to develop male contraceptive pills are underway, understanding men’s attitudes towards this contraceptive method is transcendental. This research was conducted to identify the degree of willingness and the determinants to use male contraceptive pill among Spaniard men. A sample of 402 Spaniards men was presented with 36 scenarios comprising four within-subject factors (cost of pills, pill efficacy, side effects and context). In each scenario, a man is asked by his partner to use the contraceptive pill. Participants indicated their own willingness to use the pill in each circumstance. Cluster analysis revealed that participants took one of seven different positions regarding their willingness to use a contraceptive pill: never agree (10%); mainly depends on pill efficacy (6%); mainly depends on side effects (10%); depends on side effects and efficacy (12%); depends on context and side effects (12%); quite always (25%); always agree (25%). Participants’ willingness to use contraceptive pills was more pronounced in the case of mild side effects and higher pill efficacy. Fifty percent of participants would use the male pill regardless of the circumstances. Access to this contraceptive method, when available, can contribute to greater equity in reproductive rights of the population.