Background: Women living with HIV (WLH) lack evidence-based information about reproductive options while managing pressures from family, clinicians, and communities to give up the idea of having children. As the reproduction intentions of WLH are not well understood, stigmatizing behaviors force them to hide their disease to avoid rejection by their family, partner, and social networks. Compliance with social norms, fear of stigma, and discrimination influence their experience. Current research is individual qualitative studies lacking the synthesis perspective necessary to guide intervention development. The purpose of this study was to synthesize the evidence to explain the reproductive decision-making process for WLH in developed countries.Methods: A systematic review with qualitative research synthesis was conducted through searches in 10 electronic databases (CINAHL, EMBASE, MEDLINE, Scopus, Social Science Citation Index, Web of Science, Google Scholar, Cuidatge, Cuiden Enfispo, and SciELO). Studies published in journals from 1995 to 2019 with qualitative data about reproductive decision-making among WLH in developed countries were eligible for inclusion. Developed country was operationalized by membership in the OECD for comparative conditions of social wellbeing and economic stability. The CASP and JBI checklists for qualitative research were used to assess study quality and methodological integrity. Thematic analysis and qualitative meta-summary techniques were used for the synthesis.Results: Twenty studies from 12 developed countries were included in the synthesis. Findings were organized into 3 meta-themes from 15 themes and 45 subthemes, including: (1) Shattered identity, (2) Barriers, inequities, and misinformation, (3) Coping, resiliency, and support. Reproductive decision-making was perceived as a complex process influenced by facilitators and barriers. The facilitators helped WLH cope with their new situation to become more resilient, while the barriers made their situation more difficult to manage.Conclusion: WLH encounter reproductive decision-making with knowledge deficits and limited social support. An integrated approach to holistic care with comprehensive multidisciplinary counseling is needed to support WLH. Clinicians could benefit from professional development to learn how to be authentically present for WLH, including engaging in conversations, demonstrating compassion, and understanding situations. Evidence-based clinical practice guidelines need to be tailored for the family planning and sexual health needs of WLH.

The increasing adoption of digital education, including mobile learning (mLearning), is transforming the training of future health professionals, offering advantages such as improved accessibility, timeliness, and affordability. While mLearning enhances clinical training by providing flexible access to information and supporting practical skills development, challenges such as inadequate resources and resistance from staff and patients need to be addressed for successful integration. This review aims to explore the factors for successful adoption of mLearning in clinical placements, providing valuable insights to inform best practices in its implementation. A scoping review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for scoping reviews (PRISMA-ScR). Arksey and O’Malley and Joanna Briggs Institute (JBI) methodology was applied. Searching 6 electronic databases plus manual searching returned 5178 articles, with 76 articles included in analysis. All studies were published between 2008 and 2024, with a significant proportion originating from Canada (n = 12), the United States (n = 12), the United Kingdom (n = 11), and Australia (n = 11). The majority of the studies involved nursing (n = 47) and medical (n = 24) students. The analysis revealed 6 facilitators and 6 barriers. It identified positive attitudes toward mobile applications, highlighting their role in enhancing education in clinical environment, organizing training, and improving patient care. However, barriers such as the absence of regulations, ethical concerns, and technical issues were also noted, along with the need to address information literacy and skills. Mapping research regarding facilitators and barriers for introducing mobile learning technologies into undergraduate education in clinical environment has helped in creating a set of solutions which are capable to ensure the success and sustainability of mLearning. These solutions should be considered at the innovation’s design, implementation, and post-implementation stages to guarantee its effectiveness in education in clinical environments. This may help to enhance the learning experience, improve knowledge retention, and develop clinical skills, while providing a cost-effective solution for clinical training programs for healthcare professions. This, in turn, has positive implications for quality of care provided.

Background/Objectives: Globally, girls and women make up over half of those living with Human Immunodeficiency Virus (HIV), facing unique reproductive and mental health challenges. An HIV diagnosis impacts motherhood desires and increases trauma, stigma, and depression risks. Addressing these overlapping vulnerabilities with tailored, comprehensive healthcare is essential. This study aims to qualitatively explore the complex interplay between mental health and reproductive decision making among women living with HIV (WLWH). Methods: A secondary data analysis approach was employed, utilizing qualitative data from a wider study. Theoretical sampling was used to recruit a sample of WLWH attending the HIV clinic at a public hospital in Badalona (Barcelona, Spain). Interviews took place in a private and quiet space between May 2019 and January 2020. To perform secondary data analysis, Braun and Clarke’s thematic analysis was used. Results: Twenty-six women living with HIV were interviewed, with an average age of 39.3 years. The participants had diverse nationalities and faced economic challenges. Following data analysis, four main themes were identified: Emotional Fragmentation and Reproductive Self-Perception after the HIV Diagnosis; Coping Strategies in Reproductive Decision Making; Impacting Emotional Resilience and Motherhood Decisions; and Emotions, Mental Health, and Desire for Motherhood. The themes revealed the profound emotional impact of HIV on their identity, mental health, and reproductive decision making, affecting motherhood aspirations. Conclusions: Women living with HIV face psychological challenges in reproductive decision making, including anxiety and stigma. The study highlights their resilience and emphasizes incorporating hope-based strategies into HIV care, advocating for integrated and mental health-focused approaches to improve support and outcomes.

Aim: To explore the roles and training of advanced practice nurses specialised in acute pain management, as reported in the current literature. Design: Scoping review. Data Sources: We searched PubMed, Scopus and CINAHL in December 2023 to identify relevant studies published from 1996. Methods: Relevant literature was identified, screened, and analysed using a structured scoping review process. Two reviewers independently selected and extracted data from eligible studies, with a third reviewer resolving any disagreements. Results: A total of 1682 records were screened, and 36 studies met the inclusion criteria. Four main themes emerged: job titles, roles, training, and barriers. The review revealed substantial variation in job titles and role descriptions across clinical settings and geographic regions, with more comprehensive role definitions found in countries like the United States and the United Kingdom. Training pathways, including postgraduate qualifications and certification, varied significantly and many low‐ and middle‐income countries lacked structured training frameworks. Barriers identified included regulatory limitations, insufficient educational infrastructure and lack of legal authority to practice. Conclusion: This review highlights significant international variation in the definition, training and regulation of advanced practice nurses in acute pain management. There is an urgent need to develop global standards, including unified competencies and certification pathways, to ensure consistent and effective care. Implications for the Profession: Standardising competencies and training will support role recognition, improve consistency in clinical practice and promote high‐quality care for individuals experiencing acute pain. Impact: This review addresses the global inconsistency in role definition and training of advanced practice nurses in acute pain management. Findings may inform educators, health professionals, policymakers and regulators, particularly in resource‐limited settings. Reporting Method: This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses extension for Scoping Reviews (PRISMA‐ScR). Patient or Public Contribution: No patient or public contribution.

The process of reproductive decision making among women living with HIV is intricate and multifaceted, influenced by health considerations, societal factors, and personal values. In this study, we employed Charmaz's Constructivist Grounded Theory to understand how Spanish women living with HIV make decisions regarding reproduction. We conducted 26 face-to-face interviews until data saturation was achieved. Findings suggested that social constructs such as femininity and motherhood play a significant role in the reproductive decision-making process for women living with HIV. The women's beliefs about HIV, doubts, marginalizing situations, and health barriers create challenges to making reproductive decisions. These findings provide valuable implications for designing care plans that meet the unique sexual and reproductive health needs of women with HIV. An integrated and comprehensive multidisciplinary counseling approach is necessary to improve the quality of care.

Background: Patient identification is a key aspect to avoid risks and maintain patient safety. Purpose: The purpose of this study was to evaluate the impact of a multimodal intervention on patient identification. Methods: A quasi-experimental pre-post study design was used. A multimodal intervention was implemented targeting nursing staff at 2 public Specialized Primary Care Centers. Data on the knowledge levels of nurses and nursing assistants, as well as the implementation of active patient identification, were collected. Results: The study included 27 health care professionals and 353 direct observations of patient active identification. Knowledge was assessed via a questionnaire, and active identification observations were conducted between March 2022 and December 2023. After the intervention, the correct performance rate improved to 100%, slightly decreasing to 82.3% over 21 months post-intervention. All evaluated knowledge items showed significant improvement post-intervention. Conclusions: The multimodal intervention significantly improved active identification knowledge and practice, enhancing patient safety.