Objectives This study aims to identify factors influencing medication adherence for deep vein thrombosis (DVT) prophylaxis in post-discharge patients after joint replacement surgery using Protection Motivation Theory (PMT). Design This study employed qualitative semi-structured interviews with patients discharged after hip or knee replacement surgery. Setting Using purposive sampling to ensure a diverse representation of patient profiles, participants were recruited from patients who underwent total knee replacement surgery from April 2024 to May 2024 and were discharged 1-month prior. Participants 12 patients who had undergone total knee replacement surgery participated in the study. The median (IQR) age of participants was 57.5 (55–67.25) years. Analysis Semi-structured interviews were conducted via online video calls. These interviews were audio recorded and transcribed verbatim. Data were analysed using Colaizzi’s seven-step method. Themes were identified based on the dimensions of the PMT: susceptibility, severity, internal rewards, external rewards, response efficacy, self-efficacy and response costs. Two researchers independently coded and extracted themes, with discrepancies resolved through team discussions and verification with respondents. Results Participants acknowledged the importance of adhering to anticoagulant medication to prevent DVT and its complications, understanding the severe consequences, such as the life-threatening nature of pulmonary embolism and the impact on daily activities. Perceived health status influenced adherence, with some participants feeling their good health negated the need for anticoagulants. External factors, including the desire to avoid side effects and financial constraints, also played significant roles in adherence decisions. Belief in the effectiveness of anticoagulants motivated adherence, but confidence in managing medication varied among participants. Practical barriers such as physical limitations and psychological burdens significantly impacted adherence. Conclusions Improving medication adherence requires a multifaceted approach addressing cognitive, motivational and practical barriers. Continuous education, financial assistance, support systems and tailored interventions are crucial. PMT provides a robust framework for understanding and enhancing adherence behaviours, ultimately improving health outcomes in post-discharge joint replacement patients.

Aim. The objective of this study is to provide a comprehensive analysis and synthesis of pertinent research on the subject of nursing professionalism. Background. The number of studies documenting nursing professionalism has been consistently increasing over the years; however, a comprehensive synthesis and analysis of the evidence presented in these reports is currently lacking. Evaluation. The scope reviews were conducted using electronic databases including PubMed, Web of Science, Cochrane Library, Embase, Chinese National Knowledge Infrastructure (CNKI), Chinese Science and Technology Periodical Database (VIP), and Wanfang database. Key Issues. This review included 15 studies and identified 4 significant pertinent issues: (1) the need for further investigation into the implementation level of nursing professionalism; (2) the development of culturally sensitive instruments to assess nursing professionalism; (3) an in‐depth exploration of the associated factors influencing nursing professionalism; and (4) the critical implementation of diverse intervention strategies to enhance nursing professionalism. Conclusions. This review presents a comprehensive overview of the implementation level, assessment tools, influential factors, and intervention strategies in nursing professionalism research. In addition, it emphasizes the future research direction in this field. Implications for Nursing Management. Nursing administrators need to understand the significance of improving the professional education and training of nurses, fostering a conducive work environment, and providing support for their active development of professional skills and nursing professionalism. These factors collectively contribute to the long‐term professional development of nurses and enhance the quality of patient care.

Introduction: Opioid-induced constipation (OIC) affects up to 90% of patients with cancer receiving long-term opioid-related analgesic therapy, resulting in various potential complications, compromised pain management and decreased quality of life. Laxatives stimulate or facilitate bowel evacuation. Traditional laxatives, such as polyethylene glycol and lactulose, are widely used because of their low cost, easy accessibility and tolerability. OIC prophylaxis with laxatives is recommended for patients receiving opioid therapy. However, systematic reviews that support this practice are lacking. They have primarily focused on patients with existing constipation and the effectiveness of other pharmacological therapies. Thus, we are conducting a systematic review to evaluate the efficacy and safety of traditional laxatives in preventing OIC in adult patients with cancer.Methods and analysis: The Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols 2015 statement was used to guide the reporting of this protocol. Database searches will be performed in PubMed, Embase, Web of Science, Cochrane Library and EBSCO from inception to a date within 6 months of the submission of the full systematic review (estimated 31 December 2024). Reference lists will also be accessed for additional studies, including Google Scholar, for the inclusion of grey literature. A combination of Medical Subject Headings/Emtree and free-text terms will be used when searching the core concepts of ‘OIC’, ‘laxative’ and ‘cancer.’ The eligibility criteria will be defined by the type of population (patients with cancer receiving opioid therapy), type of intervention (traditional laxatives) and type of study (randomised controlled trials and quasi-experimental trials). Two reviewers will independently select eligible studies, extract data and assess the methodological risk of bias. A third reviewer will be invited to reach a consensus if necessary. Subgroup and sensitivity analyses will be conducted to explore sources of heterogeneity.Ethics and dissemination: Ethical approval is not required, as patients will not be included in systematic reviews and meta-analyses. We will publish this study in a peer-reviewed journal and communicate the results at open conferences.PROSPERO registration numberCRD42024507127.

Background: The rapid evolution of digital health technologies, particularly within the Web 3.0 framework, has underscored eHealth literacy (eHL) as a critical competency for patients engaging with digital health care platforms. Patients in sustained hospital stays, often in vulnerable conditions, face unique challenges in using eHealth tools effectively. However, existing eHL assessment tools are insufficient to address the intricate and dynamic demands of contemporary health care systems, especially for individuals under continuous hospital care. Objective: This study aimed to develop the Adult Inpatient eHealth Literacy Scale (AIPeHLS), a comprehensive, multidimensional tool grounded in the Lily Model, to evaluate eHL among adult inpatients within the context of digital health care innovations. Methods: The development of the AIPeHLS followed a systematic, multiphase process. Initial item pool generation was informed by a literature review and then refined using the Delphi method, resulting in a preliminary set of 53 items spanning 6 dimensions of the Lily Model. The scale was refined through a pilot survey among 100 individuals requiring inpatient care, followed by item analysis and exploratory factor analysis (EFA). Validation was achieved via a cross-sectional study with 532 participants, using confirmatory factor analysis (CFA) to verify the scale structure, alongside evaluations of convergent, discriminant, criterion-related, and content validity. Reliability was assessed using Cronbach α, Omega, and split-half reliability. Results: The finalized AIPeHLS comprised 44 items across 6 dimensions: traditional literacy, information literacy, media literacy, health literacy, computer literacy, and scientific literacy, reflecting the skills necessary in the Web 3.0 context. Both EFA and CFA confirmed the 6-factor structure, demonstrating acceptable model fit indices (χ²=1974.654 (df=887), root mean square error of approximation=0.048, comparative fit index=0.957, normed fit index=0.925, and incremental fit index=0.957). The scale exhibited robust content validity, convergent and discriminant validity, criterion-related validity, and high internal consistency, with a Cronbach α of .965, Omega coefficient of 0.962, and a split-half reliability of 0.791 for the entire scale. Conclusions: The 44-item AIPeHLS was found to be a reliable and valid instrument for assessing eHL in adult inpatients in the evolving Web 3.0 context. Its comprehensive framework and strong psychometric properties make it an effective tool for health care providers to understand patients’ digital health competencies and tailor interventions accordingly. For researchers, our findings provided opportunities to explore the relationship between eHL and health outcomes, while offering valuable insights into the development of more effective eHealth interventions and policies.