ABSTRACT Background As left ventricular assist device (LVAD) use expands, multidisciplinary care has become increasingly important. This study aimed to analyze the literature on LVAD patient care using bibliometric methods and identify publication trends, influential contributors, research themes, international collaborations, and future research areas. Methods and Results Publications indexed in Web of Science up to July 3, 2026, were analyzed using Biblioshiny in the Bibliometrix R package. Based on predefined eligibility criteria, 207 English‐language articles published between 1997 and 2026 were included. The annual publication growth rate was 3.86%, with an average of 17.94 citations per article. Publication output peaked in 2024 ( n = 20). The most productive journals were ASAIO Journal and Heart & Lung ( n = 15 each), while McIlvennan CK, Allen LA, Thompson JS, Matlock DD, and Grady KL were the most prolific authors. Keyword Plus analysis highlighted heart failure, LVAD, quality of life, mechanical circulatory support, and outcomes. Thematic analysis identified mechanical circulatory support and outcomes as well‐developed research areas, while quality of life, LVAD, and heart failure formed the field's conceptual foundation. The United States was the leading contributor, followed by Italy, Japan, Germany, and Canada. Conclusion LVAD research has evolved from a predominantly device‐ and outcome‐focused approach toward holistic, patient‐centered care encompassing caregiver support, self‐care, palliative care, and decision‐making. Patient experience, communication, decision‐making, heart transplantation, and mortality remain areas requiring further research.
ABSTRACT Aim To evaluate whether individual instruction using a pamphlet, compared with pamphlet distribution alone, improves the understanding of food allergy pathophysiology among early school‐age children in grades 1–3 (typically aged 6–9 years). Methods A non‐randomized exploratory pilot controlled study was conducted involving 46 early school‐age children with food allergies who were undergoing oral food challenges (mean age = 7.11 ± 0.79 years; 30 girls and 16 boys). Participants were assigned sequentially according to the order of the oral food challenge to three groups: the pamphlet + individual instruction group ( n = 15), pamphlet‐only group ( n = 14), and control group ( n = 17). Self‐reported understanding of selected terms and mechanisms was assessed thrice: once before (T1), follow‐ups each immediately (T2), and 1 month (T3) after post‐intervention. Results In the pamphlet + individual instruction group, scores for mast cell, immunity, and both mechanism items improved from baseline immediately after the intervention, and these improvements remained significant at the one‐month follow‐up. At the immediate post‐intervention assessment, the pamphlet + individual instruction group scored higher than the pamphlet‐only group for mast cell and the mast cell–related mechanism item. No significant effects were observed for quality‐of‐life scores. Conclusions A pamphlet combined with individual instruction may provide an additional immediate educational benefit for selected food allergy concepts compared with pamphlet distribution alone. The one‐month effects of both interventions varied by item. Larger studies using validated measures are needed to confirm efficacy. Trial Registration Network Clinical Trials Registry (UMIN‐CTR). Registration ID: UMIN000050888. URL: https://center6.umin.ac.jp/cgi‐open‐bin/ctr_e/ctr_view.cgi?recptno=R000057998
AIM Children with medical complexity require ongoing medical and daily care at home, placing substantial demands on their families. In this study, we aimed to elucidate the experiences of home-visiting nurses caring for children with medical complexity, focusing on how they build relationships with primary caregivers and children and deliver care within this relational context. METHODS This qualitative descriptive study included 22 home-visiting nurses in Japan. Data were collected through semistructured interviews and analyzed using thematic analysis. RESULTS Four main themes were identified: "Understanding the mother and child within their everyday lives," "Being there for the mother as a professional nurse," "Developing reciprocal relationships within the mother-child-nurse triad," and "Extending relational nursing care through supportive networks." Nurses integrated the mothers' experiential knowledge, children's responses, and their own professional observations to negotiate individualized care. Their relational practice extended beyond the mother-child-nurse relationship to wider family and professional support networks. "Nurses' emotional engagement in relational nursing" was identified as a cross-cutting process. CONCLUSIONS Pediatric home nursing for children with medical complexity involves relational and negotiated practice in which nurses seek to understand and support mothers and children, develop reciprocal relationships, and extend relational care to wider support networks. The findings of this study highlight the importance of integrating parental experiential knowledge, children's responses, and professional assessment in negotiating individualized care, while maintaining a professional responsibility for children's safety and rights.
ABSTRACT Aim The aim of this study was to explore the effects of intergenerational interactions between nursing students and community‐dwelling older adults who participated in the Preventive Home Visit Practicum (PHVP), a community‐based nursing educational program. Methods This qualitative descriptive study involved semi‐structured interviews of older adults who had long‐term experience participating in the PHVP. Data were analyzed using qualitative descriptive analysis to identify categories and subcategories representing participants' experiences and perceived effects. Results Fourteen individuals and four couples participated in this study. All of them were aged over 70 years or older, and none perceived themselves as being in poor health. Three categories emerged: the energy gained from regular interaction, deep fulfillment as an older adult, and a sense of reassurance through interaction with nursing students. Participants reported that regular and continuous visits from nursing students provided vitality, a sense of usefulness, and emotional comfort. These intergenerational relationships, built through attentive listening and mutual respect, fostered a sense of competence and self‐worth among the older adults. Conclusion Intergenerational interaction with nursing students through the PHVP was perceived to influence community‐dwelling older adults' psychological well‐being, self‐efficacy, and patient activation. Establishing ongoing and mutually rewarding relationships between nursing students and older adults within nursing education may contribute to enhancing older adults' continued engagement and well‐being in community‐settings.
ABSTRACT Aim To compare the effectiveness of rehabilitation interventions integrated into nursing care on swallowing function and safety in patients with post‐stroke dysphagia. Methods We searched Web of Science, Scopus, Embase, ProQuest, CINAHL, PubMed, and the Cochrane Central Register of Controlled Trials to identify randomized controlled trials (RCTs) evaluating rehabilitation nursing interventions for patients with post‐stroke dysphagia, from database inception to September 2025. The primary outcomes were the Functional Oral Intake Scale (FOIS) and the Penetration‐Aspiration Scale (PAS), while secondary outcomes included the Videofluoroscopic Dysphagia Scale (VDS) and the Swallowing Quality of Life Scale (SWAL‐QOL). Results Seventeen RCTs were included. Rehabilitation nursing interventions were more effective than conventional care in improving FOIS, PAS, and VDS. For FOIS, kinesiology taping (KT) combined with neuromuscular electrical stimulation (NMES) (surface under the cumulative ranking curve [SUCRA] = 78.7%, mean rank = 2.7) and respiratory muscle training (RMT) (SUCRA = 78.1%, mean rank = 2.9) ranked highest. For PAS, KT combined with NMES (SUCRA = 95.9%, mean rank = 1.3) and KT (SUCRA = 84.1%, mean rank = 2.1) ranked highest. Conclusions Rehabilitation nursing interventions may improve swallowing function and safety in patients with post‐stroke dysphagia. RMT, KT, and KT + NMES showed potential benefits for different aspects of swallowing recovery. However, the superiority of KT + NMES requires confirmation in high‐quality multicenter RCTs with head‐to‐head comparisons and long‐term follow‐up. Trial Registration PROSPERO ID: CRD420251155222
