Background & Aim: Suprasellar cavernous hemangioma is an exceptionally rare intracranial vascular malformation that can mimic more common sellar and suprasellar lesions. In patients with complex neurological conditions, continuity of nursing care may also be important for coordinating multidisciplinary management and supporting patient safety. This case report aims to describe the clinical presentation, diagnostic challenges, Nursing care, and surgical management of suprasellar cavernous hemangioma. Case Report: A 72-year-old woman presented with progressive right-eye visual impairment, followed by intermittent headaches, imbalance, gait instability, and recurrent falls. Brain MRI revealed a heterogeneous suprasellar lesion compressing the optic chiasm and right cavernous sinus, while digital subtraction angiography showed no vascular abnormalities. A thrombosed aneurysm and other suprasellar masses were considered in the differential diagnosis. Surgical resection was performed, and histopathological examination confirmed a cavernous hemangioma. During hospitalization, Primary Nursing was implemented to coordinate individualized neurological and functional assessments, fall prevention, perioperative care, postoperative monitoring, patient and family education, multidisciplinary communication, and discharge planning. Conclusion: This case highlights the diagnostic challenges of suprasellar cavernous hemangioma, particularly when progressive visual impairment is the initial and predominant manifestation. Persistent visual symptoms accompanied by headache, balance disturbances, or gait instability should prompt consideration of an intracranial cause and appropriate neuroimaging. The case also illustrates how Primary Nursing can provide a structured framework for continuity, individualized assessment, multidisciplinary communication, patient education, and safe transitions of care in patients undergoing complex neurosurgical treatment.
Background & Aim: Hypertension remains a major global health challenge associated with cardiovascular morbidity and mortality. Brisk walking is widely recommended as a non-pharmacological strategy for blood pressure control; however, maintaining long-term adherence remains challenging. The integration of electronic health technologies into walking interventions may enhance motivation and behavioral engagement. This scoping review aimed to map digital behavior features and Behavior Change Techniques within eHealth-supported walking interventions for hypertension management. Methods & Materials: This scoping review followed the Arksey and O’Malley framework and adhered to PRISMA-ScR guidelines. Literature searches were conducted across PubMed, Scopus, ScienceDirect, ProQuest, and Google Scholar for studies published between 2016 and 2025. Eligible studies included adults with hypertension receiving electronic health-supported walking interventions incorporating digital behavior features and/or Behavior Change Techniques. Data were synthesized narratively. Results: A total of 21 studies were included. Frequently used eHealth technologies included mobile applications, wearable activity trackers, telemonitoring systems, and web-based platforms. Common digital behavior features included step monitoring, reminders, motivational messaging, personalized feedback, coaching support, and gamification. Frequently identified Behavior Change Techniques based on the Behavior Change Technique Taxonomy version 1 included goal setting, self-monitoring, feedback on behavior, prompts/cues, action planning, and social support. Most studies reported improved walking adherence, increased physical activity, enhanced self-management behaviors, and reduced blood pressure. Conclusion: Electronic health-supported walking interventions demonstrate potential for improving hypertension self-management through integrated digital behavior change strategies. Future studies should emphasize theory-driven intervention design and standardized Behavior Change Technique reporting.
Background & Aim: Sexual health communication is central to adolescent nursing care, but its meaning remains conceptually inconsistent across nursing settings and adjacent disciplines. This conceptual ambiguity limits assessment, education, measurement, and service design. This study aimed to clarify sexual health communication in adolescent nursing care and identify its defining attributes, antecedents, consequences, and empirical referents. Methods & Materials: Walker and Avant's eight-step method guided the analysis. CINAHL, PubMed/MEDLINE, Scopus, ERIC, and the Cochrane Library were searched for English-language literature published from January 2000 to December 2025. A focused update through June 2026 used PubMed and backward and forward citation tracking. Full texts were assessed against predefined conceptual and disciplinary eligibility criteria, and data were extracted into a structured matrix. Nursing-specific evidence was prioritized for defining the concept. Thirty substantive sources were included. Results: Six defining attributes were identified: purposeful initiation and reciprocal adolescent participation; confidentiality enactment and interactional safety; accurate, clear, and developmentally responsive information exchange; responsive relational engagement during the encounter; timely, continuous, and care-linked communication; and contextually responsive and power-aware communication. Antecedents occurred at adolescent, professional, organizational, and sociocultural levels. Potential consequences included enhanced understanding, comfort and disclosure, follow-up, help-seeking, continued communication, and informed decision-making. Broader outcomes, including service access and equitable care, were considered potential distal implications. Existing measures capture selected components but not the complete nurse-adolescent concept. Conclusion: Sexual health communication in adolescent nursing care is a purposeful, reciprocal, confidentiality-protective, developmentally responsive, and clinically integrated nurse-adolescent interaction. The clarified concept provides a nursing-specific basis for education, clinical assessment, intervention design, and measure development and future validation across diverse cultures and nursing settings.
Background & Aim: Frailty is a common but heterogeneous geriatric syndrome, and numerous instruments have been developed for its assessment. Although several have been applied to older adults in Iran, their use has not been comprehensively mapped. This scoping review aimed to map frailty assessment instruments used among Iranian older adults and describe their characteristics and patterns of use. Methods & Materials: Following the methodological framework of Arksey and O'Malley and reported in accordance with PRISMA-ScR guidelines, we searched Scopus, PubMed, Web of Science, Embase, SID, and Magiran, supplemented by Google Scholar and reference-list screening. Primary studies involving adults aged ≥60 years in Iran that used a specific instrument or approach to assess frailty were eligible for inclusion. Studies published in Persian or English with accessible full text were considered, regardless of publication date. Results: Of 719 records identified, 77 studies met the eligibility criteria, identifying 13 instruments. The Fried Frailty Phenotype was most frequently used (31 studies; 40.3%), followed by the Tilburg Frailty Indicator (17; 22.1%) and Frailty Index (8; 10.4%); most instrument applications were community-based (54; 67.5%). Only nine instruments had independent psychometric evaluation in Iran (13 studies), while the FRAIL Scale, Clinical Frailty Scale, PRISMA-7, and Frailty Index for Elders had none. The Comprehensive Frailty Assessment Instrument-Plus covered the broadest range of frailty domains among the identified instruments but was infrequently used in Iranian studies. Conclusion: Frailty assessment in Iran relies mainly on the physical phenotype tool in community-dwelling older adults, with limited multidimensional coverage. No instrument was developed for this population, and several widely used tools lack local validation. Tool choice should match the assessment's purpose, and future studies should cover under-researched settings such as hospitals and nursing homes.
Background & Aim: Family caregivers of stroke survivors often assume complex responsibilities with limited preparation, while evidence on how best to support them remains fragmented. This review aimed to map evidence on family caregiver preparedness in stroke care and use the findings to develop a conceptual framework. Methods & Materials: A scoping review was conducted using the Joanna Briggs Institute methodology and reported according to guidance for scoping reviews. MEDLINE via Ovid, PubMed, Scopus, ProQuest, and ScienceDirect were searched for peer-reviewed English-language studies published from 2014 to 2025. Quantitative, qualitative, and mixed-methods studies examining preparedness, related frameworks, tools, or interventions were included. Studies involving paid caregivers, paediatric stroke, or psychosocial outcomes without reference to preparedness were excluded. Findings were synthesised descriptively and thematically. Results: Twenty-two studies met the inclusion criteria. Four examined frameworks, assessment tools, or interventions, and 18 reported preparedness levels and associated factors. Preparedness was generally low to moderate. Three contextual domains shaped caregiving demands: stroke survivor clinical characteristics, caregiving roles and responsibilities, and family caregiver characteristics. Psychosocial and emotional factors and social and supportive resources moderated the relationship between demands and preparedness. These domains were integrated into a framework describing preparedness as a changing balance between caregiving demands and available resources across the stroke care continuum. Conclusion: Family caregiver preparedness is multidimensional and changes over time. The proposed framework may support assessment, follow-up, and intervention design, but requires empirical and stakeholder validation.
