Objective:To systematically evaluate and integrate the exercise experience of overweight or obese pregnant women during pregnancy, in order to provide basis for the formulation of standardized exercise programs for this population.Methods:We searched databases including PubMed, Cochrane Library, Web of Science, CINAHL, Embase, Ovid, PsycINFO, Chinese Biomedical Literature Database, VIP, Wanfang and China National Knowledge Infrastructure, from their inception to August 16, 2023, to collect qualitative studies on the exercise experience of overweight or obese pregnant women during pregnancy. The quality of included studies was evaluated according to Joanna Briggs Institute Critical Appraisal Tool for qualitative studies in Australia. The results were integrated by integrating methods.Results:A total of 11 studies were included. Sixty-one complete findings were grouped according to similarities to form 9 new categories. These categories resulted in 3 synthesized findings. Pregnant women with overweight or obesity were affected by promoting and hindering factors; careful balance of exercise risk and benefit for overweight or obese pregnant women during pregnancy; expectations and needs of overweight or obese pregnant women for exercise during pregnancy.Conclusions:Overweight or obese pregnant women highly rated the benefits and importance of exercise, but their participation and adherence to exercise is challenging. Medical staff should pay attention to the exercise experience of overweight or obese pregnant women during pregnancy, understand the driving factors and obstacles of exercise for overweight or obese pregnant women, in order to provide standardized and personalized exercise guidance programs for overweight or obese pregnant women.

Objective:To systematically evaluate and synthesize qualitative research on the care experiences and coping strategies of family caregivers in home-based hospice care, so as to provide a reference for developing systematic support strategies for these caregivers.Methods:Qualitative studies on the care experience and coping strategies of family caregivers in home-based hospice care were electronically and systematically retrieved from PubMed, CINAHL, EMBASE, Web of Science, Cochrane Library, SinoMed, China National Knowledge Infrastructure, WanFang Data, and VIP. The search period was from database establishment to March 2025. The literature quality was assessed using the Joanna Briggs Institute Center for Evidence-Based Health Care Quality Assessment Criteria for Qualitative Research. The results were analyzed and synthesized through the aggregative integration method. The quality rating of the integrated findings was conducted using the Confidence in the Qualitative Evidence developed by the Joanna Briggs Institute Center for Evidence-Based Health Care.Results:A total of 17 studies were included. Ninety research findings were extracted and categorized into 14 categories, ultimately synthesizing into four integrated findings, including the multifaceted impacts of home-based hospice care on family caregivers' physical and mental well-being and daily lives, the diverse coping strategies sought by family caregivers in home-based hospice care, the varying attitudes toward death among family caregivers, and the external difficulties and challenges faced by family caregivers. The integrated evidence rating indicated that three integrated evidence bodies were of moderate quality, while one evidence body was of low quality.Conclusions:Healthcare providers should recognize the multifaceted impact of home-based hospice care on family caregivers, identify caregiving challenges, and provide personalized support to enhance both the caregivers' quality of life and the patient's quality of dying.

Objective:To explore the training experiences of palliative care nurses participating in a prognosis disclosure workshop based on Kolb's experiential learning model, and to provide references for future educational programs in palliative care nursing.Methods:Using purposive sampling, 11 nurses were recruited who had participated in the "Palliative Care Competency Training Program for Nurses" in Shanghai between March and May 2025 and selected the Third Affiliated Hospital of Naval Medical University as their clinical training site. Semi-structured interviews were conducted, and data were analyzed using Colaizzi's seven-step method.Results:A total of three major themes emerged: a sense of benefit from enhanced competencies; complex emotional experiences; recommendations for course optimisation.Conclusions:Workshops based on Kolb's experiential learning model offer positive value in palliative care education. They effectively improve core competencies such as communication and empathy. However, the emotional experiences of nurses must also be considered, and multifaceted optimizations to the training design are recommended to further enhance training outcomes.

Objective:To systematically evaluate and synthesize qualitative research on the care experiences and coping strategies of family caregivers in home-based hospice care, so as to provide a reference for developing systematic support strategies for these caregivers.Methods:Qualitative studies on the care experience and coping strategies of family caregivers in home-based hospice care were electronically and systematically retrieved from PubMed, CINAHL, EMBASE, Web of Science, Cochrane Library, SinoMed, China National Knowledge Infrastructure, WanFang Data, and VIP. The search period was from database establishment to March 2025. The literature quality was assessed using the Joanna Briggs Institute Center for Evidence-Based Health Care Quality Assessment Criteria for Qualitative Research. The results were analyzed and synthesized through the aggregative integration method. The quality rating of the integrated findings was conducted using the Confidence in the Qualitative Evidence developed by the Joanna Briggs Institute Center for Evidence-Based Health Care.Results:A total of 17 studies were included. Ninety research findings were extracted and categorized into 14 categories, ultimately synthesizing into four integrated findings, including the multifaceted impacts of home-based hospice care on family caregivers' physical and mental well-being and daily lives, the diverse coping strategies sought by family caregivers in home-based hospice care, the varying attitudes toward death among family caregivers, and the external difficulties and challenges faced by family caregivers. The integrated evidence rating indicated that three integrated evidence bodies were of moderate quality, while one evidence body was of low quality.Conclusions:Healthcare providers should recognize the multifaceted impact of home-based hospice care on family caregivers, identify caregiving challenges, and provide personalized support to enhance both the caregivers' quality of life and the patient's quality of dying.

Objective:To explore the training experiences of palliative care nurses participating in a prognosis disclosure workshop based on Kolb's experiential learning model, and to provide references for future educational programs in palliative care nursing.Methods:Using purposive sampling, 11 nurses were recruited who had participated in the "Palliative Care Competency Training Program for Nurses" in Shanghai between March and May 2025 and selected the Third Affiliated Hospital of Naval Medical University as their clinical training site. Semi-structured interviews were conducted, and data were analyzed using Colaizzi's seven-step method.Results:A total of three major themes emerged: a sense of benefit from enhanced competencies; complex emotional experiences; recommendations for course optimisation.Conclusions:Workshops based on Kolb's experiential learning model offer positive value in palliative care education. They effectively improve core competencies such as communication and empathy. However, the emotional experiences of nurses must also be considered, and multifaceted optimizations to the training design are recommended to further enhance training outcomes.

Objective:To systematically evaluate and synthesize qualitative studies on palliative care nurses' cognition and experiences in disclosing the truth about a cancer diagnosis to patients, and to provide a reference for developing comprehensive and targeted communication strategies.Methods:A systematic search was conducted in PubMed, Embase, Cochrane Library, Wiley, Web of Science, China National Knowledge Infrastructure, VIP, Wanfang Data, and China Biology Medicine disc for qualitative studies on palliative care nurses' cognition and experience regarding truth-telling to cancer patients. The search covered publications from inception to November 2024. The Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Qualitative Research (2016) was used for quality appraisal, and meta-synthesis was performed using an aggregative approach.Results:A total of 12 studies were included. From these, 26 themes were extracted, which were categorized into 9 categories and ultimately synthesized into 3 integrated findings: palliative care nurses' understanding of truth-telling to cancer patients; barriers encountered by palliative care nurses in truth-telling; strategies to facilitate effective disclosure.Conclusions:Palliative care nurses recognize the value of truth-telling in cancer care but face multiple barriers in its implementation. Future efforts should focus on enhancing training, promoting interdisciplinary team collaboration, and improving public awareness to advance communication practices regarding truth-telling in palliative care.

Objective:To systematically evaluate and integrate the exercise experience of overweight or obese pregnant women during pregnancy, in order to provide basis for the formulation of standardized exercise programs for this population.Methods:We searched databases including PubMed, Cochrane Library, Web of Science, CINAHL, Embase, Ovid, PsycINFO, Chinese Biomedical Literature Database, VIP, Wanfang and China National Knowledge Infrastructure, from their inception to August 16, 2023, to collect qualitative studies on the exercise experience of overweight or obese pregnant women during pregnancy. The quality of included studies was evaluated according to Joanna Briggs Institute Critical Appraisal Tool for qualitative studies in Australia. The results were integrated by integrating methods.Results:A total of 11 studies were included. Sixty-one complete findings were grouped according to similarities to form 9 new categories. These categories resulted in 3 synthesized findings. Pregnant women with overweight or obesity were affected by promoting and hindering factors; careful balance of exercise risk and benefit for overweight or obese pregnant women during pregnancy; expectations and needs of overweight or obese pregnant women for exercise during pregnancy.Conclusions:Overweight or obese pregnant women highly rated the benefits and importance of exercise, but their participation and adherence to exercise is challenging. Medical staff should pay attention to the exercise experience of overweight or obese pregnant women during pregnancy, understand the driving factors and obstacles of exercise for overweight or obese pregnant women, in order to provide standardized and personalized exercise guidance programs for overweight or obese pregnant women.

Objective:To systematically evaluate and synthesize qualitative studies on palliative care nurses' cognition and experiences in disclosing the truth about a cancer diagnosis to patients, and to provide a reference for developing comprehensive and targeted communication strategies.Methods:A systematic search was conducted in PubMed, Embase, Cochrane Library, Wiley, Web of Science, China National Knowledge Infrastructure, VIP, Wanfang Data, and China Biology Medicine disc for qualitative studies on palliative care nurses' cognition and experience regarding truth-telling to cancer patients. The search covered publications from inception to November 2024. The Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Qualitative Research (2016) was used for quality appraisal, and meta-synthesis was performed using an aggregative approach.Results:A total of 12 studies were included. From these, 26 themes were extracted, which were categorized into 9 categories and ultimately synthesized into 3 integrated findings: palliative care nurses' understanding of truth-telling to cancer patients; barriers encountered by palliative care nurses in truth-telling; strategies to facilitate effective disclosure.Conclusions:Palliative care nurses recognize the value of truth-telling in cancer care but face multiple barriers in its implementation. Future efforts should focus on enhancing training, promoting interdisciplinary team collaboration, and improving public awareness to advance communication practices regarding truth-telling in palliative care.

Objective:To investigate the current status of maternal body image during pregnancy, mother-infant attachment and postpartum depression and explore the mediating effect of mother-infant attachment on maternal body image during pregnancy and postpartum depression, in order to effectively reduce the incidence of postpartum depression and provide reference and guidance for alleviating depressive symptoms.Methods:A total of 362 pregnant women admitted to obstetric wards in Women′s Hospital of Nanjing Medical University were selected for a cross-sectional investigation by applying the Edinburgh Postnatal Depression Scale, the Body Image in Pregnancy Scale and the Maternal Postnatal Attachment Scale by convenient sampling from July to September 2022. Model 4 in the SPSS macro program PROCESS was used to test the mediating effect of maternal infant attachment between body image and postpartum depression.Results:Totally 362 valid questionnaires were retrieved including 194 individuals aged ≤30 years old and 168 individuals aged >30 years old. The scores of maternal body image during pregnancy, mother-infant attachment and postpartum depression were (89.24 ± 15.56), (71.40 ± 8.05), 7.50 (4.00, 11.00) points.Conclusions:Body image during pregnancy can not only directly predict postpartum depression, but also indirectly predict postpartum depression through the mediating effect of mother-infant attachment. In order to prevent or reduce the occurrence of postpartum depression, nursing staff should carry out intervention research based on influencing the path of postpartum depression from the perspective of positive psychology.

Healthy lifestyles and good living habits are effective strategies and important approaches to prevent chronic non-communicable diseases. With the development of evidence-based medicine, the evidence translation system has made some achievements in clinical practice. There is, however, no comprehensive, professional and efficient system for translating lifestyle evidence globally. Therefore, the Health Lifestyle Evidence (HLSE) Group of Lanzhou University constructed the HLSE Evidence Translation System (https://hlse.cn/), with the aim of synthesizing, evaluating, translating, and applying lifestyle-related evidence resources. This paper aims to introduce the functional module design of the evidence translation system, the system development process and testing, introduce the interface design and function demonstration, and explain the significance of constructing the HLSE.