Indian Journal of Advanced Nursing Care and Health Studies

Effectiveness of Nurse-Led Interventions in Improving Patient Outcomes in Chronic Disease Management: A Review

2026-10-26T09:59:08+00:00

Advancing Evidence-Based Nursing Practice: A Comprehensive Review of Contemporary Clinical Approaches

2026-10-26T10:12:55+00:00

Background: Evidence-Based Nursing Practice (EBNP) is a cornerstone
of modern healthcare systems, integrating the best available research
evidence, clinical expertise, and patient preferences to improve care
quality and patient outcomes. Despite its recognized importance, the
implementation of EBNP remains inconsistent across healthcare settings
due to barriers such as limited knowledge, inadequate training, and
organizational constraints.
Objective: This review aims to critically examine contemporary clinical
approaches to advancing evidence-based nursing practice, identify
facilitators and barriers, and explore strategies for strengthening EBNP
integration in clinical environments.
Methods: A comprehensive narrative review of recent peer-reviewed
literature, systematic reviews, and meta-analyses was conducted.
Relevant studies were identified from databases including PubMed,
CINAHL, Scopus, and Google Scholar focusing on publications from
2000–2025.

Results: Findings reveal that EBNP implementation is strongly influenced
by educational preparation, organizational support, leadership
engagement, and access to research resources. Contemporary
approaches such as digital learning platforms, clinical decision
support systems, simulation-based education, and interprofessional
collaboration significantly enhance EBNP adoption. However, persistent
barriers such as workload, limited research literacy, and resistance to
change continue to hinder full integration.
Conclusion: Advancing EBNP requires a multifaceted approach involving
education reform, organizational culture change, and technological
integration. Strengthening these areas will improve nursing care quality,
patient safety, and healthcare outcomes.

Palliative and End-Of-Life Care In Nursing: A Review Of Best Practices And Ethical Considerations

2026-10-26T10:34:37+00:00

Palliative and End-of-Life (EOL) care is a fundamental and indispensable
component of modern nursing practice, aimed at improving the quality
of life of patients living with life-limiting, chronic, or terminal illnesses,
while also providing comprehensive support to their families. This
specialized area of care focuses on a holistic and patient-centered
approach that addresses not only physical symptoms such as pain,
dyspnea, fatigue, and nausea, but also psychological distress, social
challenges, and spiritual concerns that commonly arise during advanced
illness trajectories.
Despite its global recognition as a core element of quality healthcare,
significant gaps persist in the effective implementation of palliative and
EOL care services across healthcare systems. These gaps are primarily
attributed to inadequate formal training among healthcare professionals,
ethical and moral complexities in end-of-life decision-making, cultural
and religious influences, limited institutional resources, and inconsistent
policy frameworks across different regions and healthcare settings. As
a result, many patients continue to experience suboptimal symptom
control and inadequate psychosocial and emotional support during
the final stages of life.

This comprehensive narrative review critically examines current
best practices in palliative and EOL nursing care, explores the ethical
dimensions associated with end-of-life decision-making, and identifies
contemporary strategies aimed at improving the quality and accessibility
of care delivery. A wide range of peer-reviewed literature published
between 2000 and 2025 was systematically examined using major
scientific databases, including PubMed, Scopus, and CINAHL, to ensure
a broad and evidence-informed synthesis of existing knowledge.

Impact of Patient-Centered Care on Patient Satisfaction in Tertiary Healthcare Settings

2026-10-26T10:45:11+00:00

Background: Patient-centered care (PCC) has become a fundamental
approach in modern healthcare systems, emphasizing individualized
care, shared decision-making, and respect for patient preferences.
In tertiary healthcare settings, where complex care is delivered, PCC
plays a critical role in determining patient satisfaction and overall
quality of care.
Objective: To assess the impact of patient-centered care on patient
satisfaction in tertiary healthcare settings and identify key factors
influencing satisfaction levels.
Methods: A descriptive cross-sectional study was conducted among
250 patients admitted to tertiary hospitals. Data were collected using
structured questionnaires measuring PCC domains (communication,
emotional support, respect, involvement) and patient satisfaction.
Statistical analyses included correlation and regression.

Results: A strong positive correlation was found between PCC and patient
satisfaction (r = 0.68, p < 0.001). Communication and involvement in
decision-making were the strongest predictors of satisfaction. Barriers
included lack of time, overcrowding, and inadequate emotional support.
Conclusion: Patient-centered care significantly improves patient
satisfaction in tertiary settings. Enhancing communication, shared
decision-making, and continuity of care can lead to better healthcare
outcomes.

Assessment of Knowledge and Practices of Evidence-Based Nursing Among Clinical Nurses

2026-10-26T09:50:41+00:00

Background: Evidence-Based Practice (EBP) has become a fundamental
component of modern nursing, enabling clinicians to deliver safe, effective,
and patient-centered care. Despite widespread acknowledgment of its
importance, the translation of EBP into routine clinical practice remains
inconsistent across healthcare settings, particularly in developing
countries.
Objective: This study aimed to assess the knowledge and practices of
evidence-based nursing among clinical nurses and to identify factors
influencing its implementation in hospital settings.
Methods: A descriptive cross-sectional study was conducted among
200 clinical nurses working in tertiary healthcare institutions. Data
were collected using a structured questionnaire adapted from the
Evidence-Based Practice Questionnaire (EBPQ), covering domains of
knowledge, attitudes, and practices. Descriptive and inferential statistics
were used to analyze the data.

Results: The findings revealed that while nurses demonstrated moderate
levels of knowledge and positive attitudes toward EBP, the actual
implementation in clinical practice was relatively low. Significant
associations were observed between EBP knowledge and factors such
as educational qualification, years of experience, prior training, and
research involvement. Major barriers identified included lack of time,
insufficient access to resources, and organizational constraints.
Conclusion: Although awareness of EBP is growing among clinical nurses,
its practical application remains suboptimal. Targeted interventions
such as continuous education, institutional support, and improved
access to research resources are necessary to bridge the gap between
knowledge and practice.