Jinxia Jiang

Background: Physical activity, sedentary behavior, and sleep constitute interdependent components of the 24-hour day and are jointly associated with mental health in adults. This study aimed to examine the global research landscape, hotspots, and emerging trends in this field from 2016 to 2026. Methods: Records published between 1 January 2016,and 30 April 2026, were retrieved from the Web of Science Core Collection. The bibliometrix package (version 5.3.0), implemented in R (version 4.5.2), was used to analyze publication and citation trends and contributions from countries, institutions, authors, and journals. Country-level publication output was quantified using full counting of unique document–country pairs, such that each publication was counted only once for a given country, whereas internationally co-authored publications were credited to all participating countries. Country citation rankings were determined by aggregating citations according to the corresponding author’s country of affiliation. VOSviewer (version 1.6.20) was used to construct country-level co-authorship networks using full counting and to generate keyword co-occurrence networks. The R packages ggplot2 and circlize were used for additional visualizations, including chord diagrams of citation relationships among journals. Results: A total of 527 publications were included. The annual global production from 2016 to 2026 reflected an overall upward trend with significant fluctuations. The amount of global output peaked in 2024 with 147 publications, whereas the number of total citations reached its highest in 2022 (2702). The United States was involved in 152 of the included publications, China in 118, and Australia in 87. Australia recorded the highest total citations (1757), followed by the United States (1667) and China (1556). Keyword overlay visualization revealed a shift from traditional behavioral epidemiology focused on workplace behaviors and subjective well-being toward integrated, precision-oriented mental health research emphasizing aging, cognitive health, circadian rhythm, and objective behavioral monitoring. Emerging hotspots included machine learning, compositional data analysis, isotemporal substitution, and accelerometer-based assessment. Conclusions: Research on 24-hour movement behaviors and adult mental health has evolved into an increasingly interdisciplinary field, with growing emphasis on integrated behavioral approaches, objective assessment methods, and healthy aging.

This study systematically integrated qualitative research regarding nursing students’ experiences using Generative Artificial Intelligence (GAI). It

Compassion fatigue is a significant occupational psychological issue among emergency department nurses, with profound implications for both their well-being and organizational performance. This review aims to synthesize qualitative evidence on emergency nurses’ experiences of compassion fatigue, identify its contributing factors, enhance understanding of its manifestations and consequences, and provide an evidence base to inform the development of prevention and intervention strategies by healthcare managers. A qualitative meta-synthesis. This review employed a meta-aggregative approach. A systematic search was conducted for qualitative studies in The Cochrane Library, PsycINFO, Embase, Web of Science, CINAHL, Ovid, PubMed, and Medline with no restriction on the start date (i.e., all available years were included) and the search was updated to June 20, 2025. The review adhered to the PRISMA reporting guidelines. The methodological quality of included studies was appraised using the Joanna Briggs Institute criteria, and the confidence in the qualitative findings was evaluated using the ConQual system. A Meta-phenomenological approach was used to synthesize ten qualitative studies, resulting in 48 key findings. These findings were organized into nine categories and further consolidated into three overarching themes: facilitating conditions, the double-edged effect, and response strategies. These themes encompassed eight sub-themes: insufficient basic resources, negative feedback catalysis, negative effects, positive effects, social security, avoidance strategies, positive attitude, and problem- and transcendence-oriented coping. Compassion fatigue among emergency department nurses is a multifactorial psychological phenomenon arising from their specific work environment. Its impact is characterized by both the multidimensional depletion of nurses’ cognitive, physical, behavioral, and emotional resources, and growth-promoting effects. Effective prevention and mitigation require not only strategies to enhance nurses’ individual coping skills but also organizational-level interventions that provide adequate support. Not applicable. The online version contains supplementary material available at 10.1186/s12912-026-04554-7.

The high incidence of consciousness disturbance in patients with traumatic brain injury has become a public health and economic concern. Therefore, impleme

Objectives: This study aimed to explore the experience of decision conflict among surrogate decision-makers for patients with critical illness undergoing neurosurgery. Design: A qualitative descriptive research design was used. Participants were selected using a purposive sampling method, and semi-structured interviews were conducted to collect data, which were then analysed using Colaizzi’s seven-step analysis method. Setting: The study was conducted in a tertiary hospital in China. Participants: This study included 15 surrogate decision-makers for patients with critical illness undergoing neurosurgery as interview participants. Results: In this interview study, two main themes and nine subthemes were identified：(a) core conflict in the decision-making process: conflicts between the quality of life and the length of life, conflict between patient and surrogate preferences and conflict between the expected and realistic treatment outcomes; and (b) complex causes of decisional conflict: the burden of decision-making in critical care, inadequate decision-making information, erosion of patient-physician trust, socio-cultural pressures, overwhelming financial burden and negative emotional distress. Conclusions: Surrogate decision-makers for patients with neurological critical illness often experience complex decision conflicts during the clinical decision-making process. This underscores the need for healthcare providers to identify high-risk individuals for decision conflicts early on and provide personalised decision support strategies to mitigate such conflicts and enhance decision quality.

Background: The second victim (SV) phenomenon is common among nurses in emergency departments. SVs may experience positive changes and achieve psychological recovery due to new insights or gains, even while enduring second victim syndrome (SVS). Generation Z emergency nurses (ENs) in China possess distinct life experiences compared with previous generations, and their work characteristics influence their psychological recovery experiences. Objective: This study aimed to investigate the psychological recovery experiences of Generation Z ENs who served as SVs after adverse events. Methods: This study employed a descriptive phenomenological approach. From April to May 2024, semistructured in‐depth interviews were conducted with eleven Generation Z ENs from a tertiary hospital in Shanghai. The Colaizzi seven‐step framework was employed for data analysis. Results: Three themes and eight subthemes emerged: shock and stress, reconstruction and remodeling, and gain and growth. Conclusion: As SVs, positive introspection, resilience mobilization, and the receipt of emotional first aid facilitated the reconstruction and growth of Generation Z ENs. To create effective strategies, managers should prioritize the work characteristics and needs of Generation Z ENs at various stages of psychological recovery, emphasizing self‐efficacy, collective agency, and social capital. The findings of this study are relevant to the development and implementation of future SV support programs.

Background: Symptom burden in primary brain tumor patients varies, emphasizing the need for comprehensive understanding to improve patient care. This study aims to identify distinct symptom clusters among brain tumor patients in Shanghai, China, using Latent Profile Analysis (LPA) to guide personalized diagnosis, treatment, and supportive care. Methods: A longitudinal study was conducted among 161 patients with primary brain tumors in Shanghai. Participants completed the MD Anderson Symptom Inventory Brain Tumor Module (MDASI-BT) at three intervals: the day of admission (T1), three days after surgery (T2), and two weeks after surgery (T3). Latent Profile Analysis (LPA) was used to identify subgroups with unique symptom patterns. Results: Six distinct subgroups were identified (entropy = 0.964), ranging from low-burden to persistently severe patterns. Subgroup membership was partially associated with age, tumor grade, and diagnosis. These subgroups were: transient postoperative burden group, stable symptom with cognitive emergence group, distress-predominant, low burden group, elderly–high grade, persistently severe group, nausea-dominant recovery group, and distress-plus-nausea, younger urban group. Conclusion: Our findings reveal substantial heterogeneity in perioperative symptom experiences among brain tumor patients. Identifying subgroups with high and persistent symptom burden may help clinicians target interventions such as enhanced education, proactive monitoring, rehabilitation, psychological support, and antiemetic management. This subgroup-based approach may improve quality of life, reduce morbidity, and guide precision supportive care in neuro-oncology.

With the increasing incidence of stroke among young and middle-aged individuals, addressing their psychological well-being has become a critical concern. Negative emotional states such as depression, anxiety, and conditions like post-traumatic stress disorder (PTSD) can hinder recovery and increase the risk of recurrence. Therefore, this study aims to conduct a meta-synthesis of qualitative research on post-traumatic growth (PTG) in this population, examining the factors that contribute to PTG, its developmental trajectory, and the coping mechanisms involved. A systematic search of 14 databases was conducted, with reference tracking, to ensure comprehensive literature retrieval. A total of 1,753 articles were initially identified. After removing duplicates and excluding articles that did not meet the criteria, 11 studies were included, involving 156 participants in total, with 5 studies conducted in China and the remaining from other regions. The review followed the Joanna Briggs Institute (JBI) approach: systematic search with predefined criteria, critical appraisal of study quality using the JBI Checklist (assessing rigor in data collection/analysis), and meta-synthesis via iterative theme development (coding, categorizing findings) and validation (cross-checking by reviewers) to derive integrated results. A total of 42 research findings were synthesized into 9 new categories, further grouped into 3 integrated results: (1) trauma and stress period, which includes physical, psychological, and social stress; (2) adjustment and reconstruction period, involving seeking support, cognitive processing, self-mobilization, and life reorganization; and (3) growth period, characterized by new possibilities and self-actualization. The limited time frame of the studies and the predominance of research from China (5 out of 11 included studies) may restrict the generalizability of the findings. Excluding non-English and non-Chinese studies introduces a potential language bias. Furthermore, as the review only included qualitative studies with generally small sample sizes (total 156 participants), the findings should be interpreted with caution. This meta-synthesis is the first to systematically synthesize qualitative evidence on PTG in young and middle-aged stroke patients, offering a novel three-stage framework (trauma and stress, adjustment and reconstruction, growth) that integrates physical, psychological, and social dimensions of recovery. By clarifying distinct emotional, cognitive, and behavioral features at each stage, this study advances existing research—previously fragmented in exploring PTG elements—by providing a holistic developmental trajectory. In clinical practice, this framework informs targeted interventions (e.g., stage-specific emotional support, cognitive guidance, and social reintegration strategies) to facilitate PTG and enhance patients’ reintegration into society.