- Non-adherence to ABCDEF bundle as indicator of missed care in the intensive care unit: A retrospective longitudinal study using routine data. [Journal Article]Int J Nurs Stud. 2026 Jul 24; 183:105646. [Online ahead of print]IJ
- CONCLUSIONS: The selected ABCDEF bundle elements offer a feasible and promising approach to electronically capture missed care in intensive care units through routine data. Processes and changes can be monitored continuously which can be used as a tool for quality improvement.
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- Qualitative inquiry in nursing and health research: Introducing RRITA, a rapid, reflexive, integrated approach to thematic analysis. [Review]Int J Nurs Stud. 2026 Jul 21; 183:105647. [Online ahead of print]IJ
- CONCLUSIONS: RRITA proposes that rigour and accessibility are complementary when supported by thoughtful methodological design. It offers a theoretically grounded approach to qualitative inquiry that fosters interpretive depth while accommodating the practical constraints of nursing and health research.
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- Feasibility, Usability, and Acceptability of an Adaptive Mobile Health Medication Adherence Intervention for Youth: Iterative Mixed Methods Human-Centered Design Study. [Journal Article]JMIR Form Res. 2026 Aug 05; 10:e87124.JF
- CONCLUSIONS: Integrated qualitative and quantitative results still suggest that more refinement is needed to optimize the intervention. Partnering with community members early in the development of an intervention may improve the ultimate feasibility, usability, and acceptability of digital health tools. Human-centered design offers a rapid, practical, and creative framework for identifying what works and what needs to be improved early in the lifecycle of a new intervention.
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- Longitudinal Population-Level Shifts in Infectious Disease-Specific Health Literacy During and After the COVID-19 Pandemic in Zhejiang, China: Six-Round Cross-Sectional Study. [Journal Article]JMIR Public Health Surveill. 2026 Aug 05; 12:e89958.JP
- CONCLUSIONS: The COVID-19 pandemic was temporally associated with significant and sustained population-level improvements in IDSHL, particularly for pandemic-relevant knowledge and behaviors. However, gains were time-sensitive and not uniform across all disease domains or demographic groups. These findings underscore the need for postpandemic health strategies that reinforce comprehensive IDSHL through sustained education and address digital divides to bridge persistent equity gaps. Policymakers should prioritize low digital-literacy populations through hybrid (offline+online) educational interventions, and sustain routine surveillance of IDSHL to detect declines in nonpandemic disease knowledge. This study is the first to document six-year population-level IDSHL trends across the full pandemic cycle, providing evidence for future crisis communication and routine health promotion.
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- Digital Health Communication Engagement Experiences of Older Adults in Community Contexts: Qualitative Systematic Review and Meta-Ethnography. [Systematic Review]J Med Internet Res. 2026 Aug 05; 28:e89179.JM
- CONCLUSIONS: This meta-ethnography treats community-based digital health communication as a communicative practice in its own right. It reframes the community not as a setting in which communication occurs but as a determinant of whether it works and characterizes engagement as an evolving negotiation of motivation, trust, and responsibility. Findings argue for moving beyond efficiency-oriented service delivery toward building community capacity and supporting older adults' autonomy and digital health literacy. Twelve out of 14 studies were of moderate quality, and eligibility was limited to Chinese- or English-language abstracts, which may limit representativeness.
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- Exploring the Potential for Smartphone-Based Reflection to Support Socioemotional Competence Development in Student Nurses' Clinical Placement: Mixed Methods Field Trial. [Journal Article]JMIR Nurs. 2026 Aug 05; 9:e91083.JN
- CONCLUSIONS: This study gives a rich description of how nursing students used a reflection app to structure their learning process during clinical placement. It reveals that smartphone-based reflection supports students in clinical placement learning. Specifically, the app lowers barriers to engaging in structural reflection and decreases the mental burden of self-regulated learning. However, more guidance and a multimodal intervention approach seem necessary for SEC development. Further research into how to account for students' shifting attitudes toward learning is needed.
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- Implementation and Evaluation of an AI-Assisted Telerehabilitation System for Postdischarge Continuation of Rehabilitative Care: Protocol for a Randomized Controlled Trial. [Journal Article]JMIR Res Protoc. 2026 Aug 05; 15:e78400.JR
- CONCLUSIONS: Our trial will provide valuable insights into the effectiveness and implementation of an AI-assisted telerehabilitation system for patients admitted to the CH for rehabilitation for hip fracture, musculoskeletal conditions, or deconditioning. This trial will also evaluate the sustainability and cost-effectiveness of the ATLAS system, with the potential of scaling across inpatient settings in both acute and CHs.
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- Exploring Women's Perspectives on Receiving AI-Enabled Digital Support for Infant Feeding: Multimethods Cross-Sectional Study. [Journal Article]JMIR Form Res. 2026 Aug 05; 10:e85102.JF
- CONCLUSIONS: The study highlights the potential of AI and barriers to women's acceptability and engagement. While women recognized the potential for AI to fill health care gaps in infant feeding support, including after business hours, there was less interest in AI replacing "in-person" support or information easily located via online search. Women's concerns regarding the credibility and trustworthiness of AI-enabled support should be addressed to maximize their use of emerging AI-enabled tools, embedded within digital technologies and mHealth. There is potential for AI to complement rather than replace usual care.
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- Piloting a Digital App Based on the Friendship Bench for Depression and Anxiety in Palestine: Mixed Methods Study. [Journal Article]JMIR Ment Health. 2026 Aug 05; 13:e77507.JM
- CONCLUSIONS: While digital, task-shifted mental health interventions can be delivered with fidelity in conflict settings, sustaining engagement during escalating violence remains challenging. Future implementations require flexible design, context-sensitive recruitment and retention strategies, adaptive delivery models, and strong support for lay coaches.
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- Cost-Effectiveness of Virtual Emergency Care Models: Systematic Review. [Systematic Review]JMIR Mhealth Uhealth. 2026 Aug 05; 14:e82143.JM
- CONCLUSIONS: Virtual emergency care demonstrates strong and consistent cost-effectiveness across diverse clinical conditions, populations, and health care settings. The evidence particularly supports implementation for stroke care, pediatric emergencies, and rural/remote populations where transfer avoidance drives substantial economic benefits. All evaluated modalities achieved favorable economic outcomes, suggesting technology should match context rather than maximize sophistication. These findings provide robust economic justification for expanding virtual emergency care access and removing regulatory barriers. As health care systems face mounting pressures from aging populations, workforce shortages, and budget constraints, virtual emergency care offers a proven strategy for improving access and quality while reducing costs.
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- AI in Psychiatry for Improving Continuity of Patient Care: Protocol for a Mixed Methods Systematic Review. [Journal Article]JMIR Res Protoc. 2026 Aug 05; 15:e95931.JR
- CONCLUSIONS: By systematically mapping interventions across patient, institutional, and health system levels, this review will clarify the clinical effectiveness, ethical boundaries, and logistical implementation factors of psychiatric AI tools. Ultimately, these consolidated insights will provide an evidence-based foundation to inform clinical guidelines; governance frameworks; and the design of proactive, learning mental health systems.
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- Symptom Tracking for Patient-Reported Outcomes in Cancer: User-Centered Design of the AthenaCompanion Web Application. [Journal Article]J Med Internet Res. 2026 Aug 05; 28:e94017.JM
- CONCLUSIONS: Using a multiphase, mixed methods, user-centered design process, we developed AthenaCompanion (Northwestern University with The Ohio State University), a gamified web application for PRO monitoring tailored to older adults undergoing cancer treatment. Across surveys and interviews, patients emphasized the importance of clinical utility, clarity of symptom feedback, and low-pressure, optional gamification elements. This work demonstrates the feasibility of integrating gamification into PRO monitoring and provides a foundation for future work evaluating long-term usability, engagement, and clinical effectiveness in real-world oncology care.
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- Operationalizing One Digital Health and FAIR Data Principles for Disease Surveillance in a Low-Medium Income Country in Africa: Qualitative Study in the Democratic Republic of the Congo. [Journal Article]JMIR Med Inform. 2026 Aug 05; 14:e93321.JM
- CONCLUSIONS: Operationalizing ODH in DRC requires addressing foundational enablers beyond tools: synchronized energy-digital policies, decompartmentalized governance, and context-adapted capacity building. These insights inform low- and middle-income countries' DH strategies, urging donors and ministries to prioritize interoperability over isolated pilots to achieve sustainable zoonotic surveillance.
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- Prevalence and Determinants of Blood Exposure Accidents Among Health Care Workers in Kalemie, Democratic Republic of the Congo: Cross-Sectional Study. [Journal Article]JMIR Public Health Surveill. 2026 Aug 05; 12:e97009.JP
- CONCLUSIONS: BEAs were highly prevalent among health care providers in Kalemie. Most incidents were preventable, and noncompliance with standard precautions significantly increased risk. Strengthening infection prevention and control measures, ensuring consistent availability of personal protective equipment, and establishing effective surveillance systems are urgently needed to protect health care workers and reinforce health system resilience.
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- Perceptions of a Culturally Tailored Narrative Video for Skin Cancer Prevention Among Spanish-Speaking Hispanic Outdoor Workers: Exploratory Study. [Journal Article]JMIR Dermatol. 2026 Aug 05; 9:e98130.JD
- CONCLUSIONS: Our video shows promise in improving skin cancer awareness and prevention, reflecting strong acceptability among participants. Future randomized controlled studies are needed to assess its effectiveness in enhancing long-term sun-protective behaviors.
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