{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T11:38:34Z","timestamp":1784115514241,"version":"3.55.0"},"reference-count":66,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To identify and synthesise nursing interventions directed at family caregivers of patients with end\u2010stage renal disease undergoing haemodialysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A convergent\u2010integrated mixed\u2010methods systematic review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>A comprehensive search was conducted in EBSCOHost databases (Academic Search Complete, CINAHL Complete, MEDLINE with Full Text, MedicLatina, ERIC) and the PubMed database. Studies were appraised using the Mixed\u2010Methods Appraisal Tool (MMAT), and interventions were classified using the Cochrane Effective Practice and Organisation of Care taxonomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>Quantitative data were narratively synthesised and transformed into textual descriptions to enable integration with qualitative findings. A thematic synthesis was conducted to group similar concepts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010three studies met the inclusion criteria. Most were quantitative or mixed methods with moderate\u2010to\u2010high methodological quality. Interventions were primarily classified as disease management (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200910) or self\u2010management support (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20099). Common components included education, coping strategies, empowerment, and psychosocial support. Positive effects were observed on caregiver quality of life, anxiety, depression, and self\u2010efficacy. Caregiver burden outcomes were mixed, potentially influenced by time and intervention intensity. Additional benefits were noted from relaxation techniques and intradialytic exercise. Qualitative data revealed culturally embedded coping strategies such as spiritual practices, time management and seeking social support.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Educational and empowerment\u2010based nursing interventions\u2014particularly those supporting dyadic coping and family\u2010centred care\u2014can improve caregiver outcomes. Frameworks such as the Roy Adaptation Model and the \u2018Timing it Right\u2019 approach enhance intervention design and relevance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>By addressing caregiver needs through structured education, psychosocial support and contextually sensitive approaches, nurses can mitigate caregiver burden and promote long\u2010term caregiver well\u2010being and patient adherence to treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Although patients and caregivers were not directly involved, this review contributes to improving nursing care for family caregivers of individuals with ESRD, aiming to enhance their quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70297","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T18:32:44Z","timestamp":1761762764000},"page":"5813-5834","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Nursing Interventions to Support Family Caregivers of Patients on Haemodialysis: A Mixed\u2010Methods Systematic Review"],"prefix":"10.1111","volume":"82","author":[{"given":"H\u00e9lder","family":"Ara\u00fajo","sequence":"first","affiliation":[{"name":"Instituto Polit\u00e9cnico da Guarda, Escola Superior de Sa\u00fade, Nephrocare Covilh\u00e3  Covilh\u00e3 Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ermelinda","family":"Marques","sequence":"additional","affiliation":[{"name":"Instituto Polit\u00e9cnico da Guarda, Sport Physical Activity and Health Research &amp; Innovation Center (SPRINT), Rede de Investiga\u00e7\u00e3o em Sa\u00fade (RISE\u2010HEALTH), Centro de Estudos em Educa\u00e7\u00e3o e Inova\u00e7\u00e3o (CI&amp;DEI), Centro Acad\u00e9mico Cl\u00ednico das Beiras  Covilh\u00e3 Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In\u00eas","family":"Louren\u00e7o","sequence":"additional","affiliation":[{"name":"ULS Cova da Beira, UCSP  Covilh\u00e3 Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9lia","family":"Bonif\u00e1cio","sequence":"additional","affiliation":[{"name":"ULS Cova da Beira, UCSP  Covilh\u00e3 Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filipe","family":"Gomes","sequence":"additional","affiliation":[{"name":"Instituto Polit\u00e9cnico da Guarda, Escola Superior de Sa\u00fade, CIDNUR\u2014Nursing Research, Innovation and Development Centre of Lisbon  Lisbon Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.4314\/gmj.v53i3.2"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/hdi.12318"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnss.2018.03.007"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12827"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3402\/qhw.v10.30306"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.46658\/JBIMES-20-01"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.22038\/EBCJ.2016.7627"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0002764211426330"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1026\/0943\u20108149.16.3.108"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2007.10.020"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1074840710383145"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfaa273"},{"key":"e_1_2_10_14_1","volume-title":"EPOC Taxonomy","author":"EPOC","year":"2015"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/nep.13620"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_78_16"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.4103\/jehp.jehp_14_17"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1074840718819152"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1549\u20103741(03)29067\u20105"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2020.03.022"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2006.06.004"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdw547"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-94-007-0753-5_284"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010023\u201001604\u20102"},{"key":"e_1_2_10_25_1","volume-title":"Advances in Social Science, Education and Humanities Research: 3rd ASEAN Conference on Psychology, Counseling and Humanities (AC\u2010PCH 2017) (Vol. 133)","author":"Herdiana I.","year":"2017"},{"key":"e_1_2_10_26_1","volume-title":"Mixed Methods Appraisal Tool (MMAT), Version 2018: User Guide","author":"Hong Q. 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