International Journal of Nursing Studies Advances最新文献

{"title":"Corrigendum to “Organizational interventions and strategies for COVID-19 pandemic management in acute care setting: A qualitative interview study with nurse leaders in German hospitals” [International Journal of Nursing Studies Advances, Volume 8 (2025) 100336]","authors":"Maria Zink , Johannes Wendsche , Steffi G. Riedel-Heller , Franziska Jung , Marlen Melzer","doi":"10.1016/j.ijnsa.2025.100363","DOIUrl":"10.1016/j.ijnsa.2025.100363","url":null,"abstract":"","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100363"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse staffing configurations and sickness absence in English intensive care units: A longitudinal observational study","authors":"Ezekwesiri Nwanosike , Chiara Dall’Ora , Peter Griffiths , Christina Saville , Thomas Monks , Natalie Pattison , Tolusha Dahanayake Yapa , SEISMIC-R study group","doi":"10.1016/j.ijnsa.2025.100451","DOIUrl":"10.1016/j.ijnsa.2025.100451","url":null,"abstract":"<div><h3>Background</h3><div>Staff wellbeing in intensive care units is essential for quality patient care, and nurse staffing configurations can impact nurse sickness absence. The COVID-19 pandemic imposed additional strain on nurses, potentially affecting sickness absence rates.</div></div><div><h3>Objective</h3><div>To examine the association between registered nurse staffing levels, skill mix, and staff sickness absence in intensive care units spanning prepandemic (01/19–02/20), early pandemic (03/20–02/21), later pandemic (03/21–02/22), and post-pandemic (03/22–12/22).</div></div><div><h3>Design</h3><div>Longitudinal retrospective study</div></div><div><h3>Setting(s)</h3><div>Three National Health Service hospital trusts in England</div></div><div><h3>Participants</h3><div>Five intensive care units with 6916 sickness episodes from staffing data.</div></div><div><h3>Methods</h3><div>We linked staffing data from electronic rostering systems. Variables included registered nurse hours per patient day, proportion of senior staff nurses with largely hands-on clinical experience, management presence, and sickness absence rates. Generalised linear mixed models analysed associations between staffing configurations in the previous 28 days and sickness absence.</div></div><div><h3>Results</h3><div>The mean sickness absences rate was 2.4 %. When analysing all time periods collectively, an increase in registered nurse staffing by 1 standard deviation (SD) (11.0 h per patient day) was associated with a 5 % reduction in sickness episodes (incidence rate ratio [IRR]=0.95; 95 % confidence interval [CI] 0.90–0.99, <em>p</em> = 0.018); a 1 SD (15.1 %) increase in the proportion of senior nurse hours per patient day was associated with a 22 % reduction in sickness episodes (IRR=0.78; 95 % CI 0.71–0.86; <em>p</em> < 0.001). For management, the relationship exhibited a non-linear pattern, with both higher and lower levels of managerial presence, compared to the norm, being associated with increased sickness absence. The observed relationships changed over time, especially during later and post-pandemic periods. A 1 SD (11.7 h per patient day) increase in registered nurse staffing was associated with a 19 % reduction in sickness absence in the post-pandemic period (IRR 0.81; 95 % CI 0.69–0.95, <em>p</em> = 0.010). A 1 SD increase in proportion of senior nurse hours per patient day was associated with both reduced (IRR 0.60; 95 % CI 0.48–0.74, <em>p</em> < 0.001 later pandemic) and increased sickness absence (IRR 2.00; 95 % CI 1.31–3.05, <em>p</em> = 0.001 post pandemic).</div></div><div><h3>Conclusions</h3><div>Sickness absence in intensive care units decreased with higher registered nurse staffing levels, although this relationship was most apparent post-pandemic. The presence of more senior registered nurses was generally associated with reduced sickness absence, although this relationship proved complex and varied across time periods. Pandemic conditions ","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100451"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145525566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educational technology enhanced interprofessional E-learning for engaging cross-institutional and cross-border healthcare students: A mixed-methods study","authors":"Siu Ling Chan (Senior Lecturer) ,&nbsp;John Tai Chun Fung (Senior Lecturer) ,&nbsp;Man Sang Wong (Associate Head (Academic) and Professor) ,&nbsp;Christopher Chi Wai Cheng (Research Assistant I) ,&nbsp;Jay Jung Jae Lee (Assistant Professor) ,&nbsp;Hye Ri Choi (Postdoctoral Fellow) ,&nbsp;Wai Hin Wan (Assistant Lecturer) ,&nbsp;Harrison Withrow (Research Assistant I) ,&nbsp;Seng-iad Sirirat (Lecturer) ,&nbsp;Wai Ho Tse (Assistant Lecturer) ,&nbsp;Rebecca Po Wah Poon (Lecturer) ,&nbsp;Choi Fung Lam (Lecturer) ,&nbsp;Hemio Chung Yan Lam (Lecturer) ,&nbsp;Chun Kit Chan (Assistant Lecturer) ,&nbsp;Chia Chin Lin (Director of School)","doi":"10.1016/j.ijnsa.2025.100404","DOIUrl":"10.1016/j.ijnsa.2025.100404","url":null,"abstract":"<div><h3>Aim</h3><div>In the post-COVID-19 era, educators in higher education are exploring innovative pedagogies to deliver effective interprofessional education in an online learning environment. This study aimed to evaluate the effectiveness of the technology-enhanced e-learning modules for undergraduate healthcare students from different cultural backgrounds. The focus was on student engagement with interprofessional learning and diversity using innovative educational technology.</div></div><div><h3>Methods</h3><div>This is a mixed-methods study including pre- and post-test evaluations and focus group interviews. The educational intervention strategies focused on applying interprofessional learning among undergraduate healthcare students by integrating education technologies (i.e., virtual reality 360 and gamification) into two e-learning modules. Three time-points involving pre and post modules’ evaluation (before and after the 1st learning module, and after the 2nd learning module) were collected using validated scales including Interprofessional Attitudes Scale and Online Student Engagement Scale. Linear mixed models were used to investigate the association between interventions and changes in outcomes from pre-to post-intervention by adjusting the covariates. To further validate the quantitative findings, focus-group interviews were conducted with a verbatim transcript obtained from participating students for content analysis.</div></div><div><h3>Results</h3><div>A total of 75 undergraduate healthcare students from Hong Kong, Mainland China, South Korea, and Thailand participated in the study. A statistically significant positive change was detected in interprofessional attitude (<em>F</em> = 5.90, <em>p</em> = 0.004), interprofessional diversity and ethics (<em>F</em> = 4.43, <em>p</em> = 0.014) and student engagement (<em>F</em> = 13.42, <em>p</em> &lt; 0.001) after the e-learning modules. A statistically significant correlation was also detected between student engagement and interprofessional attitude. From the qualitative content analysis, three core categories were identified. They were ‘Cultural diversity recognition’, ‘Acquisition of interprofessional attitudes and skills’ and ‘Active learning engagement’.</div></div><div><h3>Conclusions</h3><div>The technology-enhanced e-learning modules significantly enhanced undergraduate healthcare students’ interprofessional attitude and student learning engagement in terms of interprofessional education. Healthcare educators in higher education are encouraged to integrate educational technology as a pedagogical approach to stimulate interprofessional learning of undergraduate healthcare students.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100404"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144828127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric evaluation of the Norwegian version of the Threadgold Communication Tool","authors":"Anne-Martha Utne Øygarden ,&nbsp;Ellen Karine Grov ,&nbsp;Anne Marie Mork Rokstad ,&nbsp;Orla Brady ,&nbsp;Knut Engedal ,&nbsp;Benedicte Sørensen Strøm","doi":"10.1016/j.ijnsa.2025.100405","DOIUrl":"10.1016/j.ijnsa.2025.100405","url":null,"abstract":"<div><h3>Objectives</h3><div>The study aimed to investigate the psychometric properties of the Norwegian version of the Threadgold Communication Tool, a proxy-rated instrument assessing communication abilities in people with dementia.</div></div><div><h3>Design</h3><div>The study employed a prospective design, with two measurement points within 10 days. The Threadgold Communication Tool was translated into Norwegian following the World Health Organization's protocol for translation and back-translation.</div></div><div><h3>Setting and participants</h3><div>The study included 126 residents from ten different nursing homes and one assisted living facility in Norway. The participants consisted of 99 women (78.57 %) and 27 men (21.43 %), aged between 61 and 100 years, with a mean age of 85.67 (SD 7.59).</div></div><div><h3>Outcome measures</h3><div>The outcome measures were the internal consistency, test-retest reliability, and construct validity of the Threadgold Communication Tool.</div></div><div><h3>Results</h3><div>The Norwegian version of the Threadgold Communication Tool demonstrated satisfactory psychometric properties, with a high level of internal consistency (Cronbach’s α coefficient = 0.95) and robust test-retest reliability (<em>r</em> = 0.8, <em>p</em> &lt; 0.001). Principal Component Analysis revealed a two-component structure, explaining 62.9 % of the variance. However, the item 'vocalization' scored lower than other items and was identified as difficult to interpret by the Sonas Licensed Practitioners.</div></div><div><h3>Conclusions</h3><div>The Norwegian version of the Threadgold Communication Tool is a reliable and valid tool for assessing communication abilities in people with dementia. However, further research is needed to refine the instrument based on these findings, particularly regarding the interpretation of the 'vocalization' item.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100405"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144914014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proactive huddles to reduce missed nursing care; the mediating roles of personal situational awareness and rational coordination: A cluster randomized pre post intervention study","authors":"Marina Vexler ,&nbsp;Anat Drach-Zahavy ,&nbsp;Einav Srulovici","doi":"10.1016/j.ijnsa.2025.100448","DOIUrl":"10.1016/j.ijnsa.2025.100448","url":null,"abstract":"<div><h3>Background</h3><div>Missed nursing care, defined as the failure to deliver essential patient care, has adverse effects on patients, nurses, and healthcare organizations. While efforts to reduce missed care exist, few interventions have been fully evaluated, and the mechanisms through which these interventions work remain poorly understood.</div></div><div><h3>Objectives</h3><div>This study aimed to develop, implement, and evaluate proactive huddles as a process to reduce missed nursing care in hospital inpatient wards. Additionally, the study examined the mediating role of personal situational awareness (cognitive mechanism) and relational coordination (motivational mechanism) in the relationship between proactive huddles and missed care.</div></div><div><h3>Design</h3><div>A cluster-randomized pre–post intervention design</div></div><div><h3>Methods</h3><div>Data were collected from March 2022 to May 2023 from six internal and four surgical wards in a medium-sized hospital. Wards were randomized into intervention (n = 85) and control (n = 95) groups. Nurses in the intervention group participated in daily huddles over three months, while those in the control group continued with standard care practices. The MISSCARE survey, Relational Coordination Survey, Situational Nursing Awareness Probe – Missed Nursing Care Edition (SANP-MNC), National Aeronautics and Space Administration (NASA) Task Load Index, and sociodemographic characteristics were assessed pre- and post-intervention. Mediation models were analyzed using mixed-linear model analyses.</div></div><div><h3>Results</h3><div>The proactive huddle intervention significantly reduced missed nursing care (β =0.123, p&lt; 0.001), with partial mediation observed through improved relational coordination (β =-0.125, p&lt; 0.001). However, while the intervention increased personal situational awareness (β =-0.142, p&lt; 0.001), this cognitive mechanism did not mediate the relationship between the intervention and missed care.</div></div><div><h3>Conclusions</h3><div>Proactive huddles were effective in reducing missed nursing care by improving team communication and collaboration. Although situational awareness increased, the high workload and limited resources may have hindered nurses' ability to act on situational awareness. For proactive huddles to maximize their potential, additional support systems are needed to enable nurses to address care challenges effectively.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100448"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145575998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of emergency nurse practitioner professional identity: A multicenter qualitative study","authors":"Aline Chenou ,&nbsp;Loïc Brillouet ,&nbsp;Stéphane Guillon ,&nbsp;Pascal Bilbault ,&nbsp;Thierry Pelaccia","doi":"10.1016/j.ijnsa.2025.100384","DOIUrl":"10.1016/j.ijnsa.2025.100384","url":null,"abstract":"<div><h3>Context</h3><div>The first emergency nurse practitioners have been working in France for two years now. Their arrival may raise questions, but they are seen as a potential solution to the crisis of overcrowding in emergency department. As a new profession in the emergency department, it is crucial to study the characteristics of the professional identity in order to provide the keys to understanding their place and the role they can play within systems of care.</div></div><div><h3>Aims</h3><div>We wanted to explore the perceived characteristics of the emergency nurse practitioners by the physicians, nurses, health care managers, and emergency nurse practitioners themselves</div></div><div><h3>Methods</h3><div>This is a multicenter qualitative study. 21 semi-structured interviews were conducted in 5 distinct hospitals from April to June 2024. Participants included nurses, emergency nurse practitioners, physicians, and healthcare managers. Data were analyzed using thematic coding.</div></div><div><h3>Results</h3><div>Four themes emerged concerning the characteristics of emergency nurses practitioners professional identity: A combination of skills in a variety of fields (1), a pivotal professional, expert in the care pathway, at the interface with other emergency professions (2), a dual identity anchor: nurse and emergency professional, (3) and a position that is still in its nascent stages, plagued by uncertainty and obstacles (4).</div></div><div><h3>Conclusion</h3><div>This study revealed the characteristics of the professional nursing identity. It emerges that professionals see the emergency nurse practitioners as an intermediary player in the care response and as an expert in the care pathway.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100384"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient safety and the second victim phenomenon in nursing and medical curricula: A qualitative study","authors":"Einav Srulovici ,&nbsp;Mary-Elizabeth Tumelty ,&nbsp;Ivana Meszaros Skoumalova ,&nbsp;Patricia Vella Bonanno ,&nbsp;Erika Kubilienė ,&nbsp;José Joaquín Mira ,&nbsp;Valentina Marinkovic ,&nbsp;Anat Rafaeli ,&nbsp;Reinhard Strametz ,&nbsp;Susanna Tella ,&nbsp;Anu Venesoja ,&nbsp;Žymantė Jankauskienė ,&nbsp;Sandra C. Buttigieg","doi":"10.1016/j.ijnsa.2025.100403","DOIUrl":"10.1016/j.ijnsa.2025.100403","url":null,"abstract":"<div><h3>Background</h3><div>The second victim phenomenon—emotional and psychological distress experienced by healthcare professionals following adverse events—is increasingly recognized. However, its integration into formal nursing and medical curricula remains limited across Europe, despite its relevance to patient safety, as well as student and clinician well-being.</div></div><div><h3>Objectives</h3><div>To explore how patient safety and second victim content are incorporated into undergraduate and postgraduate nursing and medical curricula and to identify the barriers and facilitators influencing such integration across Europe.</div></div><div><h3>Design</h3><div>A qualitative cross-national interview study.</div></div><div><h3>Settings</h3><div>Medical and nursing education institutions in 10 European countries representing northern, southern, central, and eastern regions.</div></div><div><h3>Participants</h3><div>Nineteen healthcare education leaders (department heads or senior faculty) from nursing and medical programs were selected purposefully based on their leadership roles and curricular oversight responsibilities. Inclusion criteria required at least 5 years of experience in curriculum development at both undergraduate and postgraduate levels; there were no dropouts.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted in participants' native languages, translated to English, and analyzed using thematic analysis. Themes were developed inductively by a multidisciplinary research team across countries.</div></div><div><h3>Results</h3><div>Five major themes were identified: (1) Recognition of patient safety and the second victim phenomenon; (2) Curriculum development and implementation; (3) Training content and delivery; (4) Student and educator engagement; and (5) Continuous professional development. Although awareness of the second victim concept was high, formal curricular integration was rare. Barriers included curriculum overload, regulatory rigidity, and limited faculty preparedness. Facilitators included interdisciplinary collaboration, student advocacy, and openness to innovative pedagogies.</div></div><div><h3>Conclusions</h3><div>Despite broad recognition of the second victim phenomenon, its integration into European healthcare curricula remains minimal. Strategic curriculum reforms supported by interdisciplinary collaboration, institutional leadership, and student engagement may be essential to bridge the gap between awareness and educational practice. We have offered actionable guidance for advancing patient safety and clinician resilience through formal education.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100403"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144809754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family caregivers' needs at 6 months after pancreatic cancer surgery: A latent profile analysis","authors":"Linglong Liu ,&nbsp;Xiaoping Fang ,&nbsp;Xinbo Wang ,&nbsp;Xiaoyan Wang ,&nbsp;Yehua Xie ,&nbsp;Yaoyao Cai ,&nbsp;Lei Cui ,&nbsp;Tianying Yao ,&nbsp;Xiaoxuan Li ,&nbsp;Qian Li ,&nbsp;Mingxia Chen","doi":"10.1016/j.ijnsa.2025.100416","DOIUrl":"10.1016/j.ijnsa.2025.100416","url":null,"abstract":"<div><h3>Background</h3><div>Family caregivers ('carers') bear the highest care burden during the postoperative survivorship period of pancreatic cancer, given its poor prognosis. Most carers report unmet needs when taking on caregiving responsibilities during this period. Thoroughly investigating carers' needs is essential for helping families address practical care challenges. However, this important topic remains underexplored.</div></div><div><h3>Objective</h3><div>To assess the need levels and identify need subgroups among carers of patients with pancreatic cancer 6 months after surgery and demographic predictors contributing to heterogeneity.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting(s)</h3><div>Participants were recruited from the pancreas centres of four tertiary A-level comprehensive hospitals in Jiangsu Province, China.</div></div><div><h3>Participants</h3><div>240 patients with pancreatic cancer and their carers ('dyads') participated in the survey.</div></div><div><h3>Methods</h3><div>Carers completed the Comprehensive Needs Assessment Tool in Cancer for Carers, the Activities of Daily Living Scale for patients, and the General Demographic Information Questionnaire for dyads. Latent profile analysis (LPA) was used to categorise carers' needs. Non-parametric and chi-square tests were used to examine differences in need scores and sociodemographic characteristics among subgroups. Multiple logistic regression (MLR) was used to analyse sociodemographic impacts.</div></div><div><h3>Results</h3><div>Six months post-surgery, the total carers' need score was 41.83 ± 22.65 points, indicating a moderate level, with the highest needs reported for healthcare personnel, information and knowledge, and facilities and services. The LPA results revealed that carers were divided into five distinct subgroups based on differing levels of need across the domains assessed by the Comprehensive Needs Assessment Tool in Cancer for Carers, with proportions of 8.8 %, 22.5 %, 8.3 %, 55 %, and 5.4 %. Subgroup membership was predicted by four factors: carers' sex (odds ratio [OR]: 11.08, 95 % confidence interval [CI]: 1.64, 74.99, <em>p</em> = 0.01), carers' education levels (OR: 3.92, 95 % CI: 1.04, 14.72, <em>p</em> = 0.04), patients' treatment after surgery (OR: 0.10, 95 % CI: 0.01, 0.84, <em>p</em> = 0.04) and activities of daily living levels (OR: 14.63, 95 % CI: 1.97, 108.77, <em>p</em> &lt; 0.01).</div></div><div><h3>Conclusions</h3><div>We have highlighted the complex individualised needs of carers of patients with pancreatic cancer. Through LPA and MLR, we identified distinct need subgroups and their predictors. Healthcare professionals may be able to improve dyads’ health by tailoring support to each subgroup’s specific needs and issues.</div></div><div><h3>Registration</h3><div>Registration number: ChiCTR2400079415, registered 03/01/2024, first recruitment 04/02/2024.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100416"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145009964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conceptualizing end-of-life communication by nursing staff as part of advance care planning with older people: A multiple discipline focus group study","authors":"Fran B.A.L. Peerboom ,&nbsp;Jolanda H.H.M. Friesen-Storms ,&nbsp;Jenny T. van der Steen ,&nbsp;Daisy J.A. Janssen ,&nbsp;Judith M.M. Meijers","doi":"10.1016/j.ijnsa.2025.100436","DOIUrl":"10.1016/j.ijnsa.2025.100436","url":null,"abstract":"<div><h3>Background</h3><div>Understanding the fundamentals of end-of-life communication by nursing staff as part of advance care planning with older people and their family caregivers can enhance nurse education, research, and practice in end-of-life communication. We developed a preliminary theoretical framework based on previous studies, incorporating literature and perspectives from nursing staff, older people, and family caregivers. Reflection and discussion from these groups— as well as from physicians and spiritual caregivers with whom nursing staff most often collaborate in advance care planning—should be included to ensure accuracy and enrich the framework.</div></div><div><h3>Objective</h3><div>To enrich and provide a multiple discipline perspective on a preliminary theoretical framework for end-of-life communication by nursing staff as part of advance care planning with older people.</div></div><div><h3>Methods</h3><div>Five semi-structured focus group interviews were conducted. Four focus groups were discipline-specific, and one included various disciplines. Data were analyzed using framework analysis; the five overarching themes and twenty fundamentals from the preliminary theoretical framework served as the coding structure.</div></div><div><h3>Results</h3><div>Ten nursing staff members, eight physicians, seven spiritual caregivers, and eight patient-family caregiver representatives participated. The interview results enriched the framework and understanding of end-of-life communication. Participants emphasized the importance of prioritizing mutual trust over a long-term relationship, distinguishing between feeling able and being able to talk about the end of life, not having an intended outcome for the conversation other than seeking connection, and prioritizing silence over speaking to ensure that older people and family caregivers feel seen and heard.</div></div><div><h3>Conclusion</h3><div>Nursing staff, typically very proactive professionals, may need to step back, reflect, remain silent, and sit down to connect with older people and family caregivers. The revised theoretical framework can help nursing staff become aware of, learn from, prepare for, engage in, and evaluate person-centered end-of-life communication that respects the values, needs, and preferences of the older person, their family caregivers, and themselves.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100436"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145424321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Job preference of nurse practitioners: A simulation approach","authors":"Yin Li ,&nbsp;John Howell ,&nbsp;Jeannie P. Cimiotti","doi":"10.1016/j.ijnsa.2025.100406","DOIUrl":"10.1016/j.ijnsa.2025.100406","url":null,"abstract":"<div><h3>Purpose</h3><div>Understanding the job preferences of nurse practitioners is crucial for developing policies that attract and retain them in the healthcare workforce, ensuring better healthcare delivery. The aim of this study was to analyze and simulate the job preferences of nurse practitioners, focusing on the impact of various job attributes such as independent practice, practice environment, and salary on their decision-making.</div></div><div><h3>Methods</h3><div>The study used a simulation approach based on a discrete choice experiment survey to predict the job choices of nurse practitioners under different scenarios. The study was conducted in the state of Georgia, USA. 372 survey respondents who were licensed and employed nurse practitioners were included. The likelihood of nurse practitioners choosing a job based on changes in job attributes was analyzed using a hierarchical Bayesian Multinomial Logit model.</div></div><div><h3>Results</h3><div>Nurse practitioners highly value an excellent practice environment and independent practice. A very cohesive interprofessional team and responsive administration significantly influenced job choices. Nurse practitioners might be willing to accept a 10 % salary decrease or a longer commute time for a job with an excellent practice environment. Conversely, they required independent practice for a 10 % salary increase to be attractive. Additionally, the preference for independent practice outweighed the importance of higher salaries and shorter commute time.</div></div><div><h3>Conclusion</h3><div>The study highlights the importance of an excellent practice environment and independent practice in the job preference of nurse practitioners. Healthcare organizations should focus on creating supportive, collaborative work environments and enabling greater autonomy for nurse practitioners. Policymakers should consider revising regulations to expand nurse practitioners' scope of practice.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"9 ","pages":"Article 100406"},"PeriodicalIF":3.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144860689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}