International Journal of Nursing Studies Advances最新文献

{"title":"Corrigendum to “Understanding frailty and its opposites from community-dwelling older people's perspectives: A phenomenological qualitative study” [International Journal of Nursing Studies Advances 7 (2024) 100238]","authors":"Rianne D.J. Golbach , Nanda Kleinenberg-Talsma , Fons van der Lucht , Johannes S.M. Hobbelen , Harriët Jager-Wittenaar , Evelyn J. Finnema","doi":"10.1016/j.ijnsa.2024.100250","DOIUrl":"10.1016/j.ijnsa.2024.100250","url":null,"abstract":"","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100250"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality care for children and young people with complex and integrated care needs: A discussion on nursing-sensitive indicators","authors":"Rosemarie Sheehan,&nbsp;Mary Ryder,&nbsp;Maria Brenner","doi":"10.1016/j.ijnsa.2024.100275","DOIUrl":"10.1016/j.ijnsa.2024.100275","url":null,"abstract":"<div><div>This paper highlights the need for nursing-sensitive indicators tailored to children and young people with complex and integrated care needs. While nursing plays a pivotal role in influencing care quality for this population, current measures predominantly focus on adult populations, creating gaps that hinder the evaluation of nursing contributions across diverse settings such as acute, community, and home care. We examine the importance of quality care measurement for children and young people with complex and integrated care needs and highlight deficiencies in international measurement systems. The discussion highlights the multidimensional care needs of this vulnerable population and advocates for nursing-sensitive indicators that capture broader outcomes including physical health, functional outcomes, family experience, and family well-being. Also highlighted is, the weak evidence linking process indicators to improved patient outcomes, a focus on negative outcomes, such as mortality, and the lack of theoretical foundations for nursing-sensitive indicators. There is a lack of consensus on what components to measure, definitions of indicators, and appropriate methodologies for the development of nursing sensitive indicators. Donabedian's (1988) structures, processes, and outcomes framework is discussed as well as an overview of adaptations used to improve the quality of indicator sets in a variety of settings. By situating the discussion within the context of children's and young people's nursing, this paper aims to direct future research towards the development of comprehensive indicators that capture the full contribution of nursing to the care of children and young people with complex and integrated care needs. Ultimately, this paper advocates for a standardised, holistic approach to nursing-sensitive indicators for this vulnerable population to improve care quality and overall health and wellbeing for children, young people, and their families.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100275"},"PeriodicalIF":3.1,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitators, barriers, and guidance to successful implementation of multidisciplinary transitional care interventions: A qualitative systematic review using the consolidated framework for implementation research","authors":"Romain Collet ,&nbsp;Juul van Grootel ,&nbsp;Marike van der Leeden ,&nbsp;Marike van der Schaaf ,&nbsp;Johanna van Dongen ,&nbsp;Suzanne Wiertsema ,&nbsp;Edwin Geleijn ,&nbsp;Mel Major ,&nbsp;Raymond Ostelo","doi":"10.1016/j.ijnsa.2024.100269","DOIUrl":"10.1016/j.ijnsa.2024.100269","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Multidisciplinary transitional care interventions aim to improve the coordination and continuity of healthcare during hospitalization and after discharge for patients with complex care needs related to physical, nutritional, or psychosocial status. Implementing such interventions is complex as they involve many stakeholders across multiple settings. Numerous studies have evaluated patients’, family members’, and healthcare professionals’ experiences with multidisciplinary transitional care interventions, which can provide insight into facilitators and barriers to their implementation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To provide an overview of facilitators and barriers to implementing multidisciplinary transitional care interventions, which could be considered before developing implementation strategies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A qualitative systematic review using the Consolidated Framework for Implementation Research.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting(s)&lt;/h3&gt;&lt;div&gt;Hospitals and primary care&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants&lt;/h3&gt;&lt;div&gt;Adult patients admitted to a hospital, regardless of their diagnosis, as well as their family members and hospital and primary care healthcare professionals&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Embase, CINAHL, and Medline were searched for qualitative studies evaluating multidisciplinary transitional care interventions through patients', family members', and healthcare professionals' experiences and views from inception until June 2024. The methodological rigor was assessed with the Critical Appraisal Skills Program. We identified facilitators and barriers to the successful implementation of multidisciplinary transitional care interventions with the Consolidated Framework for Implementation Research. Facilitators and barriers were categorized into pre- or post-discharge or general factors.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Twelve studies were included and appraised. We identified 79 factors, mostly linked to three domains of the Consolidated Framework for Implementation Research: Innovation, Inner setting, and Individuals involved. Facilitators included \"comprehensive follow-up care needs assessment\"(pre-discharge), \"immediate, tailored follow-up care\"(post-discharge), and \"improved communication between stakeholders\"(general). Barriers included \"shortage of hospital beds\" and \"lack of time\"(pre-discharge), \"lack of available primary care professionals\"(post-discharge), \"inconsistencies of stakeholders' schedules\" and \"intervention costs\"(general).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The factors identified could serve as a non-exhaustive inventory list to inspire readers who wish to implement a multidisciplinary transitional care intervention in their settings. Digital tools and alternative financing models might overcome cost and reimbursement issues, the increasing complexity of patient care, and shortcomings, such as the lack of available hospital beds or professional","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100269"},"PeriodicalIF":3.1,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Demoralization: A concept analysis through a scoping review methodology","authors":"Rongyu Hua,&nbsp;Patraporn Bhatarasakoon","doi":"10.1016/j.ijnsa.2024.100272","DOIUrl":"10.1016/j.ijnsa.2024.100272","url":null,"abstract":"<div><h3>Background</h3><div>Demoralization is a complex construct comprising of several clinical phenomena that has gained increasing interest in clinical practice and research; however, the concept needs to be sufficiently specified and clearly described. A concept analysis of demoralization is necessary to integrate previous research findings and establish the scientific foundation for future intervention research.</div></div><div><h3>Aim</h3><div>To analyze the concept of demoralization in terms of its antecedents, attributes, consequences, and empirical referents in health.</div></div><div><h3>Methods</h3><div>A concept analysis was performed using the Joanna Briggs Institute guidelines scoping review method and mapping information through the Walker and Avant concept analysis framework. Electronic databases, including PubMed, The Cochrane Library, Embase, PsycINFO, and Web of Science, were searched until September 15, 2024. The grey literature and other minor non-indexed publications were also reviewed.</div></div><div><h3>Results</h3><div>A total of 106 articles were included in the review. Antecedents included medical illness, symptom burden, low social support and coping difficulties. Attributes were identified as follows: dysphoria, disheartenment, helplessness, hopelessness, loss of meaning and purpose, and sense of failure. Consequences included poor quality of life, depression, anxiety, suicidal ideation and desire to die. The concept of demoralization was illustrated through a model case, one exhibiting borderline criterion and another displaying challenge.</div></div><div><h3>Conclusion</h3><div>This scoping review clarifies the clinical definition of demoralization, distinguishing it from common language usage and from other emotional symptoms frequently experienced by patients.</div></div><div><h3>Implications for Practice</h3><div>The identified attributes of demoralization play vital roles in health assessments and should guide nurses in providing appropriate patient care early on. Interventions should address the concept's antecedents and consequences.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100272"},"PeriodicalIF":3.1,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators to the implementation of guidelines for venous thromboembolism prevention and management: A mixed-methods systematic review","authors":"Mengbo Han ,&nbsp;Jingying Huang ,&nbsp;Jin Yang ,&nbsp;Jiaojiao Chen ,&nbsp;Haiou Qi","doi":"10.1016/j.ijnsa.2024.100273","DOIUrl":"10.1016/j.ijnsa.2024.100273","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Evidence-based venous thromboembolism prevention and management is a priority for global health services. Low adoption of venous thromboembolism guidelines can result in compromised patient outcomes. Understanding clinicians' and patients' perceptions of barriers to and facilitators for guideline implementation and mapping identified barriers and facilitators to the Consolidated Framework for Implementation Research may inform theoretical interventions to improve guideline adoption rates.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To synthesize quantitative and qualitative evidence on both 1) perceptions and experiences of hospital clinicians and patients regarding venous thromboembolism practices and 2) barriers to and facilitators for guideline implementation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Data source&lt;/h3&gt;&lt;div&gt;English-language studies from MEDLINE, EMBASE, CINAHL, PsycINFO, and Cochrane published between 2012 and 2023.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The included studies primarily focused on two aspects: firstly, elucidating the perceptions and experiences of healthcare providers and patients concerning venous thromboembolism management practices, and secondly, identifying the barriers and facilitators that influence the implementation of venous thromboembolism guidelines. The Mixed Methods Appraisal Tool was used for critical appraisal. Quantitative data were transformed into qualitized data and then thematically synthesized with qualitative data to compare the perspectives of clinicians and patients. Barriers and facilitators related to each topic were mapped to the Consolidated Framework for Implementation Research, and the barriers were entered into its implementation strategy matching tool to obtain implementation strategies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Of 8262 studies of varying quality, 26 (20 quantitative, five qualitative, and one mixed-methods) met the inclusion criteria. Four themes represented factors influencing guideline implementation: 1) healthcare-led multidisciplinary prevention and management, 2) feasibility of guideline implementation, 3) patient involvement in prevention and management, and 4) government and hospital environments and related systems. The majority of barriers identified by healthcare providers were related to the second and fourth themes, while for patients, there were multiple barriers under the third theme. Barriers were mainly mapped into four domains: intervention characteristics, outer setting, inner setting, and characteristics of individuals. Most facilitators mentioned by healthcare providers and patients were related to themes 1, 3, and 4 and mapped to three domains: outer setting, inner setting, and characteristics of individuals. Seven optimal implementation strategies were obtained through the Consolidated Framework for Implementation Research-Expert Recommendations for Implementing Change matching tool.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;We highlighted the most","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100273"},"PeriodicalIF":3.1,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The scope of emergency nursing viewed through the lens of complex adaptive systems: A discussion paper","authors":"Katarina E Göransson ,&nbsp;Jonathan Drennan ,&nbsp;Hanne Mainz ,&nbsp;Nanna Fauerholdt Skov ,&nbsp;Maria Amritzer ,&nbsp;Lena M Berg ,&nbsp;Karen V Andersen ,&nbsp;Marianne Lisby","doi":"10.1016/j.ijnsa.2024.100270","DOIUrl":"10.1016/j.ijnsa.2024.100270","url":null,"abstract":"<div><div>Across the world, emergency department nurses care for patients around the clock all year long. They perform tasks ranging from direct nursing care to managing patient flow, working in an environment characterised by interdependencies among numerous actors. The complex context in which emergency nurses operate has not been thoroughly described or discussed, indicating a knowledge gap. Hence, the aim of this discussion paper is to describe and discuss nursing in the emergency department and the connection between patient flow and nursing care, drawing on the concept of complex adaptive systems.</div><div>The acts of direct patient care and patient flow, when viewed through the lens of complex adaptive systems, are central components of emergency nursing. Through a stepwise description of these two perspectives, based on literature and clinical experience from European countries, the paper illustrates the complexity of the emergency nursing context in a novel manner. We argue that direct patient care and patient flow, combined as patient flow management, constitute essential parts of the core of emergency department nursing. Further studies are needed to challenge or confirm this assertion.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100270"},"PeriodicalIF":3.1,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with cultural sensitivity and global nursing education among nurse educators: A cross-sectional study","authors":"Akiko Kondo ,&nbsp;Congcong Wang ,&nbsp;Kazuko Naruse ,&nbsp;Kosuke Niitsu ,&nbsp;Dingyi Long","doi":"10.1016/j.ijnsa.2024.100271","DOIUrl":"10.1016/j.ijnsa.2024.100271","url":null,"abstract":"<div><h3>Background</h3><div>Nurse educators must be culturally sensitive to teach cultural care to nursing students effectively.</div></div><div><h3>Objective</h3><div>To explore the factors associated with cultural sensitivity and global nursing education among nurse educators.</div></div><div><h3>Methods</h3><div>This was a cross-sectional exploratory study. Participants were nurse educators with registered nurse licenses in Japan whose email addresses were available on their university homepage and who agreed to participate in the survey (<em>N</em> = 850). Data were collected between October and November 2023, using Google Forms. The survey included demographics, language, cultural interaction, intercultural sensitivity, and 11 categories of global nursing education. Hierarchical logistic regression and Structural Equation Modeling (SEM) were used in the analyses.</div></div><div><h3>Results</h3><div>Most of the participants were women (84.5 %). Over half of them had a PhD (60.8 %), but 6.4 % had obtained degrees in foreign countries. In the final logistic regression model, frequent participation in cross-cultural interactions and higher intercultural sensitivity were associated with global nursing teaching. In SEM, among participants who taught global nursing (<em>n</em> = 328), being a professor, living in a foreign country for at least six months, and having higher intercultural sensitivity were directly related to teaching four or more global nursing categories. Levels of non-native language proficiency and the number of friends from different cultures were positively associated with intercultural sensitivity.</div></div><div><h3>Conclusions</h3><div>Higher intercultural sensitivity is necessary for teaching global nursing. Intercultural sensitivity can be increased by living and working in foreign countries and by maintaining levels of non-native language and cross-cultural interactions.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"8 ","pages":"Article 100271"},"PeriodicalIF":3.1,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse-surgeons in the Australian public health system: A descriptive quantitative survey","authors":"Tenber Grota ,&nbsp;Adam Burston ,&nbsp;Vasiliki Betihavas ,&nbsp;Elisabeth Jacob","doi":"10.1016/j.ijnsa.2024.100268","DOIUrl":"10.1016/j.ijnsa.2024.100268","url":null,"abstract":"<div><h3>Background</h3><div>With over five billion people worldwide lacking access to surgery, innovative solutions are vital to address the global surgical crisis. Nurse-surgeons present a promising innovation. Considering their contribution worldwide and impact on surgical care in Australia, an exploration of these advanced practice nurses is timely.</div></div><div><h3>Objective</h3><div>To investigate the roles, training, education, and perceptions of career prospects and support received by practicing nurse-surgeons in the Australian public health system.</div></div><div><h3>Design</h3><div>Non-experimental descriptive national survey</div></div><div><h3>Methods</h3><div>The target population was nurse-surgeons practicing within the Australian public health system. The survey questionnaire comprised of four sections containing questions on nurse-surgeon demographics, roles, training, and perceptions of career prospects and support received. Data collection was conducted through emailing of public hospitals, crowdsourcing, and snowballing. Descriptive analysis was used to report the findings.</div></div><div><h3>Results</h3><div>Twenty-eight nurse-surgeons participated in the study, 22 females and six males. Most commonly, participants (<em>n</em> = 10) held master's degrees and trained to become nurse-surgeons for an average of 2·27 years (95 % CI [1·47,3·07]). Training programs varied but were all surgical specialty-specific, and usually included a practical component, theoretical component, and competency assessment prior to independent practice. Participants rated employment prospects for nurse-surgeons as poor to average due to limited work opportunities, politics, and strong pushbacks from Australian medical societies. The support received from nurses, surgeons and management was rated by participants as good providing reasons such as supportiveness, value recognition, jealousy, and resentment. The participants were very likely (95 % CI [7.436 – 9.364] to continue practicing due to positive job satisfaction but recommended the standardising of training and practice to ensure role futureproofing.</div></div><div><h3>Conclusions</h3><div>Nurse-surgeons have been practicing in Australia for decades, yet no standard training and credentialing pathway exist for them. This study identified the various roles, non-standard training, and perceptions of nurse-surgeons in the Australian public health system. The findings of this study will have an impact on policymakers and stakeholders to develop standard national credentialing pathway for nurse-surgeons in Australia to enhance clinical practices and ensure a consistent framework for recognition and development of these advanced practice nurses.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100268"},"PeriodicalIF":3.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating uncertainties for promoting nurse-led changes in work environments: A participatory action research","authors":"Julia van Kraaij ,&nbsp;Lotte Spruit-Bentvelzen ,&nbsp;Famke van Lieshout ,&nbsp;Hester Vermeulen ,&nbsp;Catharina van Oostveen ,&nbsp;RN2Blend consortium","doi":"10.1016/j.ijnsa.2024.100265","DOIUrl":"10.1016/j.ijnsa.2024.100265","url":null,"abstract":"<div><h3>Background</h3><div>The nursing work environment is crucial for nurses' well-being and patients’ quality of care. Despite effective interventions to improve the nursing work environment, understanding the most effective types and integration mechanisms for nurses remain challenging. As nursing practices evolve amid complex care demands and staff shortages, understanding nurses’ challenges, support systems, and adoption mechanisms is vital to optimize the work environment and to enhance quality of care, job satisfaction, and staff retention.</div></div><div><h3>Purpose</h3><div>To explore strategies for promoting and supporting nurse-led changes to improving their work environment.</div></div><div><h3>Methods</h3><div>The study employed a participatory action research design on three nursing wards in a Dutch academic hospital. Action research teams with diverse ward nurses were established on each ward. The research took place between September 2022 and October 2023. Data were collected during observations, PhotoVoice workshops, and individual interviews. Data were analyzed using the rigorous and accelerated data reduction technique.</div></div><div><h3>Results</h3><div>Nurses and managers showed patterns of behavior that either hindered or facilitated changes, leading to the emergence of three themes: strengthening relationships, taking the lead, and being up to the task. These themes highlight the importance of fostering collaboration, encouraging proactive attitudes, and building capabilities to address challenges and drive positive changes in their work environment. Feelings of uncertainty emerged in all themes, and this uncertainty hindered nurses from taking responsibility for facilitating change.</div></div><div><h3>Conclusions</h3><div>This study demonstrated different mechanisms that either facilitate or hinder nurse-led changes and how feelings of uncertainty play a role. Nurses emphasized the importance of collaboration and proactive attitudes but faced challenges in recognizing responsibility and their perceived competencies. Strengthening nurses' resilience to and management of uncertainty is essential. Healthcare organizations should help nurses navigate uncertainty to foster positive changes.</div></div><div><h3>Tweetable abstract</h3><div>Collaboration, proactivity, and competency are key in nurse-led changes. Strengthening nurses' resilience and uncertainty management is crucial.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100265"},"PeriodicalIF":3.1,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of nurse education prior to and during COVID-19 on nursing students’ preparedness for clinical placement: A qualitative study","authors":"Jo Brett ,&nbsp;Zoe Davey ,&nbsp;Cate Wood ,&nbsp;Paul Dawson ,&nbsp;Kinga Papiez ,&nbsp;Daniel Kelly ,&nbsp;Tessa Watts ,&nbsp;Anne Marie Rafferty ,&nbsp;Cathy Henshall ,&nbsp;Eila Watson ,&nbsp;Dan Butcher ,&nbsp;Sarah Bekaert ,&nbsp;Pras Ramluggun ,&nbsp;Helen Aveyard ,&nbsp;Clair Merriman ,&nbsp;Marion Waite ,&nbsp;Laura Strumidlo ,&nbsp;Mike Ramsay ,&nbsp;Laura Serrant ,&nbsp;Caroline Bradbury Jones ,&nbsp;Mary Malone","doi":"10.1016/j.ijnsa.2024.100260","DOIUrl":"10.1016/j.ijnsa.2024.100260","url":null,"abstract":"<div><div>Introduction: Nursing students internationally entered challenging clinical placements during COVID-19. Lessons learnt could inform nurse education planning, particularly in preparation to implement future workforce plans.</div><div>Aim: This study aimed to explore the impact of COVID-19 on nursing students undertaking clinical placements across the UK, particularly the extent to which nursing education prior to and during COVID-19 had prepared them for placements, and to distil key messages for future nursing education.</div><div>Methods: A UK-wide qualitative study was conducted using audio or written placement diaries and post-placement telephone or online interviews with nursing students from all years of study and from adult, children, mental health and learning disability disciplines. Transcripts were analysed thematically using the Framework Approach. A pre-survey collected participants’ demographic information, details and expectations of their upcoming clinical placements, and how well prepared they felt. Ethical approval was gained.</div><div>Results: Two hundred and sixteen nursing students from across the UK participated in the study. Five key themes were identified: ‘stepping up to the challenge and feeling the fear’, ‘new ways of learning’, ‘theory versus clinical practice’, ‘impact on clinical and academic partnerships’, and ‘concerns around demonstrating proficiency’.</div><div>Discussion: Differing levels of preparedness of nursing students for clinical placement were reported. While many felt honoured to be a part of the nursing workforce during COVID-19, the rapidly changing clinical landscape led to unplanned changes to placements, lack of skills practice, uncertain practice supervision and distance learning which impacted on their confidence and perceived levels of competence leading to anxiety around demonstrating proficiency and achieving practice hours. Greater collaboration between universities, clinical placement teams, policy makers and regulators are key lessons post COVID19 to improve the support and preparedness of nursing students.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100260"},"PeriodicalIF":3.1,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}