{"title":"Commentary: Nurse manager-led empowerment in resource-constrained settings - reflections on nursing practice, leadership and workforce sustainability.","authors":"Joash Ngeno","doi":"10.1177/17449871261456986","DOIUrl":"10.1177/17449871261456986","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261456986"},"PeriodicalIF":2.1,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13354583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425156","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}
Jolyn Si Ying Chin, Choy Yee Lee, Tee Joo Yeo, Poh Chi Tho, Wilson Wai San Tam, Wenru Wang
{"title":"Early ambulation before percutaneous coronary intervention in patients with non-ST elevation myocardial infarction: a quasi-experimental study of haemodynamics and clinical outcomes.","authors":"Jolyn Si Ying Chin, Choy Yee Lee, Tee Joo Yeo, Poh Chi Tho, Wilson Wai San Tam, Wenru Wang","doi":"10.1177/17449871261421460","DOIUrl":"10.1177/17449871261421460","url":null,"abstract":"<p><strong>Background: </strong>Early ambulation (EA) supports recovery in cardiovascular patients. Its effects on haemodynamic stability and clinical outcomes in non-ST elevation myocardial infarction (NSTEMI) patients before coronary angioplasty are unexplored.</p><p><strong>Aims: </strong>To evaluate EA's impact on haemodynamic stability and clinical outcomes in NSTEMI patients before coronary angioplasty.</p><p><strong>Methods: </strong>A quasi-experimental study was conducted in two cardiac wards with 154 NSTEMI patients, assigned to EA (<i>n</i> = 77) or complete rest in bed (CRIB) (<i>n</i> = 77). Haemodynamic parameters, telemetry events (non-sustained ventricular tachycardia) and cardiac events (angina, reinfarction, dyspnoea and syncope) were monitored. Logistic regression assessed associations between EA and clinical outcomes.</p><p><strong>Results: </strong>Demographic and clinical characteristics were similar between groups (<i>p</i> > 0.05). Haemodynamic parameters remained stable in both groups (<i>p</i> > 0.05). EA was associated with a 79% reduction in cardiac events (OR = 0.21, 95% confidence interval (CI) (0.07, 0.60), <i>p</i> = 0.003) and a trend towards fewer telemetry events (OR = 0.27, 95% CI (0.07, 1.03), <i>p</i> = 0.06). EA also shortened hospitalisation by a mean of 49.56 hours (<i>p</i> = 0.02).</p><p><strong>Conclusion: </strong>EA before coronary angioplasty is safe, reduces cardiac events and shortens hospital stay. These findings support structured nursing-led EA as part of routine acute cardiology care and highlight its role in promoting patient-centred recovery, efficient resource utilisation and potential cost savings for healthcare providers.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261421460"},"PeriodicalIF":2.1,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13341676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413214","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}
Pär Wennberg, Kerstin Eriksson, Margit Neher, Anders Broström, Anna Granath, Lotta Wikström
{"title":"Patient perceptions of barriers and facilitators for self-care in surgical fast-track programmes related to capability, opportunity and motivation: a theory-based qualitative study in Sweden.","authors":"Pär Wennberg, Kerstin Eriksson, Margit Neher, Anders Broström, Anna Granath, Lotta Wikström","doi":"10.1177/17449871261456609","DOIUrl":"10.1177/17449871261456609","url":null,"abstract":"<p><strong>Background: </strong>Surgical care increasingly shifts pre- and postoperative care responsibility to patient self-care at home. By using the capability, opportunity, motivation-behaviour (COM-B) framework, patient determinants influencing self-care can be explained.</p><p><strong>Aim: </strong>The aim was to describe patients' experienced facilitators of and barriers to self-care in surgical fast-track programmes related to capability, opportunity and motivation.</p><p><strong>Methods: </strong>A qualitative design study with semi-structured interviews was conducted among 27 general and orthopaedic surgery patients at three Swedish hospitals. Data were analysed deductively using the COM-B framework.</p><p><strong>Results: </strong>The patients' self-care experiences were explained by capability, opportunity and motivation and the dynamic interaction between these factors. A key analytical finding was the pivotal role of family and friends, whose emotional and practical support strengthened patients' capability and motivation. Facilitators for behaviour change included prior surgical experience, clear information, physical ability, social and professional support, optimism and realistic goals. Barriers included cognitive and physical limitations, pain, fatigue and emotional distress.</p><p><strong>Conclusions: </strong>Findings highlight family involvement as an underused resource and support policy development of person centred pre- and postoperative self-care strategies. This study advances nursing theory by applying the COM-B model to illuminate interdependent behavioural processes in surgical self-care; themes could occasionally overlap.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261456609"},"PeriodicalIF":2.1,"publicationDate":"2026-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13337552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406312","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":"Nursing in unprecedented times: well-being, excellence and the power of research.","authors":"Sarah Bekaert","doi":"10.1177/17449871261456619","DOIUrl":"10.1177/17449871261456619","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261456619"},"PeriodicalIF":2.1,"publicationDate":"2026-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13337562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406371","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}
Helen Janiszewski, Nicolas Aldridge, James Griffen-Rylatt, Louise Bramley, Ceri Jones, Jane Coad
{"title":"Real-world impact: using digital platforms to capture clinical impact in healthcare professionals research.","authors":"Helen Janiszewski, Nicolas Aldridge, James Griffen-Rylatt, Louise Bramley, Ceri Jones, Jane Coad","doi":"10.1177/17449871261445384","DOIUrl":"10.1177/17449871261445384","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261445384"},"PeriodicalIF":2.1,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13332934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392060","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":"Empowerment experiences of registered nurses and the role of nurse managers in Ghana: a qualitative descriptive study.","authors":"Stellah Appiah, Deborah Akua Badu, Joyce Ewurabena Mintah, Evans Appiah Osei, Hawah Amadu Toure, Edward Obeng Amoah, Lillian Agyemang","doi":"10.1177/17449871261452951","DOIUrl":"10.1177/17449871261452951","url":null,"abstract":"<p><strong>Background: </strong>Nurses constitute the largest segment of the healthcare workforce, yet they are frequently undervalued within health systems and society. This study explored how nurse managers empower registered nurses and how such empowerment shapes nursing practice, professional identity and care delivery within a resource-constrained Ghanaian hospital.</p><p><strong>Methods: </strong>A qualitative descriptive exploratory design was used. Seventeen registered nurses were purposively sampled. Data were collected through semi-structured, face-to-face interviews and analysed using qualitative content analysis, supported by reflexivity, peer debriefing and data saturation. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist guided the reporting of the study.</p><p><strong>Results: </strong>Two themes were identified: (1) Nurse Empowerment in Low-Resource Clinical Settings and (2) Organisational and Leadership Influences on Empowerment. Empowerment enhanced retention, advocacy, autonomy and quality care. Supportive leadership, recognition, training and shared decision-making facilitated empowerment; whereas autocratic leadership, favouritism, limited resources and gender-related challenges hindered empowerment.</p><p><strong>Conclusion: </strong>Nurse manager-led empowerment strengthens nurses' confidence, autonomy and care quality. Culturally responsive leadership, equitable recognition, staff development and inclusive decision-making are essential for sustaining the nursing workforce and improving patient outcomes through advocacy, high-quality care and error reduction in Ghana.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261452951"},"PeriodicalIF":2.1,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13318835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370244","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}
M Ischaq Nabil Asshiddiqi, Sofyan Indrayana, Xueyan Cheng, Rozzano Locsin
{"title":"Commentary: The technology-psychosocial alignment model for supportive cancer care.","authors":"M Ischaq Nabil Asshiddiqi, Sofyan Indrayana, Xueyan Cheng, Rozzano Locsin","doi":"10.1177/17449871261445708","DOIUrl":"10.1177/17449871261445708","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261445708"},"PeriodicalIF":2.1,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13314665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148363094","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":"Commentary: The clinical activity of nurses in general practice.","authors":"Elizabeth Halcomb","doi":"10.1177/17449871261452914","DOIUrl":"10.1177/17449871261452914","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261452914"},"PeriodicalIF":2.1,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13314673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148363056","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":"Commentary: Adolescent cancer care in conflict-affected settings.","authors":"Naseema Shafqat","doi":"10.1177/17449871261448165","DOIUrl":"10.1177/17449871261448165","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261448165"},"PeriodicalIF":2.1,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13314642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148362972","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":"Commentary: The silent epidemic-rethinking moral distress as a systems failure in critical care nursing.","authors":"Ibrahim Aqtam","doi":"10.1177/17449871261452918","DOIUrl":"10.1177/17449871261452918","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261452918"},"PeriodicalIF":2.1,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13314672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148363083","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}