Journal of Research in Nursing最新文献

{"title":"The effect of a web-based self-care education programme on the health-promoting behaviours of patients with multiple sclerosis: a randomised controlled trial.","authors":"Sara Akbari, Kourosh Amini, Seyede Fatemeh Gheiasi, Nasrin Hanifi","doi":"10.1177/17449871261445355","DOIUrl":"10.1177/17449871261445355","url":null,"abstract":"<p><strong>Background: </strong>Web-based self-care education can improve health outcomes in patients with chronic conditions.</p><p><strong>Aims: </strong>This study aimed to examine the impact of a web-based self-care programme based on Orem's model on the health-promoting behaviours of patients with multiple sclerosis (MS).</p><p><strong>Methods: </strong>The study included 91 MS patients, randomly assigned to control (<i>n</i> = 46) and experimental (<i>n</i> = 45) groups using block randomisation. The control group received standard care, whereas the experimental group participated in a web-based self-care education programme. Data were collected using demographic questionnaires, educational needs checks and Walker's Health-Promoting Lifestyle Profile, then analysed using SPSS-26 with statistical tests (<i>p</i> < 0.05).</p><p><strong>Results: </strong>Before the programme, the average health-promoting behaviours score in the two groups did not differ significantly (<i>p</i> > 0.05). After the programme, the experimental group's health-promoting behaviours score increased from 109.97 ± 13.78 to 119.97 ± 13.44, whereas the control group showed almost no change (110.83 ± 13.25 to 111.72 ± 13.05). Post-programme scores were significantly higher in the experimental group compared with the control group (<i>p</i> = 0.002).</p><p><strong>Conclusions: </strong>The web-based self-care education programme positively affects the health-promoting behaviours of patients with MS. It is recommended as an effective approach to improve health-promoting behaviours in patients with chronic conditions.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261445355"},"PeriodicalIF":2.1,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13303262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346889","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":"Reflective practice in hyper acute stroke nursing: integrating patterns of knowing and trauma theory.","authors":"Patrick Vickers","doi":"10.1177/17449871261452974","DOIUrl":"10.1177/17449871261452974","url":null,"abstract":"<p><strong>Background: </strong>Reflective practice is essential in nursing, yet its role in hyper acute settings remains underexplored. Stroke presents unique challenges, combining time critical interventions with sudden trauma and disruption to patients' lives.</p><p><strong>Aim: </strong>To examine how nursing knowledge and theory shape reflective practice in hyper acute stroke care.</p><p><strong>Methods: </strong>This paper adopts a conceptual and reflective approach, drawing on Carper and Chinn and Kramer's patterns of knowing, alongside Judith Herman's three-stage trauma theory. These frameworks are critically explored and applied to lived practice within a hyper acute stroke unit.</p><p><strong>Results: </strong>The integration of multiple patterns of knowing demonstrates how nurses balance empirical urgency with ethical sensitivity, emotional awareness and person-centred care. Herman's theory offers additional insight into safety, identity disruption and recovery following a stroke, highlighting the psychological dimensions of care often constrained by time and environment.</p><p><strong>Conclusion: </strong>Theoretical knowledge and diverse ways of knowing are essential to safe, ethical and holistic stroke nursing. Reflective practice is shown to be an active, present process that informs judgement, relationships and care delivery within complex clinical settings.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261452974"},"PeriodicalIF":2.1,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13303253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346871","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: Family caregivers and restless legs syndrome- sleep, quality of life and the need for family-centred nursing care.","authors":"Fiona Tierney","doi":"10.1177/17449871261421137","DOIUrl":"10.1177/17449871261421137","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261421137"},"PeriodicalIF":2.1,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13283607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303430","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":"Clinical scope and workforce contribution of advanced nurse practitioners in general practice: a cross-sectional study.","authors":"Catriona Keye, Pamela McCann, Orla Loftus Moran, Melissa Hammond, Jane Deehan, Louise Nolan Ryan, Katy Lynch, Carol Kelly","doi":"10.1177/17449871261452880","DOIUrl":"10.1177/17449871261452880","url":null,"abstract":"<p><strong>Aim: </strong>To examine the clinical activity and workforce contribution of Advanced Nurse Practitioners (ANPs) working in general practice.</p><p><strong>Background: </strong>Primary care systems internationally are experiencing increasing demand due to ageing populations, rising multimorbidity and workforce shortages. Advanced nursing practice has expanded globally as a strategy to strengthen service capacity, improve access and maintain quality outcomes. Although there is substantial evidence regarding patient outcomes associated with advanced practice roles, there is comparatively limited empirical data describing the day-to-day clinical activity of ANPs in primary care settings.</p><p><strong>Methods: </strong>This national cross-sectional descriptive study, conducted in Ireland and reported in accordance with the STROBE Statement, involved a 1-week activity capture of General Practice Advanced Nurse Practitioners (GP ANPs) and candidate ANPs (cANPs) working across general practice settings. Data collected included consultation type, prescribing activity, complexity of care and clinical outcomes. Data were analysed using descriptive statistics.</p><p><strong>Results: </strong>Twenty GP ANPs/candidate ANPs recorded 1659 consultations, including 757 full episodes of care (45.6%). Practice spanned acute illness (adults and children), chronic disease management, women's health and preventive services. Medication optimisation activity included 503 medication reviews, 251 prescriptions issued and 59 medications deprescribed. About 15% of consultations were classified as complex and 14.8% involved multiple presenting complaints. Most consultations were independently managed.</p><p><strong>Conclusion: </strong>GP ANPs demonstrate broad clinical capability and contribute substantially to general practice capacity. The findings highlight the value of a holistic nursing approach, which is well suited to chronic disease management, health promotion, patient education and the management of multimorbidity, supporting access to care and strengthening primary care workforce capacity.</p>","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261452880"},"PeriodicalIF":2.1,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13283603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303424","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: Building the professional identity of clinical research nurses-opportunities and challenges in the era of evidence-based nursing.","authors":"Tantut Susanto","doi":"10.1177/17449871261448074","DOIUrl":"https://doi.org/10.1177/17449871261448074","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261448074"},"PeriodicalIF":2.0,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13259877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253911","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: Metaphor in nursing research - a tool for meaning-making, reflection and critical engagement.","authors":"Sarah Bekaert","doi":"10.1177/17449871261452623","DOIUrl":"10.1177/17449871261452623","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261452623"},"PeriodicalIF":2.1,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13259878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253914","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: Mental health of Portuguese nurses-wounded healers or impaired professionals?","authors":"Missouridou Evdokia","doi":"10.1177/17449871261445360","DOIUrl":"https://doi.org/10.1177/17449871261445360","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261445360"},"PeriodicalIF":2.0,"publicationDate":"2026-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13246497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220278","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: Person-centred care to overcome barriers to self-care among patients with chronic obstructive pulmonary disease.","authors":"Ann Ekdahl, Sara Lundell","doi":"10.1177/17449871261442801","DOIUrl":"10.1177/17449871261442801","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261442801"},"PeriodicalIF":2.1,"publicationDate":"2026-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13246498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220250","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: Improving neonatal resuscitation competence in NICU settings - a reflective perspective on knowledge and practice.","authors":"Suryani Manurung","doi":"10.1177/17449871261442941","DOIUrl":"https://doi.org/10.1177/17449871261442941","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261442941"},"PeriodicalIF":2.0,"publicationDate":"2026-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13246495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220273","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: Nurses at the frontline of the Tuberculosis epidemic-strengthening care in patients across health settings.","authors":"Lwandile Tokwe","doi":"10.1177/17449871261446849","DOIUrl":"10.1177/17449871261446849","url":null,"abstract":"","PeriodicalId":47172,"journal":{"name":"Journal of Research in Nursing","volume":" ","pages":"17449871261446849"},"PeriodicalIF":2.1,"publicationDate":"2026-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13246500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220315","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}