Álvaro León-Campos, Casta Quemada-González, Laura Gutiérrez-Rodríguez, Bibiana Pérez-Ardanaz, Silvia García-Mayor, Shakira Kaknani-Uttumchandani, Celia Martí-García
{"title":"The Impact of Video-Assisted Debriefing on Fostering Self-Critical Thinking in Mental Health Nursing Students","authors":"Álvaro León-Campos, Casta Quemada-González, Laura Gutiérrez-Rodríguez, Bibiana Pérez-Ardanaz, Silvia García-Mayor, Shakira Kaknani-Uttumchandani, Celia Martí-García","doi":"10.1155/jonm/5598639","DOIUrl":"https://doi.org/10.1155/jonm/5598639","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> To investigate the effect of using recordings derived from interventions in simulated mental health scenarios on the self-critical capacity of nursing undergraduate students.</p>\u0000 <p><b>Background:</b> Video-assisted debriefing (VAD) allows students to visualize their intervention, clarifying certain aspects that might be clouded in their memory. It facilitates the application of theoretical knowledge to real practice and the self-critical capacity to detect strengths and weaknesses in the interventions developed. Despite the benefits of this educational resource, no previous studies have been found that analyze the impact of using recordings on the development of self-critical capacity in the field of mental health by nursing students.</p>\u0000 <p><b>Methods:</b> An exploratory quasi-experimental study was conducted based on quantitative and qualitative data collected from students after double debriefing sessions (verbal and video-assisted). Quantitative data identified self-critical capacity trends, while qualitative analysis explored in-depth reflections on strengths, weaknesses, and emotional responses. Both datasets were integrated for comprehensive insights.</p>\u0000 <p><b>Results:</b> Quantitative data revealed no significant differences between the two self-evaluation moments. However, the qualitative analysis brought a wide range of in-depth reflections and identified strengths, especially during the VAD. In addition, students felt more reflective and critical about their performance when watching the video, highlighting feelings of self-awareness and opportunities to identify more specific areas for improvement.</p>\u0000 <p><b>Conclusions:</b> This study underscores the importance of VAD in enhancing nursing students’ self-perception of competencies and emotional responses during mental health simulation scenarios. Certain aspects of mental health care remain paramount for students regardless of video review, emphasizing the need for targeted training in these areas. Employing multiple approaches in data collection is essential to obtain a thorough understanding of students’ experiences.</p>\u0000 <p><b>Implications for Nursing Management:</b> Nursing managers should integrate clinical simulations and VADs into training programs to enhance competency development, reduce stress, and foster a supportive learning environment.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/5598639","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143930448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sara Martínez-Jabares, Ana I. López-Alonso, Natalia Calvo-Ayuso, Guillermo Charneco-Salguero, Marta Quiñones-Pérez, María Cristina Martínez-Fernández
{"title":"Fear of Death, Emotional Intelligence and Resilience Among Healthcare Staff During COVID-19: A Correlative Study","authors":"Sara Martínez-Jabares, Ana I. López-Alonso, Natalia Calvo-Ayuso, Guillermo Charneco-Salguero, Marta Quiñones-Pérez, María Cristina Martínez-Fernández","doi":"10.1155/jonm/7872841","DOIUrl":"https://doi.org/10.1155/jonm/7872841","url":null,"abstract":"<div>\u0000 <p>The suffering, pain and fear of death experienced by patients during the pandemic have evoked a wide range of feelings and emotions in healthcare professionals. Managing these emotions is influenced by factors such as emotional intelligence and resilience. Recognising and addressing these emotions can enhance the quality of care and help prevent mental health issues. This study analyses the relationship among fear of death, emotional intelligence and resilience, as along with the sociodemographic variables of healthcare professionals during the COVID-19 pandemic. A descriptive, comparative and correlational study was conducted. Participants included professionals from the Neurosurgery, Pneumology, Emergency Service and Floating Staff units in a tertiary-level hospital in Spain. Data were collected through an anonymous and voluntary online survey, which included sociodemographic data, Collett–Lester fear of death, emotional intelligence and resilience scale. Participation was anonymous and voluntary. A total of 121 professionals participated, predominantly women (85.12%), with a mean age of 41.89 years (SD ± 9.6). Nurses compromised 64% of the sample. Fear of others’ death (37.2%) and the dying process of others (33.1%) increased. Emotional intelligence levels were generally adequate across all work areas, with women scoring higher in attention and clarity. However, significant differences in emotional regulation were observed between groups. Resilience scores were high across all participants (> 78.77). Positive correlations were found among age, fear of the dying process of others (<i>p</i> = 0.003) and resilience (<i>p</i> = 0.002). An inverse correlation was observed between fear of others’ death and resilience (<i>p</i> = 0.018) and emotional regulation (<i>p</i> = 0.020). Linear regression analysis identified attention to emotions, acceptance and bioethics training as predictors of fear of death.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/7872841","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Turnover Intention Among Male Nurses in Jiangsu, China: A Structural Equation Modeling Study Based on Social Cognitive Theory","authors":"Jianzheng Cai, Yajie Ying, Haifang Wang, Weixia Yu, Yingying Zhang, Sisi Wu","doi":"10.1155/jonm/8865799","DOIUrl":"https://doi.org/10.1155/jonm/8865799","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> This study aimed to explore the turnover intention among male nurses and analyze the underlying mechanisms through the lens of the social cognitive theory to provide valuable insights for developing targeted intervention strategies to mitigate the turnover of male nurses.</p>\u0000 <p><b>Methods:</b> A cross-sectional survey was conducted. Questionnaires were distributed to male nurses in Jiangsu Province, China, from September to December 2023, with the assistance of the nursing departments. The first part of the questionnaire collected the sociodemographic information. The second part included three instruments, i.e., the Turnover Intention Scale, the Chinese version of the Decent Work Perception Scale, and the Colleague Solidarity Scale for Nurses.</p>\u0000 <p><b>Results:</b> Of the 6630 male nurses who were solicited by email, 4227 provided a valid response, and the response rate was 63.76%. Their turnover intention score was 14.27 ± 4.34. According to path analysis, both head nurse support, colleague support, and decent work perception directly reduced turnover intention (<i>β</i> = 0.19, 0.47, and −0.65, respectively, <i>p</i> < 0.001). However, head nurse support and colleague support indirectly increased turnover intention via decent work perception (<i>β</i> = −0.27 and −0.09, respectively, <i>p</i> < 0.001).</p>\u0000 <p><b>Conclusion:</b> The male nurses in Jiangsu, China, had a high level of turnover intention, and decent work perception and colleague solidarity were key influencing factors. To effectively reduce the turnover intention of male nurses, nursing managers should focus on fostering career development opportunities and cultivating a supportive organizational environment.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8865799","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143905058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mediating Effect of Perceived Professional Benefit on the Relationship Between Spiritual Health and Spiritual Care Competence Among New Nurses: A Cross-Sectional Study","authors":"Cancan Chen, Xiaofei Sun, Yanting Zhang, Zhenya Liu, Miaorui Jiao, Yanli Hu","doi":"10.1155/jonm/8832454","DOIUrl":"https://doi.org/10.1155/jonm/8832454","url":null,"abstract":"<div>\u0000 <p><b>Objectives:</b> This study aimed to examine the relationship between spiritual health and spiritual care competence among new nurses and explore the mediating role of perceived professional benefit in this relationship.</p>\u0000 <p><b>Background:</b> Spiritual care is an integral part of holistic nursing. The ability to deliver spiritual care to patients, known as spiritual care competence, is increasingly being recognized as a crucial occupational skill for nurses, particularly new nurses. Thus, understanding the level of spiritual care competence among new nurses and identifying the factors associated with it have become matters of priority.</p>\u0000 <p><b>Methods:</b> In the cross-sectional online study, 299 new nurses were selected using convenience sampling from 10 tertiary hospitals in prefecture-level cities, in Henan Province, China, from March to April 2021. Participants’ sociodemographic characteristics, spiritual health, perceived professional benefit, and spiritual care competence were assessed. The mediation model was examined using Model 4 of the PROCESS macro for SPSS.</p>\u0000 <p><b>Results:</b> The results showed a positive correlation between spiritual health, perceived professional benefit, and spiritual care competence (both <i>p</i> < 0.01). Furthermore, spiritual health had a direct effect on spiritual care competence (effect = 0.187). The association between spiritual health and spiritual care competence was mediated by perceived professional benefit (effect = 0.382).</p>\u0000 <p><b>Conclusion:</b> Perceived professional benefit was a mediator in the link between spiritual health and spiritual care competence among new nurses.</p>\u0000 <p><b>Implications for Nursing Management:</b> This study’s findings underscore the need to promote the spiritual care competence of new nurses in China. Healthcare managers can not only directly promote the spiritual care competence of new nurses by cultivating their spiritual health but also indirectly by enhancing their professional benefits.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8832454","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143900904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Experience of Loneliness Among Middle-Aged Hemodialysis Patients: Qualitative Study","authors":"Daun Jeong, Youn Joo Choi, Sohyune Sok","doi":"10.1155/jonm/1013725","DOIUrl":"https://doi.org/10.1155/jonm/1013725","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> To phenomenologically explore the subjective experience of loneliness among middle-aged hemodialysis patients.</p>\u0000 <p><b>Background:</b> In South Korea, the number of middle-aged hemodialysis patients is steadily increasing, and qualitative research on the loneliness they experience is needed to understand them and develop nursing management strategies.</p>\u0000 <p><b>Methods:</b> A qualitative study using the phenomenological research method of Giorgi was employed. Participants were 11 patients aged 40–64, receiving regular hemodialysis for over 3 months at a hemodialysis treatment facility in Seoul, South Korea. Data were collected from June 2021 to February, 2022, and they were in-depth interviewed until data saturation.</p>\u0000 <p><b>Results:</b> The seven components derived from the study results were “The loneliness felt in a life tied to dialysis like shackles,” “The sorrow and loneliness of my irretrievable life,” “Helplessness in death and isolation at the edge of life,” “Living everyday wrapped in solitude,” “Complex emotions and alienation within the family,” “Lonely life in the shadow of illness and societal prejudice,” and “Struggling to break free from the abyss of loneliness.” Also, 20 subcomponents were derived.</p>\u0000 <p><b>Implications for Nursing Management:</b> Despite facing the negative aspects of loneliness associated with illness and treatment, middle-aged hemodialysis patients accept loneliness as a meaningful adaptive experience. This repetitive phenomenon throughout the life cycle of lifelong dialysis patients suggests a continuous process. In nursing management, nurses or nursing managers need to pay attention to the results of this study for deep understanding of middle-aged hemodialysis patients and qualitative nursing management. Based on the results of this study, nursing management strategies for them can be developed.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/1013725","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143896787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Bibliometric Analysis of Nurses’ Job Satisfaction From 2004 to 2023","authors":"Tianli Huang, Yan Wu","doi":"10.1155/jonm/4285361","DOIUrl":"https://doi.org/10.1155/jonm/4285361","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> To conduct a bibliometric analysis of the nurses’ job satisfaction from 2004 to 2023.</p>\u0000 <p><b>Design:</b> The bibliometric and visual analysis was performed in January 2024.</p>\u0000 <p><b>Methods:</b> Bibliometric approaches were applied to analyse 11,993 articles, utilising R and VOSviewer software.</p>\u0000 <p><b>Results:</b> Articles published by 24,155 authors from 1735 distinct sources between 2004 and 2023 were retrieved from the Web of Science and incorporated into the research’s purview. The most productive nation and institution correspondingly were the United States and the University of Toronto. The leading scholars in this sphere were Spence Laschinger, Heather K, Labrague, Leodoro J, and Rodwell, John according to Price’s Law, author co-citation and bibliographic-coupling network analysis. 14,152 keywords about nurses’ job satisfaction study were discovered in this research. The most common keywords encompassed “job satisfaction,” “nurses,” “burnout,” “turnover,” and “intention” It was also observed that while trend topics like “work engagement” “COVID-19” and “grit” have gained popularity recently, the most commonly employed trend topics in earlier years included “empirical research report” “longitudinal study,” and “organizational characteristics.”</p>\u0000 <p><b>Conclusion:</b> Research on nurses’ job satisfaction remains relatively limited and requires more attention, especially in developing countries. Developed countries, especially the United Kingdom and the United States, are the main contributors to nurse job satisfaction research. In the early days, nurse job satisfaction research mainly focused on the current status and influencing factors of nurse job satisfaction in different medical organizations, nurse groups or departments, while more researchers have recently paid more attention to research on specific issues emerging in this field, such as the impact of COVID-19 on nurse job satisfaction and turnover. In addition, scholars in the field of nurse job satisfaction focus on finding the real determinants of job satisfaction of adult practicing nurses, such as interpersonal value consistency, human resource management, and the impact of job satisfaction of adult nurses in different medical environments. Topics such as “perseverance,” “COVID-19” and “work engagement” may be potential focuses for future research. Furthermore, transnational research should be given greater emphasis to investigate whether the major factors and effective interferences of nurses’ job satisfaction differ between cultures and more multicenter as well as big sample studies should be conducted to efficiently improve nurses’ job satisfaction.</p>\u0000 <p><b>Impact:</b> This study used bibliometric analysis to examine the most contributing nations, institutions, authors, trend topics, and research focus. Data on the present state of nurses’ job satisfaction research, includin","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/4285361","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143889053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Rodriguez-Ortega, Tarsila Ferro, Cristian Ochoa-Arnedo, Gloria Campos, Yolanda Valverde, Joan Carles Medina, Josep Maria Borras
{"title":"The Evaluation of a Nursing Care Model for Breast Cancer: What Are Women’s Priorities?","authors":"Ana Rodriguez-Ortega, Tarsila Ferro, Cristian Ochoa-Arnedo, Gloria Campos, Yolanda Valverde, Joan Carles Medina, Josep Maria Borras","doi":"10.1155/jonm/8653274","DOIUrl":"https://doi.org/10.1155/jonm/8653274","url":null,"abstract":"<div>\u0000 <p><b>Aim:</b> To assess patient satisfaction with the breast care nurse (BCN) model and its adequacy in meeting patients’ needs for information and support.</p>\u0000 <p><b>Background:</b> The BCN is a core multidisciplinary member of the breast cancer team. The evaluation of care models is necessary to detect gaps and improve the quality of care.</p>\u0000 <p><b>Material and Methods:</b> This cross-sectional descriptive study took place in a breast pathology unit and included patients with early breast cancer seen between 1 July 2016 and 30 June 2017 after finishing their treatment. Between July and December 2018, sociodemographic and clinical variables were collected from the clinical history, and satisfaction was measured using a questionnaire sent to the patients.</p>\u0000 <p><b>Results:</b> Of the 139 patients included, 99.3% reported that the BCN provided information correctly, 96.2% reported that she provided adequate information on self-care at home (96.2%), and 97.8% reported that the words of the BCN helped them feel better. However, some patients were unsure whether the BCN would have been willing to discuss alternative therapies (41%).</p>\u0000 <p><b>Conclusions:</b> Patients were satisfied with the BCN, including her role in meeting information and support needs. However, some issues needed to be sufficiently addressed. Comprehensive, continuous assessment is required to understand patient needs. Training and specific studies on topics that are of interest to patients can help respond to these needs.</p>\u0000 <p><b>Implications for Nursing Management:</b> BCN functions are being developed in some countries. BCN results make it easier for healthcare managers to commit to this role and for nurses to develop all their competencies. BCN models must respond to international guidelines but are also determined by organizational resources. The evaluation of these models is essential and must be considered by users. Advanced practice nursing roles, including the BCN, are well established in some countries but developing in others. BCN results make it easier for healthcare managers to commit to this role and for nurses to develop all their skills. BCN models must respond to the elements determined by organizations that work to improve the quality of care for patients with breast cancer. However, they are also determined by organizational resources. The evaluation of these models is essential to correct deficiencies and improve the quality of care. An important part of the evaluation must take into account the user who receives the care, in terms of satisfaction and the form of patient-reported outcome measures (PROMs).</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/8653274","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143875663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yifan Wu, Wenwen Chen, Ruihong Zhang, Yang Yang, Hui Wang, Yang Xu, Shuang Zang
{"title":"The Chain Mediating Roles of Professional Identity and Workplace Social Capital in the Relationship Between Inclusive Leadership and Burnout of Nurses: A Longitudinal Study","authors":"Yifan Wu, Wenwen Chen, Ruihong Zhang, Yang Yang, Hui Wang, Yang Xu, Shuang Zang","doi":"10.1155/jonm/4713030","DOIUrl":"https://doi.org/10.1155/jonm/4713030","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Burnout not only affects the health and work efficiency of nurses but also poses a potential threat to patient safety. The relationship and longitudinal mechanisms between inclusive leadership and nurse burnout in nursing work environments are unclear.</p>\u0000 <p><b>Objective:</b> To analyze the pathways and mechanisms by which inclusive leadership influences nurse burnout through a longitudinal study and to explore the mediating role of professional identity and workplace social capital in this association.</p>\u0000 <p><b>Method:</b> A two-wave study was conducted among 360 Chinese nurses from Baoding No. 4 Central Hospital in March 2024 and October 2024, respectively. The self-report questionnaire consisted of inclusive leadership scale, professional identity scale, workplace social capital scale, and Maslach Burnout Inventory. Pearson’s correlation analysis was employed to explore the relationships among study variables. The structural equation modeling was applied to test the proposed model.</p>\u0000 <p><b>Results:</b> The scores for inclusive leadership, professional identity, workplace social capital, and burnout among nurses were 36.35 ± 7.04, 37.80 ± 6.96, 33.22 ± 5.31, and 30.03 ± 14.23, respectively. There is a significant correlation between the above study variables (<i>p</i> < 0.001). Inclusive leadership negatively influenced burnout directly and indirectly through professional identity and workplace social capital (all <i>p</i> < 0.001). The indirect effects accounted for 65.58% of the total effect, with significant mediation through both pathways.</p>\u0000 <p><b>Conclusions:</b> Inclusive leadership contributed to the elimination of burnout in nurses at work. In addition, professional identity and workplace social capital had chain mediation roles between the effects of the inclusive leadership and burnout.</p>\u0000 <p><b>Implications for Nursing Management:</b> Nursing mangers should actively adopt an inclusive leadership to improve nurses’ professional identity and workplace social capital to ameliorate burnout among clinical nurses.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/4713030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143871799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jinrong Yang, Fan Liu, Chunxia Yang, Jingyi Wei, Yonghong Ma, Lisheng Xu, Jingying Xie, Jingjun Wang
{"title":"Application of Donabedian Three-Dimensional Model in Outpatient Care Quality: A Scoping Review","authors":"Jinrong Yang, Fan Liu, Chunxia Yang, Jingyi Wei, Yonghong Ma, Lisheng Xu, Jingying Xie, Jingjun Wang","doi":"10.1155/jonm/6893336","DOIUrl":"https://doi.org/10.1155/jonm/6893336","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> The mobility of outpatients, frequent treatment sessions, and varying illness severity challenge nursing care and hinder quality improvement efforts. The Donabedian model effectively evaluates nursing quality and is widely used in operating rooms, intensive care units and oncology wards. However, its application in outpatient nursing remains unclear.</p>\u0000 <p><b>Aim:</b> To overview the Donabedian model’s application in outpatient care quality.</p>\u0000 <p><b>Methods:</b> A scoping review was conducted using the Arksey and O’Malley framework, adhering to PRISMA-ScR. Searches for eligible papers were performed on PubMed, OVID, Web of Science, Embase, CNKI, CBM, and Wan Fang in June 2024. Data were analyzed narratively using an inductive approach, with visual mapping done through ArcGIS and Origin.</p>\u0000 <p><b>Results:</b> A total of 18 studies were included in the review. Literature review, Delphi and semistructured interview were widely used in the mixed method studies. The primary settings involved dental clinics and health examination centers, followed by traditional Chinese medicine clinics and pediatric clinics. The studies spanned various regions: 2 in Canada, 3 in Germany, and 13 in China. Structural indicators evaluate outpatient care systems and resources, while process indicators emphasize specialty nursing practice, safety, infection control, and humanistic care. Satisfaction, adverse events, and quality care serve as key secondary indicators for outcome assessment.</p>\u0000 <p><b>Conclusions:</b> The research on outpatient care quality based on the Donabedian model is primarily mixed, with a need to expand interventional and qualitative studies. The structure-process-outcome quality indicators have varying focuses that require further verification and coordination. Structural indicators offer more policy and resource support, while process indicators differ across outpatient specialties, leading to heterogeneous specialist nursing practice metrics. Satisfaction and adverse events are crucial components in evaluating outpatient nursing quality outcomes.</p>\u0000 <p><b>Implications for Nursing Management:</b> The application of the Donabedian model offers care managers practical ideas and references for outpatient care quality improvement.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6893336","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143871800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pauletta Irwin, Amy Barnett, Kerryn Butler-Henderson, Mathew Ellis, Jeong-Ah Kim, Deborah Magee, Simon McDonald, Lisa Speedie, Shanna Fealy
{"title":"From Paper to Pixels: Evaluating the Impact of Digital Transformation on Sustainability in Nursing Education","authors":"Pauletta Irwin, Amy Barnett, Kerryn Butler-Henderson, Mathew Ellis, Jeong-Ah Kim, Deborah Magee, Simon McDonald, Lisa Speedie, Shanna Fealy","doi":"10.1155/jonm/6145329","DOIUrl":"https://doi.org/10.1155/jonm/6145329","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> As the largest workforce in health, it is critically important that the principles of planetary health are incorporated into nursing education to have a significant influence on reducing the environmental impacts of health practices and address health inequities. Despite the adoption of sustainability principles by the higher education sector, the translation into nursing curriculum has been challenging. The increased integration of digital technologies in health contributes towards both sustainability in health and the United Nations Sustainable Development Goals (SDG). Electronic health records (EHRs) are well documented in reducing the reliance on paper-based records and improve the efficiency of health delivery, including accessibility to health where information sharing barriers are reduced. The incorporation of digital health training, and specifically the use of simulated EHRs, into nursing curriculum will increase the application of the principles of planetary health into graduate practice.</p>\u0000 <p><b>Aims:</b> This study explored if the use of an EHR in a simulated learning environment (SLE) in a Bachelor of Nursing (BN) program can lead to tangible reduction in paper consumption.</p>\u0000 <p><b>Methods:</b> A nonexperimental, pre- and postdesign was used to audit the paper consumption, specifically paper-based manuals, within the SLE pre- and postimplementation of the HealthiERSim®, an in house developed simulated EHR system. The study was held across multiple campuses with different BN cohorts.</p>\u0000 <p><b>Results:</b> The study reported an overall reduction paper consumption by 12.59% post-implementation of HealthiERSim® and a reduction in pages per SLE manual, with a significant (<i>p</i> < 0.001) difference in paper consumption between the subjects.</p>\u0000 <p><b>Conclusion:</b> The results of this study indicate an effective implementation of an EHR solution can decrease paperconsumption within an SLE, contributing to reducing the environmental footprint of an educational institution. Where adopted with curriculum content about sustainable practices, this will increase graduate awareness and practice of planetary health principles and the SDGs.</p>\u0000 </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6145329","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143866015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}