Journal of Clinical Nursing最新文献

{"title":"Navigating the Storm: Exploring Triggers, Preventive Strategies, and Sociocultural Dynamics of Violence in Healthcare Settings-A Cross-Sectional Study in Damietta Governorate, Egypt.","authors":"Ateya Megahed Ibrahim, Donia Elsaid Fathi Zaghamir","doi":"10.1111/jocn.70131","DOIUrl":"https://doi.org/10.1111/jocn.70131","url":null,"abstract":"<p><strong>Aim: </strong>Explore and describe the triggers, preventive strategies, and sociocultural dynamics of violence in healthcare settings, focusing on the experiences and perspectives of nurses Damietta Governorate, Egypt.</p><p><strong>Design: </strong>A cross-sectional design.</p><p><strong>Methods: </strong>A stratified random sampling approach was followed to ensure representation from all departments by recruiting 424 nurses from several hospitals in Egypt. Self-administered questionnaires were applied, using validated instruments such as the Hospital Safety Climate Scale, the Coping Strategies Inventory, the Maslach Burnout Inventory, the Perceived Causes of Workplace Violence Questionnaire, and the Workplace Violence Scale to collect data. Data analysis using SPSS version 26 was carried out with descriptive statistics including means and standard deviations. STROBE reporting guidelines were followed.</p><p><strong>Results: </strong>Nurses had a moderate level of verbal abuse (mean 3.50) and bullying/harassment (mean 3.00) and lesser incidences of physical violence (mean 2.80) and sexual harassment (mean 2.70). The most common cause was perceived as organisational factors (mean 3.80) and then environmental (mean 3.60) and sociocultural (mean 3.40). Problem-focused coping strategies, which were used mostly (mean 3.45), emotional exhaustion (mean 4.20), making the overall burnout level moderate (mean 3.83). The safety climate had positive perceptions concerning management support (mean 3.80), an area needing improvement in safety communication (mean 3.70) and staff training (mean 3.60).</p><p><strong>Conclusion: </strong>The study underscores the prevalent issues of workplace violence and emotional exhaustion among nurses, highlighting the need for targeted interventions and support systems to address these challenges.</p><p><strong>Implications for the profession and/or patient care: </strong>Implementing comprehensive support programs, enhancing safety protocols, and focusing on both problem-focused and emotional support strategies are essential for improving nurse well-being and reducing workplace violence. These measures will contribute to a safer working environment and better patient care outcomes.</p><p><strong>Impact: </strong>What problem did the study address? The study explored and described the high incidence of workplace violence and its impact on nurses' emotional well-being and job satisfaction in Egyptian healthcare settings. What were the main findings? Prevalent verbal abuse and bullying were noted in the study, with the organisational factors identified as the most important cause. High levels of emotional exhaustion and moderate burnout, coupled with positive but improvable perceptions of safety climate, were reported. Where and on whom will the research have an impact? Impacts from the research would touch every nurse working in hospitals around the cities of Damietta Governorate in Egypt, including Damietta Genera","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Nomogram to Predict the Risk of Occipital Pressure Injury in Patients With Craniocerebral Injury.","authors":"Chunfang Xu, Siyi Jin, Rongrong Wang, Wenyi Li, Chen Pan, Lifang Xia, Wenping Dong, Quying Qiu","doi":"10.1111/jocn.70129","DOIUrl":"https://doi.org/10.1111/jocn.70129","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the risk factors associated with occipital pressure injury in patients with craniocerebral injury and to develop a risk prediction model for assessing the risk of occipital pressure injury in patients in this population.</p><p><strong>Methods: </strong>We conducted a prospective cohort study with descriptive analysis. A cohort of 455 patients diagnosed with craniocerebral injury and treated in our neurosurgery department and NSICU of our hospital, who met the criteria, were selected for this study. We collected the clinical data in the neurosurgery ward and Neurosurgical Intensive Care Unit (NSICU) from October 2022 to September 2024. Using R randomisation, we established: Test group (n = 324), validation group (n = 131). Then we performed both univariate and multivariate regression analysis to identify the independent risk factors of occipital pressure injury and developed a predictive model based on these findings. H-L test (Hosmer-Lemeshow test) was used to evaluate the accuracy and specificity of the model.</p><p><strong>Results: </strong>Among the 455 patients with craniocerebral injury, 324 were randomly selected into the test group, within which 42 developed occipital pressure injuries, representing a 12.96% incidence rate. Univariate analysis showed that there were significant differences (p < 0.05) between terms of gender, Braden scale score, Glasgow score, APACHE II score, NRS2002, Barthel scale, presence of edema, use of vasoactive drugs, use of mechanical ventilator, ICU stay length, MDRO infection, hair friction, use of head circular dressing, surgical interventions, drainage tube placement, surgery duration, volume of red blood cell infusion and length of using mechanical ventilation. Multivariate logistic regression analysis showed that gender, APACHE II score, length of using mechanical ventilation, and use of head circular dressing were independent risk factors for the development of occipital pressure injuries. A nomogram predictive model was formulated based on these factors and demonstrated excellent discriminative ability (AUC = 0.888).</p><p><strong>Conclusion: </strong>The occipital pressure injury risk predictive model for patients with craniocerebral injury performed strong predictive capacity in this study. It provides theoretical guidance for early formulation of predictive intervention strategies. We prepared this article in accordance with the STROBE checklist.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Artificial Intelligence in Promoting Positive Nursing Practice Environments: Mixed Methods Systematic Review.","authors":"Soraia Cristina de Abreu Pereira, Rosilene Alves Ferreira, João Miguel Ventura-Silva, Eduardo José Ferreira Santos, Cintia Silva Fassarella, Olga Maria Pimenta Lopes Ribeiro","doi":"10.1111/jocn.70127","DOIUrl":"https://doi.org/10.1111/jocn.70127","url":null,"abstract":"<p><strong>Aim: </strong>To synthesise the available evidence on the effect of artificial intelligence in promoting positive nursing practice environments, exploring outcomes for professionals, clients, and institutions.</p><p><strong>Background: </strong>Artificial intelligence has undergone significant advancements and shows great potential to transform nursing practice. However, this technological evolution is not without challenges, which must be identified and addressed.</p><p><strong>Methods: </strong>A systematic mixed-methods review following the PRISMA 2020 guidelines and the methodology proposed by JBI. The search strategy was conducted in PubMed, CINAHL, Scopus, and Web of Science, including grey literature. Quantitative, qualitative, and mixed-methods studies were included, and the selection process involved screening by two independent reviewers, who assessed all studies, their methodological quality and extracted their data.</p><p><strong>Results: </strong>From the conducted search, 11 studies were included, addressing how artificial intelligence has transformed nursing practice by optimising decision-making, task execution, and patient safety. Artificial intelligence, through predictive models and assistants such as ChatGPT, can enhance nursing management. However, challenges such as privacy concerns, resistance to change, and the need for professional training must be addressed to maximise its effectiveness.</p><p><strong>Conclusion: </strong>Artificial intelligence has the potential to positively transform the nursing practice environment, optimising decision-making, enhancing patient safety, and improving operational efficiency, with clear benefits for professionals, patients, and healthcare institutions.</p><p><strong>Relevance to clinical practice: </strong>This study analysed the impact of artificial intelligence on nursing, highlighting improvements in clinical decision-making, patient safety, and institutional efficiency. Despite the identified benefits, the implementation of artificial intelligence in nursing is not without challenges and risks, which must be identified and addressed to ensure safe and effective adoption.</p><p><strong>Reporting method: </strong>The review followed the PRISMA 2020 checklist.</p><p><strong>Patient or public contribution: </strong>No.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the Effectiveness of Interventions Implemented by Nurses to Reduce Medication Administration Errors in Hospitalised Acute Adult Patient Settings: Systematic Review and Meta-Analysis.","authors":"Angela Uche Eze, Takawira Marufu, Albert Amagyei, David Nelson, Despina Laparidou, Joseph C Manning","doi":"10.1111/jocn.70109","DOIUrl":"https://doi.org/10.1111/jocn.70109","url":null,"abstract":"<p><strong>Background: </strong>Medication administration errors are high-risk patient safety issues that could potentially cause harm to patients, thereby delaying recovery and increasing length of hospital stay with additional healthcare costs. Nurses are pivotal to the medication administration process and are considered to be in the position to recognize and prevent these errors. However, the effectiveness of interventions implemented by nurses to reduce medication administration errors in acute hospital settings is less reported.</p><p><strong>Aim: </strong>To identify and quantify the effectiveness of interventions by nurses in reducing medication administration errors in adults' inpatient acute hospital.</p><p><strong>Methods: </strong>A systematic review and meta-analysis was conducted up to 03/24. Six databases were searched. Study methodology quality assessment was conducted using the Joanna Briggs Institute (JBI) critical appraisal tools, and data extraction was conducted. Meta-analysis was performed to combine effect sizes from the studies, and synthesis without meta-analysis was adopted for studies that were not included in the meta-analysis to aggregate and re-examine results from studies.</p><p><strong>Results: </strong>Searches identified 878 articles with 26 studies meeting the inclusion criteria. Five types of interventions were identified: (1) educational program, (2) workflow smart technologies, (3) protocolised improvement strategy, (4) low resource ward-based interventions, and (5) electronic medication management. The overall results from 14 studies included in meta-analysis showed interventions implemented by nurses are effective in reducing medication administration errors (Z = 2.15 (p = 0.03); odds ratio = 95% CI 0.70 [0.51, 0.97], I² = 94%). Sub-group analysis showed workflow smart technologies to be the most effective intervention compared to usual care. Findings demonstrate that nurse-led interventions can significantly reduce medication administration errors compared to usual care. The effectiveness of individual interventions varied, suggesting a bundle approach may be more beneficial. This provides valuable insights for clinical practice, emphasizing the importance of tailored, evidence-based approaches to improving medication safety.</p><p><strong>Reporting method: </strong>PRISMA guided the review and JBI critical appraisal tools were used for quality appraisal of included studies.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Glasgow Coma Scale Practice Among Emergency Nurses in China: A Multicenter Cross-Sectional Study.","authors":"Cairong Liu, Zhi Da, Tingting Qi, Xueli Ji, Feng Chen, Yangchun Zhang","doi":"10.1111/jocn.70124","DOIUrl":"https://doi.org/10.1111/jocn.70124","url":null,"abstract":"<p><strong>Aim: </strong>To analyse current Glasgow Coma Scale practice among emergency nurses in China and identify factors influencing assessment quality.</p><p><strong>Design: </strong>A quantitative, multicenter cross-sectional design.</p><p><strong>Methods: </strong>A convenience sample of 1740 emergency nurses from secondary and tertiary hospitals across 21 provinces completed a validated structured questionnaire between March and April 2025. Participants had at least 6 months of emergency nursing experience. Data analysis included descriptive statistics, chi-square tests, and multiple logistic regression to examine factors influencing correct Glasgow Coma Scale application.</p><p><strong>Results: </strong>Participants had a mean age of 29.8 years (SD = 6.2). Only 52.5% of nurses demonstrated correct Glasgow Coma Scale application despite 97.0% having theoretical knowledge of scoring criteria. While 56.8% had received Glasgow Coma Scale training, significant standardisation deficiencies emerged. Notably, 41.8% of departments lacked operational guidelines, and 53.7% of nurses experienced scoring disagreements with colleagues. Clinical utilisation varied substantially by patient population: traumatic brain injury (97.8%), neurological diseases (96.9%), and systemic critical illness (85.8%). Multivariate analysis identified six significant factors influencing correct application: standardised training (OR = 2.252, 95% CI: 1.789-2.825), manageable workload ≤ 4 patients/shift (OR = 1.652, 95% CI: 1.327-2.057), departmental guidelines (OR = 1.523, 95% CI: 1.233-1.881), extensive work experience ≥ 9 years (OR = 1.534, 95% CI: 1.182-1.992), while multidisciplinary collaboration issues (OR = 0.559, 95% CI: 0.439-0.712) and special patient experience (OR = 0.520, 95% CI: 0.406-0.666) were associated with reduced accuracy.</p><p><strong>Conclusion: </strong>Substantial standardisation challenges exist in Glasgow Coma Scale practice among Chinese emergency nurses, characterised by significant gaps between theoretical knowledge and clinical application. Major barriers include insufficient standardised guidelines, inconsistent training approaches, and inadequate interdisciplinary collaboration.</p><p><strong>Impact: </strong>Healthcare administrators should develop national standardised guidelines, implement simulation-based training programs, optimise emergency workflows, and integrate alternative assessment tools to enhance consciousness assessment accuracy and improve patient safety.</p><p><strong>Reporting method: </strong>STROBE statement adherence.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Confidential Conversations in Palliative Care: An Ethnographic Exploration of Trust and Interpersonal Relationship Between Nurse and Patient.","authors":"Tove Stenman, Bodil Holmberg, Ylva Rönngren, Ulla Näppä, Christina Melin Johansson","doi":"10.1111/jocn.70119","DOIUrl":"https://doi.org/10.1111/jocn.70119","url":null,"abstract":"<p><strong>Aim: </strong>To explore aspects of interpersonal relationships in palliative care nursing, focusing on confidential conversations between patients and registered nurses (RN).</p><p><strong>Design: </strong>A qualitative study employing focused ethnography.</p><p><strong>Methods: </strong>Data were collected through unstructured participant observations, field notes and interviews with patients and RN in specialist palliative care. Data were analysed using reflective thematic analysis.</p><p><strong>Findings: </strong>Confidential conversations in palliative care are founded on trust that is fragile and develops dynamically through consistent interactions. Small talk, presence and silence are essential for initiating and maintaining trust and the interpersonal relationship. The environment, patient condition and RN emotional presence and competence shape these conversations. As the relationship evolves, conversations adapt to the patient's changing needs. Missed signals or interruptions can disrupt flow, but the potential for repair remains, allowing for restoration and strengthening of trust and connection.</p><p><strong>Conclusion: </strong>Confidential conversations in palliative care are grounded in fragile, dynamic trust, necessitating ongoing presence, sensitivity and adaptability from RN. To support these interactions, healthcare environments must prioritise privacy, relational continuity and communication training. Future research should investigate how organisational structures and clinical settings influence confidential conversations.</p><p><strong>Implications for the profession and/or patient care: </strong>Healthcare environments should facilitate confidential conversations by ensuring relational continuity and minimising distractions. Communication training that emphasises presence and management of silence can strengthen nurse-patient relationships, enhancing patient care and emotional support.</p><p><strong>Impact: </strong>This study explores key aspects of confidential conversations in palliative care, emphasising trust and emotional sensitivity. It addresses a research gap in palliative care using rare observational methods to deepen understanding of nursing relational aspects. The findings offer practical guidance for enhancing communication and relational skills, informing training and policy development and ultimately, improving emotional support and care.</p><p><strong>Reporting method: </strong>Findings are reported in accordance with the Consolidated Criteria for Reporting Qualitative Research guidelines.</p><p><strong>Patient or public contribution: </strong>This study did not involve patient or public participation in its design, conduct or reporting.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' Experiences of Mental Health Care in the Emergency Department: An Integrative Review.","authors":"Caitlin Kent, Elizabeth Halcomb","doi":"10.1111/jocn.70116","DOIUrl":"https://doi.org/10.1111/jocn.70116","url":null,"abstract":"<p><strong>Aim: </strong>To critically synthesise current literature on the nurses' experiences in providing care for people presenting with mental health issues to the emergency department (ED).</p><p><strong>Background: </strong>Mental health-related presentations to EDs are increasing. Understanding nurses' experiences of providing care for this patient group will inform future strategies to enhance the care delivered in the ED.</p><p><strong>Methods: </strong>CINAHL, MEDLINE, APA PsycInfo and Psychology and Behavioural Sciences Collection were searched from 2009 to 2024 for peer-reviewed qualitative papers exploring emergency nurses' perspectives of providing care for people with mental health issues, published in the English language. Quality was appraised using the JBI Critical Appraisal tool. This review follows the PRISMA checklist for reporting.</p><p><strong>Results: </strong>Nine papers, reporting eight studies, were included in the review. Three themes emerged: attitudes towards mental illness, education limitations impacting confidence and structural barriers impacting care quality. The review reveals a disconnect between nurses' compassionate intentions and barriers such as unconscious stigma and prioritising physical illness over mental health concerns. The findings highlight the need for targeted mental health education to enhance ED nurses' confidence and competence. Inadequate local mental health policies also impact care delivery, contributing to suboptimal patient outcomes.</p><p><strong>Conclusion: </strong>This review provides a deeper understanding of ED nurses' experiences of caring for people with mental health issues. A need to implement a multifaceted approach to mental health education, clear policies to guide care delivery and systems that promote prioritisation of patients presenting with mental health concerns was identified.</p><p><strong>Implications for the profession and/or patient care: </strong>Insights into nurses' experiences can shape future ED practices and enhance outcomes for patients. Building ED nurses' capacity to deliver high-quality mental health care is critical.</p><p><strong>Patient or public consultation: </strong>As a review paper, no patient or public consultation took place.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Borders: Diaspora Nurses' Voices on Retention, Respect and Resilience.","authors":"Faustino Jerome Babate, Siti Fatimah Sa'at","doi":"10.1111/jocn.70126","DOIUrl":"https://doi.org/10.1111/jocn.70126","url":null,"abstract":"<p><p>This paper responds to the recently published article on nurses' turnover intentions and their lived experiences of disempowerment, moral distress and organisational neglect. While the study illuminates important workplace realities, it overlooks the perspectives of nurses who have left not only their institutions but also their countries of origin. From the vantage point of Filipino nurses in the diaspora, the decision to migrate mirrors the dynamic, cumulative processes described in the article. Migration is seldom the result of one critical incident; rather, it arises from entrenched systemic issues-understaffing, lack of respect and persistent undervaluing of nursing contributions-that transcend borders. Diaspora nurses bring with them narratives of resilience, yet their departure reflects health system fragility in their home countries and exposes new challenges in host nations. This commentary highlights the urgent need for global cooperation, stronger leadership and policy innovations that recognise migration as part of the retention equation, not apart from it.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges of Parents While Providing Complex Medical Care at Home to Children With Cancer: A Cross-Sectional Convergent Mixed Methods Study.","authors":"Rachel Klausner Shyman, Sveta Roberman, Gal Goldstein, Sabaa Masarwe, Amy Solnica, Rachel Yaffa Zisk-Rony","doi":"10.1111/jocn.70115","DOIUrl":"https://doi.org/10.1111/jocn.70115","url":null,"abstract":"<p><strong>Aim: </strong>To explore challenges parents of children with cancer encounter while providing complex medical care at home.</p><p><strong>Methods: </strong>Design: Cross-sectional convergent mixed-methods study.</p><p><strong>Instruments: </strong>Questionnaire and open interviews that mirrored and complemented each other.</p><p><strong>Results: </strong>Parents (n = 32), with no prior medical training, were expected to remain constantly vigilant as they monitored and managed rapidly changing situations. Regardless of time from diagnosis, they detected a mean of 3.3 ± 1.4 (0-6) symptoms, reported administering up to 22 daily medications, including cytotoxics, narcotics and injections, and dealt with many related challenges. Parents described needing responsive communication channels, especially when dealing with bleeding and infection emergency situations during off-hours.</p><p><strong>Conclusions: </strong>Findings highlight the constantly shifting demands when managing a child with cancer at home. Educational programmes that address parental needs throughout treatment, tailored to protocol changes and individual circumstances, should be expanded and further developed.</p><p><strong>Patient care implications: </strong>Parents need continual education regarding home management throughout their children's illness and treatment.</p><p><strong>Impact: </strong>This study addresses challenges parents of children with cancer encounter while providing complex medical care at home. The findings demonstrated that parents, responsible for administering numerous medications via various routes and managing symptoms and side effects, did not feel confident performing these tasks regardless of time from diagnosis. Nurses should adapt ongoing parental education regarding complex medical tasks, symptoms, side effects, emergency detection and management for children with cancer at home. The study adhered to the Mixed Methods Appraisal Tool (MMAT) and STROBE reporting method.</p><p><strong>Patient contribution: </strong>Parents of children with cancer participated in the design and questionnaire validation.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Laboratory to Bedside: Technical Enhancements for Clinical-Grade AI Wound Assessment Systems.","authors":"Enjian Liu, Zekai Yu","doi":"10.1111/jocn.70121","DOIUrl":"https://doi.org/10.1111/jocn.70121","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}