Journal of Clinical Nursing最新文献

{"title":"Investigation of the Effect of Secondary Traumatic Stress on Psychological Resilience in Emergency Nurses: A Systematic Review.","authors":"Belkıs Şimşek, Zeynep Özer, Kadriye Buldukoğlu","doi":"10.1111/jocn.17688","DOIUrl":"https://doi.org/10.1111/jocn.17688","url":null,"abstract":"<p><strong>Background: </strong>Emergency nurses frequently encounter traumatic events and have difficulty coping with the stress they experience. The stress nurses experience increases the likelihood of secondary traumatic stress. It is important to address the concept of psychological resilience in order for emergency nurses to cope with the difficulties they encounter. The aim of this systematic review is to explore the effect of secondary traumatic stress on psychological resilience in emergency nurses.</p><p><strong>Methods: </strong>The systematic review was prepared according to the PRISMA guidelines. Studies evaluating the effects of secondary traumatic stress on psychological resilience in emergency nurses were eligible. The Cochrane risk of bias tool was used for quality assessment. The findings of this review are presented using a narrative synthesis.</p><p><strong>Data sources: </strong>Web of Science, Scopus, CINAHL Complete, Science Direct, Ebsco, PubMED/MEDLINE, TR Index, Index Copernicus and Sobiad databases were searched between the October 2021 and January 2024 without language and year restriction.</p><p><strong>Results: </strong>This review included five studies involving 234 emergency nurses. Two of these studies were written with qualitative methods, two with quantitative methods, and one with mixed methods. The search was conducted without any year limitation. The studies included in the review were between 2013 and 2022.</p><p><strong>Discussion: </strong>Only five studies that met the inclusion criteria could be accessed. It was determined that the secondary traumatic stress level of emergency nurses was high and secondary traumatic stress decreased as psychological resilience increased. It is thought that this study will guide future studies planned to reduce secondary traumatic stress and increase psychological resilience of emergency nurses.</p><p><strong>Relevance to clinical practice: </strong>Detailed studies are needed to determine the relationship between secondary traumatic stress and psychological resilience in emergency nurses, to determine its impact on health care services and its impact on clinical practice.</p><p><strong>Reporting method: </strong>PRISMA guidelines.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: PROSPERO CRD42022322117.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517194","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 and Validation of a Nomogram Predictive Model and Scoring Tool for Assessing the Risk of Inadequate Bowel Preparation in Colonoscopy Patients Over 40 Years Old: A Retrospective Observational Study.","authors":"Liangyu Fang, Wu Bingbing, Qianmi Wang, Xu Yinchuan","doi":"10.1111/jocn.17702","DOIUrl":"https://doi.org/10.1111/jocn.17702","url":null,"abstract":"<p><strong>Aims: </strong>To explore the potential risk factors contributing to inadequate bowel preparation in middle-aged and elderly patients (aged 40 and above) undergoing colonoscopy, and to subsequently devise and validate a comprehensive risk assessment tool and nomogram model for accurately predicting such preparation.</p><p><strong>Design: </strong>A retrospective observational study was conducted at three campuses from January 2023 to December 2023.</p><p><strong>Methods: </strong>Twenty-three clinical indicators derived from colonoscopy records were leveraged to inform the predictive models. By using multivariate and stepwise logistic regression analyses, a risk-scoring model and a nomogram prediction model were devised. Calibration curves were used to evaluate the model's accuracy, while decision curve analysis (DCA) and receiver operating characteristic (ROC) curves were used to evaluate the model's clinical applicability and discriminatory power, encompassing the Hosmer-Lemeshow χ² test for goodness-of-fit. TRIPOD was used to guide this study.</p><p><strong>Results: </strong>A total of 6860 outpatients who met the criteria were selected and divided into a training set (n = 4116) and a validation set (n = 2744) according to the bowel preparation quality. BMI, comorbidity, history of constipation, frailty degree, prescribing doctor's specialty, nonpatient's own prescribing, anxiety level and abdominal surgery history were independent risk factors for inadequate bowel preparation. The corresponding risk scores were 2, 0, 2, 4 3, 3, 2 and 1 respectively; with a total score of ≥ 8.5 classifying patients into a high-risk group. The area under the curve for the training and validation sets were 0.740 and 0.730, respectively, and an optimal critical value threshold of 34%. DCA findings demonstrated that the nomogram model was clinically helpful throughout a broad threshold probability range.</p><p><strong>Conclusions: </strong>The risk prediction nomogram model and assessment tool constructed in this study can help clinicians identify individuals at high risk for inadequate bowel preparation at an early stage, which is a guideline for personalised prevention and treatment.</p><p><strong>Trial and protocol registration: </strong>The name of the trial register was outpatient discharge management after general intravenous anaesthesia. The clinical trial registration was 2024-0116, and the link to the trial at the registration website was https://ctms.z2hospital.com:8443/.</p><p><strong>Reporting method: </strong>Transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD) checklist.</p><p><strong>Patient or public contribution: </strong>Data for this study were provided by 7724 outpatients over 40 years old who underwent their first colonoscopy between January 2023 and December 2023 at three campuses of a medical centre.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517190","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 Effectiveness of Nurse-Led Care in Patients With Rheumatoid Arthritis: A Systematic Review and Meta-Analysis of Randomised Controlled Studies.","authors":"Zhuang Yang, Juhong Pei, Xiaojing Guo, Yuting Wei, Qianwen Chao, Lin Han","doi":"10.1111/jocn.17687","DOIUrl":"https://doi.org/10.1111/jocn.17687","url":null,"abstract":"<p><strong>Aims and objectives: </strong>To evaluate the effectiveness of nurse-led care (NLC) in patients with rheumatoid arthritis on disease activity, physical function, fatigue, satisfaction, pain, and quality of life.</p><p><strong>Background: </strong>Rheumatoid arthritis is a chronic autoimmune disease, which may not respond to insufficient rheumatology care capacity and workforce shortage. NLC is a care delivery model that can help address this shortage and improve disease management.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Methods: </strong>Nine databases were independently searched by two reviewers for eligible studies. Randomised controlled studies evaluating the effects of NLC on disease activity, physical function, fatigue, satisfaction, and other outcomes were included. The cochrane risk of bias tool was used to assess the risk of bias.</p><p><strong>Results: </strong>A total of nine studies involving 1447 participants were included. The pooled results indicated that no significant difference in disease activity was found at 0.5 years of follow-up (SMD: -0.33, 95% CI [-0.70, 0.04]), and a significant difference was seen in favour of NLC at 1 year (SMD: -0.35, 95% CI [-0.48, -0.10]), and 2 years (SMD: -0.29, 95% CI [-0.48, -0.10]). Moreover, no significant difference was found in fatigue and satisfaction at 0.5 years of follow-up, whereas differences in favour of NLC were seen at 1 year. In addition, no significant difference was found in physical function, pain, and quality of life.</p><p><strong>Conclusions: </strong>This review indicated that NLC was not inferior to other types of care, and even had a better positive impact on disease activity, fatigue, and satisfaction for patients with rheumatoid arthritis.</p><p><strong>Relevance to clinical practice: </strong>Our study demonstrates that NLC is an effective approach to managing rheumatoid arthritis and recommends medical practitioners be well-versed in its importance.</p><p><strong>No patient or public contribution: </strong>Patients or public members were not directly involved in this study.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: CRD42022355963.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517197","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":"A Systematic Review and Meta-Analysis of the Effects of Couple-Based Dyadic Intervention on the Psychological Distress of Cancer Patients and Their Partners.","authors":"Qian Sun, Peirong Xu, Lijun Li, Zhong Wang, Yonghe Chen, Cong Wen, Zhengcong Wu, Junsheng Peng","doi":"10.1111/jocn.17677","DOIUrl":"https://doi.org/10.1111/jocn.17677","url":null,"abstract":"<p><strong>Aims and objective: </strong>To explore the effectiveness of dyadic intervention on the psychological distress of cancer patients and their partners.</p><p><strong>Background: </strong>Cancer patients and their partners demonstrated high levels of psychological distress. However, the effects of dyadic intervention on psychological distress were unclear.</p><p><strong>Design: </strong>A systematic review and meta-analysis of randomised controlled trials was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement.</p><p><strong>Methods: </strong>A systematic search on couple-based dyadic intervention for cancer patients and their partners was carried out across eight databases. Our review adhered to the Cochrane risk-of-bias tool as its foundational framework, and data extraction and analysis followed standardised checklists for quantitative research studies.</p><p><strong>Results: </strong>No statistically significant effects were reported on patients' anxiety, depressive symptoms, or cancer-related distress. However, subgroup analysis revealed that interventions lasting 6 or 12 weeks had positive effects on patients' cancer-related distress. Significant reductions in cancer-related distress scores were only observed when interventions included communication and support (CS) and skill building (SB) components, however. Additionally, patients experienced higher distress levels with less than six interventions or session durations shorter than 6 h. For partners, couple-based dyadic interventions significantly reduced their anxiety and depressive symptom levels.</p><p><strong>Conclusions: </strong>Couple-based dyadic interventions, with either 6- or 12-week durations, or encompassing both CS and SB components, demonstrated significantly positive effectiveness on patients' psychological distress. Couple-based dyadic interventions also exhibited a propensity for alleviating psychological distress in both cancer patients and their partners, with a more pronounced impact observed among partners.</p><p><strong>Relevance to clinical practice: </strong>This meta-analysis highlights the effectiveness of dyadic interventions in reducing psychological distress in cancer patients and their partners. Healthcare professionals should incorporate these interventions into their care practices.</p><p><strong>No patient or public contribution: </strong>Direct contributions from patients or the public were not included in this review.</p><p><strong>Trial registration: </strong>PROSPERO number: CRD42023418978; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=418978.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517186","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":"Exploring the Role and Skill Requirements of Registered Nurses Working in Rural and Remote Areas. A Scoping Review.","authors":"Danielle Rogers, Pauline Calleja, Amy-Louise Byrne, Ashlyn Sahay","doi":"10.1111/jocn.17689","DOIUrl":"https://doi.org/10.1111/jocn.17689","url":null,"abstract":"<p><strong>Introduction: </strong>Registered nurses (RN)s account for the majority of the rural and remote health workforce and require different skills, knowledge and working practices compared to their metropolitan counterparts. Given the complexity and diversity of the rural and remote work environment, it is important to investigate the contemporary literature on the role and skill requirements of the RNs in these locations.</p><p><strong>Methods: </strong>A scoping review was undertaken in accordance with the Joanna Briggs Institute (JBI) methodology for scoping reviews. With the permission of the authors, this scoping review extends the work by Muirhead and Birks (2020) who explored the RN role in these locations in 2017. Database searches were conducted in the Cumulative Index for Allied Health and Nursing Literature (CINAHL), Cochrane, JBI, OVID (Emcare), Proquest, PubMed, Scopus and Rural and Remote Health Database. Studies published from November 2017 to June 2024 were included to reflect the current international roles of rural and remote RNs.</p><p><strong>Results: </strong>A total of 74 articles were included in the study. The overarching categories identified were clinical roles and non-clinical roles. Ongoing analysis established the subcategories of fundamental/foundational, specialist, management roles, support roles and ancillary roles. Four tensions within the rural and remote context were also identified; Generalist and specialist role; Poorly prepared or unprepared; Extended scope of practice; and Role uncertainty.</p><p><strong>Discussion: </strong>Registered Nurses in rural and remote locations conduct a wide variety of skills and tasks. Their role is expansive, context-dependant, and dynamic. Analysis of the literature found that globally, similarities exist for the role, including comparable challenges, barriers and opportunities Resource availability in a country impacts RN preparation, emphasising the need for systemic improvements to ensure equitable outcomes, especially in rural and remote areas.</p><p><strong>Conclusion: </strong>The role of the rural and remote RN is broad and unique and requires different breadth and depth of skills and knowledge. The rural and remote RN role includes all levels of care for all patients across the lifespan, with varying resource and support levels. This scoping review provides valuable insight into the skills required to care for diverse communities. Understanding these requirements is essential, as it can inform the future focus on rural and remote nurse education and training and its subsequent impact on the quality of care for people living in rural and remote communities.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517192","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 Central Role of Learning in Preventing Foot Complications in Persons With Diabetes: A Scoping Review.","authors":"Kristofer Björk, Susanne Andersson, Ulla Hellstrand Tang, Henrik Eriksson","doi":"10.1111/jocn.17678","DOIUrl":"https://doi.org/10.1111/jocn.17678","url":null,"abstract":"<p><strong>Background: </strong>Despite a variety of literature reviews, there is limited understanding of the learning strategies healthcare professionals use to help patients adopt and maintain effective foot care practices.</p><p><strong>Aim: </strong>To explore learning processes and educational strategies for persons with diabetes focusing on foot care and examine how different learning processes influence these strategies.</p><p><strong>Method: </strong>The scoping review followed the methodological framework established by Arksey and O'Malley and refined by Levac et al. Additionally, the PRISMA-ScR checklist was followed. A literature search was conducted in the PubMed, CINAHL, MEDLINE and Academic Search Premier databases, using specific search terms related to diabetic foot care and learning strategies. The selection process involved screening 906 articles based on inclusion criteria such as relevance to diabetic foot care, learning processes, and educational strategies, and excluded studies that were not written in English. The data were charted and quantitative and qualitative data were synthesised and thematically analysed to identify key learning strategies.</p><p><strong>Results: </strong>The analysis identified two main themes: learning insights for comprehensive understanding and self-efficacy, and increased practical knowledge leads to improved footcare. Subthemes included integrative and reflective learning, motivational and collaborative learning, task-oriented and procedural learning, and feedback and reinforcement-based learning.</p><p><strong>Conclusion: </strong>Effective diabetic foot care education should be multifaceted, incorporating deep learning, practical skills, and motivational elements. Early learning plays a central role in this process. Tailoring educational interventions to personal learning styles and providing continuous support can significantly improve patients' foot care outcomes. A framework for understanding the progressive stages of patient learning and self-management is presented as a starting point. Future research should focus on developing and evaluating educational models that address diverse learning needs, ultimately contributing to better management and prevention of diabetic foot complications.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505727","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":"Fear of Cancer Recurrence Prevalence and Its Associated Factors Among Family Caregivers of Women With Breast Cancer: A Systematic Review and Meta-Analysis.","authors":"Xiaofan Bu, Ling Jiang, Doris Y P Leung","doi":"10.1111/jocn.17680","DOIUrl":"https://doi.org/10.1111/jocn.17680","url":null,"abstract":"<p><strong>Background: </strong>The fear of cancer recurrence (FCR) levels reported by caregivers are as high as those reported by women with breast cancer, with some caregivers even reporting FCR levels higher than women with breast cancer. The recognition of factors associated with caregiver FCR is important for providing proactive support to caregivers at risk.</p><p><strong>Objective: </strong>To identify factors associated with high FCR in caregivers of women with breast cancer.</p><p><strong>Methods: </strong>A systematic search of eight electronic databases was conducted from database inception to August 2023. The identified papers were screened, and their full texts were further assessed. The quality of the included studies was examined by using a checklist, and relevant data were extracted with a predeveloped data extraction form. The best-evidence synthesis model was used for data synthesis. Meta-analysis was conducted to calculate the prevalence of caregiver FCR.</p><p><strong>Results: </strong>The search yielded a total of 2137 studies, and 15 studies involving 2461 caregivers were included after the screening and full assessment of 56 papers. A total of 29 factors were identified. Of these factors, five factors with a moderate level of evidence associated with high FCR were identified: insufficient communication of women with breast cancer, low level of resilience, high social constraints, high protective buffering and insufficient communication of caregivers; 15 associated factors were supported by limited-level evidence and nine were supported by conflicting-level evidence. The prevalence of FCR in caregivers was 45%.</p><p><strong>Conclusions: </strong>The associated factors examined provide some evidence for identifying caregivers who are at high risk of high FCR. Identifying factors contributing to FCR in caregivers is important for developing interventions for those caregivers most in need and reducing adverse health outcomes related to caregiver FCR. Additional studies are needed to examine the relationship between conflicting factors and caregiver FCR.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p><p><strong>Trial registration: </strong>PROSPERO registration number: CRD42023469754; identifier: https://www.crd.york.ac.uk/PROSPERO/#recordDetails.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494348","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":"Investigation of the Current Status of Core Competencies of ECMO Nurses in ICUs and Analysis of Influencing Factors: A Multicentre Survey.","authors":"Aoran Xu, Zhangshuangzi Li, Xin Li, Yaxian Han, Chuantao Xie","doi":"10.1111/jocn.17701","DOIUrl":"https://doi.org/10.1111/jocn.17701","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;ECMO techniques are commonly used to save critically ill patients with life-threatening conditions. The importance of ECMO nurses in the ECMO team and in caring for patients has been demonstrated, but the impact of the core competency dimension on ECMO nurses has not been explored. The level of core competence of ECMO nurses in the intensive care unit (ICU) is also influenced by mutiple factors. Moreover, the training of ECMO specialist nurses is closely related to the research of core competencies, and there are inconsistencies in training standards and diverse training contents in the exploratory stage, which still need to be improved.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;To understand the current status of core competencies of ECMO nurses in tertiary hospitals in mainland China and to provide a reference basis for revising the core competencies training programme for ECMO nurses.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A multicentre cross-sectional survey.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 307/322 (response rate: 95.3%) participants from ICUs of 16 tertiary hospitals in China took part in this study, and the total core competency score of ECMO nurses was (179.87 ± 46.22), with the highest-scoring dimension being personal attributes (3.87 ± 0.87) and the lowest-scoring dimension being professional development abilities (2.75 ± 0.96). The results of multiple linear regression analysis showed that gender, age, title, years of ICU experience, average number of ECMO patients per year in the department, number of ECMO trainings and whether or not they have participated in ECMO scenario simulation trainings are independent influences on the core competencies of ECMO nurses (all p &lt; 0.05).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The level of core competence of ECMO nurses within ICUs in China needs to be improved, and nursing administrators should develop effective improvement measures to comprehensively enhance the overall level of core competence of ECMO nurses. The core competency level of ECMO nurses and its influencing factors were understood in this study, and the foundation for the construction of the core competency training program for ECMO nurses was laid. Management, training, and evaluation of ECMO nurses were informed by this study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for clinical practice: &lt;/strong&gt;The core competency level of ECMO nurses was studied and analysed, which provided a reference for the management, training and evaluation of ECMO nurses in the ICU and the qualification criteria for ECMO specialist nurses. It is novel and clinically practical because it is innovative to evaluate the comprehensive competence of ECMO nurses in clinical practice from the perspective of the core competency framework. The influencing factors of the core competency level, combined with the research of relevant literature and qualitative interviews with ECMO nurses, have the opportunity to formulate training programmes and apply them","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494361","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 Outcomes of A Multifaceted Educational Intervention to Reduce Moral Distress Among Critical Care Nurses.","authors":"Mohannad Aljabery, Isabel Coetzee-Prinsloo, Annatjie van der Wath, Eman Al-Awabdeh, Andries Masenge","doi":"10.1111/jocn.17704","DOIUrl":"https://doi.org/10.1111/jocn.17704","url":null,"abstract":"<p><strong>Aim: </strong>To measure the outcome of the implementation of a multifaceted educational intervention on the impact of moral distress among critical care nurses.</p><p><strong>Background: </strong>The complex nature of critical care settings exaggerates different morally distressing situations that require ongoing development of interventions to mitigate the impact of moral distress. Despite the availability of research that has addressed moral distress among nurses in the literature, there is a debate about the effectiveness of the applied interventions in reducing moral distress.</p><p><strong>Design: </strong>A quasi-experimental pretest-posttest control group study design.</p><p><strong>Methods: </strong>Critical care nurses in two public hospitals in the Emirate of Abu Dhabi, UAE enrolled in a study that extended over 6 months. Hospital A was assigned as an experimental group (n = 76) and received four educational sessions and three booster sessions. Hospital B was assigned as a control group (n = 82) and didn't receive any moral distress-related education. The Measure of Moral Distress for Health Care Professionals questionnaire and the Moral Distress Thermometer were utilised to measure the participants' moral distress frequency, intensity, and composite scores pre- and post-intervention and identify the outcomes.</p><p><strong>Results: </strong>The multifaceted educational intervention exhibited statistically significant reductions in the experimental group frequency, intensity, and composite moral distress scores post-test. Conversely, moral distress scores were increased among the control group. Moreover, the intervention significantly reduced the number of nurses who intended to leave their positions from 58 nurses to 47 nurses in the experimental group.</p><p><strong>Conclusion: </strong>The multifaceted educational intervention exerts positive outcomes in reducing moral distress across all the dimensions and improving the nurses' retention.</p><p><strong>Relevance to clinical practice: </strong>The intervention provides materials that could enhance the nurses' moral knowledge and skills. It provides different tools, techniques, and strategies to help the nurses address and manage their moral distress.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494365","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 Automation: How Generative AI Is Transforming Nursing Practice.","authors":"Ceylon Dell","doi":"10.1111/jocn.17708","DOIUrl":"https://doi.org/10.1111/jocn.17708","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494347","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}