Journal of Clinical Nursing最新文献

{"title":"Letter to the Editor 'Development of Best Performance Evaluation Indicators Based on Value-Based Healthcare for General Hospital Nursing: A Delphi Study'.","authors":"Lei Ma, Zhaojie Lv, Zhaohong Liu","doi":"10.1111/jocn.17763","DOIUrl":"https://doi.org/10.1111/jocn.17763","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722438","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":"Continuity and Coordination of Care During Hospital-To-Home Transitions: Healthcare Professionals' Perspectives.","authors":"J W M van Grootel, R J Collet, J M van Dongen, M van der Leeden, E Geleijn, R Ostelo, M van der Schaaf, M E Major, S Wiertsema","doi":"10.1111/jocn.17758","DOIUrl":"https://doi.org/10.1111/jocn.17758","url":null,"abstract":"<p><strong>Aim: </strong>To gain insight into healthcare professionals' perceptions and needs regarding hospital-to-home transitions.</p><p><strong>Design: </strong>Qualitative phenomenological study.</p><p><strong>Methods: </strong>Hospital and primary care professionals participated in focus groups and interviews. Participants were recruited from a Dutch University hospital and from our networks between May and September 2023. Data were analysed using thematic analysis.</p><p><strong>Results: </strong>We conducted seven focus groups and twelve interviews. Three themes emerged: \"Collaboration and information exchange between professionals\", \"Coordination and continuity of care\", and \"Interaction between professionals, patients, and families\".</p><p><strong>Conclusion: </strong>This study suggests that professionals would benefit from clear guidelines and arrangements for communication with colleagues to support care coordination and continuity. Collaboration and information sharing are essential for providing integrated, patient-centred care. Additionally, involving patients and families in decision-making regarding hospital-to-home transitions, in a way that considers their needs, is important for effective care.</p><p><strong>Implications: </strong>This study highlights the importance of clear communication and collaboration between professionals to ensure continuity of care. It emphasises the need for integrated care, where patients and families are actively involved without being overwhelmed.</p><p><strong>Impact: </strong>Transitions from hospital-to-home are often hindered by fragmented, non-individualised care. Improved collaboration, clear coordination, and patient-family involvement can address this. This research can positively impact professionals across different settings, policymakers, and advocacy groups aiming to improve integrated patient-centred care.</p><p><strong>Patient or public contribution: </strong>The interview guide was developed with professionals who reviewed it and provided feedback. Professionals provided us with their lived experiences by participating in interviews and focus groups.</p><p><strong>Reporting method: </strong>This study adhered to the COREQ guidelines.</p><p><strong>Trial registration: </strong>N.A.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722435","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":"Factors Associated With Turnover Intention Among Nurses: A Quantile Regression Analysis.","authors":"Sujin Nam, Janet Yuen Ha Wong, Daniel Yee Tak Fong","doi":"10.1111/jocn.17698","DOIUrl":"https://doi.org/10.1111/jocn.17698","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the factors influencing turnover intention among nurses, and to examine the association between psychological distress and turnover intention across different types of workplace bullying exposure.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 188 registered nurses in Hong Kong, recruited through convenience sampling. Data collection took place from April 2020 to September 2021. Quantile regression analysis, which captures relationships that may be overlooked by ordinary least squares regression, was employed to explore the factors influencing turnover intention varied across different levels. This analysis examined the associations between demographic and work-related characteristics, work events, work environment features, affective states and turnover intention across quantiles ranging from 0.05 to 0.95.</p><p><strong>Results: </strong>Quantile regression analysis revealed that only indirect or direct exposure to workplace bullying was positively associated with turnover intention at the 25th percentile, while both forms of exposure were significantly associated with turnover intention across all percentiles. The absence of workplace violence reporting procedures was positively associated with turnover intention at the highest quantile. Depressive symptoms were significantly associated with turnover intention at the 5th, 25th and 50th percentiles. Additionally, nurses exposed to both direct and indirect workplace bullying exhibited higher levels of psychological distress and turnover intention compared to those exposed to either form alone or those without exposure.</p><p><strong>Conclusions: </strong>Exposure to workplace bullying, the absence of workplace violence reporting procedures, and depressive symptoms significantly contribute to turnover intention among nurses across different levels. To improve nurse retention and workforce sustainability, healthcare organisations should implement targeted interventions that address turnover risk at varying levels.</p><p><strong>Relevance to clinical practice: </strong>These findings underscore the need for healthcare organisations to develop and enforce strategies aimed at preventing workplace bullying, providing comprehensive mental health support and establishing effective reporting mechanisms for workplace violence.</p><p><strong>Patient and public contribution: </strong>No patient or public involvement.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701514","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 Paediatric-Friendly Care Assessment Scale in Emergency Department: A Cross-Sectional Study.","authors":"Yen-Ju Chen, Jao-Shwann Liang, Frank Leigh Lu, Chiu-Yueh Yang, Su-Fen Cheng, Chieh-Yu Liu, Chi-Wen Chen","doi":"10.1111/jocn.17756","DOIUrl":"https://doi.org/10.1111/jocn.17756","url":null,"abstract":"<p><strong>Aim: </strong>To validate the psychometric properties of the Paediatric-Friendly Care Assessment Scale in the Emergency Department (PFCAS-ED) among clinical nurses.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>A total of 463 emergency nurses participated in the study between May and September 2023. The participants were randomly divided into two groups to assess the psychometric properties of the PFCAS-ED, including its reliability, construct validity, convergent validity, discriminant validity, and criterion-related validity.</p><p><strong>Results: </strong>Exploratory factor analysis on data from the first group revealed six components of the PFCAS-ED: paediatric/adolescent timely care and resources, child protection mechanisms and safety, paediatric emergency care competency training and practice, paediatric emergency consultation information and space, paediatric crisis management and response, and a harmless environment and actions for toddlers. These factors explained 69.408% of the total variance and exhibited strong internal consistency. This six-factor structure and its 28 items were further validated using confirmatory factor analysis on data from the second group, yielding satisfactory fit indices and convergent and discriminant validity. Additionally, the scale exhibited excellent 2-week test-retest reliability and criterion-related validity.</p><p><strong>Conclusion: </strong>The PFCAS-ED had excellent psychometric properties when used with clinical nurses and was proven to be a reliable instrument for evaluating emergency nurses' perceptions of the importance of providing paediatric-friendly care to children and their families.</p><p><strong>Implications for the profession and patient care: </strong>This standardised scale enables nurses to assess their perceptions of the importance of paediatric-friendly care and design targeted interventions on the basis of available resources. Additionally, hospital administrators can use the PFCAS-ED to identify priorities, strengths, and areas requiring improvement in paediatric emergency care, thereby informing the development of effective strategies and comprehensive policies.</p><p><strong>Reporting method: </strong>This study adhered to the STROBE guidelines.</p><p><strong>Patient or public contribution: </strong>No patient or public involvement.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701437","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":"Core Supportive Care Needs of Ostomy Patients at Different Postoperative Times: A Network Analysis.","authors":"Xu Zhang, Jingyi Liu, Xiaomeng Wang, Zhiwen Wang","doi":"10.1111/jocn.17751","DOIUrl":"https://doi.org/10.1111/jocn.17751","url":null,"abstract":"<p><strong>Aims and objectives: </strong>To identify the core supportive care needs of ostomy patients across the postoperative period using network analysis to inform targeted interventions.</p><p><strong>Design: </strong>This cross-sectional study was conducted according to the STROBE guidelines.</p><p><strong>Methods: </strong>This study included 588 ostomy patients from three tertiary Grade-A hospitals in China between December 2023 and March 2024. Supportive care needs were assessed using an adapted version of the short form of the Supportive Care Needs Survey. Data were analysed using descriptive statistics, one-way ANOVA and network analysis to explore the interconnections and centrality of symptoms across four postoperative periods (< 1, 1-3, 4-6 and > 6 months).</p><p><strong>Results: </strong>Supportive care needs varied significantly across the postoperative period in patients undergoing ostomy. The Stoma Support domain consistently achieved the highest scores across all the stages. Central symptoms differed by period, featuring 'feeling down or depressed' (< 1 month), 'acquiring knowledge of stoma complication management' (1-3 months), 'gaining knowledge of stoma bag prices and extended use' (4-6 months) and 'keeping a positive outlook' (> 6 months).</p><p><strong>Conclusion: </strong>Supportive care needs vary significantly across postoperative periods, with a network analysis identifying stage-specific core symptoms. These findings provide the foundation for targeted interventions.</p><p><strong>Relevance to clinical practice: </strong>Tailored, stage-specific care strategies are crucial for addressing the dynamic needs of ostomy patients. Early psychological support, mid-recovery practical guidance and long-term resilience-building interventions can improve patient outcomes.</p><p><strong>Patient or public contribution: </strong>None.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702100","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 Must Improve Delirium Care: A Call to Action.","authors":"V Traynor, B Ho, J Bimrose, M Riegel, H Chiu, L M Boehm, M Hayter, S Neville","doi":"10.1111/jocn.17757","DOIUrl":"https://doi.org/10.1111/jocn.17757","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701519","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":"Evidence-Based Practice in Maintenance of Central Venous Catheters Among Intensive Care Unit Nurses: A Cross-Sectional Multi-Center Study.","authors":"Tianjun Zhou, Chunlei Li, Zhe Wang, Mayi Yang, Xiaofeng He, Yan Hu","doi":"10.1111/jocn.17692","DOIUrl":"https://doi.org/10.1111/jocn.17692","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aims and objectives: &lt;/strong&gt;To investigate evidence-based practices and examine rates of adherence to bundles on maintenance of central venous catheters among intensive care unit nurses in 22 selected hospitals.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Although there has been an overwhelming increase in the use of evidence-based practices to reduce Central Line-Associated Bloodstream Infections, also known as bundles, there continues to be a considerable gap between clinical practice and evidence.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;This study employs a multi-center cross-sectional design.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Registered nurses who worked in the ICUs of 22 selected hospitals were included. Evidence-based procedures were developed based on Central Line Bundles, which include an 11-area and 35-item checklist. Rates of adherence to bundles were calculated and analysed after reaching 22,000 central line days in 22 units. The study was reported using the STROBE checklist.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The average adherence rate to evidence-based procedures for CVC maintenance among ICU nurses in the 22 units was 87.40%. The adherence rate of five areas of the evidence-based procedure based on the Central Line bundle was above 90%, including 'Selection of regulated skin disinfectants', 'Tube sealing', 'Tube flushing', 'Dressing and catheter fixation' and 'Sterilized skin and catheter'. The three lowest-achieving areas of bundles were 'Catheter and insertion site assessment,' 'Hand hygiene' and 'Sterilized catheter access hubs'. The lowest-achieving item of bundles is 'Assess during multidisciplinary patient care rounds with signature confirmation'. The adherence rates in hospitals where CLABSI occurred were all less than 90%.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;ICU nurses' adherence to maintenance bundles for CVC is moderate, implying that boosting adherence rates is critical for improved results. As a result, comparable studies should be done in ICUs where the bundle has been deployed to assess and improve adherence rates through effective interventions. To minimise CLABSI in future practice, novel strategies must be developed and implemented via continued education and regular evaluation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Trial registration: &lt;/strong&gt;We registered the trial with the US Clinical Trials Registry (ID: NCT06085690, Name: Multicenter Clinical Translational Study of 'ICU-NO CRBSI' Based on Improvement Science, https://ichgcp.net/clinical-trials-registry/NCT06085690) IMPLICATIONS FOR PATIENT CARE: Nurse administrators and policymakers can develop strategies and interventions for improving the quality of CVC care toward evidence-based practice. Minimising the gaps between evidence and practice will reduce the incidence of CLABSI to enhance the survival of critically ill patients.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Impact: &lt;/strong&gt;In addressing the status of evidence-based practices among ICU nurses, this study enhances healthcare quality and outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;P","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694146","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":"Managing Cancer and Living Meaningfully (CALM) Therapy for Improving the Quality of Life of Patients With Cancer: A Meta-Analysis of Randomised Controlled Trials.","authors":"Made Satya Nugraha Gautama, Tsai-Wei Huang, Haryani Haryani, Gaviota Khalish, An-I Liu, Yan Adi Wibawa","doi":"10.1111/jocn.17754","DOIUrl":"https://doi.org/10.1111/jocn.17754","url":null,"abstract":"<p><strong>Background: </strong>Cancer patients, at both early and advanced stages, face complex bio-psycho-social-spiritual problems impacting their quality of life (QoL). Managing Cancer and Living Meaningfully (CALM) therapy is a psychotherapeutic approach that helps cancer patients find hope and meaning in life, thereby improving QoL.</p><p><strong>Aim: </strong>This study aimed to critically assess the effects of CALM therapy on the QoL in cancer patients.</p><p><strong>Design: </strong>This was a systematic review and meta-analysis of randomised controlled trials (RCTs).</p><p><strong>Methods: </strong>The main outcome was QoL, and the secondary outcomes were anxiety, depression, spiritual well-being, fatigue and sleep quality. Five English databases (PubMed, Embase, Scopus, Cochrane Library and ProQuest) and one trial registry site (Clinicaltrial.gov) were searched from their inception until March 2024. The pooled effect sizes were calculated using random-effects models and expressed as standard mean difference (SMD) or weighted mean difference (WMD). Review Manager 5.4 was used for data analysis. A sensitivity analysis was done by excluding one trial at a time to check the consistency of the results on QoL. The study protocol was prospectively registered on PROSPERO (CRD42023398655).</p><p><strong>Results: </strong>Fifteen trials met the inclusion criteria for the systematic review and twelve for the meta-analysis, with a total of 1635 cancer patients. CALM therapy showed significant benefits on QoL (SMD = 1.97), spiritual well-being (WMD = 1.93) and sleep quality (SMD = -1.56) compared with usual care. It also reduced anxiety (SMD = -1.94), depression (SMD = -1.28) and fatigue (SMD = -5.86) significantly. The sensitivity analysis confirmed the stability of these results when each trial was removed one by one.</p><p><strong>Conclusion: </strong>CALM therapy may improve QoL, spiritual well-being, sleep quality and relieve anxiety, depression and fatigue in cancer patients.</p><p><strong>Relevance to clinical practice: </strong>This therapy should be promoted clinically as a comprehensive psychotherapeutic approach in cancer care.</p><p><strong>Registration: </strong>CRD42023398655.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694305","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":"Association Between Depression and Dyadic Self-Care in Stroke Patient-Caregiver Dyads and Mediation of Self-Efficacy: An Actor-Partner Interdependence Mediation Model.","authors":"Bowen Liu, Jia An, Hui Wang, Yongxia Mei, Beilei Lin, Wangtao Song, Zhenxiang Zhang, Wenna Wang","doi":"10.1111/jocn.17720","DOIUrl":"https://doi.org/10.1111/jocn.17720","url":null,"abstract":"<p><strong>Aim: </strong>To examine the effects of depression on dyadic self-care in stroke patients and their caregivers, as well as the potential mediating role of self-efficacy in this relationship.</p><p><strong>Design: </strong>A multi-centre cross-sectional study design was employed.</p><p><strong>Methods: </strong>From May to September 2022, stroke patients and their caregivers were recruited from China using a multi-centre stratified sampling method. Data analysis was conducted using a structural equation model based on the Actor-Partner Interdependence Model extended to include mediation. Depression in patients and caregivers was assessed using the Patient Health Questionnaire-9. The self-care self-efficacy scale was utilised to measure patient self-efficacy, while the caregiver self-efficacy in contributing to patient self-care scale was used for caregivers. Patient self-care was evaluated with the Self-Care of Stroke Inventory and caregiver contributions to self-care were assessed using the Caregiver Contributions to Self-Care of Stroke Inventory.</p><p><strong>Reporting method: </strong>This study followed the STROBE checklist.</p><p><strong>Results: </strong>306 patient-caregiver dyads were enrolled. The direct effect between depression and dyadic self-care was not confirmed in stroke patients and their caregivers (p > 0.05). Patient self-efficacy had significant indirect actor effects on self-care maintenance (β = -0.173, p < 0.001), monitoring (β = -0.146, p < 0.001) and management (β = -0.186, p < 0.001). Caregiver self-efficacy had an indirect actor effect on caregiver contributions to self-care maintenance (β = -0.096, p < 0.001), monitoring (β = -0.073, p < 0.001) and management (β = -0.106, p < 0.001). The partner effect analysis showed caregiver self-efficacy plays a potential mediating role in the relationship between patient depression and caregiver contributions to self-care maintenance (β = -0.037, p = 0.036), monitoring (β = -0.028, p = 0.032) and management (β = -0.040, p = 0.036). Caregiver depression reduced caregiver self-efficacy, lowering patient self-care monitoring (β = -0.040, p = 0.004) and management (β = -0.047, p = 0.002) levels.</p><p><strong>Conclusion: </strong>The findings indicate interactive effects between depression, self-efficacy and dyadic self-care among stroke patients and their caregivers. Therefore, the development of targeted dyadic interventions to address depression and enhance self-efficacy in both patients and caregivers should be considered.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694135","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":"Reimagining Nursing Identity in Aged Care: Addressing the United Nations Decade of Healthy Ageing Key Action Areas.","authors":"Moira E Dunsmore, Yun-Hee Jeon, Louise Sheehy, Elsie Mari, Cheng-Ya Lee, Yuen-Sim Sarah Jeong, Karen Watson","doi":"10.1111/jocn.17745","DOIUrl":"https://doi.org/10.1111/jocn.17745","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143676727","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}