Journal of Clinical Nursing最新文献

{"title":"Nurses' Workplace Violence Reporting Behaviours and Reasons for Not Formally Reporting: A Cross-Sectional Secondary Analysis.","authors":"Jenny Lee, Farinaz Havaei, Saima Hirani, Nassim Adhami","doi":"10.1111/jocn.17639","DOIUrl":"https://doi.org/10.1111/jocn.17639","url":null,"abstract":"<p><strong>Aim: </strong>To investigate predictors of nurses' reporting behaviours and their reasons for not formally reporting.</p><p><strong>Background: </strong>Underreporting of workplace violence (WPV) among nurses contributes to gaps in WPV prevention measures, as it cannot be fully understood. WPV is classified according to its source (Type II: patients and visitors, Type III: coworkers) and forms (physical assault, threat of assault, emotional abuse, verbal sexual harassment and sexual assault).</p><p><strong>Design: </strong>This is a secondary analysis of cross-sectional survey data collected in 2019 from British Columbia (BC), Canada.</p><p><strong>Methods: </strong>This study had a sample of 4109 BC nurses. Multinomial logistic regression was used to analyse predictors of reporting behaviours. Reasons for not reporting were analysed descriptively.</p><p><strong>Results: </strong>Informal reporting to management or through a patient safety incident report was less likely when nurses experienced threat of assault, emotional abuse and verbal sexual harassment from both Type II and III sources and physical assault from Type III sources. Higher perceptions of WPV prevention efforts increased odds of informal and formal reporting through employee incident procedures. Believing that nothing would change after reporting remained among the top three reasons for not formally reporting across all WPV sources and forms. Nurses also commonly selected not knowing the formal process, lack of leadership support and other reasons stated in an open-text response.</p><p><strong>Conclusion: </strong>Findings indicate that nurses in BC, Canada, perceive many barriers to formal WPV reporting. Formal reporting systems should address these barriers so that healthcare organisations can effectively track WPV and have data to inform WPV prevention measures.</p><p><strong>Implications: </strong>To promote WPV reporting, healthcare organisations need multifaceted interventions including confidential and simplified reporting systems, leadership support to follow-up with nurses and education and training on reporting systems.</p><p><strong>Reporting method: </strong>The authors of this manuscript have adhered to the relevant EQUATOR guidelines based on the STROBE cross-sectional reporting method.</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":3.2,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911159","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":"Enhancing Pressure Injury Prevention: A Critical Review of Prophylactic Dressing Use in Nursing Practice.","authors":"Kamran Munawar","doi":"10.1111/jocn.17642","DOIUrl":"https://doi.org/10.1111/jocn.17642","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911149","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 of Teamwork, Moral Sensitivity and Missed Nursing Care in ICU Nurses: A Cross-Sectional Study.","authors":"Wanshun Jia, Xue Chen, Jinxia Fang, Heng Cao","doi":"10.1111/jocn.17439","DOIUrl":"https://doi.org/10.1111/jocn.17439","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the correlation between intensive care unit (ICU) nurses' demographic characteristics, teamwork, moral sensitivity and missed nursing care.</p><p><strong>Background: </strong>Teamwork, moral sensitivity and missed nursing care are important health challenges among ICU nurses. Clarifying the relationship between variables is benefit to improve the quality of patients care. Nevertheless, a comprehensive conceptualisation of the relationship between teamwork, moral sensitivity and missed nursing care remains lacking.</p><p><strong>Design: </strong>A cross-sectional design.</p><p><strong>Methods: </strong>This study follows the STROBE checklist. ICU nurses were recruited by two hospitals between November 2023 and January 2024, in Shandong Province, China. The demographic characteristic questionnaire, teamwork perceptions questionnaire, moral sensitivity questionnaire-revised version into Chinese and the Chinese version of the missed nursing care questionnaire were used for investigation. Multiple linear regression was used to clarify the factors affecting missed nursing care. Pearson correlation was used to test the correlation between teamwork, moral sensitivity and missed nursing care.</p><p><strong>Results: </strong>The level of missed nursing care for ICU nurses was low, with overall mean score of 37.49. Missed nursing care for ICU nurses in the labour dispatch were much higher than nurses with the contract system and personnel agency (p < 0.05). The 12-h shifts of ICU nurses also influenced missed nursing care. Furthermore, teamwork has a positive relationship with moral sensitivity (r = 0.653, p < 0.001).</p><p><strong>Conclusion: </strong>Hospital and nursing managers should pay attention to the clinical sense of belonging of ICU nurses, reasonably set the working shifts, which will help to reduce the occurrence of missed nursing care.</p><p><strong>Relevance to clinical practice: </strong>It is recommended that nursing managers should invest in strategies to enhance nurse teamwork and implement a 12-h shift pattern, which can alleviate moral distress and improve quality of care.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution. (The data of this were collected from nurses and not related to patients. They were informed of the research process and precautions, signed informed consent.).</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911147","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":"Prediction Models of Medication Adherence in Chronic Disease Patients: Systematic Review and Critical Appraisal.","authors":"Jingwen Xu, Xinyi Zhao, Fei Li, Yan Xiao, Kun Li","doi":"10.1111/jocn.17577","DOIUrl":"https://doi.org/10.1111/jocn.17577","url":null,"abstract":"<p><strong>Aims and objectives: </strong>To summarise the currently developed risk prediction models for medication adherence in patients with chronic diseases and evaluate their performance and applicability.</p><p><strong>Background: </strong>Ensuring medication adherence is crucial in effectively managing chronic diseases. Although numerous studies have endeavoured to construct risk prediction models for predicting medication adherence in patients with chronic illnesses, the reliability and practicality of these models remain uncertain.</p><p><strong>Design: </strong>Systematic review.</p><p><strong>Methods: </strong>We conducted searches on PubMed, Web of Science, Cochrane, CINAHL, Embase and Medline from inception until 16 July 2023. Two authors independently screened risk prediction models for medication adherence that met the predefined inclusion criteria. The Prediction Model Risk of Bias Assessment Tool (PROBAST) was employed to evaluate both the risk of bias and clinical applicability of the included studies. This systematic review adhered to the 2020 PRISMA checklist.</p><p><strong>Results: </strong>The study included a total of 11 risk prediction models from 11 studies. Medication regimen and age were the most common predictors. The use of PROBAST revealed that some essential methodological details were not thoroughly reported in these models. Due to limitations in methodology, all models were rated as having a high-risk for bias.</p><p><strong>Conclusions: </strong>According to PROBAST, the current models for predicting medication adherence in patients with chronic diseases exhibit a high risk of bias. Future research should prioritise enhancing the methodological quality of model development and conducting external validations on existing models.</p><p><strong>Relevance to clinical practice: </strong>Based on the review findings, recommendations have been provided to refine the construction methodology of prediction models with an aim of identifying high-risk individuals and key factors associated with low medication adherence in chronic diseases.</p><p><strong>Patient or public contribution: </strong>This systematic review was conducted without patient or public participation.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911194","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":"Concerns About GPT-4 in Emergency Triage: A Perspective From Resource-Limited Settings.","authors":"Kamran Munawar","doi":"10.1111/jocn.17637","DOIUrl":"https://doi.org/10.1111/jocn.17637","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883523","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":"An Investigation of the Barriers to Care of Adult Patients With a Tracheostomy in Intensive Care Units and General Wards: Secondary Analysis of Qualitative Interview Data.","authors":"A Akroute, S T D Fredriksen, A Hovland, B S Brinchmann","doi":"10.1111/jocn.17601","DOIUrl":"https://doi.org/10.1111/jocn.17601","url":null,"abstract":"<p><strong>Aims and objectives: </strong>To investigate the barriers experienced by intensive care nurses and registered nurses and to provide optimal nursing for adult patients with a temporary tracheostomy in intensive care and general wards.</p><p><strong>Background: </strong>Tracheostomy is widely used in intensive care units, around 20% of intensive care unit patients undergo tracheostomy insertions and expect high quality of care. Caring for patients with a tracheostomy is complex and challenging task. An investigation of barriers to care for adult patients with a temporary tracheostomy in a hospital setting is essential to ensure that these patients receive the highest quality of care and to identify areas for improvement.</p><p><strong>Design: </strong>This paper applied secondary analysis to data from two qualitative studies, including narrative interviews and maximum variation sampling.</p><p><strong>Methods: </strong>Secondary analysis of primary qualitative datasets is appropriate when the analysis extends rather than exceeds the primary. The analysis was based on interview data collected from six intensive care nurses and six registered nurses from two university teaching hospitals in Norway. The interviews were audio-recorded and transcribed. The data was analysed using the qualitative analysis suggested by Graneheim and Lundman. This study adhered to the consolidated criteria for reporting in a qualitative research (COREQ) checklist.</p><p><strong>Results: </strong>Four main themes were identified as barriers to care for adult patients with a temporary tracheostomy in the hospital: encountering ambivalence, inadequate staffing levels, lack of patient continuity of care and lack of systematic follow-up.</p><p><strong>Conclusions: </strong>Understanding barriers to care is crucial for hospitals and healthcare organisations to develop targeted interventions and educational programs to address these barriers and improve the care provided to adult patients with tracheostomies in hospital settings.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883521","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":"Effect of Nursing Practice Environment, Nurse Staffing, Overtime and Hand Hygiene on Hospital-Acquired Infections in a Tertiary Teaching Hospital.","authors":"Tamer Al-Ghraiybah, Luise Lago, Ritin Fernandez, Luke Molloy, Jenny Sim","doi":"10.1111/jocn.17618","DOIUrl":"https://doi.org/10.1111/jocn.17618","url":null,"abstract":"<p><strong>Aims: </strong>To investigate the impact of the nursing practice environment, nurse staffing, working overtime and compliance with hand hygiene standards on hospital-acquired infections.</p><p><strong>Design: </strong>A multi-source quantitative study.</p><p><strong>Methods: </strong>Nursing data were collected from selected wards in one hospital between 18 January 2021 and 15 March 2021. Hand hygiene compliance data were obtained retrospectively from Hand Hygiene Australia Audits between July 2018 and June 2021. Patient data were gathered from July 2018 to June 2021. Data from the three sources were linked together at the episode of care level. Descriptive statistics were used to summarise participant characteristics, and multiple logistic regression was employed to assess associations between the nursing practice environment, nurse staffing, overtime and hand hygiene with hospital-acquired infections.</p><p><strong>Results: </strong>A total of 361 nurses participated in the nursing survey. There were 13,440 hand hygiene moments assessed, and 10,924 (81.3%) correct practices were observed. There were 71,257 patient care episodes, including 2037 with hospital-acquired infections. The odds of hospital-acquired infections decreased by 19% for every 10% increase in nurses' compliance with hand hygiene and decreased by 7% for each one standard deviation increase in the nursing practice environment scale. Each additional patient per nurse was associated with a 42% increase in the odds of a hospital-acquired infection.</p><p><strong>Conclusion: </strong>This study found evidence that a favourable nursing practice environment, reduced nurse workload and compliance with hand hygiene are linked to a lower risk of hospital-acquired infections.</p><p><strong>Impact: </strong>A favourable nursing practice environment contributes to fewer hospital-acquired infections. Monitoring of hand hygiene compliance provides important local information to support improvements in practice. Findings from this study can be used to support the implementation of safe nurse staffing policies that guide implementation of nurse-to-patient ratios.</p><p><strong>Reporting method: </strong>RECORD Checklist.</p><p><strong>Patient or public contribution: </strong>No Patient/Public Contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878606","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":"Letter to Editor on 'Effectiveness of Telehealth-Based Exercise Interventions on Pain, Physical Function and Quality of Life in Patients With Knee Osteoarthritis: A Meta-Analysis'.","authors":"Pengpeng Liu, Zikang Xie","doi":"10.1111/jocn.17590","DOIUrl":"https://doi.org/10.1111/jocn.17590","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878531","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":"Global Comparison of Codes of Ethics for Nurses: A Mixed-Method Collective Case Study Differentiating Aspirational and Mandatory Ethics.","authors":"Min Ji Kim, Jiyeon Choi","doi":"10.1111/jocn.17557","DOIUrl":"https://doi.org/10.1111/jocn.17557","url":null,"abstract":"<p><strong>Aims: </strong>To identify the characteristics and compare the codes of ethics enacted by the Korean Nursing Association and International Council of Nurses.</p><p><strong>Design: </strong>A mixed-method collective case study.</p><p><strong>Methods: </strong>This study adopted interpretive approaches comprising case definition and selection, data collection, analysis and interpretation. Based on the developed aspirational versus mandatory ethics analytic framework, we differentiated the aspirational and mandatory codes of the Korean Nursing Association and International Council of Nurses.</p><p><strong>Results: </strong>The Korean Nursing Association placed greater emphasis on aspirational ethics (73.3%) than the International Council of Nurses (53.6%). The Korean Nursing Association addressed legal implications regarding adequate services and patient safety, whereas the International Council of Nurses emphasised informed consent and authorised practice. Compared to the Korean Nursing Association's code, the International Council of Nurses' code had one additional chapter and 67 more units. The additional chapter focused on global health.</p><p><strong>Conclusion: </strong>Some implications can be considered for future revisions of the code of ethics for Korean nurses. Informed consent needs to be addressed as a legal implication for respecting the patient's right to self-determination. Furthermore, nurses' attention to global health could be discussed in the context of globalisation.</p><p><strong>Implications for the profession: </strong>The findings of the analysis of the current codes of ethics of national and international nursing organisations may provide scientific evidence for future revisions. An evidence-based revision of ethical guidelines, as proposed by the findings, underscores the importance of fostering a moral identity consistent with established professional norms and values for nursing.</p><p><strong>Reporting method: </strong>We adhered to the Standards for Reporting Qualitative Research.</p><p><strong>No patient or public contribution: </strong>Given that this study is based on the literature, namely the codes of ethics, there is no direct/indirect involvement of patients or the public.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878614","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":"Key Aspects of Recovery-Oriented Practice in Caring for People With Mental Ill-Health in General Emergency Departments: A Modified Delphi Study","authors":"Katharina Derblom,&nbsp;Karuna Dahlberg,&nbsp;Sebastian Gabrielsson,&nbsp;Britt-Marie Lindgren,&nbsp;Jenny Molin","doi":"10.1111/jocn.17631","DOIUrl":"10.1111/jocn.17631","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To identify key aspects of recovery-oriented practice in caring for people with mental ill-health in general emergency departments.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A modified Delphi study with three rounds.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A 24-member expert panel was recruited consisting of people with lived experience of mental ill-health, registered nurses working in emergency care, registered nurses specialised in psychiatric and mental health nursing and mental health recovery researchers. In the initial round, important aspects of recovery-oriented practice were identified through focus group interviews. Thematic analysis generated statements that were then reformulated as a questionnaire for subsequent rounds. The experts rated each statement's perceived importance on a 5-point Likert scale. The consensus level was set at ≥ 80%. Descriptive statistics were used to analyse the data.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Consensus was reached on the importance of 39 of 73 statements, with ≥ 80% deemed ‘very important’ in recovery-oriented practice in general emergency departments.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The study emphasises the delicate balance between the essential elements of recovery-oriented practice, their practical feasibility and the predominant biomedical perspective in general emergency department care. It proposes strategies to empower nursing staff and managers to adopt recovery-oriented practices that enhance the quality of care for people with mental ill-health. Enabling staff by providing the necessary prerequisites and a care environment that supports reflective practices is crucial. The responsibility for facilitating these changes needs to be a shared commitment between nursing staff and managers.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for the Profession and/or Patient Care&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The identified issues can serve as a framework for interventions, education and training to support the integration of recovery-oriented practice in general emergency care. They can also be used to develop tools for evaluating emergency care environments and promoting alignment with recovery-oriented principles.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Impact&lt;/h3&gt;\u0000 \u0000 ","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":"34 2","pages":"565-579"},"PeriodicalIF":3.2,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}