Journal of Clinical Nursing最新文献

{"title":"Accuracy of Pressure Injury Risk Assessment Tools in Paediatrics: A Systematic Review and Network Meta-Analysis","authors":"Shixia Lei, Hongyan Zhang, Chenlu Yuan, Xinrui Bai, Yusheng Mo, Yuxia Ma, Lin Han","doi":"10.1111/jocn.17670","DOIUrl":"10.1111/jocn.17670","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate the accuracy of different pressure injury risk assessment tools in paediatrics and identify risk assessment tools with the best predictive performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A systematic review and network meta-analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Eight electronic databases, including PubMed, Embase, Web of Science, Cochrane Library, China Knowledge Resource Integrated Database, Weipu Database, Wanfang Database and Chinese Biomedical Database were comprehensively searched. The study was conducted using the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines 2020. Two researchers independently conducted article screening, data extraction and quality assessment. Statistical analysis was performed using R 4.3.1 and Stata 14.0.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 20 articles were included in this study, involving 4908 patients and 13 pressure injury risk assessment tools for children, of which 15 articles were included in the network meta-analysis. The results showed that the Paediatric Pressure Ulcer Prediction and Evaluation Tool (PPUPET) had the highest superiority index, with the relative sensitivity (0.7, 95% confidence interval, CI: 0.0–1.5) and the relative specificity (1.4, 95% CI: 0.7–1.8). The next was Braden-Q combined with the Glamorgan scale, with a superiority index of 7.08, a relative sensitivity of 1.1 (95% CI: 0.5–1.5) and a relative specificity of 1.3 (95% CI: 0.8–1.7).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study suggested that the PPUPET can comprehensively evaluate medical device-related pressure injuries in children, the Braden-Q scale had a better predictive performance for children aged 21 days–8 years in general paediatric departments, and the Glamorgan scale was suitable in the Paediatric Intensive Care Unit.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Relevance to Clinical Practice</h3>\u0000 \u0000 <p>This review highlights that clinical practitioners should select appropriate assessment tools based on different departments and the age of children to accurately assess the risk of pressure injuries in children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patient or Public Contribution</h3>\u0000 \u0000 <p>No Patient or Public Contribution.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Protocol Registration</h3>\u0000 \u0000 ","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":"34 5","pages":"1900-1912"},"PeriodicalIF":3.2,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587875","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: Prediction Models for Postoperative Pneumonia in Elderly Hip Fracture Patients: A Systematic Review and Critical Appraisal.","authors":"Zilei Pang, Lili Zhao, Shuping Lu","doi":"10.1111/jocn.17732","DOIUrl":"https://doi.org/10.1111/jocn.17732","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587846","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":"Correction to: “The Mediating and Moderating Role of Recovery Experience Between Occupational Stress and Turnover Intention in Nurses Caring for Patients With COVID-19”","authors":"","doi":"10.1111/jocn.17643","DOIUrl":"10.1111/jocn.17643","url":null,"abstract":"<p>Junghoon Lee PhD, RN, Junekyu Kim PhD, RN, Hong-A Lim MSN, RN, Yeoungsuk Song PhD, RN, ACNP-BC. The mediating and moderating role of recovery experience between occupational stress and turnover intention in nurses caring for patients with COVID-19. Journal of Clinical Nursing 33(4), JOCN 16937. Available from: https://doi.org/10.1111/jocn.16937.</p><p>First author (Junghoon Lee)’s affiliation has been changed as follows: Previous affiliation: Department of Nursing, Keimyung College University, Daegu, South Korea. Updated affiliation (as of March 1, 2024): College of Nursing, Daegu Catholic University, Daegu, South Korea.</p><p>We sincerely apologize for this oversight.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":"34 4","pages":"1536"},"PeriodicalIF":3.2,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jocn.17643","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587884","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}

{"title":"Validation of a Practical Method for Estimating Total Glasgow Coma Scale Scores in Intubated Traumatic Brain Injury Patients: A Cohort Study Using the MIMIC-IV Database.","authors":"Yangchun Zhang, Feng Chen, Na Ma, Cairong Liu, Hengchang Cao, Xufeng Chen, Xueli Ji","doi":"10.1111/jocn.17729","DOIUrl":"https://doi.org/10.1111/jocn.17729","url":null,"abstract":"<p><strong>Aims and objectives: </strong>To validate a practical method for estimating total Glasgow Coma Scale (etGCS) scores in intubated traumatic brain injury (TBI) patients and evaluate its reliability when integrated into established ICU severity scoring systems.</p><p><strong>Background: </strong>TBI is a global health issue, often leading to high mortality and disability. The Glasgow Coma Scale (GCS), essential for assessing TBI severity, is less reliable in intubated patients due to the inability to assess verbal responses.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Methods: </strong>Data were extracted from the MIMIC-IV database. The reliability of the etGCS was evaluated through its association with in-hospital mortality and its performance when integrated into established ICU severity scoring systems. Multiple statistical approaches were used to validate the findings.</p><p><strong>Results: </strong>Among 886 intubated TBI patients, the etGCS showed consistent reliability in predicting in-hospital mortality (AUC: 68.22%, 95% CI: 64.29%-72.14%). When combined with pupillary assessment (etGCS-P), the predictive performance remained stable (AUC: 71.99%, 95% CI: 67.89%-76.08%). Furthermore, the estimation method demonstrated reliable performance when integrated into established severity scoring systems. The removal of etGCS from these systems resulted in decreased predictive performance, confirming its valuable contribution to mortality prediction.</p><p><strong>Conclusions: </strong>This study validated a practical and reliable method for estimating total GCS scores in intubated TBI patients. The estimated scores showed consistent predictive value and enhanced existing severity scoring systems, supporting its clinical utility in ICU settings.</p><p><strong>Relevance to clinical practice: </strong>This validation of a practical GCS estimation method supports nurses in delivering accurate patient assessments, facilitating clinical communication and making informed care decisions for intubated TBI patients.</p><p><strong>No patient or public contribution: </strong>This retrospective study involved no patient or public participation in the design or conduct.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587889","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":"Knowledge, Attitudes and Practices of Intensive Care Nurses Regarding Eye Care.","authors":"Serap Gungor, Senem Andı, Sumeyye Akçoban, Betul Tosun","doi":"10.1111/jocn.17733","DOIUrl":"https://doi.org/10.1111/jocn.17733","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Care for patients in the intensive care unit (ICU) must support all body systems. However, ICU nurses often focus on life-threatening conditions, giving less attention to other critical areas such as eye care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aims to determine ICU nurses' knowledge, attitudes and practices regarding eye care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;This descriptive study was conducted in Türkiye between 1 June 1 2024, and 15 August 2024. The sample included 210 nurses actively working in ICU settings, and data were collected using the snowball sampling method. An online survey was administered, which included demographic information and the 'Eye Care Clinical Competence Questionnaire' Statistical analysis was performed using SPSS 22.0. The normality of the data was assessed using kurtosis and skewness tests, and appropriate analysis methods were selected.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The average age of the participants was 32.48 ± 7.45 years, with 78.1% being female and 77.1% holding a bachelor's degree. Female nurses and those with intensive care nursing certification had significantly higher eye care clinical competency scores. Additionally, nurses working in Neonatal ICU's scored higher in knowledge and attitude sub-dimensions compared to other ICUs. Nurses who received in-service training and used protocols for eye care had higher competency scores. A total of 37 nurses (17.6%) stated that the obstacles to performing eye care were the perception that eye care is less important compared to other problems. Nurses with an ICU nursing certificate had significantly higher Eye Care Clinical Competence Questionnaire total scores (p = 0.002), attitude sub-dimension (p = 0.049) and practice sub-dimension (p = 0.004) total scores.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The clinical competency levels of ICU nurses in eye care improve with post-graduation education, the use of protocols, and updated information. Thus, it is recommended that standard protocols be developed and training programmes for eye care practicesbe expanded.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for the profession and/or patient care: &lt;/strong&gt;It was determined that intensive care nurses had limited knowledge about eye care and that a standard eye care practices were not performed. In order to increase the competence of intensive care nurses in eye care, this subject should be included in continuing evidence-based practice education, in-service training and certification programs and integrated into practices. Educational initiatives and policy advancements will enhance nurses' clinical competencies in eye care and promote patient safety.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Impact: &lt;/strong&gt;This study determined the knowledge, attitudes and practices of intensive care nurses regarding eye care, as well as the influencing factors. It was found that nurses had limited knowledge about eye care but had good attitudes. Having certification and education for intensive ","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587841","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":"Perspectives and Requirements of Patients with Prostate Cancer on Mobile Health Interventions During Androgen Deprivation Therapy: A Descriptive Qualitative Study.","authors":"Hongfan Yin, Chen Pan, Jia Gu, Yan Yang","doi":"10.1111/jocn.17718","DOIUrl":"https://doi.org/10.1111/jocn.17718","url":null,"abstract":"<p><strong>Aim: </strong>To explore the perceptions of patients with prostate cancer undergoing androgen deprivation therapy towards mobile health interventions.</p><p><strong>Design: </strong>The study employed a qualitative descriptive design.</p><p><strong>Methods: </strong>Seventeen participants were recruited from tertiary care hospitals from November 2022 to June 2023. The collected data were subsequently analysed using a content analysis approach.</p><p><strong>Results: </strong>The main themes were facilitators, barriers, information needs, emotional and social needs, and self-management needs. Facilitators for using mobile health included support from healthcare professionals and family, competitive design features and user-friendly interfaces. Barriers included negative past experiences with technology and a satisfactory current state of health. Informational support included those patients who expressed a desire for timely, accurate information integrated with traditional Chinese medical principles. Regarding emotional support, patients emphasised their independence, preferring not to burden family and friends, showing disinterest in mindfulness and relaxation therapies, and generally disliking online interactions with fellow patients. For self-management, medication reminders and rehabilitation guidance were seen as vital tools to enhance supportive care.</p><p><strong>Conclusion: </strong>The study highlights the importance of customising mobile healthcare applications to meet unique needs among patients with prostate cancer and enhance their engagement and satisfaction. Understanding their specific preferences enables the development of more effective mobile healthcare applications.</p><p><strong>Reporting method: </strong>The COREQ checklist.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587851","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":"Comment on 'Risk Predictors of Glycaemic Control in Children and Adolescents With Type 1 Diabetes: A Systematic Review and Meta-Analysis'.","authors":"Hongfang Zhong, Fei Wang","doi":"10.1111/jocn.17717","DOIUrl":"https://doi.org/10.1111/jocn.17717","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587881","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 Nurse Practitioner's Immuniser Role in Primary Healthcare: A Scoping Review.","authors":"Christine Schoenfisch, Kate Kauter, Leah East","doi":"10.1111/jocn.17716","DOIUrl":"https://doi.org/10.1111/jocn.17716","url":null,"abstract":"<p><strong>Aim(s): </strong>This scoping review aimed to explore and identify literature about the scope of practice for nurse practitioners working as immunisers in primary healthcare.</p><p><strong>Design: </strong>The review was conducted according to the JBI scoping review framework.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted on 11 December 2023 to identify primary studies examining the role of nurse practitioners in immunisation delivery within global primary healthcare settings. The inclusion criteria were limited to peer-reviewed primary research that specifically examined nurse practitioners' roles in primary healthcare settings in immunisation clinics and/or administering immunisations. Data were systematically extracted using a data extraction table, and article screening was independently performed by two reviewers. Reporting of findings was guided by the PRISMA-ScR checklist.</p><p><strong>Data sources: </strong>Medline, Scopus and CINAHL including peer-reviewed literature from January 2000 to December 2023.</p><p><strong>Results: </strong>A total of 1025 articles were identified; following screening and removal of duplicates, 52 articles underwent full-text screening and 8 articles that met the inclusion criteria were included in this review. Themes were identified using a qualitative descriptive approach: nurse practitioner scope of practice in primary healthcare; nurse practitioners addressing service gaps in primary healthcare; and the nurse practitioner's role in immunisation provision in primary healthcare.</p><p><strong>Conclusion: </strong>Findings suggest that the roles and responsibilities of nurse practitioners working in primary healthcare are highly variable. Little research has been conducted to explore the nurse practitioner's immuniser role in primary healthcare.</p><p><strong>Patient or public contribution: </strong>No patient or public involvement was included in this scoping review.</p><p><strong>Implications for the profession: </strong>This review provides insight into the current knowledge about the Nurse Practitioner Immuniser role in Primary Healthcare. While Nurse Practitioners have contributed to public immunisation efforts globally, the role and scope of nurse practitioner immunisers in primary healthcare are still evolving.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587886","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":"Expanding the Research Horizon of Smart Glasses in Clinical Environments.","authors":"Youran Cai, Qing Zhou","doi":"10.1111/jocn.17734","DOIUrl":"https://doi.org/10.1111/jocn.17734","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587839","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":"Optimising Beyond-Use Date Management and Workload to Reduce Intravenous Medication Errors: A Targeted Intervention Study.","authors":"Qilin Peng, Lingyu Su, Bo Xiao, Huarong Yang, You Li, Qiuhong Zhou, Yuting Huang, Yin Shi, Shusun Sen, Yani Hu, Boting Zhou","doi":"10.1111/jocn.17728","DOIUrl":"https://doi.org/10.1111/jocn.17728","url":null,"abstract":"<p><strong>Aim(s): </strong>To evaluate the effectiveness of targeted interventions in optimising Beyond-Use Date (BUD) management and workload distribution to reduce intravenous (IV) medication errors and improve patient safety in a resource-limited hospital setting.</p><p><strong>Design: </strong>This study employed a pre- and post-intervention observational design.</p><p><strong>Methods: </strong>A four-month intervention was conducted at a large tertiary hospital in China, following a baseline assessment of IV medication practices. The intervention included the establishment of BUD guidelines, redistribution of staff workloads and targeted training sessions. IV preparation and administration errors were observed in Pharmacy Intravenous Admixture Services (PIVAS) centers and medical wards, and changes in error rates were recorded.</p><p><strong>Results: </strong>In the PIVAS center, IV preparation errors decreased from 0.19% to 0.12%. Medical wards showed a decrease in administration errors from 38.3% to 30.0%, with improvements noted in areas such as adherence to BUD and storage protocols. The intervention demonstrated significant improvements in medication safety by enhancing BUD compliance and balancing workloads.</p><p><strong>Conclusion: </strong>The implementation of structured BUD guidelines, workload optimisation, and training significantly reduced IV medication errors, highlighting the effectiveness of management-driven interventions in improving safety practices within hospital settings.</p><p><strong>Implications for the profession and/or patient care: </strong>This study underscores the importance of BUD management and balanced workloads in reducing medication errors, contributing to safer and more efficient IV medication administration.</p><p><strong>Impact: </strong>This study addresses the challenge of medication errors in resource-constrained healthcare environments, providing evidence that structured management interventions can enhance patient safety. The findings are relevant to healthcare providers and managers in similar settings.</p><p><strong>Reporting method: </strong>This study follows the TIDieR and STROBE guidelines for structured reporting.</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":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587849","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}