Journal of Clinical Nursing最新文献

{"title":"Reporting Grounded Theory: Is COREQ Enough?","authors":"Martina Barbieri, Andrea Moro, Mariarosaria Gammone, Daniela Cattani, Lara Delbene, Talita Sallai, Roger Watson, Gianluca Catania, Milko Zanini, Loredana Sasso, Annamaria Bagnasco","doi":"10.1111/jocn.70052","DOIUrl":"10.1111/jocn.70052","url":null,"abstract":"<p>Exploring patient experiences of clinical nursing is an important aspect of clinical research. Grounded theory is an excellent way of addressing complex, naturalistic clinical nursing issues to improve care by better understanding the social processes involved in the illness journey, health event or care episode. Ensuring that such grounded theory research is robust and rigorous is important as it will influence clinical practice.</p><p>The EQUATOR (Enhancing the QUAlity and Transparency Of health Research) Network was established in 2006 at the Centre for Statistics in Medicine, University of Oxford, with the goal of improving the reliability and value of health research literature by promoting transparent and accurate reporting (Moher et al. <span>2008</span>). Since its inception, the EQUATOR Network has become a central reference point in academic publishing, especially in health-related disciplines, leading the five main scientific publishing groups to rely on EQUATOR guidelines to shape the author guidelines for indexed journals, assess manuscript quality and guide the reporting process (Smith et al. <span>2018</span>). As a result, the reporting checklists hosted on the EQUATOR website have become essential tools for authors, reviewers and editors in the scientific community.</p><p>The EQUATOR Network hosts an extensive array of reporting guidelines, including highly specific checklists tailored to various study designs (Bond and Hopewell <span>2015</span>). The resources in the EQUATOR website are organised to allow authors to select the most appropriate checklist based on the study design (EQUATOR Network <span>2025</span>). However, as shown in Table 1, most of these checklists focus on quantitative methodologies, while for qualitative research, among the tools available on the website (Table 1), qualitative researchers tend primarily to use two main tools: the COREQ (Consolidated Criteria for Reporting Qualitative Research) (Tong et al. <span>2007</span>) and the SRQR (Standards for Reporting Qualitative Research) (O'Brien et al. <span>2014</span>). Although these two guidelines were designed to be broadly applicable to qualitative studies, their generic nature has led to several limitations.</p><p>COREQ, the most frequently used, focuses primarily on studies involving interviews and focus groups, but has been criticised for promoting a narrow model of qualitative research and for encouraging methodological incongruence when applied across diverse qualitative approaches. Its limited attention to theoretical positioning and its prescriptive use of certain practices reduce its suitability as a universal reporting tool (Braun and Clarke <span>2024</span>). Similarly, the SRQR is comprehensive in scope but lacks specificity, offering no clear criteria for defining rigour, which limits its usefulness for assessing the quality of qualitative studies or their findings—particularly across diverse epistemological and methodological orientati","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":"34 9","pages":"3439-3441"},"PeriodicalIF":3.5,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jocn.70052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735033","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":"Reflecting on the Use of TEAM Scale as a Transference of Leadership and Teamwork Assessment From Educational to Clinical Settings.","authors":"Soledad Armijo-Rivera, Leonardo Pérez González","doi":"10.1111/jocn.70055","DOIUrl":"https://doi.org/10.1111/jocn.70055","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735032","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":"Safe Mobility in Hospitalised Older Adults: A Concept Analysis.","authors":"Esther Mourão Nicoli, Frances Valéria Costa E Silva, Rosane Barreto Cardoso, Tallita Mello Delphino, Luciana Guimarães Assad, Samara Gonçalves de Oliveira","doi":"10.1111/jocn.70046","DOIUrl":"https://doi.org/10.1111/jocn.70046","url":null,"abstract":"<p><strong>Aim: </strong>To conduct a concept analysis of 'safe mobility', with specific application in hospitalised older adults, identifying its defining attributes, antecedents and consequences.</p><p><strong>Background: </strong>The promotion of safe mobility is essential for maintaining the functionality of hospitalised older adults. However, this idea is not yet clearly defined in the scientific literature, requiring a conceptual analysis for better understanding and applicability in nursing practice.</p><p><strong>Design: </strong>Concept analysis.</p><p><strong>Methods: </strong>The concept analysis methodology of Walker and Avant was employed, consisting of eight steps. Sources from the scientific literature (BDENF/VHL, Scopus, CINAHL/EBSCO, Embase, Web of Science, PEDro, MEDLINE/PubMed and CAPES Thesis and Dissertation Catalogue, as outlined in a scoping review previously published by the authors) and terminologies from dictionaries and nursing practice, such as SNOMED CT, ICNP, NANDA, NIC and NOC, were analysed.</p><p><strong>Results: </strong>The concept of 'safe mobility' does not have a consolidated definition but was identified through three defining attributes: active movement, prevention of fall-related harm and prevention of immobility-related harm. The antecedents include the older adults' conditions, adaptation of the hospital environment, training of the multidisciplinary team, patient behaviour and family involvement. The consequences involve the maintenance of functionality, improvement of quality of life, reduction of hospital length of stay and costs, as well as a decrease in rates of readmission, referrals to long-term care institutions and mortality.</p><p><strong>Conclusion: </strong>The concept analysis revealed that safe mobility involves promoting active movement and preventing harm related to both immobility and falls.</p><p><strong>Implications for the profession and patient care: </strong>Strategies based on this concept can improve the quality of life of older adults, reduce complications and optimise hospital costs.</p><p><strong>No patient or public contribution: </strong>This concept analysis examines existing literature and does not require patient-related data collection. The methodological approach does not necessitate collaboration with the public.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735034","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":"Engagement in Medication Communication During Transitions of Care for Rural Aged Care Residents and Family Caregivers: A Qualitative Study.","authors":"Alison Dowling, Elizabeth Manias","doi":"10.1111/jocn.70047","DOIUrl":"https://doi.org/10.1111/jocn.70047","url":null,"abstract":"<p><strong>Aim: </strong>To explore how residents and caregivers experience engagement in medication communication during transitions of care.</p><p><strong>Design: </strong>Qualitative exploratory study.</p><p><strong>Methods: </strong>Nine residents and seven family caregivers from two rural aged care homes participated in semi-structured interviews between June and July 2024. Engagement in medication communication was assessed using the Patient and Family Engagement Framework. The COREQ checklist guided reporting of the study.</p><p><strong>Results: </strong>The study identified two main themes: (1) Medication communication during transitions into healthcare services; (2) Influences shaping residents' and caregivers' engagement in medication communication. Participants primarily experienced passive consultation about medications, mainly due to a lack of proactive engagement from healthcare providers, with both intrinsic and external factors significantly hindering their involvement in medication communication.</p><p><strong>Conclusion: </strong>Participants had minimal engagement in medication communication during transitions, receiving mainly reactive, one-way information from providers. Improved communication strategies and greater involvement of residents and caregivers are needed to enhance medication safety and continuity of care in rural settings.</p><p><strong>Relevance to clinical practice: </strong>This study provides insights into medication communication engagement among rural aged care residents and their family caregivers. By applying the Patient and Family Engagement Framework, the findings highlight the need for proactive, clear and inclusive communication strategies to enhance medication safety and continuity of care. Improving engagement in medication discussions can support shared decision-making, reduce misunderstandings and improve transitions of care in rural aged care settings.</p><p><strong>Reporting method: </strong>The study followed COREQ guidelines.</p><p><strong>Patient or public contribution: </strong>Residents and family caregivers participated through interviews.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709655","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":"Examining the Association Between Perceived Quality of Care and Experienced Coercion Among Patients in Acute Mental Health Units in Spain: A National Cross-Sectional Study.","authors":"Khadija El-Abidi, Sara Sanchez-Balcells, Juan F Roldán-Merino, Ana Ventosa Ruiz, Montse Cañabate-Ros, Juan A Garcia-Sanchez, Estibaliz Muñoz-Rouco, Juan J Pérez-Moreno, Javier Pita-De-La-Vega, Gemma Rubia-Ruiz, Carolina Santos-Pariente, Ana Maria Rodríguez López, Laura Jardón Golmar, Cristina Esquinas López, Juan Gomez Perez, Marcelino Vicente Pastor-Bernabeu, Joana Coelho, Evdokia Misouridou, M Teresa Lluch-Canut, Montserrat Puig-Llobet, Antonio R Moreno-Poyato","doi":"10.1111/jocn.70048","DOIUrl":"https://doi.org/10.1111/jocn.70048","url":null,"abstract":"<p><strong>Aim: </strong>To examine the association between perceived quality of care and the level of coercion experienced by individuals hospitalised in acute mental health units.</p><p><strong>Design: </strong>National cross-sectional study.</p><p><strong>Methods: </strong>Data were collected from 255 patients admitted to 12 acute mental health units across Spain. Standardised instruments assessed perceived quality of care and levels of coercion, humiliation and fear at discharge. Multiple linear regression analyses were used to explore associations between care quality dimensions and patients' experiences.</p><p><strong>Results: </strong>Perceived quality of care was significantly associated with lower levels of perceived coercion and humiliation. All dimensions of care quality showed inverse associations, with the \"secluded\" dimension showing the strongest association. The association between care quality and perceived fear was less consistent. These findings are particularly relevant for mental health nurses, who play a central role in delivering relational care and ensuring patients' emotional safety.</p><p><strong>Conclusion: </strong>Higher perceived quality of care is associated with lower levels of coercion, humiliation, and fear during hospitalisation in acute mental health settings.</p><p><strong>Implications for the profession and/or patient care: </strong>For mental health nursing, these results underscore the critical role of nurses in creating therapeutic environments that reduce coercive experiences. By fostering trust, promoting patient autonomy, and ensuring emotional and physical safety, nurses can significantly influence the quality of care and patient outcomes.</p><p><strong>Impact: </strong>The study addresses the lack of evidence on how perceived quality of care influences experiences of coercion in acute mental health settings. Better perceived care quality is linked to reduced feelings of coercion, humiliation and fear. The research has direct implications for mental health nurses, clinical educators and healthcare managers aiming to improve patient experiences and reduce coercive practices in psychiatric care.</p><p><strong>Reporting method: </strong>STROBE reporting guideline.</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":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709656","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":"Commentary on 'The Nonlinear Association Between Catheterisation Duration and Urinary Tract Infection in Patients With Geriatric Hip Fracture: A Retrospective Study'.","authors":"Mohammad Barary, Mostafa Javanian, Ali Zahedian, Danial Hosseinzadeh, Soheil Ebrahimpour","doi":"10.1111/jocn.70050","DOIUrl":"https://doi.org/10.1111/jocn.70050","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709654","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":"Response to Letter to the Editor: Discussion on the Reason for Non-Compliance With Evidence-Based Bundles in Central Venous Catheter Maintenance Among ICU Nurses.","authors":"Tianjun Zhou, Xiaofeng He, Yan Hu","doi":"10.1111/jocn.70045","DOIUrl":"https://doi.org/10.1111/jocn.70045","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692268","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":"Grit in the Workplace Experienced by Taiwanese Adults With Congenital Heart Disease: A Phenomenological Study.","authors":"Yu-Shiu Liu, Chun-Wei Lu, Hung-Tao Chung, Jou-Kou Wang, Ying-Mei Shu, Chi-Wen Chen","doi":"10.1111/jocn.70051","DOIUrl":"https://doi.org/10.1111/jocn.70051","url":null,"abstract":"<p><strong>Aim: </strong>To explore how adults with congenital heart disease (ACHD) experience and express grit in the workplace.</p><p><strong>Design: </strong>Qualitative study using Husserl's descriptive phenomenology.</p><p><strong>Methods: </strong>Between March 2022 and June 2023, semi-structured interviews were administered to 18 ACHD recruited from two medical centre outpatient departments. The collected data underwent analysis utilising Colaizzi's 7-step analysis method, coupled with Lincoln and Guba's framework, to ensure credibility and trustworthiness.</p><p><strong>Results: </strong>The analysis revealed five prominent themes derived from the data: (a) career choices amid constraints; (b) adjustments to one's work environment for reasons of fatigue; (c) crises in the workplace arising from exceeding one's physical limits; (d) supportive networks for better health and job stability; (e) resilience at work for balance and fulfilment in life.</p><p><strong>Conclusion: </strong>Grit significantly influences life satisfaction and job performance among adults with congenital heart disease, highlighting its profound impact on their experiences. Patients exhibit perseverance in job pursuits, adapt work methods to manage physical fatigue, confront challenges during work crises, value family and societal support and aim for self-satisfaction. These findings highlight the impact of grit and mental health on ACHD's lives and work, providing insights for better psychological support and interventions.</p><p><strong>Implications for the profession: </strong>This study clarifies the need for healthcare professionals to incorporate workplace grit training and assessment into ACHD care.</p><p><strong>Impact: </strong>Recognising grit as a key factor in ACHD patients' lives informs holistic care, workplace inclusivity and policies that enhance their long-term well-being.</p><p><strong>Reporting method: </strong>This study was performed in accordance with the COREQ 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":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692267","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 'The Effect of Postoperative Thirst on Patient Comfort and Quality of Recovery in Patients Undergoing Colorectal Surgery: An Analytical Cross-Sectional Study'.","authors":"Fei Xu, Zilin Zhao, Zixuan Zhang","doi":"10.1111/jocn.70043","DOIUrl":"https://doi.org/10.1111/jocn.70043","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676381","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 Mapping of Clinical Practice Guidelines Recommendations and Quality for Nutritional Management in Dementia.","authors":"Yu-Jie Su, Si-Jia Zhou, Wei Liu, Chao-Ran Qu, Wei-Wei Zhang, Mi Zhang, Yue-Ming Peng, Wei-Xiang Luo","doi":"10.1111/jocn.17844","DOIUrl":"https://doi.org/10.1111/jocn.17844","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to systematically review Clinical Practice Guidelines (CPGs) for nutritional management of dementia and use evidence mapping to highlight research trends and identify gaps to inform future research.</p><p><strong>Design: </strong>A systematic review of guidelines using the PRISMA statement.</p><p><strong>Methods: </strong>Systematically collect literature on dementia management CPGs from PubMed, Embase, Web of Science and guideline databases. Extract basic information, recommendations, methodological quality and reporting quality of the CPGs. Four researchers independently evaluated eligible CPGs using the AGREE II instrument and the RIGHT checklist. All recommendations from the CPGs were summarised and analysed, and evidence mapping bubble charts were created in Excel.</p><p><strong>Results: </strong>After excluding 5541 records, 10 CPGs were eventually proved eligible, 55 of which were of high quality and 5 medium quality. With 10 CPGs that combined 18 recommendations. The nutrition screening and assessment were summarised on the basis of the dementia recommendations for 4 major items, 7 items on nutritional interventions, 5 items on caring and 2 on education.</p><p><strong>Conclusion: </strong>This review provides an evidence map and offers new perspectives on CPGs for nutritional management in dementia. However, there are improvements to the included CPGs, but most CPGs have a number of key recommendations that can help guide clinical practice.</p><p><strong>Relevance to clinical practice: </strong>The currently available guidelines on dementia nutritional management have room for methodological improvement.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668884","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}