Journal of Clinical Nursing最新文献

{"title":"Refining Triage for Older Adults With Pneumonia: Building on the KTAS Framework.","authors":"Wenqing He, Zilin Zhao, Jinpeng Wen","doi":"10.1111/jocn.70217","DOIUrl":"10.1111/jocn.70217","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":"2879-2881"},"PeriodicalIF":3.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991608","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 \"Effectiveness of Nurse-Led Interventions on Emergence Delirium in Paediatric Patients: A Systematic Review and Meta-Analysis\".","authors":"Jimmy Dharwal, Sabnam Kumari, Alisha Sandhu","doi":"10.1111/jocn.70207","DOIUrl":"10.1111/jocn.70207","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":"2872-2874"},"PeriodicalIF":3.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991603","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":"Latent Profile Analysis of Preoperative Frailty in Cardiac Surgery Patients: Implications for Individualised Nursing Care.","authors":"Juan Zhang, Linxue Zhang, Jiamei Zhou, Ming Tao, Mingxian Luo, Xiumao Li, Centao Qin","doi":"10.1111/jocn.70210","DOIUrl":"10.1111/jocn.70210","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to identify potential latent profiles of frailty among patients undergoing cardiac surgery, reveal the risk factors associated with these subgroups and understand the nursing needs of patients in different subgroups.</p><p><strong>Methods: </strong>Patients scheduled for cardiac surgery at a tertiary general hospital in Southwest China between August 2022 and June 2023 were recruited using convenience sampling. The instruments included the General Information Questionnaire, the Chinese version of the Tilburg Frailty Indicator, the Hospital Anxiety and Depression Scale, the Mini-Mental State Examination and the Fatigue Severity Scale. Latent profile analysis was performed to identify potential classifications of preoperative frailty. Univariable and multinomial logistic regression analyses were used to determine associated influencing factors.</p><p><strong>Results: </strong>A total of 261 patients were included, with a preoperative frailty prevalence of 69.7% and a median TFI score of 6 (IQR: 4-8). Latent profile analysis identified three distinct frailty phenotypes: 'multidimensional low-load frailty' (29.5%), 'social high-load frailty' (8.8%) and 'physiopsychological complex frailty' (61.7%). Multinomial logistic regression revealed significant predictors for these profiles: absence of a spouse, younger age and longer disease duration were independently associated with social high-load frailty. Higher fatigue scores increased the likelihood of physiopsychological complex frailty. Conversely, higher cognitive scores were significantly associated with the multidimensional low-load frailty profile.</p><p><strong>Conclusion: </strong>Preoperative frailty in cardiac surgery patients presents significant heterogeneity. Clinicians should pay particular attention to patients with social high-load frailty and physiopsychological complex frailty. Tailored nursing interventions based on these specific profiles and their associated risk factors are essential to alleviate frailty and improve patient outcomes.</p><p><strong>Reporting method: </strong>This study adhered to the STROBE guidelines for cross-sectional studies.</p><p><strong>Relevance to clinical practice: </strong>Distinct frailty profiles among preoperative cardiac surgery patients were identified. Understanding these profiles enables tailored nursing interventions and potentially optimises postoperative outcomes. Implementing profile-specific care pathways can enhance perioperative patient management.</p><p><strong>Patient or public contribution: </strong>Patients recovering from cardiac surgery participated in reviewing the comprehensibility of survey questions for latent profiles. Members of a cardiac patient support group provided feedback on the interpretability of the findings.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":"2797-2806"},"PeriodicalIF":3.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145999367","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":"Neurodiversity in Nursing: Time to Talk About This?","authors":"Kelly Burns","doi":"10.1111/jocn.70240","DOIUrl":"10.1111/jocn.70240","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":"2579-2580"},"PeriodicalIF":3.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146138004","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 Influence of Missed Nursing Care on Satisfaction With Nursing Care and Trust in Nurses Among Patients With Cancer: A Descriptive, Correlational Study.","authors":"Necip Hanci, Sergül Duygulu","doi":"10.1111/jocn.70231","DOIUrl":"10.1111/jocn.70231","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to examine the influence of missed nursing care on satisfaction with nursing care and trust in nurses among patients with cancer.</p><p><strong>Design: </strong>A descriptive and correlational study.</p><p><strong>Methods: </strong>The study involved 271 patients with cancer hospitalised in the Medical Oncology units of a university-affiliated Oncology Hospital in Türkiye. Data were collected using the Patient Information Form, MISSCARE Survey-Patient (MCSP), Newcastle Satisfaction with Nursing Care Scale (NSNCS) and Trust in Nurses Scale (TNS) between December 26, 2022, and August 30, 2023. Descriptive and inferential statistics were conducted using SPSS 26. The STROBE checklist guided reporting.</p><p><strong>Result: </strong>Mean scores were 1.71 (SD = 0.77; possible range = 1-5) for the communication subscale of the MCSP, 3.86 (SD = 1.19; possible range = 1-5) for the basic care subscale of the MCSP, 92.93 (SD = 13.80; possible range = 0-100) for NSNCS and 27.64 (SD = 3.21; possible range = 5-30) for TNS. Missed communication was statistically significantly and negatively correlated with both satisfaction and trust, whereas missed basic care was not significantly correlated with either. Regression analyses confirmed that missed communication significantly and negatively predicted satisfaction and trust, whereas missed basic care did not.</p><p><strong>Conclusion(s): </strong>Missed communication was associated with lower satisfaction with nursing care and reduced trust in nurses among patients with cancer, whereas missed basic care, despite higher levels, did not predict either outcome. These findings highlight the central role of nurse-patient communication in shaping patients' perceptions of nursing care quality in oncology settings.</p><p><strong>Implications for the profession and/or patient care: </strong>Within oncology care contexts, healthcare institutions and nurse managers should prioritise strategies to reduce missed nursing care, particularly missed communication. Short-term actions include strengthening nurse-patient communication through structured communication training and manageable workloads, while long-term strategies should embed communication and basic care standards into institutional quality frameworks to enhance patient satisfaction and trust.</p><p><strong>Patient or public contribution: </strong>Patients contributed by completing questionnaires.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":"2719-2733"},"PeriodicalIF":3.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120975","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 'Community Dwelling Adults' Lived Experiences of Participating in Death Cafés: A Phenomenological Study With Photovoice'.","authors":"Weiwei Jiang, Lijuan Chen","doi":"10.1111/jocn.70226","DOIUrl":"10.1111/jocn.70226","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":"2895-2896"},"PeriodicalIF":3.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054317","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 the Editor: Caregiver-Related Risk Factors Contributing to AbuseTendency in Nursing Homes: A Structural Equation Model.","authors":"Sanglin Zhao, Deng Hao","doi":"10.1111/jocn.70198","DOIUrl":"10.1111/jocn.70198","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":"2862-2863"},"PeriodicalIF":3.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913851","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":"Effectiveness of Nurse-Led Interventions on Emergence Delirium in Pediatric Patients: A Systematic Review and Meta-Analysis.","authors":"Cong-Hui Fu, Min-Jie Ju, Yan Li, Ji Liu, Xiao-Ya Yang, Ting-Ting Xu","doi":"10.1111/jocn.70189","DOIUrl":"10.1111/jocn.70189","url":null,"abstract":"<p><strong>Background: </strong>Nurse-led interventions have demonstrated effectiveness in managing emergence delirium (ED), but there is a lack of evidence in pediatric studies.</p><p><strong>Aim: </strong>To systematically synthesize the evidence on the effectiveness of the nurse-led interventions on ED in pediatric patients.</p><p><strong>Study design: </strong>A comprehensive literature search was conducted in PubMed, CINAHL, EMBASE, MEDLINE, Web of Science, Cochrane Library, and APA PsycINFO from the inception to January 13, 2025. Risk of bias was assessed by using the revised Cochrane risk-of bias tool (ROB2) and the Cochrane risk of bias in non-randomized studies-of interventions (ROBINS-I). The meta-analysis was performed using Stata16.0. The forest plots showed the overall effect of the included study.</p><p><strong>Results: </strong>A total of 20 studies were included, involving 2369 children, comprising 17 RCTs, 1 quasi-experimental study and 2 cohort studies. Compared with usual care, nurse-led interventions significantly reduced the incidence of ED (risk ratio [RR]: 0.50, 95% confidence interval [CI]: 0.33 to 0.77, p = 0.002, I² = 77.2%), m-YPAS scores (weighted mean difference [WMD]: -7.67, 95% CI: -10.96 to -4.39, p = 0.000, I² = 91.7%), PAED scores (WMD: -1.47, 95% CI: -2.35 to -0.60, p = 0.000, I² = 91.3%), and FLACC scores (WMD: -0.97, 95% CI: -1.59 to -0.35, p = 0.000, I² = 92.9%). However, no significant effect was observed on the length of PACU stay or the anesthesia induction compliance.</p><p><strong>Conclusions: </strong>Nurse-led interventions can reduce the incidence and severity of ED in children, as well as in alleviating preoperative anxiety and postoperative pain. However, more research is needed on influencing PACU length of stay and induction compliance.</p><p><strong>Relevance to clinical practice: </strong>Nurse-led interventions can be integrated into the perioperative management of children to reduce the incidence of ED. However, in clinical practice, these interventions should be flexibly adapted based on the individual differences of pediatric patients.</p><p><strong>Trial registration: </strong>This study protocol was registered on PROSPERO with the registration number CRD42024601191.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":"2606-2621"},"PeriodicalIF":3.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145846885","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 Role Transition Journey of Spousal Caregivers of People Living With Dementia: A Meta-Synthesis of Qualitative Studies.","authors":"Haiyan Ren, Zhuoqi Luo, Jiachen Han, Fang Zhou, Shuo Wang","doi":"10.1111/jocn.70243","DOIUrl":"10.1111/jocn.70243","url":null,"abstract":"<p><strong>Aim: </strong>To explore the role transition journey of spousal caregivers of people living with dementia based on transition theory.</p><p><strong>Design: </strong>A meta-synthesis.</p><p><strong>Methods: </strong>This review employed a directed content analysis approach to systematically synthesise qualitative evidence. The findings were reported in accordance with the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines and the Joanna Briggs Institute (JBI) Manual for Evidence Synthesis.</p><p><strong>Data sources: </strong>A comprehensive search was conducted in eight electronic databases for studies published from the inception of each database to November 2024.</p><p><strong>Results: </strong>This review ultimately included a total of 31 studies. Three themes were identified, including role stage, role transition properties and role transition conditions of spousal caregivers of people living with dementia. Role stage of spousal caregivers of people living with dementia encompassed seven sub-themes; role transition properties of spousal caregivers of people living with dementia included five sub-themes; role transition conditions of spousal caregivers of people living with dementia involved six sub-themes.</p><p><strong>Conclusions: </strong>This review synthesises evidence to explore the role transition journey of spousal caregivers of people living with dementia. The role transition properties highlight the impact of critical points and events, as well as caregivers' awareness, engagement, change and difference and transition time span during their role transition journey. The role transition conditions emphasise that personal meanings, cultural beliefs and attitudes, socioeconomic status, preparation and knowledge, as well as community and society simultaneously influence the role transition journey of the caregivers.</p><p><strong>Reporting method: </strong>The Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guided the reporting of the study.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p><p><strong>Trial registration: </strong>PROSPERO registration number: CRD 42024623402.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":"2833-2853"},"PeriodicalIF":3.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159007","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":"Surrogates' Decisional Conflict and Needs Regarding Invasive Procedures for Intensive Care Unit Patients: A Mixed-Methods Study.","authors":"Wan-Na Sun, Su-Ying Fang","doi":"10.1111/jocn.70213","DOIUrl":"10.1111/jocn.70213","url":null,"abstract":"<p><strong>Background: </strong>Surrogates make decisions for critically ill patients in intensive care units (ICUs). Because such decisions are critical, many surrogates experience decisional conflict, which can lead to long-term regret and psychological distress. Understanding surrogates' needs during decision-making, particularly when invasive procedures are involved, is essential to improving patient outcomes.</p><p><strong>Aim: </strong>To identify and analyse the needs of surrogates and the decisional conflict they experience during the decision-making process for invasive procedures in ICUs.</p><p><strong>Methods: </strong>This convergent, parallel, mixed-methods study was conducted at a tertiary medical centre in southern Taiwan. Eligible participants were surrogates aged 20 years or older. The patients represented by these surrogates had a Glasgow Coma Scale (GCS) score of < 12 and were expected to undergo at least one invasive procedure. Quantitative data were collected from 100 surrogates using a structured questionnaire assessing decisional conflict and needs, and qualitative data were obtained through in-depth interviews with 13 surrogates.</p><p><strong>Results: </strong>The following factors were significantly associated with decisional conflict: lower education level (β = -6.24, p = 0.042), lower family income (β = -9.91, p = 0.027), and resuscitative types of invasive procedure (β = -6.40, p = 0.045). Information needs were the most critical because information is often overwhelming without a medical background. Meeting surrogates' support needs, including the need for support from family members, can help reduce isolation in decision-making. The findings also indicate that internal resources played a key role in alleviating decisional conflict in surrogates.</p><p><strong>Conclusion: </strong>The informational, support, and resource needs of surrogates play a critical role in decision-making for invasive procedures. Their informational needs primarily indicate difficulties in comprehending and integrating complex medical information within a limited timeframe. Clear, structured communication and emotional support may reduce decisional conflict and long-term regret.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":"2645-2657"},"PeriodicalIF":3.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100954","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}