Journal of Clinical Nursing最新文献

{"title":"The Impact of Nursing Resources on Chronic Wound Management: A Cross-Sectional Analysis.","authors":"Eleanor Turi, Karen B Lasater, Ariel S Kamen, Linda H Aiken, K Jane Muir","doi":"10.1111/jocn.17804","DOIUrl":"https://doi.org/10.1111/jocn.17804","url":null,"abstract":"<p><strong>Aim: </strong>Evaluate the relationship between hospital nursing resources and outcomes among patients with chronic wounds.</p><p><strong>Design: </strong>Cross-sectional observational.</p><p><strong>Methods: </strong>Hospital-level predictors included the nurse work environment, proportion of Bachelor of Science (BSN)-prepared nurses, and skill mix (i.e., registered nurses [RN] as proportion of nursing personnel). Outcomes included in-hospital and 30-day mortality, discharging to a higher level of care and length of stay. Individual-level nurse data were aggregated to create hospital-level measures of nursing resources. We utilised multi-level modelling with nurses nested within hospitals and outcomes at the patient level.</p><p><strong>Data: </strong>Three datasets from 2021: RN4CAST-New York/Illinois survey, Medicare Provider Analysis and Review claims and American Hospital Association Annual Survey.</p><p><strong>Results: </strong>The sample included 34,113 patients with chronic wounds in 215 hospitals in New York and Illinois. In adjusted models, a 1 standard deviation improvement in the work environment was associated with 12% lower odds of in-hospital mortality, 8% lower odds of discharging to a higher level of care and a shorter length of stay by a factor of 0.96. A 10% increase in BSN composition was associated with 8% reduced odds of in-hospital mortality and 6% reduced odds of 30-day mortality. A 10% increase in skill mix was associated with 12% lower odds of in-hospital mortality and a shorter length of stay by a factor of 0.91.</p><p><strong>Conclusion: </strong>Improved nursing resources are associated with better outcomes among patients with chronic wounds.</p><p><strong>Implications: </strong>Nurses manage the care of patients with chronic wounds; thus, hospital investment in nursing resources is imperative for good outcomes.</p><p><strong>Impact: </strong>Modifiable hospital nursing resources are associated with outcomes among patients with chronic wounds, a complex population.</p><p><strong>Reporting: </strong>STROBE.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046134","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":"Evaluation of Nurse-Led and Student-Led Community-Based Clinics: A Scoping Review.","authors":"Edward W Li, Riana Alli, Christine Dennis, Rebecca Pereira, Heidi M Siu","doi":"10.1111/jocn.17791","DOIUrl":"https://doi.org/10.1111/jocn.17791","url":null,"abstract":"<p><strong>Aim: </strong>To synthesize approaches used to evaluate nurse-led clinics (NLCs) and student-led clinics (SLCs) delivering community-based primary healthcare.</p><p><strong>Design: </strong>A scoping review based on Joanna Briggs Institute (JBI) guidelines.</p><p><strong>Methods: </strong>This review included articles evaluating the impact of NLCs and SLCs, published between 2013 and 2023. The Quadruple Aim Framework for health systems quality improvement was a reference point for thematic analysis.</p><p><strong>Data sources: </strong>CINAHL Complete, ProQuest Nursing & Allied Health, PubMed, Scopus, Health Systems Evidence, Ovid Emcare and grey literature repositories were searched in March-June 2023.</p><p><strong>Results: </strong>Our search yielded a total of 891 articles and 43 articles were included in this scoping review. Diverse quantitative and qualitative methods and concepts of interest were evident in the evaluations of NLCs (n = 15), medical SLCs (n = 15) and interprofessional SLCs (n = 13). Extracted data spoke to the evaluation of either client experience, health of communities, systems of care delivery or provider experience, with systems of care delivery being the most consistently evaluated domain across all clinic types.</p><p><strong>Conclusion: </strong>Traditional and non-traditional evaluation measures spanning the Quadruple Aim Framework were used to study community-based NLCs and SLCs. Opportunities remain for broadening the range of indicators and methods used to capture clinic impact on health equity.</p><p><strong>Implications for the profession and/or patient care: </strong>Numerous transferable research approaches are available to students and clinical professionals for supporting the design and iterative improvement of innovative primary healthcare clinics.</p><p><strong>Impact: </strong>The results highlight ways in which NLCs and SLCs may be evaluated for their concurrent impact on healthcare service delivery and clinical education systems.</p><p><strong>Reporting method: </strong>PRISMA-ScR.</p><p><strong>Patient or public contribution: </strong>Feedback amassed during presentations to nursing audiences informed the enclosed discussion points.</p><p><strong>Trial registration: </strong>Review protocol was published with the Open Science Framework under ID 10.17605/OSF.IO/FP6S4.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057383","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 Telehealth-Based Exercise Interventions for Patients With Stroke: A Meta-Analysis of Randomised Controlled Trials.","authors":"Yize Sun, Saiya Zhang, Tianrui Zhao, Chenglin Sun, Ping Li, Lihua Zhang","doi":"10.1111/jocn.17792","DOIUrl":"https://doi.org/10.1111/jocn.17792","url":null,"abstract":"<p><strong>Aim: </strong>To explore the effects of telehealth-based exercise interventions on balance, motor function, walking ability and activities of daily living (ADLs) in patients with stroke.</p><p><strong>Design: </strong>Meta-analysis of randomised controlled trials.</p><p><strong>Methods: </strong>This meta-analysis of randomised controlled trials was reported to follow the PRISMA statement and the Cochrane Handbook guidelines. The study employed either a fixed-effects model or a random-effects model according to the statistical heterogeneity observed.</p><p><strong>Data sources: </strong>The literature search was performed in six databases including PubMed, Embase, the Cochrane Central Register of Controlled Trials, Web of Science, PsycINFO and CINAHL from inception to December 2023.</p><p><strong>Results: </strong>A total of 15 randomised controlled trials were included in this meta-analysis. Most of the studies were evaluated for some concerns. The quality of the evidence in this analysis ranged from low to moderate in terms of the outcome. Meta-analysis revealed that telehealth-based exercise interventions presented significant effects on walking ability, motor function and ADLs in patients with stroke. Nonetheless, the balance remained unaffected by statistical significance.</p><p><strong>Conclusion: </strong>Telehealth-based exercise interventions could effectively improve walking ability, motor function and ADLs in patients with stroke; however, the impact on balance was not significant. Telehealth-based exercise interventions are recommended for stroke survivors residing in remote areas or facing economic constraints.</p><p><strong>Implications for the profession and patient care: </strong>This meta-analysis showed that telehealth-based exercise interventions could bring benefits to the rehabilitation of patients with stroke. Telehealth-based exercise interventions should be considered effective to better promote the rehabilitation of patients.</p><p><strong>Reporting method: </strong>The study was reported in compliance with the PRISMA statement.</p><p><strong>Patient or public contribution: </strong>None.</p><p><strong>Trial registration: </strong>PROSPERO (https://www.crd.york.ac.uk/PROSPERO): CRD42024501015.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056410","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":"Path Analysis of Social Support and Self-Efficacy on Self-Perceived Burden in Patients With Newly Diagnosed Diabetes Mellitus.","authors":"Lang Wang, Ruo Peng, Wenbin Xie, Yanzhen Tian, Hui Lu","doi":"10.1111/jocn.17788","DOIUrl":"https://doi.org/10.1111/jocn.17788","url":null,"abstract":"<p><strong>Aims: </strong>To explore the current status of self-perceived burden in patients with newly diagnosed diabetes mellitus and the effects of social support and self-efficacy on their self-perceived burden, and to establish a model of the relationship among the three.</p><p><strong>Background: </strong>The prevalence of diabetes is rising year by year, and the population of newly diagnosed diabetes mellitus is growing, with a high incidence of self-perceived burden, and the related psychological problems of patients with newly diagnosed diabetes mellitus are receiving more and more attention.</p><p><strong>Design: </strong>A cross-sectional and quantitative study.</p><p><strong>Methods: </strong>This study adhered to the EQUATOR guidelines. In total, 203 patients with newly diagnosed diabetes mellitus were selected using convenient sampling from the outpatients of diabetes and the ward of metabolic endocrinology in the hospital. Questionnaires were conducted using the Social Support Revalued Scale, Chronic Disease Self-Efficacy Scale and Self-Perceived Burden Scale. Structural equation modelling was applied to analyse the effects and pathways of influence among them.</p><p><strong>Results: </strong>The self-perceived burden score of patients with newly diagnosed diabetes mellitus was (33.84 ± 9.55) and moderate self-perceived burden was present. Social support and self-efficacy significantly affected self-perceived burden, with a direct effect of 0.273 and an indirect effect of 0.466 mediated by self-efficacy, totalling 0.739. The indirect effect via self-efficacy accounted for 63.06% of the impact.</p><p><strong>Conclusion: </strong>Social support and self-efficacy have an essential effect on the self-perceived burden of patients with newly diagnosed diabetes mellitus. In addition, self-efficacy has a mediating effect on the influence of social support on self-perceived burden.</p><p><strong>Relevance to clinical practice: </strong>The self-perceived burden is common in patients with newly diagnosed diabetes mellitus. To reduce the self-perceived burden of these patients, it is important to focus on their self-efficacy and provide comprehensive social support.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025178","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":"Longitudinal Study on Unmet Needs in Young Stroke Survivors: Predictive Factors and Consequences.","authors":"Wen-Yu Kuo, Chen-Yin Chen, Ting-Yu Chang, Chin-Man Wang, Hsin-Hsu Wu, Min-Chi Chen","doi":"10.1111/jocn.17781","DOIUrl":"https://doi.org/10.1111/jocn.17781","url":null,"abstract":"<p><strong>Aims: </strong>To investigate unmet need trajectories among young stroke survivors, identify predictive factors and evaluate the lagged effects of unmet needs on post-stroke health outcomes.</p><p><strong>Design: </strong>Prospective longitudinal study.</p><p><strong>Methods: </strong>We recruited 122 patients with stroke, assessed at four time points over a 6-month follow-up period. The Unmet Needs Questionnaire assessed unmet needs. Predictive factors included participant characteristics and stroke-related factors. Outcome variables included physical functions, quality of life, depressive symptoms and return-to-work status. Generalised Estimating Equations were employed.</p><p><strong>Results: </strong>Unmet need trajectories decreased over time. Sex, marital status, stroke history, stroke severity, fatigue and cognitive function were key unmet need predictors. Lagged unmet needs were associated with poorer post-stroke health outcomes.</p><p><strong>Conclusion: </strong>This study highlights the dynamic nature of unmet needs in young stroke survivors and underscores the importance of addressing these needs to improve post-stroke health outcomes. Targeted interventions are essential to mitigate the negative impact of unmet needs on recovery.</p><p><strong>Implications for the profession and/or patient care: </strong>Young stroke survivors continue to experience unmet needs in important areas even 6 months post-stroke. Nurses play a crucial role in addressing these challenges by regularly assessing patient care needs, monitoring their progress and implementing targeted interventions. Integrating routine nursing assessments into post-stroke care can help identify high-risk patients and ensure that individualised support is provided throughout the recovery process.</p><p><strong>Reporting method: </strong>Strengthening the Reporting of Observational Studies in Epidemiology.</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":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013481","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":"Relationship Between Health Literacy, Health Protective Behaviour, Quality of Life and Social Health in Older Adults Living in the Community.","authors":"Ibrahim Aldemir, Celalettin Cevik","doi":"10.1111/jocn.17779","DOIUrl":"https://doi.org/10.1111/jocn.17779","url":null,"abstract":"<p><strong>Aims: </strong>The aim of this study was to examine the relationship between health literacy, health protective behaviour, quality of life and social health in older adults living in the community.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Method: </strong>This observational study was carried out by interviewing 600 older adult people living in a province in the South Marmara region of Turkey using a multi-stage cluster sampling method. The dependent variable of the study was social health perception, and multivariate linear regression analysis was used in the analyses. Reporting of the study followed the STROBE checklist.</p><p><strong>Results: </strong>The social health of the participants is at a medium level. As a result of linear regression analysis, the social health score was found in those who have high school education or higher, those who live with their children and those who live alone to be significantly lower in those with poor general health perception. As age increases, health literacy increases, and quality of life decreases, the social health score decreases (p < 0.05).</p><p><strong>Conclusion: </strong>In this context, steps should be taken to increase social harmony and social support for the older adult; the perceived environment should be improved, and environments that facilitate the lives of the older adult should be created.</p><p><strong>Relevance to clinical practice: </strong>Determining the level of social health of the older adult and identifying the related factors is important in terms of improving the quality of services to be provided for the older adult. In this context, it is important for health professionals to take initiatives to improve the lifestyle, health literacy and quality of life of the older adult.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052016","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":"Nomogram for Deep Vein Thrombosis Prediction Post-Endovascular Thrombectomy in Acute Ischemic Stroke: A Retrospective Multicenter Observational Study.","authors":"Li Han, Teng-Wei Pan, Li-Li Yang, Wei-Yang Qian, Xiao-Ping Xu, Feng Wang, Wei-Zhen Wang, Yang Liu, Wei-Ying Yang","doi":"10.1111/jocn.17786","DOIUrl":"https://doi.org/10.1111/jocn.17786","url":null,"abstract":"<p><strong>Background: </strong>Deep vein thrombosis (DVT) is a frequent complication following endovascular thrombectomy (EVT) in patients with acute ischaemic stroke (AIS), potentially leading to fatal pulmonary embolism (PE). Identifying patients early at high risk for DVT is clinically important. This study developed and validated a nomogram combining laboratory findings and clinical characteristics to predict the risk of lower-extremity DVT after EVT in patients with AIS.</p><p><strong>Methods: </strong>This retrospective multicentre observational study was conducted in two tertiary hospitals in China, enrolling 640 patients who underwent ultrasonography for DVT diagnosis within 10 days following EVT. Data on medical history, examination and laboratory results were collected for logistic regression analyses to develop a DVT risk nomogram.</p><p><strong>Results: </strong>Logistic regression analyses identified critical predictors of DVT: lower limb National Institutes of Health Stroke Scale (NIHSS) score ≥ 2, elevated D-dimer levels (≥ 1.62 mg/L) and prolonged puncture-to-recanalization time (PRT ≥ 66 min). The nomogram demonstrated good discriminative ability (AUC 0.741-0.822) and clinical utility across internal and external validation cohorts. Additionally, the presence of DVT was significantly associated with reduced functional independence at 90 days post-EVT, highlighting the negative impact of DVT on patient recovery (OR = 3.85; 95% CI: 2.18-6.78; p < 0.001).</p><p><strong>Conclusion: </strong>The study provides a practical clinical tool for early detection and intervention in patients with AIS at high risk for DVT following EVT. Early identification and intervention may help improve outcomes in patients with AIS undergoing EVT.</p><p><strong>Relevance to clinical practice: </strong>This nomogram helps in the early detection and proactive management of DVT in AIS patients, which can reduce severe complications and improve patient recovery outcomes.</p><p><strong>Patient or public contribution: </strong>No patient or public contributions were involved in this study due to its retrospective design, where data were utilised from existing medical records without direct patient interaction.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051999","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 Effectiveness of Acupressure on Sleep Quality in Cancer Patients: A Systematic Review and Meta-Analysis of Randomised Controlled Trials.","authors":"Chenxi Yang, Yangxi Huang, Weihong Ling, Denise Shuk Ting Cheung, Jung Jae Lee","doi":"10.1111/jocn.17707","DOIUrl":"https://doi.org/10.1111/jocn.17707","url":null,"abstract":"<p><strong>Aims: </strong>To examine the effectiveness of acupressure on sleep quality in cancer patients and to identify the population-level and intervention-level characteristics associated with the intervention outcome of sleep quality.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Data sources: </strong>PubMed, EMBASE, APA PsycInfo, Web of Science, CINAHL, Cochrane Library, China National Knowledge Infrastructure and WanFang were searched for eligible randomised controlled trials from inception to April 2024.</p><p><strong>Methods: </strong>Methodological quality was assessed using the Cochrane Risk of Bias Tool for Randomised Trials 2.0. A random-effects model was used for the meta-analysis. Subgroup analyses and the meta-regression aimed to investigate potential heterogeneity and identify characteristics that may be associated with more favourable acupressure outcomes.</p><p><strong>Results: </strong>In total, 22 randomised controlled trials involving 2113 participants were included in this meta-analysis. Compared with various control groups, acupressure exhibited a significant beneficial effect on sleep quality in cancer patients at post-intervention (SMD = -1.38, 95% CI [-1.81, -0.95], p < 0.001) and at 4-week follow-up (SMD = -0.33, 95% CI [-0.56, -0.10], p = 0.004). Acupressure also showed statistically significant improvements in sleep efficiency (SMD = 0.77, 95% CI [0.27, 1.26], p = 0.002) and total sleep time (SMD = 0.68, 95% CI [0.15, 1.22], p = 0.010) at post-intervention. None of the characteristics significantly affected the overall effect size on sleep quality.</p><p><strong>Conclusions: </strong>Acupressure appears to be a promising intervention for enhancing sleep quality among cancer patients. Future studies should elucidate the long-term effects of acupressure on sleep quality, identify effective acupressure characteristics and determine which types of cancer patients benefit from this intervention.</p><p><strong>Impact: </strong>This study provides a comprehensive summary of evidence supporting the use of acupressure to enhance sleep quality in cancer patients and demonstrates its effectiveness in clinical nursing practice.</p><p><strong>Reporting method: </strong>PRISMA 2020 statement.</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":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006517","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 Effects of Augmented Reality on Rehabilitation of Stroke Patients: A Systematic Review and Meta-Analysis With Trial Sequential Analysis\".","authors":"Venkata Dileep Kumar Veldi, Rachana Mehta, Ranjana Sah","doi":"10.1111/jocn.17789","DOIUrl":"https://doi.org/10.1111/jocn.17789","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025878","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":"Re-evaluating Evidence-Based Practices in Central Venous Catheter Maintenance in ICU Nurses.","authors":"Brijesh Sathian, Hanadi Al Hamad, Javed Iqbal","doi":"10.1111/jocn.17785","DOIUrl":"https://doi.org/10.1111/jocn.17785","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025181","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}