Astrid Durdei Midtsund, Eva Marie Røsholt Hansen, Helene Eikeskog Burger, Turid Kristin Sundar, Lena Henriksen, Mirjam Lukasse, Lisbeth Valla
{"title":"Preventing Child Maltreatment in Early Childhood: The Clinical Role of Public Health Nurses in Primary Care.","authors":"Astrid Durdei Midtsund, Eva Marie Røsholt Hansen, Helene Eikeskog Burger, Turid Kristin Sundar, Lena Henriksen, Mirjam Lukasse, Lisbeth Valla","doi":"10.1111/jocn.70092","DOIUrl":"https://doi.org/10.1111/jocn.70092","url":null,"abstract":"<p><strong>Aim and objective: </strong>To explore how public health nurses at child and family health clinics work to prevent maltreatment and the experiences of public health nurses in the maltreatment prevention efforts.</p><p><strong>Background: </strong>Child maltreatment is a serious societal issue with major consequences. Preventive efforts are increasing and have broad political support. A key objective of the child and family health clinic services is to prevent, identify, and stop maltreatment, abuse, and neglect. National clinical guidelines outline, in general terms, how such work should be conducted. However, limited research exists on how public health nurses prevent maltreatment and the effectiveness of their methods.</p><p><strong>Design and method: </strong>A qualitative and explorative design was used, based on semi-structured interviews with 14 public health nurses conducted as part of the project 'Public Health Nurses in Child and Family Clinics' Role in Preventing and Detecting Child Maltreatment' at Oslo Metropolitan University. The interviews were carried out between August and November 2021. We used qualitative content analysis with an inductive approach to analyse the data.</p><p><strong>Result: </strong>Three main categories were developed: 1. Structure and system: weaving prevention into daily practice; 2. To dare and endure: a negotiation of courage and understanding, and 3. To empower and uphold: the goal of strengthening and supporting parents. The results show the importance of early intervention, barriers to discussing maltreatment with parents, and the importance of building trust and empowering parents.</p><p><strong>Conclusion: </strong>Preventing maltreatment is a key part of public health nurses' clinical work, focusing on early risk identification and parental guidance. While building trust with families is prioritised, structural, resource, and guideline-related challenges persist.</p><p><strong>Implications for practice: </strong>This study provides knowledge about Norwegian public health nurses clinical work with child maltreatment at the child and family health clinics, which can serve as a valuable foundation for further research as well as for collaborating services.</p><p><strong>Reporting method: </strong>EQUATOR guidelines were followed, using the COREQ checklist.</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":3.5,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994253","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}
Rosalina Aparecida Partezani Rodrigues, Daiane de Souza Fernandes, Mauriely Paiva de Alcântara E Silva, Maria Eduarda Dos Santos, Dieyeni Yuki Kobayasi Bento, Júlia do Carmo Borges, Monica Rodrigues Perracini, Nereida Kilza da Costa Lima
{"title":"Predictive Capacity of the Integrated Care for Older People Screening Tool to Assess Fall Risk in Older Adults in Geriatric Care.","authors":"Rosalina Aparecida Partezani Rodrigues, Daiane de Souza Fernandes, Mauriely Paiva de Alcântara E Silva, Maria Eduarda Dos Santos, Dieyeni Yuki Kobayasi Bento, Júlia do Carmo Borges, Monica Rodrigues Perracini, Nereida Kilza da Costa Lima","doi":"10.1111/jocn.70063","DOIUrl":"10.1111/jocn.70063","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the predictive capacity of the Integrated Care for Older People screening tool for the risk of falls in older people receiving care at a healthcare service.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Method: </strong>This study was conducted in a geriatric healthcare service in the southeast region of Brazil. The convenience sample included older people aged 60 and over living at home. The study used the Fall Risk Score to assess the risk of falls and the Integrated Care for Older People screening tool to track intrinsic capacity. The data was analysed using logistic regression to analyse the association between the six Intrinsic Capacity domains, for the early detection of impairment and risk of falls.</p><p><strong>Results: </strong>A total of 253 older adults participated in the study, most of whom were identified as having a high risk of falls. Logistic regression analysis across six association models revealed that the models including the Intrinsic Capacity domains of locomotion and hearing had a significant association with having a higher risk of falls. Care plans should prioritise the domains most strongly associated with fall risk, guiding targeted strategies to enhance older adults' safety.</p><p><strong>Conclusion: </strong>The Integrated Care for Older People screening tool, in the locomotion and hearing domains, is associated with the risk of falls in older people from the community receiving care in a geriatric healthcare service. Future longitudinal studies could show whether other domains of intrinsic capacity can predict the occurrence of falls.</p><p><strong>Relevance to clinical practice: </strong>This study highlights the Integrated Care for Older People screening tool as essential in nursing practice, especially for assessing the locomotion and hearing domains of intrinsic capacity. Early detection of impairments helps identify increased fall risk in older adults, enabling nurses to implement targeted, person-centred interventions that enhance safety, autonomy and overall quality of life.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p><p><strong>Reporting method: </strong>This study complied with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines for cross-sectional studies.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977241","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":"Refining Fall Risk Assessment Scale for Nursing Homes Among Older Adults With Cognitive Impairment: A Mokken Analysis.","authors":"Yuan Luo, Xiaoni Chai, Haiye Ran, Yuqian Deng, Jiaxin Liu, Liping Zhao","doi":"10.1111/jocn.70095","DOIUrl":"10.1111/jocn.70095","url":null,"abstract":"<p><strong>Aim: </strong>To refine fall risk assessment scale among older adults with cognitive impairment in nursing homes.</p><p><strong>Design: </strong>A cross-sectional survey.</p><p><strong>Methods: </strong>Mokken analysis was conducted to refine the assessment scale based on unidimensionality, local independence, monotonicity, dimensionality, and reliability. Data were gathered from cognitively impaired older adults in a nursing home from January to February 2023. Trained nursing assistants conducted face-to-face assessments and reviewed medical records to administer the scale.</p><p><strong>Results: </strong>Emotion and State Dimension did not meet unidimensionality criteria (H = 0.14), particularly item Q9, which also violated local independence. Monotonicity analysis showed all items exhibited monotonic increases. After refinement at c = 0.3, the scale consists of nine items. With increasing c-values, the first seven items were ultimately retained to form the final version of the scale. Both optimised scales (9-item and 7-item) satisfied reliability requirements, with all coefficients (Cronbach's α, Guttman's lambda-2, Molenaar-Sijtsma, Latent Class Reliability Coefficient) ≥ 0.74.</p><p><strong>Conclusions: </strong>The scale is suitable for assessing fall risk among older adults with cognitive impairment, with a unidimensional scale of the first seven items recommended for practical use. Future efforts should refine the scale by exploring additional risk factors, especially emotion-related ones.</p><p><strong>Implications for the profession and patient care: </strong>The refined 7-item scale provides nursing home staff with a practical, reliable tool for assessing fall risk in cognitively impaired older adults, enabling targeted prevention strategies to enhance safety and reduce injuries.</p><p><strong>Impact: </strong>The refined 7-item scale provides nursing home staff with a reliable, practical, and scientifically validated tool specifically designed for assessing fall risk in older adults with cognitive impairment. Its simplicity enables efficient integration into routine clinical workflows, empowering caregivers to proactively identify risk factors and implement timely, targeted interventions. This approach directly enhances resident safety by translating assessment results into actionable prevention strategies within daily care practices.</p><p><strong>Reporting method: </strong>This study was reported in accordance with the STROBE guidelines.</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":3.5,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977190","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}
Elizabeth Flannery, Kath Peters, Gillian Murphy, Elizabeth Halcomb, Lucie M Ramjan
{"title":"Lives Transformed-The Experiences of Significant Others Supporting Patients With Severe Burn Injury: A Narrative Inquiry.","authors":"Elizabeth Flannery, Kath Peters, Gillian Murphy, Elizabeth Halcomb, Lucie M Ramjan","doi":"10.1111/jocn.70091","DOIUrl":"https://doi.org/10.1111/jocn.70091","url":null,"abstract":"<p><strong>Aim: </strong>To explore the experiences of significant others of patients with severe burn injury in the intensive care unit. Specifically, how severe burn injury impacted the significant other and their role within their loved one's life.</p><p><strong>Design: </strong>This qualitative study employed a Narrative Inquiry approach.</p><p><strong>Methods: </strong>Interviews were undertaken during 2021-2022 with 17 participants who were the significant others of a patient with severe burn injury in the Intensive Care Unit. Recruitment occurred in New South Wales, Australia, from two tertiary hospitals providing care for people with major burns. A narrative inquiry approach was utilised, capturing stories through semi-structured interviews.</p><p><strong>Results: </strong>Significant others experienced necessary changes in their life in response to the catastrophe. These included advocating, being present and ensuring their loved one's needs were met, while often neglecting themselves. Significant others contemplated their future as a carer to their loved one with severe burn injury, and adjusting their own career, finances and lifestyle, often as a long-term measure. The shifting of their role to carer ultimately transformed and redefined their relationships and lives.</p><p><strong>Conclusion: </strong>Significant others endure immense trauma when a loved one sustains a severe burn injury. They require support but prioritise the patient by virtue of their critical illness. The life of the significant other is changed as they take on the role of carer and provide support. It is, therefore, imperative that the support needs of significant others are recognised, understood and addressed to ensure their well-being while processing the trauma.</p><p><strong>Implications for practice: </strong>With increased understanding of the significant others' experiences, healthcare providers can adopt a consultative approach, where roles and boundaries can be clearly identified. Through this process, healthcare providers can strengthen rapport and provide targeted support for significant others, as they navigate this traumatic life-altering event.</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":3.5,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977111","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}
Jianxia Zhai, Christine Mooney, Olivia Hamilton, Gillian Vesty, Rebecca Millar, Fiona Runacres, Matthew Dellit, Barbora de Courten
{"title":"Embedding a Palliative Care Nurse Consultant Within a General Medicine Ward: A Prospective Exploratory Study.","authors":"Jianxia Zhai, Christine Mooney, Olivia Hamilton, Gillian Vesty, Rebecca Millar, Fiona Runacres, Matthew Dellit, Barbora de Courten","doi":"10.1111/jocn.70088","DOIUrl":"https://doi.org/10.1111/jocn.70088","url":null,"abstract":"<p><strong>Aim: </strong>To describe patient outcomes for patients at high risk of mortality (with a prognosis of three months or less to live) where a Palliative Care Nurse Consultant (PCNC) was embedded in a General Medicine team. To explore patients and/or their carers feedback and allied health, nursing professionals' perspectives on integrating a palliative care approach in the General Medicine ward.</p><p><strong>Design: </strong>Prospective exploratory study.</p><p><strong>Methods: </strong>SQUIRE reporting guidelines was adopted for the study reporting. This study was conducted over six weeks in a general medicine ward at Monash Medical Centre in Melbourne, Australia. Participants were 20 patients aged > 65 years with non-malignant, chronic conditions at high risk of mortality within three months and had 18 nursing and allied health professionals involved in their care. Quantitative data were analysed descriptively and qualitative survey data were analysed thematically.</p><p><strong>Results: </strong>Twenty patients participated, with an average age of 87 years. 55% spoke a language other than English. PCNC interventions, focused on care coordination and family liaison, were found to facilitate timely referrals to other support services, improve communication and better address end-of-life care needs. Healthcare professionals recognised the benefits of PCNC involvement; however, a key qualitative theme was staff reluctance to raise palliative care needs due to perceived role boundaries and limited confidence. While PCNC presence improved communication and advocacy, barriers included time constraints and patient/family resistance.</p><p><strong>Conclusion: </strong>Embedding a PCNC in a general medicine team appears to enhance care coordination and support timely palliative care integration. Addressing barriers and optimising workflow can improve patient, carer and clinician experience as well as improve resource utilisation.</p><p><strong>Implications for the profession and/or patient care: </strong>The model has the potential to enhance patient-centred care and clinician support in acute general medicine settings.</p><p><strong>Impact: </strong>The research will have an impact on acute care settings, particularly general medicine units, by informing models of integrated palliative care for patients with complex needs and enhancing staff capability and confidence in providing timely, person-centred care.</p><p><strong>Patient or public contribution: </strong>Patients or members of the public were not involved in the design, conduct, analysis or manuscript preparation of this study. The project was a prospective observational study with limited scope and resources, which did not include a formal patient or public involvement component.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977123","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}
Thi Thuy Ha Dinh, Fiona Crawford-Williams, Gillian Kruss, Carla Thamm, Gemma Mcerlean, Julia Morphet, Gabrielle Brand, Craig Lawn, Lorraine Breust, Victoria Turner, Jane Mahony, Olivia Cook
{"title":"Development and Psychometric Testing of a Comprehensive Cancer Nurse Self-Assessment Tool (CaN-SAT) for Identifying Cancer Nursing Skills.","authors":"Thi Thuy Ha Dinh, Fiona Crawford-Williams, Gillian Kruss, Carla Thamm, Gemma Mcerlean, Julia Morphet, Gabrielle Brand, Craig Lawn, Lorraine Breust, Victoria Turner, Jane Mahony, Olivia Cook","doi":"10.1111/jocn.70093","DOIUrl":"https://doi.org/10.1111/jocn.70093","url":null,"abstract":"<p><strong>Aim: </strong>To develop and psychometrically test a comprehensive Cancer Nurse Self-Assessment Tool (CaN-SAT).</p><p><strong>Design: </strong>Modified Delphi to assess content validity and cross-sectional survey to assess reliability and validity.</p><p><strong>Methods: </strong>Phase 1: An expert group developed the tool structure and item content. Phase 2: Through a modified Delphi, cancer nursing experts rated the importance of each element of practice and assessed the relevance and clarity of each item. Content Validation Indexes (CVI) were calculated, and a CVI of ≥ 0.78 was required for items to be included. Phase 3: Cancer nurses participated in a survey to test internal consistency (using Cronbach's alpha coefficients) and known-group validity (through Mann-Whitney U tests). This study was reported using the Guidelines for Reporting Reliability and Agreement Studies (GRRAS) checklist.</p><p><strong>Results: </strong>The CaN-SAT underwent two rounds of Delphi with 24 then 15 cancer nursing experts. All elements of practice were rated as important. Only three items achieved a CVI < 0.78 after round one; however, based on open-ended comments, 26 items were revised and one new item added. After round two, all items received a CVI above 0.78. The final tool consisted of 93 items across 15 elements of practice. Cronbach's alpha coefficients were between 0.92 and 0.98 indicating good reliability. Mann-Whitney U tests demonstrated significant differences between clinical nurses and advanced practice nurses across 13 out of 15 elements of practice.</p><p><strong>Conclusion: </strong>The CaN-SAT is a comprehensive, valid and reliable tool that can be used for cancer nurses to self-assess current skill levels, identify their learning needs and inform decisions about educational opportunities to optimise cancer care provision.</p><p><strong>Patient or public contribution: </strong>The research team included three patient advocates from Cancer Voices NSW, who were actively involved in all aspects of the study and are listed as authors.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977103","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 'Prevalence of Frailty and Its Impact on Quality of Life in Older Patients With Breast Cancer: A Prospective Cross-Sectional Study'.","authors":"Hongqin Zhao, Sheng Dai","doi":"10.1111/jocn.70096","DOIUrl":"https://doi.org/10.1111/jocn.70096","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977095","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}
Dwi Apriadi, Dally Rahman, Restu Arahman Melba, Hui-Chuan Huang
{"title":"Longitudinal Analysis of Mental Health Trajectories in Lung Cancer Survivors: A Hierarchical Linear Modelling Approach.","authors":"Dwi Apriadi, Dally Rahman, Restu Arahman Melba, Hui-Chuan Huang","doi":"10.1111/jocn.70087","DOIUrl":"https://doi.org/10.1111/jocn.70087","url":null,"abstract":"<p><strong>Aims: </strong>To examine individual variations in mental health trajectories and identify associated risk factors among patients with lung cancer.</p><p><strong>Design: </strong>A longitudinal study.</p><p><strong>Methods: </strong>Participants recruited from outpatient clinics at five time points: 1, 3, 6, 9 and 12 months after a diagnosis. Data collected included demographic and disease-related characteristics, symptom distress, and mental health. Hierarchical Linear Modelling (HLM) was used to analyse changes in mental health trajectories and identify significant predictors. The study is reported using the STROBE checklist.</p><p><strong>Results: </strong>In total, 130 patients with lung cancer were included in the study. Mental health demonstrated a significant improvement over time, with notable individual variations in patterns of improvement. Male patients and those experiencing high levels of symptom distress exhibited slower improvements in mental health over time.</p><p><strong>Conclusions: </strong>Patients with lung cancer showed overall improvement in mental health within 1 year following a diagnosis; however, the pattern of improvement varied among individuals. Male patients and those with high levels of symptom distress constituted a vulnerable group, exhibiting poorer mental health outcomes over time.</p><p><strong>Implications for the profession and patient care: </strong>Early assessments of and individualised interventions for symptoms distress to improve mental health should be considered essential components of care to enhance the overall well-being of patients with lung cancer.</p><p><strong>Impact: </strong>These findings highlight the need for healthcare professionals implementing person-centred interventions aimed at improving mental health that might be beneficial for patients with lung cancer.</p><p><strong>Reporting method: </strong>Study methods and results reported in adherence to the STROBE checklist.</p><p><strong>Patient or public contribution: </strong>Patients contributed their consent, time, and data to the study.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977146","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":"Barriers and Facilitators in Implementing Clinical Practice Guidelines Among Nurses in Emergency Departments and Critical Care Units: A Systematic Review.","authors":"Mona Hamdi Alrashdi, Barry Quinn, Susan A Clarke","doi":"10.1111/jocn.70086","DOIUrl":"https://doi.org/10.1111/jocn.70086","url":null,"abstract":"<p><strong>Aim: </strong>This systematic review explored the barriers and facilitators to the implementation of clinical practice guidelines (CPGs) among nurses in emergency departments (EDs) and critical care units (CCUs).</p><p><strong>Design: </strong>Systematic review.</p><p><strong>Method: </strong>A systematic review was performed using both qualitative and quantitative studies from five databases (CINAHL, Web of Science, Embase, Scopus and PubMed). The literature search was conducted in May 2024. The PRISMA framework was used to guide the review process. Findings were subject to a narrative, thematic analysis and critical appraisal.</p><p><strong>Results: </strong>Eighteen studies were identified that met the inclusion criteria, yielding three themes related to barriers and facilitators of guideline implementation: individual-level, guideline-level and organisational-level. Key barriers included lack of awareness of guidelines, lack of knowledge and skills, attitudes towards guidelines, resource limitations, lack of perceived support, complexity of guidelines and lack of training. Facilitators to guideline use included colleague support, adequate training, effective leadership and refinement of guidelines to ensure relevance, local adaptation and user-friendly content.</p><p><strong>Discussion: </strong>Numerous barriers to nurse implementation of CPGs exist in ED and CCU settings, reflecting a complex interplay of individual, CPG-related and organisational factors. To facilitate CPG implementation, it is important for staff to be educated and trained in their use, supported to implement (including resource allocation) and that CPGs are designed to be easily implemented in practice.</p><p><strong>Conclusion: </strong>This systematic review highlights risk factors for poor CPG implementation and highlights the importance of addressing awareness, knowledge, resources and support for CPG use through targeted training, leadership and CPG design.</p><p><strong>Relevance to clinical practice: </strong>An analysis of barriers and facilitators to CPG implementation among nurses in ED and CCU settings provides an important opportunity to address a gap in the literature, facilitating the development of strategies to promote CPG use and enhance care quality among nurses in these specific contexts.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977106","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":"Nurse Alarm Management in the ICU: Insights and Future Directions From an Observational Study.","authors":"Xin Wang, Nan Wang, Wenjing Zhao","doi":"10.1111/jocn.70081","DOIUrl":"https://doi.org/10.1111/jocn.70081","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977121","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}