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Impact of Ruminative Thinking on Breathlessness Catastrophizing With Elderly COPD Patients: The Mediating Role of Self-Efficacy. 反刍思维对老年COPD患者呼吸困难灾难化的影响:自我效能感的中介作用
IF 3.2 3区 医学
Journal of Clinical Nursing Pub Date : 2025-04-15 DOI: 10.1111/jocn.17768
Yuye Zhang, Qiufang Li, Xiaokai Wang, Tianci Xiao, Chenmeng Wei, Na Song, Lamei Liu
{"title":"Impact of Ruminative Thinking on Breathlessness Catastrophizing With Elderly COPD Patients: The Mediating Role of Self-Efficacy.","authors":"Yuye Zhang, Qiufang Li, Xiaokai Wang, Tianci Xiao, Chenmeng Wei, Na Song, Lamei Liu","doi":"10.1111/jocn.17768","DOIUrl":"https://doi.org/10.1111/jocn.17768","url":null,"abstract":"<p><strong>Background: </strong>It is extremely significant to explore the relationship between ruminative thinking and breathlessness catastrophizing among elderly COPD patients. However, the impact of self-efficacy on this relationship is still unclear. This study attempted to explore the mediating role of self-efficacy between ruminative thinking and breathlessness catastrophizing.</p><p><strong>Design: </strong>A cross-sectional study was reported following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.</p><p><strong>Methods: </strong>This study was conducted between 10 November 2024 and 25 January 2025, with 225 patients. Data were collected using the valid and reliable instruments, including the Ruminative Response Scale (RRS), the COPD Self-Efficacy Scale (CSES) and the Breathlessness Catastrophizing Scale (BCS). Additionally, IBM SPSS v28.0 software was used to explore the mediating effect.</p><p><strong>Results: </strong>The scores for BCS of most patients were at moderate and high levels. Scores for the RRS and CSES were significantly correlated with the BCS. The analysis of the mediating effect demonstrated that ruminative thinking has a direct predictive effect on breathlessness catastrophizing. Additionally, ruminative thinking can also predict breathlessness catastrophizing indirectly through the mediation of self-efficacy. The direct effect accounted for 64.4% of the total effect.</p><p><strong>Conclusion: </strong>This research revealed that self-efficacy played a partial mediating role in the relationship between ruminative thinking and breathlessness catastrophizing. Specifically, patients who were trapped in ruminative thinking were more likely to experience heightened breathlessness catastrophizing, but this relationship was mitigated by their level of self-efficacy.</p><p><strong>Implications for the profession and/or patient care: </strong>This finding underscores the significant psychological burden that accompanies the physical symptoms of COPD in this demographic. It is imperative that nurses adopt a holistic approach in the management of elderly COPD patients.</p><p><strong>Patient or public contribution: </strong>Voluntary patients with elderly COPD hospitalised in the pneumology department were included in the study.</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":"144041401","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}
引用次数: 0
End-Of-Life Simulation in Undergraduate Nursing Curricula: A Cross-Sectional Survey. 本科护理课程中的临终模拟:一项横断面调查。
IF 3.2 3区 医学
Journal of Clinical Nursing Pub Date : 2025-04-11 DOI: 10.1111/jocn.17776
Cindy Hoang, Beverley Copnell, Sharon Bourke, Monica Peddle
{"title":"End-Of-Life Simulation in Undergraduate Nursing Curricula: A Cross-Sectional Survey.","authors":"Cindy Hoang, Beverley Copnell, Sharon Bourke, Monica Peddle","doi":"10.1111/jocn.17776","DOIUrl":"https://doi.org/10.1111/jocn.17776","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to explore end-of-life simulation in undergraduate nursing curricula in Australian and New Zealand institutions.</p><p><strong>Design: </strong>A cross-sectional descriptive research design was employed. The study is reported using the CROSS checklist.</p><p><strong>Methods: </strong>A survey was distributed to 45 institutions with an accredited Bachelor of Nursing programme in Australia or New Zealand. The instrument comprised eight domains: simulation orientation, simulator type, simulation environment, instructional design, simulation event, pre-brief, debrief, and facilitation preparation and requirements.</p><p><strong>Results: </strong>Thirty institutions responded to the survey, with 25 suitable for data analysis. Eleven institutions included end-of-life simulation in their curriculum. The dominant modality used in the end-of-life simulation was high-technology manikins. All institutions used a validated approach to conducting the pre-brief and debrief. Variations were reported in the skill and clinical expertise required of end-of-life simulation facilitators and the approaches and modalities used in end-of-life simulations across institutions.</p><p><strong>Conclusion: </strong>A small number of institutions reported including end-of-life simulations in their undergraduate nursing curriculum. This study found the end-of-life simulations integrated into undergraduate nursing curricula in Australia and New Zealand align with many elements of the Healthcare Simulation Standards of Best Practice. There were variations in the simulation modality and facilitation style used to deliver end-of-life simulations across institutions. While a pre-brief session was included, the elements covered and information conveyed to participants varied across institutions. Additionally, the content expertise required of simulation facilitators lacked clarity.</p><p><strong>Recommendation for future research: </strong>The influence the pre-brief has on the student learning experience requires further research. Moreover, the learning experiences of the participants in various simulation modalities, including the influence of SPs and debriefing approaches, warrant investigation. The role and impact of professional development and facilitator requirements, such as skills and clinical expertise, on the student learning experiences and outcomes in EOL simulation offer opportunities for further research.</p><p><strong>Patient or public contribution: </strong>There were no patient or public contributions in this study.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030590","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}
引用次数: 0
Reflection Supports Newly Graduated Nurses' Professional Development When Transitioning Into Practice. 反思支持新毕业护士的专业发展。
IF 3.2 3区 医学
Journal of Clinical Nursing Pub Date : 2025-04-10 DOI: 10.1111/jocn.17772
Magdalena Lindblom, Jessica Höglander, Anna Letterstål, Marie-Louise Södersved Källestedt, Margareta Asp, Margareta Widarsson
{"title":"Reflection Supports Newly Graduated Nurses' Professional Development When Transitioning Into Practice.","authors":"Magdalena Lindblom, Jessica Höglander, Anna Letterstål, Marie-Louise Södersved Källestedt, Margareta Asp, Margareta Widarsson","doi":"10.1111/jocn.17772","DOIUrl":"https://doi.org/10.1111/jocn.17772","url":null,"abstract":"<p><strong>Aim: </strong>To describe newly graduated nurses' experiences of reflection as a support for professional development during the initial months of their transition while caring for patients in a hospital setting.</p><p><strong>Design: </strong>A qualitative descriptive design.</p><p><strong>Methods: </strong>Four focus groups with 20 newly graduated nurses participating in a professional development programme at aregion in Sweden were conducted in 2023. The data were analysed using qualitative content analysis.</p><p><strong>Findings: </strong>The analysis identified one main category: Reflection supports newly graduated nurses' professional development during their transition. This main category includes three generic categories: (1) Reflection with peers in a regularly structured dialogue group strengthens the professional role; (2) reflection with experienced healthcare instructors in learning activities enhances the mastery of care tasks; and (3) reflection with experienced colleagues in the workplace enhances task performance. Structured reflection in dialogue groups and interactive learning activities within the Professional Development Programme facilitated deeper reflections on caring experiences.</p><p><strong>Conclusions: </strong>Newly graduated nurses reported that regularly structured reflection, adequate space, and established trust were essential to their professional development. While the professional development programme provided opportunities, variations in the workplace environment led to unequal conditions for reflective practice.</p><p><strong>Implications for the profession: </strong>Addressing the need for reflection among newly graduated nurses is crucial for organisations to facilitate their transition. Establishing structures for reflection on caring experiences within introduction programmes can support their professional development.</p><p><strong>Impact: </strong>Reflective practice in complex and challenging hospital settings can support the professional development of newly graduated nurses.</p><p><strong>Reporting method: </strong>The Consolidated Criteria for Reporting Qualitative Research (COREQ) was adhered to.</p><p><strong>Patient or public contributions: </strong>No patient or public contributions.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992992","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}
引用次数: 0
Commentary on "Geriatric Nutritional Risk Index and In-Hospital Mortality and Costs in Older Inpatients With and Without Cancer: A Retrospective Observational Study". 对“老年营养风险指数、住院死亡率和住院费用在有和没有癌症的老年住院患者:回顾性观察研究”的评论。
IF 3.2 3区 医学
Journal of Clinical Nursing Pub Date : 2025-04-10 DOI: 10.1111/jocn.17769
Javed Iqbal, Muna Al Maslamani, Brijesh Sathian
{"title":"Commentary on \"Geriatric Nutritional Risk Index and In-Hospital Mortality and Costs in Older Inpatients With and Without Cancer: A Retrospective Observational Study\".","authors":"Javed Iqbal, Muna Al Maslamani, Brijesh Sathian","doi":"10.1111/jocn.17769","DOIUrl":"https://doi.org/10.1111/jocn.17769","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006510","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}
引用次数: 0
Status and Influencing Factors of Discharge Readiness in Day Surgery Lung Cancer Patients Under a Fast-Track Rehabilitation Pathway. 快速康复路径下肺癌日间手术患者出院准备状态及影响因素
IF 3.2 3区 医学
Journal of Clinical Nursing Pub Date : 2025-04-10 DOI: 10.1111/jocn.17743
Jie Yang, Ling Ge, Xin-Xing Ju, Xiao-Xin Liu
{"title":"Status and Influencing Factors of Discharge Readiness in Day Surgery Lung Cancer Patients Under a Fast-Track Rehabilitation Pathway.","authors":"Jie Yang, Ling Ge, Xin-Xing Ju, Xiao-Xin Liu","doi":"10.1111/jocn.17743","DOIUrl":"https://doi.org/10.1111/jocn.17743","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the status of discharge readiness of patients undergoing daytime lung cancer surgery and analyse its influencing factors.</p><p><strong>Design: </strong>This was a cross-sectional study.</p><p><strong>Methods: </strong>In this study, patients who underwent daytime lung cancer surgery from August 2022 to February 2023 at a Tertiary Care Hospital in Shanghai were selected via the convenience sampling method. A general data questionnaire, the Readiness for Hospital Discharge Scale, the Brief Illness Perception Questionnaire and the 10-item Connor Davidson Resilience Scale were used to assess 203 patients. Multiple linear regression analysis was used to analyse the factors influencing discharge readiness.</p><p><strong>Results: </strong>The total Readiness for Hospital Discharge Scale score for patients who underwent daytime lung cancer surgery was 72.76 ± 20.91. Multiple regression analysis revealed that residence, monthly family income, the presence of postoperative adverse effects, illness perception and resilience were influencing factors for discharge readiness (p < 0.05), with illness perception (β = -0.391, p < 0.001) and resilience (β = 0.317, p < 0.001) being the most significant factors, which together explained 44.9% of the total variance.</p><p><strong>Conclusion: </strong>The discharge readiness of day surgery patients with lung cancer is moderate, indicating room for improvement. Clinical practice should focus on lower-income, rural or postoperative patients with adverse reactions. Additionally, promoting patients' positive perceptions of their illness and increasing their resilience can further enhance their discharge readiness.</p><p><strong>Reporting methods: </strong>The reporting of the study was guided by the STROBE checklist: cross-sectional studies (Table S1).</p><p><strong>Relevance to clinical practice: </strong>Healthcare professionals should focus on assessing patients' readiness for discharge, consistent with the World Health Organization's emphasis on patient-centred discharge planning. We recommend (1) establishing post-discharge support systems for rural and low-income patients, (2) including resilience-building interventions in preoperative education and (3) adopting a multiform health promotion approach to change negative illness perceptions and coping strategies. Additionally, we strongly advocate for the development of nurse-led transitional care plans that address both medical and psychosocial needs to optimise patient recovery and long-term well-being.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040006","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}
引用次数: 0
Comparative Efficacy of Non-Pharmacological Interventions on Anxiety, Depression, Sleep Disorder, and Quality of Life in Patients With Liver Transplantation: A Systematic Review and Network Meta-Analysis. 非药物干预对肝移植患者焦虑、抑郁、睡眠障碍和生活质量的比较疗效:系统回顾和网络荟萃分析
IF 3.2 3区 医学
Journal of Clinical Nursing Pub Date : 2025-04-10 DOI: 10.1111/jocn.17753
Min Li, Binyang Yu, Haiyan Yang, Haiyan He, Rui Gao
{"title":"Comparative Efficacy of Non-Pharmacological Interventions on Anxiety, Depression, Sleep Disorder, and Quality of Life in Patients With Liver Transplantation: A Systematic Review and Network Meta-Analysis.","authors":"Min Li, Binyang Yu, Haiyan Yang, Haiyan He, Rui Gao","doi":"10.1111/jocn.17753","DOIUrl":"https://doi.org/10.1111/jocn.17753","url":null,"abstract":"<p><strong>Aims: </strong>To compare and rank the efficacy of different non-pharmacological interventions on anxiety, depression, sleep disorders, and the quality of life in liver transplantation patients.</p><p><strong>Background: </strong>In recent years, numerous non-pharmacological interventions have been developed to address anxiety, depression, sleep disorders, and the quality of life in liver transplantation patients. However, it remains unclear which non-pharmacological intervention serves as the most effective and preferred approach.</p><p><strong>Design: </strong>A systematic review and network meta-analysis in accordance with the PRISMA guidelines.</p><p><strong>Methods: </strong>Relevant randomised controlled trials were extracted from eight electronic databases. A network meta-analysis was then performed to evaluate the relative efficacy of the non-pharmacological interventions for liver transplantation patients. The quality of the data was assessed using the Cochrane Risk of Bias tool. We registered this study in PROSPERO, number CRD42023450346.</p><p><strong>Results: </strong>A total of 25 randomised controlled trials were included. Spouse support education combined with mindfulness training, individualised psychological intervention, and cognitive behavioural therapy were found to be significantly effective for both anxiety and depression. The top three interventions against anxiety were spouse support education combined with mindfulness training, individualised psychological intervention, and exercise rehabilitation training. Meanwhile, individualised psychological intervention, spouse support education combined with mindfulness training, and cognitive behavioural therapy were the top-ranked three interventions for reducing depression. Sleep hygiene education was the most effective to improve sleep disorders. Continuous care based on a mobile medical platform emerged as the most effective intervention in improving the quality of life.</p><p><strong>Conclusion: </strong>Several non-pharmacological interventions appeared to be effective in treating anxiety, depression, sleep disorders, and improving the quality of life among liver transplantation patients. More high-quality clinical trials should be incorporated in the future to investigate the reliability of existing findings.</p><p><strong>Relevance to clinical practice: </strong>Healthcare professionals should be encouraged to apply these promising non-pharmacological interventions during clinical care.</p><p><strong>No patient or public contribution: </strong>This study did not directly involve patients or public contributions to the manuscript.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065110","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}
引用次数: 0
A Point Prevalence Study of Need and Provision of Palliative Care in Adult and Medical Surgical Inpatients. 成人和内科外科住院患者姑息治疗需求和提供的点流行研究。
IF 3.2 3区 医学
Journal of Clinical Nursing Pub Date : 2025-04-10 DOI: 10.1111/jocn.17775
Alannah L Cooper, Dipna Martin-Robins, Natalie Panizza, Sally Coppock, Janie A Brown
{"title":"A Point Prevalence Study of Need and Provision of Palliative Care in Adult and Medical Surgical Inpatients.","authors":"Alannah L Cooper, Dipna Martin-Robins, Natalie Panizza, Sally Coppock, Janie A Brown","doi":"10.1111/jocn.17775","DOIUrl":"https://doi.org/10.1111/jocn.17775","url":null,"abstract":"<p><strong>Aim: </strong>To gain an understanding of palliative care need and provision in adult medical and surgical inpatients.</p><p><strong>Design: </strong>An observational point prevalence study was conducted across four study sites in Western Australia.</p><p><strong>Methods: </strong>All data were collected directly from patient medical records by Registered Nurses. Potential palliative care need was assessed using disease-specific indicators for the 12 conditions outlined in the Gold Standards Framework Proactive Indicator Guidance.</p><p><strong>Results: </strong>A total of 865 medical and surgical inpatients met study inclusion criteria. Across the four study sites, 38% (n = 331) of adult inpatients reviewed could have potentially benefitted from palliative care. Of the n = 331 patients assessed as having indicators for palliative care, there was evidence that 27% (n = 90) were currently receiving some form of palliative care, while 3% (n = 9) had been referred for specialist palliative care. For the majority of patients (70%, n = 232) there was no evidence of them receiving any form of palliative care or awaiting specialist palliative care.</p><p><strong>Conclusion: </strong>This study identified high levels of potential palliative care need among adult medical and surgical inpatients. The majority of the patients identified as having indicators for palliative care were not receiving any form of palliative care.</p><p><strong>Implications for the profession and/or patient care: </strong>The high prevalence of palliative care need found in this study highlights that recognising and addressing palliative care is essential for high-quality care for medical and surgical inpatients. To address the high level of need identified all nurses require basic palliative care training to provide optimal patient care.</p><p><strong>Impact: </strong>Knowledge about the level of palliative care need and provision of palliative care in public hospitals was limited. This study identified a high prevalence of potential palliative care need in medical and surgical inpatients. The majority of patients with indicators for palliative care were not receiving any form of palliative care. This research demonstrates that palliative care needs should be considered by all registered nurses and other health professionals caring for medical and surgical inpatients.</p><p><strong>Reporting method: </strong>The study is reported using 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":3.2,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025804","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}
引用次数: 0
Mixed Reality in Nursing Practice: A Mixed Methods Systematic Review. 护理实践中的混合现实:混合方法系统综述。
IF 3.2 3区 医学
Journal of Clinical Nursing Pub Date : 2025-04-08 DOI: 10.1111/jocn.17722
Chandler H Moser, Changhwan Kim, Bindu Charles, Renilda Tijones, Elsa Sanchez, Jedry G Davila, Hemilla R Matta, Michael J Brenner, Vinciya Pandian
{"title":"Mixed Reality in Nursing Practice: A Mixed Methods Systematic Review.","authors":"Chandler H Moser, Changhwan Kim, Bindu Charles, Renilda Tijones, Elsa Sanchez, Jedry G Davila, Hemilla R Matta, Michael J Brenner, Vinciya Pandian","doi":"10.1111/jocn.17722","DOIUrl":"https://doi.org/10.1111/jocn.17722","url":null,"abstract":"<p><strong>Aim(s): </strong>To review the current evidence on mixed reality (MR) applications in nursing practice, focusing on efficiency, ergonomics, satisfaction, competency, and team effectiveness.</p><p><strong>Design: </strong>Mixed methods systematic review of empirical studies evaluating MR interventions in nursing practice.</p><p><strong>Methods: </strong>The systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and was registered with PROSPERO. Studies were included if they assessed nursing outcomes related to MR interventions. Exclusion criteria encompassed reviews, studies focusing solely on virtual reality, and those involving only nursing students. The Cochrane ROBINS-I, RoB 2, and CASP tools assessed the risk of bias and methodological quality.</p><p><strong>Data sources: </strong>A comprehensive search of 12 databases (MEDLINE, Embase, CINAHL, Cochrane Library, Web of Science, and others) covered literature published between January 2013 and January 2023.</p><p><strong>Results: </strong>Eight studies met inclusion criteria, exploring diverse MR implementations, including smart glasses and mobile applications, across various nursing specialisations. MR demonstrated potential benefits in efficiency, such as faster task completion and improved accuracy. Satisfaction outcomes were limited but indicated promise. Ergonomic challenges were identified, including discomfort and technical issues. Studies on competency showed mixed results, with some evidence of improved skill acquisition. Team effectiveness and health equity outcomes were underexplored.</p><p><strong>Conclusion: </strong>While MR shows potential in enhancing nursing practice, evidence is heterogeneous and clinical relevance remains unclear. Further rigorous comparative studies are necessary to establish its utility and address barriers to adoption.</p><p><strong>Implications for the profession and/or patient care: </strong>MR technology may enhance nursing efficiency, competency and satisfaction. Addressing ergonomic and technical challenges could optimise adoption and benefit patient care.</p><p><strong>Reporting method: </strong>This review adheres to PRISMA guidelines.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p><p><strong>Trial and protocol registration: </strong>PROSPERO registration: #CRD42022324066.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812820","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}
引用次数: 0
Development of A Surgery-Related Pressure Injury Risk Assessment Scale (SURPIRAS): A Methodological Study. 手术相关压力损伤风险评估量表(SURPIRAS)的发展:一项方法学研究。
IF 3.2 3区 医学
Journal of Clinical Nursing Pub Date : 2025-04-08 DOI: 10.1111/jocn.17765
Sema Konateke, Şükriye İlkay Güner
{"title":"Development of A Surgery-Related Pressure Injury Risk Assessment Scale (SURPIRAS): A Methodological Study.","authors":"Sema Konateke, Şükriye İlkay Güner","doi":"10.1111/jocn.17765","DOIUrl":"https://doi.org/10.1111/jocn.17765","url":null,"abstract":"<p><strong>Aim: </strong>To develop the Surgery-Related Pressure Injury Risk Assessment Scale (SURPIRAS) and conduct validity and reliability analyses.</p><p><strong>Design: </strong>A methodological study.</p><p><strong>Methods: </strong>Data were collected from 200 patients with \"Patient Identification Form\", \"Postoperative Patient Assessment Form\", \"SURPIRAS\", \"Risk Assessment Scale for Injuries Related to Surgical Position (ELPO)\" and \"Perioperative Pressure Injury Risk Assessment Scale (Munro Scale)\". Number, percentage and mean, standard deviation were calculated in descriptive statistics. Intraclass correlation coefficient was used to evaluate the validity and reliability of the scale to determine content validity, criterion-related validity and interobserver agreement. The scale's cut-off point, sensitivity and selectivity values were calculated. The study was prepared according to the STARD publication checklist, following EQUATOR guidelines.</p><p><strong>Results: </strong>Pressure injuries occurred in 20.5% of the patients. The total score of the SURPIRAS was found to be statistically significant in terms of postoperative pressure injury development. A positive correlation was found between the developed scale and ELPO and Munro Scale. The strength of this correlation is higher between SURPIRAS and Munro Scale. The cut-off point for the SURPIRAS was determined as 27, and patients with a total score of 28 points and above were classified as high risk.</p><p><strong>Conclusion: </strong>It was determined that the SURPIRAS is a valid and reliable measurement tool in determining the risk of pressure injury in surgical patients in the Turkish population.</p><p><strong>Relevance to clinical practice: </strong>The first thing to do to prevent pressure injuries in surgical patients is risk assessment. The study provides a new contribution to the literature because it is the development of a risk assessment scale.</p><p><strong>Patient or public contribution: </strong>Patients were included in the study after being informed about the study before surgery and giving written and verbal consent. Patients were monitored for pressure injury by the researchers after surgery.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812813","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}
引用次数: 0
Letter to the Editor 'Interventions Facilitating the Involvement of Relatives of Patients With Acquired Brain Injury or Malignant Brain Tumour: A Scoping Review'. 致编辑的信“促进获得性脑损伤或恶性脑肿瘤患者亲属参与的干预措施:范围审查”。
IF 3.2 3区 医学
Journal of Clinical Nursing Pub Date : 2025-04-08 DOI: 10.1111/jocn.17774
Wenyu Huang, Yongchao He, Meiru Li
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