Journal of Clinical Nursing最新文献

{"title":"Trajectories and Co-Occurrence of Perceived Control in Patients With Heart Failure and Self-Efficacy in Their Caregivers: A Three-Month Longitudinal Study of Dual Trajectories.","authors":"Yujun Wang, Yaqi Wang, Xia Chen, Qingyun Lv, Xueying Xu, Jingwen Liu, Yuan He, Hairong Chang, Bowen Wan, Sisi Cheng, Qingyi Wang, Mengmeng Tang, Xiaonan Zhang, Xiaoying Zang, Na Wei","doi":"10.1111/jocn.70072","DOIUrl":"https://doi.org/10.1111/jocn.70072","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to explore the trajectories and co-occurrence of perceived control and caregiver self-efficacy among patients with heart failure (HF) and their caregivers within 3 months post-discharge and identify associated risk factors.</p><p><strong>Design: </strong>A prospective cohort design.</p><p><strong>Methods: </strong>A prospective cohort study was conducted from March to June 2024 in Tianjin, China. Information on perceived control and caregiver self-efficacy was collected 24 h before discharge, 2 weeks, 1 month, and 3 months after discharge. Group-Based Dual Trajectory Modelling (GBDTM) and logistic regression were used for analysis.</p><p><strong>Results: </strong>The study included 203 dyads of patients with HF and their caregivers (HF dyads). Perceived control identified three trajectories: low curve (15.3%), middle curve (57.1%) and high curve (27.6%). Caregiver self-efficacy demonstrated three trajectories: low curve (17.2%), middle curve (56.7%) and high stable (26.1%). GBDTM revealed nine co-occurrence patterns, with the highest proportion (36.7%) being 'middle-curve group for perceived control and middle-curve group for caregiver self-efficacy', and 16.7% being 'high-curve group for perceived control and high-stable group for caregiver self-efficacy'. Age, gender, household income, NYHA class, symptom burden and psychological resilience were identified as risk factors for perceived control trajectories; marital status, regular exercise and psychological resilience were identified as risk factors for caregiver self-efficacy trajectories.</p><p><strong>Conclusion: </strong>We identified distinct trajectories, co-occurrence patterns and risk factors of perceived control and caregiver self-efficacy among HF dyads. These findings help clinical nurses to better design and implement interventions, strengthening the comprehensive management and care outcomes for HF dyads.</p><p><strong>Impact: </strong>These findings highlighted the interactive relationship between perceived control and caregiver self-efficacy trajectories, suggesting that interventions should boost both to improve personalised treatment plans and outcomes for HF dyads.</p><p><strong>Reporting method: </strong>This study adhered to the STROBE checklist.</p><p><strong>Patient or public contribution: </strong>Patients and their caregivers contributed by participating in the study and completing the questionnaire.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977155","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":"Nursing Literature Mapping in Neurodegenerative Diseases: A Scoping Review.","authors":"Mariarosaria Gammone, Gianluca Catania, Andrea Moro, Martina Barbieri, Daniela Cattani, Milko Zanini, G Clara Moreschi, Loredana Sasso, Annamaria Bagnasco","doi":"10.1111/jocn.70075","DOIUrl":"https://doi.org/10.1111/jocn.70075","url":null,"abstract":"<p><strong>Aim: </strong>To explore the topics and themes covered in published research studies in nursing about neurodegenerative disease, synthesise the available evidence, and discuss future directions.</p><p><strong>Design: </strong>Scoping review following the Joanna Briggs Institute guidelines.</p><p><strong>Methods: </strong>A multi-step search strategy was applied across different databases to identify studies published in English or Italian up to September 2023. Data were analysed using a Nursing Data Matrix based on the nursing meta-paradigm and the Child Health and Nutrition Research Initiative (CHNRI) 4D-framework. Screening and data extraction were performed independently by pairs of reviewers; data were extracted and thematically analysed to identify existing research questions and potential priorities.</p><p><strong>Data sources: </strong>Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, and Embase databases were searched for studies published from 2013 to 2023.</p><p><strong>Results: </strong>A total of 351 studies met inclusion criteria. The majority of studies originated from the United States (35%). Parkinson's disease and Alzheimer's disease were the most studied conditions, while rare diseases were scarcely represented. Most studies focused on nursing care (39%), with limited attention to rehabilitation (0.8%) and cost-effectiveness (1%). Although 70% of articles included at least one nurse author, 22% lacked any nursing authorship despite addressing nursing-related topics. Thematic and matrix analyses revealed an uneven distribution of research, with a predominance of descriptive studies and limited work in discovery-oriented research.</p><p><strong>Conclusion: </strong>This review provides a comprehensive overview of nursing research in neurodegenerative diseases, highlighting key themes and gaps. The findings informed the preliminary identification of new nursing research priorities in neurodegenerative diseases to guide future studies and enhance evidence-based nursing care.</p><p><strong>Implications for the profession and/or patient care: </strong>The study highlights key trends and gaps in nursing research on neurodegenerative diseases, calling for a more inclusive, equitable, and comprehensive research agenda.</p><p><strong>Reporting method: </strong>PRISMA-ScR guidelines.</p><p><strong>Patient or public contribution: </strong>This study did not include patient or public involvement in its design, conduct or reporting.</p><p><strong>Trial and protocol registration: </strong>Review registration was done on Open Science Framework, and can be viewed at https://osf.io/tn5v9 (https://doi.org/10.17605/OSF.IO/TN5V9).</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977185","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 Dyadic Self-Care Monitoring in COPD Patients and Caregivers.","authors":"Yan Mao, Xihong Ying, Tao Wu","doi":"10.1111/jocn.70085","DOIUrl":"10.1111/jocn.70085","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876566","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":"Exploring Core and Bridge Symptoms Among People With Type 2 Diabetes Mellitus in China: A Network Analysis.","authors":"Yu-Qin Liu, Shao-Bo Li, Yu-Min Li, Yun-Peng Lu, Yun-Jiang Cai, Jin-Wei Yang, Hong-Hong Jia","doi":"10.1111/jocn.70077","DOIUrl":"10.1111/jocn.70077","url":null,"abstract":"<p><strong>Aim: </strong>To explore the network characteristics of symptom clusters in people with type 2 diabetes mellitus through network analysis, identify the core and bridging symptoms within the symptom network, and provide a foundation for targeted interventions and symptom management in people with T2DM.</p><p><strong>Design: </strong>A cross-sectional survey.</p><p><strong>Methods: </strong>A total of 360 people with T2DM who were hospitalised in the endocrinology departments of two hospitals with Grade A in Daqing City between August 2024 and February 2025 were selected using a convenience sampling method. The symptoms of people with T2DM were measured using the Chinese version of the Diabetes Symptom Checklist-Revised (DSC-R). Symptom clusters were identified through factor analysis, and network analysis was used to identify core and bridging symptoms. This research adhered to the STROBE guidelines.</p><p><strong>Results: </strong>Six symptom clusters were obtained from factor analysis, which were psychological-behavioural symptom cluster, ophthalmological-neuropathy symptom cluster, cardiovascular symptom cluster, metabolic symptom cluster, body symptom cluster and nephrotic symptom cluster. Symptom network analysis revealed that 'Deteriorating vision' exhibited the highest strength centrality and expected influence. The top three symptoms with the highest bridge strength and bridge expected influence were 'Aching calves when walking', 'Queer feeling in the legs or feet' and 'Sleepiness or drowsiness'.</p><p><strong>Conclusions: </strong>People with T2DM commonly exhibit a range of symptoms. 'Deteriorating vision' is the most core symptom in people with T2DM. 'Aching calves when walking', 'Queer feeling in the legs or feet' and 'Sleepiness or drowsiness' are identified as the bridging symptoms in the network analysis. Healthcare professionals can design targeted interventions based on symptom clusters, core symptoms and bridging symptoms, thereby improving the efficiency of symptom management and optimising outcomes for people with T2DM.</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":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876562","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: Development and Validation of a Nomogram for Predicting Oral Frailty Risk in Elderly Patients With Ischaemic Stroke.","authors":"Yancheng Wang, Jiaqing Yan, Hongbo Zhang","doi":"10.1111/jocn.70080","DOIUrl":"https://doi.org/10.1111/jocn.70080","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876563","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":"Synergising Artificial Intelligence With Augmented Reality: Future Directions for Personalised Stroke Rehabilitation.","authors":"Yizhen Wang, Liqiong Tian","doi":"10.1111/jocn.70082","DOIUrl":"10.1111/jocn.70082","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876568","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":"Enhancing Engagement in Medication Communication for Rural Aged Care Residents: Moving From Consultation to Collaboration.","authors":"Nina Wang, Hanyang Su","doi":"10.1111/jocn.70084","DOIUrl":"10.1111/jocn.70084","url":null,"abstract":"<p><strong>Background: </strong>This Letter comments on the qualitative study by Dowling and Manias (2025) regarding medication communication for rural aged care residents.</p><p><strong>Aims: </strong>To discuss sampling and cultural considerations, and propose strategies to enhance engagement from consultation to collaboration.</p><p><strong>Conclusions: </strong>Staff training, interdisciplinary collaboration, and culturally tailored interventions are recommended to improve communication and transitional care quality.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876561","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":"Mutuality and Self-Care in the Patient-Caregiver Dyads in the Context of Coronary Heart Disease: An Exploration of the Mediating Role of Self-Efficacy.","authors":"Barbara Bassola, Silvia Cilluffo, Roberta Di Matteo, Tatiana Bolgeo, Niccolò Simonelli, Alberto Dal Molin, Laura Rasero, Ercole Vellone, Maura Lusignani, Paolo Iovino","doi":"10.1111/jocn.70076","DOIUrl":"10.1111/jocn.70076","url":null,"abstract":"<p><strong>Aims: </strong>To evaluate the effect of mutuality on self-care in people with CHD and the contribution of their caregivers, and whether such relationships can be mediated by self-efficacy.</p><p><strong>Design: </strong>Secondary analysis of baseline data from a multi-centre longitudinal study.</p><p><strong>Methods: </strong>Patients at the onset of coronary artery disease who underwent angioplasty, along with their caregivers, were included in the sample. Data from 136 patients and 136 caregivers were used for the analysis. Mutuality between patients and caregivers was measured using the Mutuality Scale. Self-care was measured using the Self-Care of Coronary Heart Disease Index and the Caregiver Contribution to Self-Care of Coronary Heart Disease Index. The actor-partner interdependence mediation models were used to assess the mediating role of self-efficacy for self-care between perceived mutuality and self-care behaviours.</p><p><strong>Results: </strong>An actor indirect effect was found between patient mutuality and their self-care maintenance, self-care monitoring, and self-care management, through the mediation of their self-efficacy. Caregiver mutuality had a positive indirect effect on their contribution to self-care maintenance, self-care monitoring, and self-care management, through the mediation of their self-efficacy. Caregiver mutuality had a positive indirect effect on patient self-care maintenance and on patient self-care monitoring, through the mediation of patient self-efficacy. All models demonstrated satisfactory fit to the data.</p><p><strong>Conclusions: </strong>Mutuality between patients and caregivers enhances self-care behaviours in patients with coronary heart disease, and self-efficacy is a crucial mediator in this relationship. Interventions targeting both mutuality and self-efficacy within patient-caregiver dyads may improve self-care outcomes.</p><p><strong>Reporting method: </strong>We adhered to STROBE guidelines.</p><p><strong>Patient or public contribution: </strong>Patients and members of the public were not involved in the design, conduct, reporting, or dissemination plans of this research.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876564","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 of Advance Care Planning on Community Dwelling Adults' Coping Abilities and Death Attitudes: A Sequential Mixed-Methods Study.","authors":"Jin Wei Fan, Xi Vivien Wu, Grace Meijuan Yang, Chee Lien Poh, Terina Yan Wen Tay, Hyojin Yoon, Yi Wen Bryan Lim, Fong Yeong Brigitte Woo, Betsy Seah, Wei How Darryl Ang","doi":"10.1111/jocn.70079","DOIUrl":"10.1111/jocn.70079","url":null,"abstract":"<p><strong>Aim: </strong>To (1) examine the attitudes of community-dwelling adults towards death and their ability to cope with death, as well as (2) understand the influence of advance care planning on community-dwelling adults' death attitudes and coping with death.</p><p><strong>Design: </strong>A sequential explanatory mixed-methods study was conducted in Singapore.</p><p><strong>Methods: </strong>In Phase I, a case-control study was conducted to examine the differences in death attitudes and coping with death ability between community-dwelling adults who have completed advance care planning and those who have not. A univariate general linear model was used to compute the mean difference in death attitudes and coping with death scores. In Phase II, a descriptive qualitative study was conducted to provide an in-depth understanding of the influence of advance care planning among community-dwelling adults. Thematic analysis was used for qualitative analysis. Mixed-methods analysis was conducted to integrate the quantitative and qualitative data.</p><p><strong>Results: </strong>In Phase I, 80 community-dwelling adults who had completed advance care planning and 81 community-dwelling adults who did not have advance care planning were included. Adults who had completed advance care planning had significantly higher coping with death scores (t = 4.14, p < 0.01). In Phase II, a purposive sample of 24 adults who had completed advance care planning was selected for individual semi-structured interviews. From the thematic analysis, three themes were developed: (1) Advance care planning enables coping with death, (2) overcoming fear of death with advance care planning and (3) confronting death with advance care planning.</p><p><strong>Conclusion: </strong>Advance care planning may influence death attitudes and coping with death. Further work on longitudinal designs and among individuals from different age groups should be used to gain further in-depth understanding of the impacts of advance care planning.</p><p><strong>Implications for the profession and/or patient care: </strong>Strategies to enhance one's coping abilities with death and death attitudes should be developed to stimulate the uptake of advance care planning.</p><p><strong>Reporting method: </strong>This paper was reported according to the Good Reporting of A Mixed Methods Study framework.</p><p><strong>Patient or public contribution: </strong>Community-dwelling adults participated in the survey and interviews.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876569","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":"Psychometric Properties of Pain Scales in Inpatient Settings: An Umbrella Review.","authors":"Fabio D'Agostino, Noemi Giannetta, Gianfranco Sanson, Claudia Fantuzzi, Sara Cignola, Manuele Cesare, Daniela D'Angelo, Antonello Cocchieri","doi":"10.1111/jocn.70071","DOIUrl":"https://doi.org/10.1111/jocn.70071","url":null,"abstract":"<p><strong>Aims: </strong>To identify the pain assessment scales with the best psychometric properties to be used by nurses in an inpatient setting.</p><p><strong>Design: </strong>Umbrella review.</p><p><strong>Methods: </strong>A comprehensive search of four databases was conducted for systematic reviews published from July 2013 to November 2024, focusing on psychometric properties of pain scales used in inpatient settings. Inclusion criteria required scales to assess subjective or behavioural pain and be nurse-administered, while reviews without detailed psychometric data were excluded. Screening, quality appraisal (JBI checklist), and data extraction were performed independently by two researchers. Data synthesis combined qualitative and quantitative approaches, with psychometric properties evaluated using the COSMIN checklist. The study was reported in accordance with the Preferred Reporting Items for Overviews of Reviews (PRIOR) statement.</p><p><strong>Results: </strong>Seventeen articles met the inclusion criteria, identifying 41 scales used across various patient populations, including critical care, paediatric, postoperative, cancer, cerebral palsy, disorders of consciousness, low back and neck pain, stroke and verbal communication disorders. The Paediatric Pain Profile, the Breakthrough Pain Assessment Tool and the Questionnaire on Pain caused by Spasticity demonstrated adequate psychometric properties, although the positive findings for the latter two should be confirmed by at least one additional study. Most of the scales (n = 36) require further studies to validate their use in clinical practice. For two scales, their clinical use remains questionable.</p><p><strong>Conclusion: </strong>The Paediatric Pain Profile, the Breakthrough Pain Assessment Tool, and the Questionnaire on Pain caused by Spasticity can be recommended for use. Unidimensional scales should complement, rather than replace, multidimensional scales to ensure a comprehensive pain assessment. Standardising documentation with validated scales enhances clinical decision-making, care quality, research usability, and reduces documentation burden.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876565","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}