Journal of Clinical Nursing最新文献

{"title":"Self-Care Among Vulnerable Migrants Along Mediterranean and Western Balkan Migration Routes: A Theory-Informed Mixed-Methods Systematic Review.","authors":"Alice D'Abramo, Paola Arcadi, Büşra Yürük, Izabella Uchmanowicz, Gianluca Pucciarelli, Silvio Simeone, Roberto Latina, Rosaria Alvaro, Ercole Vellone, Mariachiara Figura","doi":"10.1111/jocn.70606","DOIUrl":"https://doi.org/10.1111/jocn.70606","url":null,"abstract":"<p><strong>Aim: </strong>To identify and synthesize self-care behaviours among vulnerable migrants, defined as individuals exposed to structural barriers, instability, fragmented care, and increased health risks, along Mediterranean and Western Balkan migration routes, and to map these behaviours onto the domains of self-care maintenance, monitoring, and management described in Riegel's Middle-Range Theory of Self-Care.</p><p><strong>Design: </strong>A mixed-methods systematic review using a convergent integrated approach.</p><p><strong>Methods: </strong>Searches were conducted from inception to 11 June 2026 in PubMed, Scopus, Web of Science, and EBSCOhost (CINAHL, APA PsycArticles, APA PsycInfo, Psychology and Behavioural Sciences Collection). Self-care behaviours were identified inductively and mapped onto Riegel's domains.</p><p><strong>Results: </strong>Thirty-seven studies were included. Maintenance was the most extensively represented domain and was shaped by family, cultural, and religious contexts. Monitoring was less represented and included instrument-, symptom-, and screening-based practices. Management combined biomedical, self-directed, traditional, spiritual, and relational responses.</p><p><strong>Conclusion: </strong>Self-care among vulnerable migrants extends beyond individual behaviours and is shaped by relational, cultural, social, and structural conditions across maintenance, monitoring, and management.</p><p><strong>Reporting method: </strong>PRISMA statement.</p><p><strong>Implications for the profession and/or patient care: </strong>Nursing care should recognize self-care as relational and structurally shaped, extending beyond individual education to patients' social contexts.</p><p><strong>Impact: </strong>This review examines migrant self-care in migration contexts, highlighting the extensive representation of maintenance behaviours and the comparatively limited representation of monitoring. Findings support more context-sensitive nursing care and policy.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: Reframes migrant self-care as relational and context-dependent. Identifies gaps in existing self-care frameworks in capturing structural and relational dimensions.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149208145","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":"Patient Safety Incidents Experienced by Novice Nurses During Transition to Practice: A Qualitative Phenomenological Study.","authors":"Müzelfe Bıyık, Damla Gökalp, Şeyda Seren İntepeler","doi":"10.1111/jocn.70605","DOIUrl":"https://doi.org/10.1111/jocn.70605","url":null,"abstract":"<p><strong>Aim: </strong>Novice nurses in their first year of practice are vulnerable to patient safety incidents due to limited clinical experience and transition shock. This study aimed to explore novice nurses' experiences regarding patient safety incidents, their underlying causes, and their subsequent impacts.</p><p><strong>Design: </strong>A descriptive phenomenological qualitative design.</p><p><strong>Methods: </strong>Conducted between February 2024 and June 2025, this study involved online and face-to-face interviews with 18 novice nurses in Türkiye with up to 1 year of experience. Data were analysed using Colaizzi's descriptive phenomenological method.</p><p><strong>Results: </strong>Analysis yielded three main themes and eight subthemes: (1) patient safety incidents (medication errors, patient identification errors, missed nursing care); (2) experiencing threats to patient safety (individual unpreparedness for independent care, team-level communication gaps and unsupportive interactions, struggling with organizational workload and staffing constraints, silence and non-reporting in clinical culture); and (3) impact of patient safety incidents (negative emotions, lessons learned).</p><p><strong>Conclusion: </strong>Novice nurses face professionally and organizationally challenging patient safety incidents during transition. Strengthening structured orientation, preceptorship, non-punitive reporting systems, and supportive leadership is essential to foster safer clinical environments.</p><p><strong>Reporting method: </strong>Consolidated criteria for reporting qualitative studies (COREQ).</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p><p><strong>Implications for the profession and/or patient care: </strong>Findings emphasize the critical need for structured orientation, adequate staffing, and formal preceptorship during professional transition. Establishing a non-punitive reporting culture enables learning from near-misses, while supportive leadership helps novice nurses manage transition challenges and ensure safer patient care.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197627","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":"Factors Associated With Moderate-to-Severe Pain After Paediatric Laparoscopic Pyeloplasty: Implications for Nursing Care.","authors":"Yueqin Xiang, Ruxia Min, Lianlian Ge, Lanzheng Bian","doi":"10.1111/jocn.70583","DOIUrl":"https://doi.org/10.1111/jocn.70583","url":null,"abstract":"<p><strong>Background: </strong>Moderate-to-severe pain remains a clinically relevant concern after paediatric laparoscopic pyeloplasty and may interfere with early recovery. Identifying children at increased risk may support more timely and individualized perioperative pain management.</p><p><strong>Aims: </strong>To investigate factors associated with moderate-to-severe pain after laparoscopic pyeloplasty in children and to inform targeted nursing and perioperative management strategies.</p><p><strong>Methods: </strong>This single-centre retrospective observational study included children undergoing laparoscopic pyeloplasty. Postoperative pain was assessed at 2, 6, 12 and 24 h using either a Faces Pain Scale or the Face, Legs, Activity, Cry and Consolability (FLACC) scale according to age and communication ability. Moderate-to-severe pain was defined as a score ≥ 4 at any assessment within 24 h. Demographic, disease-related, surgical and perioperative variables were analysed. Multivariable binary logistic regression was used to identify factors independently associated with moderate-to-severe pain, and repeated-measures analysis of variance was used to assess changes in pain scores over time. This study was reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.</p><p><strong>Results: </strong>Among 258 children, 65 developed moderate-to-severe postoperative pain, corresponding to an incidence of 25.2%. Multivariable analysis showed that age < 3 years, significant preoperative anxiety, operative time ≥ 120 min and the absence of a regional block were independently associated with moderate-to-severe pain. Sex, severe hydronephrosis and postoperative drainage tube placement were not independently associated with the outcome. Pain scores were highest at approximately 6 h after surgery, with significant group, time and group-by-time interaction effects.</p><p><strong>Conclusion: </strong>Moderate-to-severe pain is relatively common during the early postoperative period after paediatric laparoscopic pyeloplasty. Early risk identification, preoperative psychological support, appropriate regional analgesia and intensified pain assessment during the first 6-12 h may improve perioperative pain management. Prospective multicentre studies are warranted to validate these findings and develop clinically applicable risk-stratification strategies.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197678","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-Led Telenursing in Inflammatory Bowel Disease: A Qualitative Study Using Sociotechnical Systems Mapping.","authors":"Aki Kawakami, Makoto Tanaka, Kayoko Sakagami","doi":"10.1111/jocn.70601","DOIUrl":"https://doi.org/10.1111/jocn.70601","url":null,"abstract":"<p><strong>Aim: </strong>To explore the sociotechnical factors underlying the perceived benefits and challenges of nurse-led telenursing for inflammatory bowel disease.</p><p><strong>Design: </strong>A qualitative study using a two-phase analytic approach.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 20 registered nurses providing outpatient inflammatory bowel disease telenursing across 11 facilities in Japan between June 2023 and June 2024. Inductive content analysis identified perceived benefits and challenges, which were then mapped to sociotechnical system domains (people, processes, technologies and environment) to examine interactions and identify potentially modifiable system-level levers.</p><p><strong>Results: </strong>Four themes were identified: clinical assessment challenges; variability in triage decision-making; workload burden and workflow fragmentation; and barriers to access and patient-context misalignment. Challenges and benefits reflected interactions among system components. Key issues included limitations of voice-only symptom assessment, variability associated with the absence of standardised protocols, and inefficiencies arising from fragmented workflows. These interaction patterns highlighted potential system-level levers, including information structuring, decision standardisation, workflow integration, and flexible care pathways.</p><p><strong>Conclusion: </strong>The quality of inflammatory bowel disease telenursing appears to depend on sociotechnical alignment rather than communication modality alone, particularly for timely recognition of and response to disease flares.</p><p><strong>Implications for practice: </strong>Structured assessment, standardised but adaptable triage and workflow redesign may strengthen early identification and management of exacerbations in nurse-led telenursing.</p><p><strong>Impact: </strong>This study presents a transparent qualitative approach linking frontline nursing experiences to system-level insights that may inform telehealth service design in chronic disease care.</p><p><strong>Reporting method: </strong>Standards for reporting qualitative research.</p><p><strong>Patient or public contribution: </strong>Patients and members of the public were not involved in the design, conduct, analysis, interpretation, or reporting of this study.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185571","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: Association Between Fluid Overload and Pressure Injuries in ICU Patients With Sepsis: A Retrospective Cohort Study.","authors":"Chengxi Shu, Xinyun Cui, Wei Zhen","doi":"10.1111/jocn.70607","DOIUrl":"https://doi.org/10.1111/jocn.70607","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185597","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 Students' Experiences of Physical Restraints During Clinical Practicum: A Meta-Synthesis.","authors":"Eun-Hi Kong, Kayoung Lee","doi":"10.1111/jocn.70599","DOIUrl":"https://doi.org/10.1111/jocn.70599","url":null,"abstract":"<p><strong>Aims: </strong>To critically analyze, interpret, and synthesize the literature on nursing students' experiences of physical restraints during clinical practicum.</p><p><strong>Design: </strong>A meta-synthesis.</p><p><strong>Methods: </strong>This meta-synthesis included peer-reviewed qualitative studies exploring nursing students' experiences of physical restraints during clinical practicum across healthcare settings. Research processes of meta-study (meta-data-analysis, meta-method, meta-theory, and meta-synthesis) were employed to analyze, interpret, and synthesize the findings of included studies. Methodological quality was appraised using a combined appraisal tool (The Critical Appraisal Skills Programme Qualitative Research Checklist and the Primary Research Appraisal Tool).</p><p><strong>Data sources: </strong>Eleven electronic databases (CINAHL, EMBASE, PubMed, PsycINFO, ERIC, Education Source, Cochrane, Scopus, RISS, DBpia, and KoreaMed) were searched from the earliest year to March 2025.</p><p><strong>Results: </strong>Nine studies were included. The quality of all included studies was appraised as high. Six themes emerged from the meta-synthesis. Nursing students described frequent witnessing, negative responses, acknowledging and questioning, gaps between, barriers and alternatives, and educational needs related to physical restraints during their clinical practicums.</p><p><strong>Conclusions: </strong>Nursing educators in both academic and clinical settings should recognize the importance of restraint-reduction education and implement effective educational programs to enhance students' preparedness for restraint-reduction care.</p><p><strong>Impact: </strong>Nursing students are frequently exposed to physical restraints during clinical practicum; however, there is a lack of qualitative reviews regarding their experiences. Students experienced frequent exposure, negative emotional responses, theory-practice gaps, and inadequate preparation regarding physical restraints. The findings request the need to strengthen clinical education for nursing students on restraint-reduction care.</p><p><strong>Implications for the professions and/or patient care: </strong>Effective and structured education on restraint reduction, including simulation-based and reflective learning strategies, is requested to prepare nursing students with the professional competencies required to provide restraint-free care and person-centered care.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p><p><strong>Registration: </strong>PROSPERO (CRD42024625289).</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185526","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":"Transitional Nursing Care for Oesophageal Cancer Patients: A Scoping Review.","authors":"Yeonju Kim, Boseul Cho, Kenrick Cato, Mona Choi","doi":"10.1111/jocn.70553","DOIUrl":"https://doi.org/10.1111/jocn.70553","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aims: &lt;/strong&gt;To understand the extent and characteristics of transitional nursing care for patients with oesophageal cancer across treatment modalities, examine patient experiences and the role of nurses, and identify research gaps.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;A scoping review.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The scoping review followed the framework of Arksey and O'Malley and the JBI methodology.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Data sources (include search dates): &lt;/strong&gt;PubMed, CINAHL, EMBASE, Cochrane Library, and Web of Science were searched on 11 June 2025 for relevant articles with no date restrictions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;This scoping review included 33 studies (26 quantitative, 7 qualitative) conducted primarily in Asia (n = 25, 75.8%). Evidence predominantly reflected postoperative care involving multicomponent and nutrition-focused interventions, whereas evidence for nonsurgical treatments and social support interventions remained limited. Qualitative evidence revealed patients' need for multidimensional support across individual, relational, and system levels. Nurses' primary roles included guidance and counselling, whereas evaluation and feedback roles were least reported. Evidence gaps existed in care coordination, particularly for hospital-to-community transitions, with most studies extending only to outpatient follow-up rather than home and community settings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Patients with oesophageal cancer require multifaceted, continuous transitional nursing care across the care continuum, yet current interventions inadequately address relational, social, and system-level needs. Evidence gaps exist between patients' experienced needs and available interventions, particularly in hospital-to-community care coordination and nonsurgical treatment pathways.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for the profession and/or patient care: &lt;/strong&gt;Clinical nurses should assess the social support systems of patients with oesophageal cancer and their ability to utilize community resources during discharge education. Nursing management should incorporate evaluation and feedback as a core responsibility in transitional care and formalize communication between hospital and community services. Future studies are recommended to target nonsurgical populations and to address unmet coordination needs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Reporting method: &lt;/strong&gt;PRISMA-ScR.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patient or public contribution: &lt;/strong&gt;No patient or public contribution.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Trial and protocol registration: &lt;/strong&gt;Open Science Framework (http://doi.org/10.17605/OSF.IO/86BGR).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Impact: &lt;/strong&gt;Identifies key gaps in transitional nursing care for oesophageal cancer patients across care settings and treatment modalities. Informs the design of more comprehensive, patient-centered transitional care approaches. Supports improvements in hospital-to-community care continuity and coordination. Guides future research and policy initiatives to","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185540","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":"A Call to Action for Nurse Researchers: Overcoming Barriers to Research Funding.","authors":"Silvia Rossi, Giulia Ottonello, Nicoletta Dasso, Simona Calza, Roberta Da Rin Della Mora, Ilaria Artuso, Giuseppe Caracciolo Minniti, Silvia Scelsi","doi":"10.1111/jocn.70531","DOIUrl":"https://doi.org/10.1111/jocn.70531","url":null,"abstract":"<p><strong>Aim: </strong>This paper aims to thoughtfully examine the structural and cultural barriers that hinder nursing professionals-particularly in Italy-from accessing research funding and fully participating in research and scientific production. It also seeks to promote a professional and institutional dialogue by offering actionable strategies to foster a more supportive ecosystem for nursing research.</p><p><strong>Design: </strong>This paper is a discursive paper that draws on international comparative examples, national data, and a synthesis of the literature.</p><p><strong>Methods: </strong>A non-systematic literature review informs the discussion, drawing on peer-reviewed sources retrieved from PubMed, Scopus, and CINAHL, using keywords such as 'nursing,' 'funding,' 'grants' and 'research.' Selected international studies and funding models were examined to identify common barriers and enabling conditions for research development.</p><p><strong>Results: </strong>The analysis highlights persistent obstacles to nurse-led research funding, including limited protected time for research activities, inadequate institutional infrastructure, and scarce career opportunities in academia. Comparisons with international countries show that targeted funding, integrated clinical-academic roles, and mentorship programs significantly enhance nursing research output and clinical impact.</p><p><strong>Conclusion: </strong>Despite its recognised value, nursing research in Italy remains marginalised due to systemic and cultural barriers. Addressing this requires a redefinition of nurses' roles in the healthcare system, with strategic institutional reforms and sustained investment in research capacity.</p><p><strong>Implications for the profession: </strong>Dedicated funding streams, research-integrated clinical roles, capacity-building initiatives and cross-sector collaboration are essential to empower nurses as key contributors to evidence-based practice and sustainable healthcare systems. Unlocking this potential is essential to improving care quality, strengthening the profession's scientific standing, and ensuring the resilience of health systems facing increasing complexity and demands.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185555","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":"Symptom Experiences of Family Caregivers of Patients Undergoing Maintenance Haemodialysis: A Qualitative Study.","authors":"Ya-Yu Zhao, Jia Xu, Ying Yu, Wen-Hui Chang, Jian-Zhong Zhang, Yan-Lin Cheng, Mo-Li Cao","doi":"10.1111/jocn.70602","DOIUrl":"https://doi.org/10.1111/jocn.70602","url":null,"abstract":"<p><strong>Background: </strong>Family caregivers of patients receiving maintenance haemodialysis frequently develop a variety of physical, psychological, cognitive and social symptoms during long-term caregiving. These symptoms not only impair caregivers' own health, but may also interfere with patients' treatment and recovery. Fluctuations in patients' conditions and growing care demands can in turn trigger or worsen caregivers' symptoms, creating a vicious cycle. Nevertheless, existing research has paid insufficient attention to the symptom experiences of this caregiver group.</p><p><strong>Aim: </strong>To thoroughly explore the symptom experiences of family caregivers of patients receiving maintenance haemodialysis and provide practical references for clinical healthcare providers to develop targeted symptom management strategies.</p><p><strong>Design: </strong>A descriptive qualitative study.</p><p><strong>Methods: </strong>Data were collected via semi-structured interviews with 15 family caregivers of patients receiving maintenance haemodialysis at the Blood Purification Center of Shanxi Bethune Hospital between January 2026 and February 2026. Directed content analysis was used to analyse the collected data.</p><p><strong>Results: </strong>The symptom experiences of family caregivers of patients receiving maintenance haemodialysis were categorised into three main themes and ten subthemes. The main themes included multidimensional depletion under the rhythm of dialysis, patient-centred cognitive shift, and diverse coping strategies under caregiving stress.</p><p><strong>Conclusion: </strong>This study suggests that clinical practice should pay sufficient attention to the health needs of family caregivers of haemodialysis patients and deliver individualised support interventions tailored to caregivers' personal characteristics.</p><p><strong>Reporting method: </strong>The COREQ checklist.</p><p><strong>Patient or public contribution: </strong>Interviews with study participants offered valuable perspectives for understanding the symptom experiences of family caregivers.</p><p><strong>Relevance to clinical practice: </strong>The findings highlight the importance of recognising the symptom experiences of family caregivers of patients receiving MHD. Greater clinical attention to caregivers' own health needs may inform future caregiver-focused supportive intervention research.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185580","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 Nurses' and Patients' Experiences of an Oral Care Intervention to Prevent Non-Ventilator Hospital Acquired Pneumonia.","authors":"Sonja Dawson, Helen Rawson, Auxillia Madhuvu, Georgia Matterson, Jenny Sim, Julee McDonagh, Katrina Browne, Rhonda Wilson, Peta E Tehan, Philip L Russo, Brett G Mitchell","doi":"10.1111/jocn.70586","DOIUrl":"https://doi.org/10.1111/jocn.70586","url":null,"abstract":"<p><strong>Aim and objectives: </strong>To explore the enablers, barriers and experiences of implementing an oral care intervention in an acute hospital setting, from the perspective of nurses and patients.</p><p><strong>Background: </strong>Hospital-acquired pneumonia is a common healthcare-associated infection. Oral care can reduce the risk of hospital-acquired pneumonia but is often missed due to clinical priorities.</p><p><strong>Design: </strong>Exploratory qualitative study.</p><p><strong>Methods: </strong>Semi-structured interviews with 18 Registered Nurses and 8 Research Nurses facilitating an oral care intervention, and three patients who acquired pneumonia during admission to an intervention ward. Data were collected June to August 2025 and thematically analysed.</p><p><strong>Results: </strong>Four themes were identified: varied knowledge and capacity to empower practice; education as a catalyst for practice change; competing demands and resistance; and relational and functional support to achieve change. Participants highlighted that successful oral care delivery relied on understanding its connection to hospital-acquired pneumonia. Competing workload demands often resulted in oral care being deprioritised.</p><p><strong>Conclusions: </strong>Strengthening nurses', patients' and families' understanding of oral care during hospitalisation can improve adherence to oral care practices and enhance patient engagement.</p><p><strong>Relevance to clinical practice: </strong>Acute care nurses are central to delivering oral care, yet competing priorities and limited awareness of its relationship to hospital-acquired pneumonia can affect implementation. These findings can inform nursing education and strategies to support patient, family and clinician engagement.</p><p><strong>Patient or public contributions: </strong>Consumer and clinician feedback informed the development of interview questions. This study forms part of The HAPPEN study, which included consumer and partner input into intervention design, study materials and dissemination activities.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185547","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}