Journal of Clinical Nursing最新文献

{"title":"A Call for Systematic Integration of Family-Focused Care in Clinical Nursing Practice in Europe: A Position Paper.","authors":"K B Dieperink, L Imhof, R Mahrer-Imhof, M L Luttik, B Østergaard, A Brødsgaard, H Konradsen, E K Svavarsdóttir, C García-Vivar","doi":"10.1111/jocn.70584","DOIUrl":"https://doi.org/10.1111/jocn.70584","url":null,"abstract":"<p><strong>Aim: </strong>To highlight the need for a shift to family-focused care and to outline how this transition should be developed and implemented through close collaboration between clinical practice and research.</p><p><strong>Design: </strong>Position paper.</p><p><strong>Method: </strong>Members of Family Health in Europe-Research in Nursing (FAME-RN) developed the position paper through an iterative process informed by selected literature, established care models and collective expertise in family nursing. The paper examines distinctions between patient-centred, person-centred, family-centred and family-focused care and considers key barriers, enablers and priorities for implementation across European healthcare settings.</p><p><strong>Results: </strong>Family-focused care recognises families as essential partners in caring for individuals with severe or chronic conditions across the lifespan, working with families as interconnected systems and as an explicit unit of nursing assessment and intervention rather than solely involving them as individuals in care. The position paper identifies key priorities for implementation including conceptual clarity, systematic family assessment, family-level interventions, education and competence development, organisational leadership, supportive policy, co-design with families and implementation-focused research.</p><p><strong>Conclusion: </strong>Ensuring that families have access to appropriate information, support and resources enhances caregiving capacity while protecting family health and well-being. Family-focused care should therefore be recognised as a cornerstone of sustainable healthcare. This position paper calls for the systematic integration of family assessments, tailored support models and targeted family interventions across all levels of care, diagnoses and sectors.</p><p><strong>Implications for the profession and patient care: </strong>Nurses and healthcare organisations should develop the competencies, structures and resources required to assess family needs, involve families appropriately, and provide or facilitate family-level interventions when indicated.</p><p><strong>Impact: </strong>This position paper addresses inconsistencies in how families are integrated into clinical nursing care and provides direction for practice, education, leadership, policy and research within European healthcare systems.</p><p><strong>Reporting method: </strong>Reported with reference to the RIGHT Statement where applicable.</p><p><strong>Patient or public contribution: </strong>A male patient representative, Karsten Andersen, who chairs the user council in a Danish oncology department, and his wife reviewed the manuscript and provided feedback on its relevance and clarity. They particularly emphasised the importance of respecting patient and caregiver autonomy, as well as cultural differences. They also highlighted the need for the healthcare system as a whole, not only nursing, to move towards","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129150","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":"Dynamic Pressure Ulcer Risk Predictions for Hospitalized Patients: Development and Validation of a Machine Learning Model With Nurses.","authors":"Steffen Greup, Denise Spoon, Annemarie de Vroed, Ben Werkhoven, Enrico Timmerman, Monique van Dijk, Erwin Ista","doi":"10.1111/jocn.70574","DOIUrl":"https://doi.org/10.1111/jocn.70574","url":null,"abstract":"<p><strong>Aim: </strong>To develop and validate a dynamic prediction model for daily pressure ulcer risk predictions together with an expert group of nurses.</p><p><strong>Design: </strong>Diagnostic study.</p><p><strong>Methods: </strong>All admissions to general wards in a single-center tertiary university hospital in the Netherlands were included. A retrospective dataset with candidate predictors was collected from the electronic health records and split into a training set (December 2021-November 2022, N = 19,931) and a validation set (January 2023-June 2023, N = 11,387). The pressure ulcer outcome was identified from both structured and free text registration. Predictor definition, selection, and modelling choices were discussed with an expert group of nurses. Separate models were developed for the first 72 h of admission and > 72 h. The final models and predictive performance on the validation set were compared to the Waterlow score.</p><p><strong>Results: </strong>The difference in performance across candidate models was small on the training set. Logistic regression with an L2 penalty and a spline transformation applied to a limited set of predictors was chosen as the final model, and the candidate predictor set was reduced to a final predictor set. Expected remaining length of stay, age and Activities of Daily Living score were the predictors with the strongest contribution. The AUROC for the final model was 0.790 (≤ 72 h) and 0.795 (> 72 h) on the validation dataset. The model clearly outperformed the Waterlow score (0.816 vs. 0.702 (≤ 72 h) and 0.800 vs. 0.677 (> 72 h)).</p><p><strong>Conclusions: </strong>We developed and validated a dynamic prediction model for daily pressure ulcer risk predictions. During the development process, special care was given to considerations for implementation and user acceptance. The model was named DRAAI (Decubitus Risk Alert based on AI), which means 'turn' in Dutch and is a common pressure ulcer preventive measure.</p><p><strong>Implications for nurses: </strong>Facilitates targeted pressure ulcer prevention and reduces registration burden.</p><p><strong>Reporting method: </strong>TRIPOD.</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":3.6,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129139","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":"Development and Evaluation of an Immersive Simulation Using Interactive Video for Guided Tour of the Birthing Room: A Methodological Study.","authors":"Roger Rodrigues da Silva, Mônica Oliveira Batista Oriá, Kemyson Camurça Amarante, Julia de Almeida Luna, Maria Luziene de Sousa Gomes, William Caracas Moreira, Ana Kelve de Castro Damasceno, Lívia Moreira Barros","doi":"10.1111/jocn.70576","DOIUrl":"https://doi.org/10.1111/jocn.70576","url":null,"abstract":"<p><strong>Aim: </strong>To develop and evaluate an immersive simulation using interactive video scenario for guided tour of the birthing room.</p><p><strong>Background: </strong>Establishing a prior connection between pregnant women and the maternity unit is a strategy to humanize childbirth. The creation of an immersive simulation using interactive video mediated by a mobile health tool may support this initiative, providing an alternative approach for pregnant women to become familiar with the environment where they will give birth.</p><p><strong>Design: </strong>Methodological study.</p><p><strong>Methods: </strong>The study followed three phases: (1) development of the simulation scenario based on the NLN Jeffries Simulation Framework-NLN Nursing Education Simulation Framework; (2) content evaluation of the script by specialists using a self-designed instrument with 38 items, assessed through a five-point Likert scale for calculating the Content Validity Coefficient (CVC) and Content Validity Ratio (CVR'); and (3) pre-production, production, and post-production of the interactive video. The guideline for Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) was used.</p><p><strong>Results: </strong>The script achieved a CVC_t of 0.82 and CVR' values of 89 for language clarity, 99 for practical relevance, and 77 for theoretical significance. The video, titled 'Guiding birth: a guided tour of the normal birth facility', was structured into four parts: welcoming, an interactive guided tour of the birthing room, additional information, and farewell.</p><p><strong>Conclusion: </strong>The study was developed using a consistent and reproducible methodology. The phased approach allowed the study's objectives to be achieved, and the evaluation by experts confirmed the significance of the script's content in terms of theoretical relevance, language clarity, and practical relevance.</p><p><strong>Relevance to clinical practice: </strong>The immersive simulation using interactive video may serve as a resource for women unable to participate in an in-person guided tour of the reference maternity unit. Additionally, it promotes health education about humanized normal childbirth.</p><p><strong>Patient or public contribution: </strong>None.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129215","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":"Biomarkers as a Concept for Advanced Practice Registered Nurses in Oncology.","authors":"Brenna K Mcginn, Sean M Reed","doi":"10.1111/jocn.70582","DOIUrl":"https://doi.org/10.1111/jocn.70582","url":null,"abstract":"<p><strong>Aim: </strong>To report an analysis of the concept of biomarkers in oncology care for advanced practice registered nurses (APRNs).</p><p><strong>Design: </strong>Concept analysis.</p><p><strong>Data sources: </strong>Literature from PubMed, CINAHL, and Google Scholar published between 2015 and 2025 was reviewed to identify conceptual definitions, applications and theoretical discussions related to biomarkers.</p><p><strong>Review methods: </strong>Rodgers' evolutionary concept analysis approach was used to examine the antecedents, attributes, and consequences of biomarkers within oncology care. Literature was systematically reviewed to identify defining characteristics of the concept and to explore how biomarkers may inform nursing knowledge development and clinical practice. The PRISMA 2020 Checklist was utilized to ensure transparency, accuracy, and complete information.</p><p><strong>Results: </strong>Antecedents of biomarkers include advances in understanding human disease processes, recognition of cancer predisposition, and the pursuit of improved patient outcomes. Key attributes include objective biological indicators of disease and the capacity to support individualized approaches to oncology care. Consequences include improved disease outcomes, reduced treatment toxicity, and enhanced quality of life for patients. The analysis also identifies biomarkers as a theoretical niche for nursing. When incorporated into APRN practice effectively, biomarkers have the potential to influence patient communication, individualized care planning, and shared decision-making.</p><p><strong>Conclusion: </strong>Conceptualizing biomarkers within nursing broadens their significance beyond biomedical measurement and supports their integration into nursing practice, education, research, and policy in oncology care.</p><p><strong>Impact: </strong>This analysis reframes biomarkers through the APRN lens, emphasizing their role in enhancing patient communication, engagement, and shared decision-making. These findings have implications for APRNs, oncology patients, and the broader healthcare system by promoting more individualized, patient-centred care, strengthening the APRN role in precision medicine, and informing education and policy to improve patient understanding and participation in treatment decisions.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129158","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":"Association Between the National Early Warning Score and Nursing Workload in Acute Hospital Wards: A Multicentre Observational Study.","authors":"Arian Zaboli, Pasquale Solazzo, Marta Ziller, Roland Lioni, Marianne Siller, Gianni Turcato","doi":"10.1111/jocn.70588","DOIUrl":"https://doi.org/10.1111/jocn.70588","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate whether the National Early Warning Score is associated with patient-level nursing care demand in acute hospital wards.</p><p><strong>Design: </strong>Multicentre observational study with prospective 24-h patient-level recording.</p><p><strong>Methods: </strong>Adult patients admitted to 10 acute care wards across five hospitals in the Autonomous Province of Bolzano were enrolled on predefined study days. The unit of analysis was the individual patient observed over 24 h. Nursing activities and time spent were recorded in real time using a structured form. Nursing care demand was measured as nursing care time, number of nursing activities, and patient-level workload overload, defined as care time above the seventy-fifth percentile.</p><p><strong>Results: </strong>A total of 392 patients were included. Median nursing care time increased from 139 min in patients scoring 0-4 to 184 min in those scoring 5-6 and 246 min in those scoring 7 or higher. The median number of nursing activities increased from 24 to 27 and 36. In adjusted analyses, higher National Early Warning Score values remained associated with greater nursing care time, more activities, and higher likelihood of patient-level workload overload.</p><p><strong>Conclusion: </strong>The National Early Warning Score was associated with patient-level nursing care demand across heterogeneous acute hospital wards.</p><p><strong>Implications for the profession and/or patient care: </strong>Routinely available acuity information may help nurses and managers identify patients requiring greater care time and support responsive workload assessment.</p><p><strong>Impact: </strong>This study addresses the need for pragmatic indicators of nursing care demand in acute wards. Findings may inform patient assignment, workload monitoring, and clinical nursing practice.</p><p><strong>Reporting method: </strong>The study was reported according to the Strengthening the Reporting of Observational Studies in Epidemiology statement.</p><p><strong>No patient or public contribution: </strong>Patients and the public were not involved.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117871","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":"Neonatal Nurses' Perceptions of Family-Centred Care in the Kingdom of Saudi Arabia: A Cross-Sectional Quantitative Survey.","authors":"Mawahib Almalki, Aideen Gildea, Breidge Boyle","doi":"10.1111/jocn.70575","DOIUrl":"https://doi.org/10.1111/jocn.70575","url":null,"abstract":"<p><strong>Aim: </strong>To examine neonatal nurses' perceptions of current and necessary of family-centred care in Saudi Arabia hospitals.</p><p><strong>Design: </strong>A cross-sectional quantitative survey study.</p><p><strong>Methods: </strong>This paper reports findings from the quantitative, cross-sectional survey phase of a broader mixed-methods study. A validated family-centred care questionnaire was distributed in January 2025 to approximately 240 neonatal nurses across three hospitals in Saudi Arabia. The questionnaire assessed nurses' perceptions of both current and necessary family-centred care practices across nine domains. Data were analysed using descriptive and inferential statistics in IBM SPSS Statistics, Version 30.</p><p><strong>Results: </strong>A total of 163 nurses completed the survey, representing an overall response rate of 68%. A statistically significant gap was identified between nurses' perceptions of current and necessary practice across all nine domains, with necessary practice consistently rated higher than current practice. The widest gaps were in parent-to-parent support, sharing information with parents and collaboration between parents and professionals.</p><p><strong>Conclusion: </strong>Neonatal nurses in Saudi Arabia showed a high level of awareness of the principles of family-centred care, yet its actual implementation remained comparatively limited across all domains. Strengthening implementation will require organisational support, targeted education and strategies focused on family-system support and parent engagement.</p><p><strong>Implications for clinical practice: </strong>Family-centred care should be embedded within nursing policies, role descriptions and continuing professional development, alongside structured parent-support and communication initiatives, to help bridge the gap between the care nurses perceive as necessary and the care they are able to deliver in neonatal units.</p><p><strong>Impact: </strong>This study addresses the limited evidence on family-centred care in neonatal units in Saudi Arabia. The findings provide evidence to inform hospital managers, policymakers and nurse educators in developing strategies to strengthen family-centred care practices among neonatal staff, to support Saudi Arabia's broader efforts to advance patient- and family-centred healthcare and improve the quality of care.</p><p><strong>Reporting method: </strong>The study was reported in accordance with the STROBE checklist for cross-sectional studies.</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":3.6,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117948","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":"Stakeholder Perspectives on Barriers and Facilitators to Implementing Nurse-Led Diabetic Plantar Pressure Assessment and Management: A Multicentre Group Concept Mapping Study.","authors":"Jiayin Luo, Sihan Chen, Xiaojiu Qi, Ke Peng, Xiaoyan Zhang","doi":"10.1111/jocn.70567","DOIUrl":"https://doi.org/10.1111/jocn.70567","url":null,"abstract":"<p><strong>Aim: </strong>To comprehensively identify, conceptualize and map the barriers and facilitators influencing the implementation of nurse-led diabetic plantar pressure assessment and management (NL-DPPAM) from a multicentre, multi-stakeholder perspective and to construct a priority action framework.</p><p><strong>Background: </strong>Despite its critical role in preventing diabetic foot ulcers (DFUs), NL-DPPAM faces a significant evidence-practice gap due to complex barriers and a lack of stakeholder-integrated prioritization frameworks.</p><p><strong>Methods: </strong>An exploratory sequential mixed-methods study utilizing multicentre group concept mapping across China engaged 219 key stakeholders. Factors generated via literature, records and brainstorming (QUAL) were sorted and rated for 'Importance' and 'Feasibility' (QUAN). Concept maps were generated using multidimensional scaling and hierarchical cluster analysis. Priority areas were identified using CFIR-based theoretical mapping and Go-Zone plots (INTEGRATION).</p><p><strong>Results: </strong>The conceptual framework comprises 76 factors across 17 clusters and five CFIR domains, revealing a widespread importance-feasibility gap. Three domains (Implementation Process, Individuals, Inner Setting) and seven clusters (e.g., Planning, Capability, Communications) entered the high-importance/high-feasibility 'Priority Action Zone'. Specifically, 29 factors were prioritized, highlighting critical gaps such as lacking DPPAM operational methods, patient safety prevention plans and standardized outcome evaluation tools.</p><p><strong>Conclusions: </strong>This first-of-its-kind multi-stakeholder, data-driven framework systematically delineates the multidimensional determinants of NL-DPPAM implementation. Policymakers should focus on developing strategies targeting areas with both high importance and high feasibility.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117914","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-System Complexity and Network-Informed Assessment Priorities in Patients With Colorectal Cancer and a Stoma: A Multicentre Cross-Sectional Study.","authors":"Chao Guo, Haichao Sun, Fanghui Sun, Yifan Ma, Xuanbo Zhang, Yingai Jin","doi":"10.1111/jocn.70580","DOIUrl":"https://doi.org/10.1111/jocn.70580","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aims and objectives: &lt;/strong&gt;To characterise symptom-system heterogeneity and entropy-informed complexity and identify network-informed assessment priorities for clinical nursing in patients with colorectal cancer and a stoma.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Patients with colorectal cancer and a stoma frequently experience co-occurring physical, psychological and social adaptation symptoms. Severity scores may not show how broadly symptom activation is distributed across the symptom system.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;A multicentre cross-sectional study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This multicentre cross-sectional study included 428 patients from three tertiary hospitals in China. After symptom screening, 29 indicators were analysed. Latent profile analysis and normalised symptom entropy characterised heterogeneity and dispersion; regularised Gaussian graphical modelling and association-rule analysis examined symptom roles; and in silico simulations with Borda-count convergence identified candidate assessment priorities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Three symptom profiles were identified: low-burden (35.5%), moderate-burden psychological sensitisation (35.3%) and high-burden multidomain activation (29.2%). Symptom entropy was strongly related to total burden, yet 38 patients (8.9%) had discordant severity-complexity classifications, including 18 (4.2%) with lower burden but higher complexity. Decreased subjective well-being and insomnia occupied influential network positions. Multi-criteria convergence prioritised stoma hypervigilance, anxiety, insomnia, decreased subjective well-being and low self-esteem.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Symptom severity and symptom-system complexity were closely related but not fully interchangeable. Entropy-informed assessment may complement severity screening by identifying a modest subgroup with diffuse symptom activation. The prioritised symptoms are hypothesis-generating assessment priorities and require prospective validation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Relevance to clinical practice: &lt;/strong&gt;Symptom-severity scores alone may not fully identify patients with broadly distributed symptom activation after stoma formation. In this study, 18 patients (4.2%) had lower burden but higher complexity. For such patients, nurses could review item-level symptoms across domains, ask about functional impact and self-management concerns, and agree assessment priorities with the patient. Persistent concerns may warrant tailored education, specialist support and reassessment within existing care pathways. Stoma hypervigilance, anxiety, insomnia, decreased subjective well-being and low self-esteem were prioritised in the overall sample, not validated as targets specifically for this subgroup. These findings can inform prospective nurse-led assessment studies but should not yet be used as screening thresholds or a clinical decision algorithm.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Reporting method: &lt;/strong&gt;This study was reported in","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117991","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":"Translation, Cultural Adaptation and Psychometric Validation of the Italian Version of the Dignity in Care Scale for Nurses.","authors":"Simone Cosmai, Ercole Vellone, Diego Lopane, Matteo Torreano, Marco Di Nitto, Gianluca Catania, Daniela Cattani, Alessandra Dacomi, Milko Zanini, Loredana Sasso, Duilio Fiorenzo Manara, Debora Rosa, Rosaria Alvaro, Gennaro Rocco, Annamaria Bagnasco, Beatrice Mazzoleni","doi":"10.1111/jocn.70566","DOIUrl":"https://doi.org/10.1111/jocn.70566","url":null,"abstract":"<p><strong>Aim: </strong>To translate, culturally adapt and validate the Dignity in Care Scale for Nurses (DISC-N) into the Italian language.</p><p><strong>Design: </strong>A national multicentre cross-sectional study.</p><p><strong>Methods: </strong>Translation and cultural adaptation followed recognised guidelines for health measurement instruments. Content validity was assessed through expert review. Structural validity, item performance, reliability, construct validity and measurement invariance were examined in a national sample of registered nurses and nursing students.</p><p><strong>Results: </strong>A total of 1385 registered nurses and 905 nursing students from 14 regions and one Autonomous Province participated in this study. The Italian DISC-N showed excellent content validity, a coherent six-domain structure, and strong reliability for the total scale and its domains. Measurement invariance was supported across gender, age and professional role, indicating that comparisons across these groups are appropriate. Construct validity was supported by positive associations with ethical climate.</p><p><strong>Conclusions: </strong>The Italian DISC-N is a culturally appropriate and psychometrically robust instrument for evaluating dignity-preserving nursing practice in Italian clinical and educational settings.</p><p><strong>Implications for the profession and patient care: </strong>The scale can support professional development, undergraduate education and quality improvement by helping organisations assess, monitor and strengthen dignity-preserving care.</p><p><strong>Impact: </strong>This study addressed the absence of an Italian instrument for assessing nurses' perceptions of dignity-preserving care. The main finding is that the Italian DISC-N provides a valid and reliable measure for nurses and nursing students. The findings will affect clinical educators, nurse managers, researchers and healthcare organisations seeking to promote person-centred and dignity-preserving care.</p><p><strong>Reporting method: </strong>The study was reported according to the Consensus-based Standards for the selection of health Measurement Instruments reporting guideline.</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":3.6,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117960","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":"Kidney Transplant Recipients' Experiences of Sleep and Coping Strategies: An Interpretative Phenomenological Study.","authors":"Jiaxin Zhu, Ling Deng, Mao Ye, Xiaofei Li","doi":"10.1111/jocn.70577","DOIUrl":"https://doi.org/10.1111/jocn.70577","url":null,"abstract":"<p><strong>Objective: </strong>To explore the lived experiences of sleep disturbances and coping among kidney transplant recipients (KTRs), thereby providing a basis for developing individualized and targeted nursing interventions.</p><p><strong>Methods: </strong>A qualitative study using Interpretative Phenomenological Analysis (IPA) was conducted among 12 KTRs recruited through purposive sampling from the organ transplantation outpatient clinic of a tertiary hospital in Shenyang, China, between April and June 2025. Individual semi-structured face-to-face interviews were conducted for data collection. Interview data were analysed using IPA to identify themes and subthemes representing participants' lived experiences of sleep disturbances and coping strategies.</p><p><strong>Results: </strong>Four overarching themes and 11 subthemes were identified: (1) disrupted nighttime sleep; (2) emotional distress associated with sleep disturbances; (3) receiving and lacking social support; and (4) self-adjustment strategies amid sleep difficulties.</p><p><strong>Conclusion: </strong>Kidney transplant recipients experienced multidimensional sleep disturbances that were closely intertwined with their emotional well-being, social support, and self-adjustment strategies. Participants differed in how they perceived and responded to their sleep difficulties. Future post-transplant care should place greater emphasis on the assessment of sleep and psychosocial needs, strengthen family and professional support, and provide individualized sleep health education and non-pharmacological interventions to help improve sleep experiences and quality of life.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117999","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}