Journal of Clinical Nursing最新文献

{"title":"Understanding How Caregiver Burnout Leads to Elder Abuse in Nursing Homes: New Research Directions.","authors":"Zilin Zhao, Xiaojing Zhang, Yiping Lu","doi":"10.1111/jocn.70064","DOIUrl":"https://doi.org/10.1111/jocn.70064","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776775","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":"Pressure Injury Assessment Tools for Oncology Patients: A Systematic Review.","authors":"Wei Zou, Juan Liu, Xinxiang Du, Hui Yang","doi":"10.1111/jocn.70053","DOIUrl":"https://doi.org/10.1111/jocn.70053","url":null,"abstract":"<p><strong>Aim: </strong>The objective of this systematic review was to evaluate the measurement properties of pressure injury risk assessment tools for cancer patients using the Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) methodology, and to serve as a reference for clinical nurses in their hospital duties when choosing high-quality assessment tools.</p><p><strong>Design: </strong>A systematic review based on COSMIN methodology.</p><p><strong>Data sources: </strong>The English literature in PubMed, Embase, Web of Science, Cochrane Library, CINAHL and the search period ranged from the inception of the database to September 30, 2024.</p><p><strong>Methods: </strong>Two reviewers independently screened the studies, extracted the data, and evaluated the methodological quality and measurement properties of the included studies.</p><p><strong>Results: </strong>Seven studies met the inclusion criteria. Two tools-the PUSO (Pressure Ulcer Scale in Oncology) and the Cuire scale-demonstrated sufficient evidence of content validity and structural validity, meeting the COSMIN quality standards. None of the studies reported the cross-cultural validity, stability, and measurement error of the assessment tool.</p><p><strong>Conclusion: </strong>Following the COSMIN assessment, the PUSO and the Cuire were developed using rigorous procedures, ensuring sufficient overall quality for content validity, structural validity, and other measurement properties. We recommend their use across various environments, based on the quantity and content of specific items. The PUSO was recommended for clinical screening, whereas the Cuire scale was deemed more suitable for use in outpatient, community, and scientific research settings. However, these measurement properties are not without flaws, and their clinical application requires further validation.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776774","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":"Ignite the Parent-Child Bond: A Qualitative Exploration of Perspective and Need About Family Functioning Among Patients With Advanced Cancer and Their Adolescent Children.","authors":"Jingjing Jiao, Jingxing Tan, Jun Yu, Jinnan Xiao, Chongmei Huang, Gui Xiao, Jiaying Xie, Jinfeng Ding, Siyuan Tang, Andrew Hunter","doi":"10.1111/jocn.17794","DOIUrl":"https://doi.org/10.1111/jocn.17794","url":null,"abstract":"<p><strong>Background: </strong>Advanced cancer not only affects the physical, psychological, and social functions of patients, but it also impacts their adolescent children. There is a dearth of information regarding the understanding of family functioning and specific needs of patients with advanced cancer and their adolescent children.</p><p><strong>Purpose: </strong>This qualitative study aimed to explore the experience and needs regarding family functioning of patients with advanced cancer and their adolescent children, as well as understanding potential approaches for maintaining positive family functioning.</p><p><strong>Design: </strong>A descriptive qualitative study was employed.</p><p><strong>Settings and participants: </strong>This study was conducted at three tertiary hospitals in Changsha, China, from January to September 2023. Purposive sampling was adopted to recruit participants. 17 stage III and IV patients with cancer and 11 adolescent children were interviewed.</p><p><strong>Methods: </strong>Face-to-face individual interviews were conducted among patients with advanced cancer and their adolescent children. The data analysis employed Braun and Clarke's thematic analysis method. The McMaster family functional model theoretical framework was utilised to facilitate the identification and organisation of topics, ensuring a comprehensive analysis of the data.</p><p><strong>Findings: </strong>Six themes were identified: communication challenges; impaired family role functioning; positive/negative feelings; over-involvement; change of behaviour control pattern; Needs for medical and psychological support. Both patients with advanced cancer and their adolescent children expressed collective views and needs regarding family functioning.</p><p><strong>Conclusions: </strong>The findings of this study reveal an understanding of family functioning and needs among patients with advanced cancer and their adolescent children. The identified themes provide valuable insights for designing and implementing targeted intervention strategies.</p><p><strong>Clinical relevance: </strong>Nursing interventions should focus on helping patients with advanced cancer and their adolescent children improve family functioning and communication skills. The findings indicate that communication challenges are a significant aspect of impaired family functioning, necessitating targeted interventions to enhance communication. Healthcare providers should be trained to recognise the diverse communication needs of families, which include providing resources for age-appropriate communication, counselling, and guidance on maintaining family routines. Enhancing the communication skills of patients and their children is crucial for addressing problem-solving needs and mitigating negative feelings, thereby fostering a more supportive family environment.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776771","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":"Is the Active Involvement of Family Caregivers in Adult Hospital Care Effective to Improve Patient Outcomes? A Systematic Review.","authors":"Daphne Bloemberg, Mark L van Zuylen, Selma C W Musters, Demi de Jong, Anne Marthe Schreuder, Faridi S Jamaludin, Benedikt Preckel, Els Nieveen van Dijkum, Anne M Eskes","doi":"10.1111/jocn.70059","DOIUrl":"https://doi.org/10.1111/jocn.70059","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the effects of active involvement of family caregivers in adult in-hospital care on patients' readmissions, complications, mortality, length of hospital stay, quality of life, psychological distress and activities of daily living, as well as on the satisfaction of patients, HCPs and family caregivers.</p><p><strong>Design: </strong>Systematic review.</p><p><strong>Data sources: </strong>Ovid Medline, Ovid Embase, EBSCO CINAHL, Cochrane Library (from inception to February 2024).</p><p><strong>Methods: </strong>The PRISMA 2020 statement was followed. Prospective controlled studies focusing on active involvement of family caregivers in adult in-hospital care were included. Two independent teams of authors conducted study selection, quality assessment and data extraction.</p><p><strong>Results: </strong>Thirteen studies were included, comprising 11 randomised controlled trials. The clinical and methodological heterogeneity precluded a meta-analysis. Six of these studies were performed in stroke patients. Some studies reported statistically significant benefits of active family involvement on readmission rates, hospital LOS, ADL, psychological distress for patients and family members, QoL and satisfaction of family caregivers. However, others did not observe differences in these outcomes. For complication rates, mortality and satisfaction of patients and HCPs, no studies demonstrated significant differences between groups.</p><p><strong>Conclusion: </strong>Further research is needed to provide a conclusive answer as to whether active family caregiver involvement improves outcomes of adult hospitalised patients.</p><p><strong>Implications for patient care: </strong>Despite the inconclusive findings of this review, advocating for active involvement of family caregivers in adult in-hospital care fits the perspective of patient- and family-centred care.</p><p><strong>Impact: </strong>As the care of hospitalised adults is shifting to a more family-centric approach, investigating the effects of an active role of family caregivers in adult in-hospital care is necessary. However, the small number of studies available and heterogeneity between studies included in this review hamper firm conclusions. Further evaluations through well-designed studies are required.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776772","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":"Co-Designing a Model of Brilliant Care for Older People.","authors":"Ann Dadich, Rachael Kearns, Ben Harris-Roxas, Katherine Boydell, Peter Gonski, Friedbert Kohler, David Lim, Éidín Ní Shé, Carmen Amato, Imelda Gilmore, Brian Lane, Jane Mears, Frank Schaper, Rosslyn Sleeman, Elise Tcharkhedian, Varsha Tembe, Shannon Azzopardi, Kim Delbaere, Tamar Krebs, Elizabeth Paterson-Finlay, Danielle Ni Chroinin","doi":"10.1111/jocn.70049","DOIUrl":"https://doi.org/10.1111/jocn.70049","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to co-design a model of brilliant care for older people that provides clear, actionable principles to guide how brilliant care for older people can be realised.</p><p><strong>Background: </strong>As the demand for and international importance of care for older people grows, so too does the negative discourse about care for older people. This ongoing focus on deficiencies can have implications for patients, carers, clinicians, health services, and policymakers, overshadowing opportunities for innovation and positive change.</p><p><strong>Design: </strong>Experience-based co-design informed this study, grounded in the lived experiences of key stakeholders.</p><p><strong>Methods: </strong>Three scaffolded co-design workshops were facilitated, involving lived experience experts, managers, professionals, clinicians, and an academic (n= 13). The data collected during these workshops were analysed using a qualitative descriptive method and documented according to COREQ guidelines to optimise rigour and transparency.</p><p><strong>Results: </strong>The participants co-designed a model of brilliant care for older people, comprising principles to promote connection and innovation. To promote connection, the model includes protecting staff member time to deliver meaningful care and demonstrating that everyone matters. To promote innovation, it encourages role flexibility, curiosity, small improvements, and the recognition of brilliant practices.</p><p><strong>Conclusions: </strong>This article presents a co-designed model of brilliant care for older people, incorporating principles of connection and innovation that can be enacted through simple, resource-efficient practices.</p><p><strong>Relevance to clinical practice: </strong>For those who manage and deliver care for older people, the model encompasses simple, accessible, and cost-effective principles to: positively deviate from norms within the sector, offering care to older people; and to deliver brilliant care for older people. Furthermore, given that the model was co-designed with lived experience experts, managers, professionals, and clinicians, its principles are imbued with their experiential insights, which served to bring particular priorities to the fore.</p><p><strong>Patient or public contribution: </strong>The co-designers, who included lived experience experts, were invited to participate in workshops to co-design a model of brilliant care for older people, during which they discussed and critiqued the findings constructed from the data and co-designed the model.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762158","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":"Reporting Grounded Theory: Is COREQ Enough?","authors":"Martina Barbieri,&nbsp;Andrea Moro,&nbsp;Mariarosaria Gammone,&nbsp;Daniela Cattani,&nbsp;Lara Delbene,&nbsp;Talita Sallai,&nbsp;Roger Watson,&nbsp;Gianluca Catania,&nbsp;Milko Zanini,&nbsp;Loredana Sasso,&nbsp;Annamaria Bagnasco","doi":"10.1111/jocn.70052","DOIUrl":"10.1111/jocn.70052","url":null,"abstract":"&lt;p&gt;Exploring patient experiences of clinical nursing is an important aspect of clinical research. Grounded theory is an excellent way of addressing complex, naturalistic clinical nursing issues to improve care by better understanding the social processes involved in the illness journey, health event or care episode. Ensuring that such grounded theory research is robust and rigorous is important as it will influence clinical practice.&lt;/p&gt;&lt;p&gt;The EQUATOR (Enhancing the QUAlity and Transparency Of health Research) Network was established in 2006 at the Centre for Statistics in Medicine, University of Oxford, with the goal of improving the reliability and value of health research literature by promoting transparent and accurate reporting (Moher et al. &lt;span&gt;2008&lt;/span&gt;). Since its inception, the EQUATOR Network has become a central reference point in academic publishing, especially in health-related disciplines, leading the five main scientific publishing groups to rely on EQUATOR guidelines to shape the author guidelines for indexed journals, assess manuscript quality and guide the reporting process (Smith et al. &lt;span&gt;2018&lt;/span&gt;). As a result, the reporting checklists hosted on the EQUATOR website have become essential tools for authors, reviewers and editors in the scientific community.&lt;/p&gt;&lt;p&gt;The EQUATOR Network hosts an extensive array of reporting guidelines, including highly specific checklists tailored to various study designs (Bond and Hopewell &lt;span&gt;2015&lt;/span&gt;). The resources in the EQUATOR website are organised to allow authors to select the most appropriate checklist based on the study design (EQUATOR Network &lt;span&gt;2025&lt;/span&gt;). However, as shown in Table 1, most of these checklists focus on quantitative methodologies, while for qualitative research, among the tools available on the website (Table 1), qualitative researchers tend primarily to use two main tools: the COREQ (Consolidated Criteria for Reporting Qualitative Research) (Tong et al. &lt;span&gt;2007&lt;/span&gt;) and the SRQR (Standards for Reporting Qualitative Research) (O'Brien et al. &lt;span&gt;2014&lt;/span&gt;). Although these two guidelines were designed to be broadly applicable to qualitative studies, their generic nature has led to several limitations.&lt;/p&gt;&lt;p&gt;COREQ, the most frequently used, focuses primarily on studies involving interviews and focus groups, but has been criticised for promoting a narrow model of qualitative research and for encouraging methodological incongruence when applied across diverse qualitative approaches. Its limited attention to theoretical positioning and its prescriptive use of certain practices reduce its suitability as a universal reporting tool (Braun and Clarke &lt;span&gt;2024&lt;/span&gt;). Similarly, the SRQR is comprehensive in scope but lacks specificity, offering no clear criteria for defining rigour, which limits its usefulness for assessing the quality of qualitative studies or their findings—particularly across diverse epistemological and methodological orientati","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":"34 9","pages":"3439-3441"},"PeriodicalIF":3.5,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jocn.70052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reflecting on the Use of TEAM Scale as a Transference of Leadership and Teamwork Assessment From Educational to Clinical Settings.","authors":"Soledad Armijo-Rivera, Leonardo Pérez González","doi":"10.1111/jocn.70055","DOIUrl":"https://doi.org/10.1111/jocn.70055","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735032","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":"Safe Mobility in Hospitalised Older Adults: A Concept Analysis.","authors":"Esther Mourão Nicoli, Frances Valéria Costa E Silva, Rosane Barreto Cardoso, Tallita Mello Delphino, Luciana Guimarães Assad, Samara Gonçalves de Oliveira","doi":"10.1111/jocn.70046","DOIUrl":"https://doi.org/10.1111/jocn.70046","url":null,"abstract":"<p><strong>Aim: </strong>To conduct a concept analysis of 'safe mobility', with specific application in hospitalised older adults, identifying its defining attributes, antecedents and consequences.</p><p><strong>Background: </strong>The promotion of safe mobility is essential for maintaining the functionality of hospitalised older adults. However, this idea is not yet clearly defined in the scientific literature, requiring a conceptual analysis for better understanding and applicability in nursing practice.</p><p><strong>Design: </strong>Concept analysis.</p><p><strong>Methods: </strong>The concept analysis methodology of Walker and Avant was employed, consisting of eight steps. Sources from the scientific literature (BDENF/VHL, Scopus, CINAHL/EBSCO, Embase, Web of Science, PEDro, MEDLINE/PubMed and CAPES Thesis and Dissertation Catalogue, as outlined in a scoping review previously published by the authors) and terminologies from dictionaries and nursing practice, such as SNOMED CT, ICNP, NANDA, NIC and NOC, were analysed.</p><p><strong>Results: </strong>The concept of 'safe mobility' does not have a consolidated definition but was identified through three defining attributes: active movement, prevention of fall-related harm and prevention of immobility-related harm. The antecedents include the older adults' conditions, adaptation of the hospital environment, training of the multidisciplinary team, patient behaviour and family involvement. The consequences involve the maintenance of functionality, improvement of quality of life, reduction of hospital length of stay and costs, as well as a decrease in rates of readmission, referrals to long-term care institutions and mortality.</p><p><strong>Conclusion: </strong>The concept analysis revealed that safe mobility involves promoting active movement and preventing harm related to both immobility and falls.</p><p><strong>Implications for the profession and patient care: </strong>Strategies based on this concept can improve the quality of life of older adults, reduce complications and optimise hospital costs.</p><p><strong>No patient or public contribution: </strong>This concept analysis examines existing literature and does not require patient-related data collection. The methodological approach does not necessitate collaboration with the public.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735034","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":"Engagement in Medication Communication During Transitions of Care for Rural Aged Care Residents and Family Caregivers: A Qualitative Study.","authors":"Alison Dowling, Elizabeth Manias","doi":"10.1111/jocn.70047","DOIUrl":"https://doi.org/10.1111/jocn.70047","url":null,"abstract":"<p><strong>Aim: </strong>To explore how residents and caregivers experience engagement in medication communication during transitions of care.</p><p><strong>Design: </strong>Qualitative exploratory study.</p><p><strong>Methods: </strong>Nine residents and seven family caregivers from two rural aged care homes participated in semi-structured interviews between June and July 2024. Engagement in medication communication was assessed using the Patient and Family Engagement Framework. The COREQ checklist guided reporting of the study.</p><p><strong>Results: </strong>The study identified two main themes: (1) Medication communication during transitions into healthcare services; (2) Influences shaping residents' and caregivers' engagement in medication communication. Participants primarily experienced passive consultation about medications, mainly due to a lack of proactive engagement from healthcare providers, with both intrinsic and external factors significantly hindering their involvement in medication communication.</p><p><strong>Conclusion: </strong>Participants had minimal engagement in medication communication during transitions, receiving mainly reactive, one-way information from providers. Improved communication strategies and greater involvement of residents and caregivers are needed to enhance medication safety and continuity of care in rural settings.</p><p><strong>Relevance to clinical practice: </strong>This study provides insights into medication communication engagement among rural aged care residents and their family caregivers. By applying the Patient and Family Engagement Framework, the findings highlight the need for proactive, clear and inclusive communication strategies to enhance medication safety and continuity of care. Improving engagement in medication discussions can support shared decision-making, reduce misunderstandings and improve transitions of care in rural aged care settings.</p><p><strong>Reporting method: </strong>The study followed COREQ guidelines.</p><p><strong>Patient or public contribution: </strong>Residents and family caregivers participated through interviews.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709655","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":"Examining the Association Between Perceived Quality of Care and Experienced Coercion Among Patients in Acute Mental Health Units in Spain: A National Cross-Sectional Study.","authors":"Khadija El-Abidi, Sara Sanchez-Balcells, Juan F Roldán-Merino, Ana Ventosa Ruiz, Montse Cañabate-Ros, Juan A Garcia-Sanchez, Estibaliz Muñoz-Rouco, Juan J Pérez-Moreno, Javier Pita-De-La-Vega, Gemma Rubia-Ruiz, Carolina Santos-Pariente, Ana Maria Rodríguez López, Laura Jardón Golmar, Cristina Esquinas López, Juan Gomez Perez, Marcelino Vicente Pastor-Bernabeu, Joana Coelho, Evdokia Misouridou, M Teresa Lluch-Canut, Montserrat Puig-Llobet, Antonio R Moreno-Poyato","doi":"10.1111/jocn.70048","DOIUrl":"https://doi.org/10.1111/jocn.70048","url":null,"abstract":"<p><strong>Aim: </strong>To examine the association between perceived quality of care and the level of coercion experienced by individuals hospitalised in acute mental health units.</p><p><strong>Design: </strong>National cross-sectional study.</p><p><strong>Methods: </strong>Data were collected from 255 patients admitted to 12 acute mental health units across Spain. Standardised instruments assessed perceived quality of care and levels of coercion, humiliation and fear at discharge. Multiple linear regression analyses were used to explore associations between care quality dimensions and patients' experiences.</p><p><strong>Results: </strong>Perceived quality of care was significantly associated with lower levels of perceived coercion and humiliation. All dimensions of care quality showed inverse associations, with the \"secluded\" dimension showing the strongest association. The association between care quality and perceived fear was less consistent. These findings are particularly relevant for mental health nurses, who play a central role in delivering relational care and ensuring patients' emotional safety.</p><p><strong>Conclusion: </strong>Higher perceived quality of care is associated with lower levels of coercion, humiliation, and fear during hospitalisation in acute mental health settings.</p><p><strong>Implications for the profession and/or patient care: </strong>For mental health nursing, these results underscore the critical role of nurses in creating therapeutic environments that reduce coercive experiences. By fostering trust, promoting patient autonomy, and ensuring emotional and physical safety, nurses can significantly influence the quality of care and patient outcomes.</p><p><strong>Impact: </strong>The study addresses the lack of evidence on how perceived quality of care influences experiences of coercion in acute mental health settings. Better perceived care quality is linked to reduced feelings of coercion, humiliation and fear. The research has direct implications for mental health nurses, clinical educators and healthcare managers aiming to improve patient experiences and reduce coercive practices in psychiatric care.</p><p><strong>Reporting method: </strong>STROBE 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":3.2,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709656","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}