Journal of Clinical Nursing最新文献

{"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}

{"title":"Communication Access and Emergency Care for D/deaf People: A Reflexive Thematic Analysis of Patient Experiences.","authors":"Sarah Hazelwood, Jennifer Dermer, Neil Wood, Stephen Neville","doi":"10.1111/jocn.70578","DOIUrl":"https://doi.org/10.1111/jocn.70578","url":null,"abstract":"<p><strong>Aim: </strong>To examine how D/deaf people experience communication access during emergency department visits and identify changes they consider most important for accessible and safe emergency care.</p><p><strong>Design: </strong>Interpretive qualitative survey study using reflexive thematic analysis.</p><p><strong>Methods: </strong>Written responses to open-ended questions in an accessible bilingual Auslan-English survey were analysed within a critical, system-oriented framework. Interpretation was informed by Deaf Elder and D/deaf advisory perspectives.</p><p><strong>Results: </strong>Accounts described widespread communication barriers, including absent or delayed interpreters, limitations of video remote interpreting and expectations to lip-read, write or rely on family members. These reflected hearing-centred emergency care that shifted communicative responsibility onto patients. Fear, confusion and frustration were particularly evident during urgent or painful presentations. Positive experiences were associated with early interpreter engagement, visual communication strategies and staff familiarity with sign language. Participants identified system-level changes, including on-call interpreter pathways, Deaf awareness training and improved visual and non-auditory communication systems.</p><p><strong>Conclusion: </strong>Communication access was uncertain and inconsistently supported for D/deaf patients. Improving care requires organisational approaches that embed interpreter access, visual communication systems and Deaf-informed training within routine practice.</p><p><strong>Implications for the profession and/or patient care: </strong>Communication access should be embedded within routine emergency care through reliable interpreter pathways, visual communication systems and Deaf-informed staff education.</p><p><strong>Impact: </strong>This study identifies communication barriers that can affect safety, understanding and participation for D/deaf patients in emergency care and highlights the need for organisational approaches to communication access.</p><p><strong>Reporting method: </strong>Reporting was guided by the Consensus-Based Checklist for Reporting of Survey Studies (CROSS).</p><p><strong>Patient or public contribution: </strong>D/deaf people contributed to study design, recruitment, analysis and interpretation. Survey items were refined with Deaf Elders and a D/deaf advisory team. A Deaf Elder co-author contributed to recruitment and manuscript development, while advisory input informed theme refinement and challenged hearing-centred interpretations.</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":"149117988","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 Perceptions of the Intended Use of Artificial Intelligence to Prevent Medication Errors: A Qualitative Descriptive Study.","authors":"Juan Martinez-Puertas, Noelia Frutos-Rodríguez, Alejandro Winderholler-Heinzenknecht, Carmen Morales-Plaza, Adrian Martinez-Ortigosa, Miguel Rodriguez-Arrastia","doi":"10.1111/jocn.70326","DOIUrl":"10.1111/jocn.70326","url":null,"abstract":"<p><strong>Aim: </strong>To explore the perceptions of nursing professionals in high-demand healthcare services regarding the adoption of AI-based support systems for the prevention of medication errors.</p><p><strong>Design: </strong>A qualitative descriptive study was conducted between November 2024 and March 2025.</p><p><strong>Methods: </strong>Sixteen semi-structured interviews were held with nurses from emergency and intensive care units, guided by conceptual dimensions of the Technology Acceptance Model framework. Participants were recruited using purposive and snowball sampling. ATLAS.ti v.9 software was used for an inductive thematic analysis.</p><p><strong>Results: </strong>Two major themes emerged: (i) professional reflections on medication safety and related risks; and (ii) integrating artificial intelligence into nursing practice to reduce such risks and prevent medication errors. While artificial intelligence was recognised as a promising resource to support clinical decision-making and reduce cognitive load, nurses identified barriers, including limited training, inadequate technological infrastructure, unreliable data sources, and ethical concerns that could compromise its safe implementation and thereby hinder its potential to prevent medication errors.</p><p><strong>Conclusion: </strong>AI-based support systems are perceived as useful, but complex resources for addressing medication errors, which remain a critical challenge in healthcare. Its successful implementation depends not only on the availability of resources, but also on the organisational context and the ability to respond to the needs and concerns of healthcare professionals.</p><p><strong>Implications for clinical practice: </strong>Integrating artificial intelligence into routine workflows to support clinical decision-making and reduce medication errors in high-demand settings requires more than infrastructure and technical training. Effective adoption demands participatory design, clear role delineation, and context-sensitive training aligned with medication-management processes. Lack of alignment may result in artificial intelligence increasing complexity instead of contributing to safer and more efficient medication administration.</p><p><strong>Reporting method: </strong>Methods and findings are reported following SRQR recommendations.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":"4423-4437"},"PeriodicalIF":3.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13569204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700091","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":"Ethical and Regulatory Challenges of Generative Artificial Intelligence in Healthcare: A Chinese Perspective.","authors":"Lanyi Yu, Xiaomei Zhai","doi":"10.1111/jocn.17493","DOIUrl":"10.1111/jocn.17493","url":null,"abstract":"<p><strong>Aim: </strong>To provide practical insights that delve into the ethical issues and regulatory implications of generative artificial intelligence (GenAI) in healthcare. Ethical Challenges and Regulatory Impact in China is used as an example.</p><p><strong>Background: </strong>Despite China's efforts to strike a delicate balance between protecting public welfare and promoting technological advancement, numerous unresolved issues persist in the practical integration of generative artificial intelligence into healthcare settings.</p><p><strong>Conclusion: </strong>Key issues such as data application, privacy protection, cost-effectiveness and regulatory remain areas of ambiguity that require clarification. Stringent ethical guidelines, data privacy protection measures and continuous supervision and evaluation of artificial intelligence decisions will help enhance the expected benefits of GenAI in healthcare.</p><p><strong>Relevance to clinical practice: </strong>The potential use of GenAI in healthcare has garnered widespread attention, emerging as a significant global research topic. However, its application in this domain presents substantial ethical and regulatory challenges. Compared to other fields, GenAI's role in healthcare is more sensitive and complex, necessitating an urgent assessment of its ethical implications for future development and deployment. Challenges and ethical considerations are particularly pronounced in developing countries with limited healthcare resources.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":"4450-4459"},"PeriodicalIF":3.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13569108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576838","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":"Self-Efficacy as a Mediator Between Medication Adherence and Self-Care in Inflammatory Bowel Disease: A Multicenter Cross-Sectional Study.","authors":"Piergiorgio Martella, Manuele Cesare, Silvia Cilluffo, Alessandro Monaci, Valentina Biagioli, Davide Bartoli, Daniele Napolitano, Antonello Cocchieri","doi":"10.1111/jocn.70385","DOIUrl":"10.1111/jocn.70385","url":null,"abstract":"<p><strong>Aims: </strong>To examine the role of self-efficacy in the relationship between medication adherence and self-care behaviours in patients with Inflammatory Bowel Disease by describing their levels and exploring the interconnections among these variables.</p><p><strong>Design: </strong>Multicenter, cross-sectional.</p><p><strong>Methods: </strong>A total of 452 patients were recruited through consecutive non-probabilistic sampling across nine Italian outpatient Inflammatory Bowel Disease Units. Data were collected using validated tools: the Morisky Medication Adherence Scale-8, the Self-Care Self-Efficacy Scale, and the Self-Care of Chronic Illness Inventory. Descriptive statistics, Pearson correlations, and mediation analyses were performed to explore associations and the mediating role of self-efficacy between medication adherence and self-care behaviours.</p><p><strong>Results: </strong>Participants had a mean age of 43.49 years; 50.9% were male, 49.2% had Crohn's disease, and 50.8% had ulcerative colitis. Only 10.2% reported high medication adherence, while most showed medium or low adherence. The mean self-efficacy score was 74.82. Medication adherence was positively associated with self-care maintenance, and self-efficacy statistically accounted for part of this association. Lower levels were observed in self-care monitoring and management behaviours.</p><p><strong>Conclusions: </strong>Medication adherence was positively associated with self-care maintenance, and self-efficacy partially explained this relationship.</p><p><strong>Implications for clinical practice: </strong>Routine assessment of medication adherence and self-efficacy may help identify patients at risk of poor self-care. Interventions aimed at strengthening self-efficacy, such as motivational interviewing, nurse-led counselling, and digital monitoring tools, may improve adherence and self-care maintenance.</p><p><strong>Impact: </strong>The study addressed low medication adherence and suboptimal self-care in patients with IBD. Findings support integrating self-efficacy-enhancing strategies into multidisciplinary care to improve adherence and self-care behaviours.</p><p><strong>Patient or public contribution: </strong>Patients completed validated self-report questionnaires; however, they were not involved in the study design, conduct, analysis, or manuscript preparation.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":"4378-4388"},"PeriodicalIF":3.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13569268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139627","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":"Comment on ‘Evidence Mapping of Clinical Practice Guidelines Recommendations and Quality for Nutritional Management in Dementia’","authors":"Pranav Subramanian,&nbsp;G. Kharmega Sundararaj","doi":"10.1111/jocn.70439","DOIUrl":"10.1111/jocn.70439","url":null,"abstract":"<div>\u0000 \u0000 <p>This commentary critically appraises the evidence-mapping review by Su et al. on clinical practice guideline recommendations for nutritional management in dementia. Although the review provides a valuable synthesis using AGREE II and RIGHT checklist methodology, several interpretive limitations warrant attention before its recommendations are translated into practice. First, the included guidelines represent structurally distinct sources: dementia-specific guidelines incorporating nutritional advice and nutrition-focused guidelines extrapolating recommendations to dementia populations. Presenting these together without stratification may obscure whether recommendations are supported by dementia-specific evidence. Second, the low AGREE II scores for applicability and rigour of development suggest that many recommendations may lack sufficient implementation guidance, particularly in domains requiring staffing, food-service flexibility and allied-health support. Third, the education recommendations arise only from two iterations of the same guideline source and are graded as weak, making them less evidentially robust than multi-guideline recommendations in other domains. Finally, limited reporting of conflicts of interest is relevant because several recommendations involve commercially sensitive interventions such as oral nutritional supplements and enteral nutrition. Stratifying guideline type, qualifying recommendations by implementability and distinguishing single-source weak recommendations would improve the clinical usefulness of the evidence map.</p>\u0000 </div>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":"35 11","pages":"4507-4509"},"PeriodicalIF":3.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425981","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":"Clinical Academics in Nursing: Vital but Under-Recognised","authors":"David R. Thompson,&nbsp;Hugh P. McKenna,&nbsp;Mi Ja Kim","doi":"10.1111/jocn.70412","DOIUrl":"10.1111/jocn.70412","url":null,"abstract":"&lt;p&gt;Nursing careers have traditionally followed a single path of clinical practice, education or research, occasionally a combination of two and rarely of all three elements. Yet, if nursing is to realise its full potential to improve the quality and safety of healthcare it is surely incumbent on the nursing profession, healthcare and academic institutions and policy makers to develop and implement a nursing career model that blends these elements of clinical practice, education and research, and provide support and resources for such roles.&lt;/p&gt;&lt;p&gt;In order to overcome traditional career path silos in nursing, a variety of innovative roles and titles have been designed to bridge or combine them, including clinical academics (Aspinall et al. &lt;span&gt;2024&lt;/span&gt;; Council of Deans of Health &lt;span&gt;2020&lt;/span&gt;). Clinical academic roles in nursing are comparatively well-established in the UK (Carrick-Sen et al. &lt;span&gt;2019&lt;/span&gt;), developing in limited ways in Australia (Carrick-Sen et al. &lt;span&gt;2019&lt;/span&gt;) and New Zealand (McKillop et al. &lt;span&gt;2016&lt;/span&gt;), and emerging in European countries such as the Netherlands (Henderikx et al. &lt;span&gt;2026&lt;/span&gt;). However, definitions and development of the term clinical academic vary widely (Carrick-Sen et al. &lt;span&gt;2019&lt;/span&gt;), and significant challenges to establishing, progressing and sustaining such a role remain (Avery et al. &lt;span&gt;2022&lt;/span&gt;; Thamm et al. &lt;span&gt;2026&lt;/span&gt;). While such roles show potential to be impactful, this has been hampered by haphazard development and support and overlapping or blurred boundaries. Also, direct international comparisons of such roles are limited due to structural differences in healthcare systems, regulatory environments and funding mechanisms. Thus, the focus of this editorial is on the UK clinical academic in nursing.&lt;/p&gt;&lt;p&gt;Clinical academics in nursing are nurses working in clinical practice who have a dual career in research, teaching or leadership—or a combination of these—employed across healthcare and academic institutions. They mainly have a dual role combining their clinical career with a research or teaching career in an academic institution. They usually work in health and social care while researching ways to improve patient outcomes and teaching and mentoring nurses and other healthcare professionals (Gillespie et al. &lt;span&gt;2026&lt;/span&gt;; Henshall et al. &lt;span&gt;2021&lt;/span&gt;; Thamm et al. &lt;span&gt;2026&lt;/span&gt;). Their purpose is to drive positive change in nursing and health care.&lt;/p&gt;&lt;p&gt;Such roles are usually funded by government initiatives such as research training awards, internships and fellowships. They may also be funded by an agreement between a university and health care facility. Their aim is to develop research ideas, gain research training and experience and serve as a basis for doctoral and post-doctoral awards which enable the awardee to be an independent early career researcher. However, such career paths and awards are limited, opportunistic and hig","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":"35 11","pages":"4499-4501"},"PeriodicalIF":3.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jocn.70412","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284501","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":"Understandability and Actionability of Artificial Intelligence-Assisted Lymphedema Education Material in Patients Undergoing Breast Cancer Surgery: Expert Evaluation.","authors":"Gülseren Maraş Baydoğan, Yeliz Sürme, Handan Topan","doi":"10.1111/jocn.70123","DOIUrl":"10.1111/jocn.70123","url":null,"abstract":"<p><strong>Aims: </strong>To evaluate the artificial intelligence-assisted lymphedema education material in patients undergoing breast cancer surgery.</p><p><strong>Design: </strong>A comprehensive, successful methodological design was used to evaluate the portability of the expandable, AI-supported lymphedema education material for breast cancer. The study was reported in accordance with the STROBE statement (see Data S1 for the completed STROBE [Strengthening the Reporting of Observational Studies in Epidemiology] checklist). When preparing the AI-supported lymphedema education material managed with breast cancer treatment, it is first determined in the education of patients. Then, the commands of the Chat GBT-4 program are included in the scope of the transferred education content. For the created education content, readability was first evaluated and expert opinion was taken for the final version of the draft.</p><p><strong>Methods: </strong>While preparing the AI-assisted lymphedema education material in the study, expert opinions were obtained, and the educational needs of the patients were determined by scanning the literature. Then, 12 commands were given in the ChatGPT-4 program to create the educational content. Formulas were used to evaluate the readability of the created educational content in Turkish and the readability of the health literature. The validity of the lymphedema education material was presented to 10 experts. The experts evaluated the understandability and actionability of the educational material using the Patient Education Materials Evaluation Tool and the Global Quality Scale, which evaluates the quality of the educational material.</p><p><strong>Results: </strong>It was concluded that the readability index of the lymphedema education material for Turkish was 67.3, and the Turkish readability level was 'easily understandable'. The readability index of health literature was found to be 11.28, 9.68, 10.58, 39.0, and 11.26, respectively. When the internal consistency coefficient between the experts was examined, it was found to be 0.74. It was determined that the Patient Education Materials Evaluation Tool understandability score average was 92.10 ± 9.03, and the actionability score average was 81.60 ± 18.47. The Global Quality Scale score average, which evaluates the suitability and quality of the content of the AI-supported educational material, was found to be 4.10 ± 0.87.</p><p><strong>Conclusion: </strong>At the end of the study, it was determined that the educational material was reasonable regarding understandability and actionability. The Turkish readability level was also reasonable and easily understandable.</p><p><strong>Implication for the profession: </strong>This study is one of the proactive attempts to use AI in preparing educational materials for nurses and healthcare professionals.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":"4295-4304"},"PeriodicalIF":3.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13569351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145281525","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":"Comment on 'The Effectiveness of Telemedicine on Distress, Physical Function and Self-Efficacy in Patients With Cancer: A Meta-Analysis of Randomised Controlled Trials'.","authors":"Krishna Prasanth Baalann, Karthikeyan Ramachandran, Priya Santharam","doi":"10.1111/jocn.70293","DOIUrl":"10.1111/jocn.70293","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":"4477-4479"},"PeriodicalIF":3.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13569382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147493981","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}