Journal of Clinical Nursing最新文献

{"title":"Beyond Automation: How Generative AI Is Transforming Nursing Practice.","authors":"Ceylon Dell","doi":"10.1111/jocn.17708","DOIUrl":"https://doi.org/10.1111/jocn.17708","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494347","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":"Artificial Intelligence in Diagnosing Depression Through Behavioural Cues: A Diagnostic Accuracy Systematic Review and Meta-Analysis.","authors":"Yee Shyan Goh, Qi Rui See, Nopporn Vongsirimas, Piyanee Klanin-Yobas","doi":"10.1111/jocn.17694","DOIUrl":"https://doi.org/10.1111/jocn.17694","url":null,"abstract":"<p><strong>Aim: </strong>To synthesise existing evidence concerning the application of AI methods in detecting depression through behavioural cues among adults in healthcare and community settings.</p><p><strong>Design: </strong>This is a diagnostic accuracy systematic review.</p><p><strong>Methods: </strong>This review included studies examining different AI methods in detecting depression among adults. Two independent reviewers screened, appraised and extracted data. Data were analysed by meta-analysis, narrative synthesis and subgroup analysis.</p><p><strong>Data sources: </strong>Published studies and grey literature were sought in 11 electronic databases. Hand search was conducted on reference lists and two journals.</p><p><strong>Results: </strong>In total, 30 studies were included in this review. Twenty of which demonstrated that AI models had the potential to detect depression. Speech and facial expression showed better sensitivity, reflecting the ability to detect people with depression. Text and movement had better specificity, indicating the ability to rule out non-depressed individuals. Heterogeneity was initially high. Less heterogeneity was observed within each modality subgroup.</p><p><strong>Conclusions: </strong>This is the first systematic review examining AI models in detecting depression using all four behavioural cues: speech, texts, movement and facial expressions.</p><p><strong>Implications: </strong>A collaborative effort among healthcare professionals can be initiated to develop an AI-assisted depression detection system in general healthcare or community settings.</p><p><strong>Impact: </strong>It is challenging for general healthcare professionals to detect depressive symptoms among people in non-psychiatric settings. Our findings suggested the need for objective screening tools, such as an AI-assisted system, for screening depression. Therefore, people could receive accurate diagnosis and proper treatments for depression.</p><p><strong>Reporting method: </strong>This review followed the PRISMA checklist.</p><p><strong>Patients or public contribution: </strong>No patients or public contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494346","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":"Skin Problems in the Facial Area due to the Use of Personal Protective Equipment in Healthcare Workers: A Systematic Review.","authors":"Vildan Çakar, Ayişe Karadağ, Ayşe Sılanur Demir","doi":"10.1111/jocn.17695","DOIUrl":"https://doi.org/10.1111/jocn.17695","url":null,"abstract":"<p><strong>Aims: </strong>The use of personal protective equipment can cause various skin problems in the facial area. The aim of the systematic review study is to determine the skin problems and related factors due to the use of personal protective equipment.</p><p><strong>Design: </strong>Preferred Reporting Items for Systematic Reviews and Meta-Analyses and Joanna Briggs Institute Systematic Reviews Tools were used in the methodological approach of this systematic review. The publications were searched using MEDLINE(R), CINAHL, Web of Science, PubMed and Scopus databases without year limitation. Data were screened, extracted and appraised for quality by two authors.</p><p><strong>Results: </strong>In total 1670 records were identified, of which 15 studies were included in the review. These studies were mostly conducted during the COVID-19 pandemic. Studies have shown that the incidence of skin problems in the face area is high due to the use of personal protective equipment. The most common skin problems were pressure injury, rash, irritation, sweating and moisture accumulation and acne. Anatomical regions with skin problems were nose bridge, cheeks, ears, chin and forehead. The duration of use and type of personal protective equipment and sweating and moisture were the most prominent risk factors for the development of skin problems.</p><p><strong>Conclusion: </strong>This study has shown that though the studies included in the review have methodological differences, there is a high rate of skin problems related to personal protective equipment used in the facial region. Well-structured, prospective observational and randomised controlled trials are needed.</p><p><strong>Relevance to clinical practice: </strong>It is important to understand the types and causes of skin problems in the face area due to the use of personal protective equipment to protect the facial skin health of healthcare workers.</p><p><strong>No patient or public contribution: </strong>In the inclusion criteria of this systematic review, the patients or public were not included in the study.</p><p><strong>Trail registration: </strong>The systematic review study has been registered in PROSPERO International Prospective Register of Systematic Reviews System (CRD4202127650).</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494363","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":"Nurses' Experience of Delivering One-to-One Observations in Acute Non-Psychiatric Hospitals: An Integrative Review.","authors":"Elena Ivany, Alison Finch","doi":"10.1111/jocn.17709","DOIUrl":"https://doi.org/10.1111/jocn.17709","url":null,"abstract":"<p><strong>Aim: </strong>To explore the experience of nursing staff who provide one-to-one observations for patients aged ≥ 18 years admitted to acute hospitals.</p><p><strong>Design: </strong>Integrative review reported in accordance with the method described by Wittemore and Knafl (2005) which focused on the period 2000-2024.</p><p><strong>Method: </strong>Papers were included if they reported on novel studies, service or educational improvement interventions. All studies were critically appraised for quality; no study was excluded because of methodological quality. Included data were synthesised narratively.</p><p><strong>Data sources: </strong>Eight databases were searched in August 2024. Search terms related to nurses' experience and one-to-one observations, with no restrictions placed on language.</p><p><strong>Results: </strong>Nine papers were included. Nurses' experience of delivering one-to-one observations ranged from 'frightening' to 'satisfying'. Nursing staff were more likely to have a positive experience if they had access to training on delivering one-to-one observations, felt themselves part of a cohesive team and worked in an organisation with a supportive culture.</p><p><strong>Conclusion: </strong>Nurses' experience of delivering one-to-one observations is influenced by organisational factors, sense of teamwork and access (or lack thereof) to relevant training.</p><p><strong>Reporting method: </strong>The Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines were used to report the review findings.</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":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494362","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":"Effectiveness of Dyadic Interventions on Quality of Life for Cancer Patients and Family Caregivers: A Systematic Review and Meta-Analysis of Randomised Controlled Trials.","authors":"Linna Li, Chuanmei Zhu, Qianwen Yan, Juejin Li, Yang Chen, Xiaolin Hu","doi":"10.1111/jocn.17700","DOIUrl":"https://doi.org/10.1111/jocn.17700","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Increases in cancer survivorship negatively impact patients and family caregivers, decreasing quality of life. Previous dyadic interventions involved them as a unit and focused on their outcomes, but inconsistent results existed in influencing quality of life.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;To assess dyadic intervention effect on quality of life for cancer patients and family caregivers across different cancer types and intervention durations.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;A systematic review and meta-analysis based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Six databases were searched from establishment until 14 January 2024. Two authors independently performed the search process, literature screening, and data extraction. The ROB version 2 and GRADE were respectively used to check the methodology and evidence quality. The data were analysed via RStudio, and intervention effects were estimated with 95% CIs and SMDs. The statistical heterogeneity was explored through the I&lt;sup&gt;2&lt;/sup&gt; statistic, P values, and Egger's test, and differences in overall effects were deemed statistically significant, having a P value &lt; 0.05. Subgroup analysis was also conducted.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;13 RCTs with 1625 participants, published from 2005 to 2021, were included. The results demonstrated that dyadic interventions enhanced quality of life for both cancer patients and family caregivers. Subgroup analysis suggested that family-centred interventions for patients with specific cancer types, which lasted for a long period (&gt; 6 weeks), enhanced quality of life for cancer patients and family caregivers. The evidence and methodology were of a moderate quality.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Nurses are important practitioners of culture-oriented dyadic interventions. Long-term (&gt; 6 weeks) and family-centred dyadic interventions for patients with a specific cancer type can enhance cancer patients' and family caregivers' quality of life, along with digital intelligence approaches to promote mutual communication and strengthen family relationships, thereby optimising oncology clinical nursing and enhancing the quality of life, health, and welfare of the entire family.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Relevance to clinical practice: &lt;/strong&gt;Dyadic interventions emphasising the involvement of both cancer patients and family caregivers should be considered and tailored by professionals and oncology nurses to establish harmonious family relationships, improve family coping techniques and decision-making to enhance the whole family's quality of life and well-being according to their cultural contexts, and promote more efficient, targeted, and economical oncology care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patient or public contribution: &lt;/strong&gt;No Patient or Public Contribution because all the involved participants were from existing studies, and the design, conduction, analysis, and interpr","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460471","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":"Effectiveness of Psychosocial Interventions for Parents of Children With Cancer Receiving Active Treatment: A Systematic Review and Meta-Analysis.","authors":"Yi Qing Germaine Ong, Juejin Li, Jia Yu Amelia Tan, Hong-Gu He","doi":"10.1111/jocn.17699","DOIUrl":"https://doi.org/10.1111/jocn.17699","url":null,"abstract":"<p><strong>Aims and objectives: </strong>To synthesise the effects of psychosocial interventions compared with standard care in improving psychosocial outcomes of parents of children with cancer receiving active treatment.</p><p><strong>Design: </strong>This was a systematic review and meta-analysis that was conducted and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement.</p><p><strong>Methods: </strong>All randomised controlled trials examining the effects of psychosocial interventions for parents of children with cancer were considered eligible. All identified articles were imported into Endnote X9. Two independent authors conducted study selection and data extraction. Risk-of-Bias version 2 and the Grading of Recommendations Assessment, Development and Evaluation approach were used to evaluate the methodological quality and overall quality of the evidence, respectively. Review Manager 5.4.1 software was used for data analysis, and sensitivity and subgroup analyses were conducted to examine heterogeneity, if applicable.</p><p><strong>Data sources: </strong>Seven databases, including PubMed, Embase, Scopus, PsycINFO, CENTRAL, CINAHL and ProQuest, were searched up to 6 December 2023.</p><p><strong>Results: </strong>Sixteen studies involving 1379 participants were included in the systematic review, with 12 studies pooled for meta-analysis. Psychosocial intervention was effective in anxiety symptoms and depressive symptoms among parents of children with cancer. No significant differences were observed in parental stress and quality of life between psychosocial intervention and control groups.</p><p><strong>Conclusion: </strong>This study showed that psychosocial intervention was beneficial for decreasing anxiety symptoms and depressive symptoms of parents of children with cancer. Future trials with a more robust methodology are needed to augment current findings.</p><p><strong>Relevance to clinical practice: </strong>As our systematic review showed that psychosocial interventions were effective in decreasing anxiety symptoms and depressive symptoms among parents of children with cancer, healthcare professionals could consider integrating psychosocial support for these parents.</p><p><strong>Patient or public contribution: </strong>This systematic review had no patient or public contribution.</p><p><strong>Trial and protocol registration: </strong>This review was registered at PROSPERO (CRD42022384452) on 29 December 2022. (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=384452).</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460476","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":"Identifying Barriers and Enablers for Nurse-Initiated Care for Designing Implementation at Scale in Australian Emergency Departments: A Mixed Methods Study.","authors":"Sarah Kourouche, Julie Considine, Ling Li, Margaret Murphy, Ramon Z Shaban, Mary K Lam, Saartje Berendsen Russell, Margaret Fry, Christina Aggar, Michael M Dinh, Amith Shetty, Timothy Shaw, Radhika V Seimon, Nanda R Aryal, James A Hughes, Wayne Varndell, Kate Curtis","doi":"10.1111/jocn.17693","DOIUrl":"https://doi.org/10.1111/jocn.17693","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;The aim of this study was to (i) identify barriers and enablers and (ii) inform mitigating or strengthening strategies for implementing nurse-initiated care protocols at scale in emergency departments (EDs).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;Embedded mixed methods.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The study included four clusters with a total 29 EDs in NSW, Australia. Concurrent quantitative and qualitative data were collected via electronic nursing and medical staff surveys and analysed. Barriers and enablers to implementation were identified and mapped to the domains of the Theoretical Domains Framework (TDF). Selection of intervention functions and behaviour change techniques (BCTs) enabled development of implementation strategies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In total, 847 responses from nursing and medical staff (43%) reported four enablers for use and implementation: (i) knowing or being able to learn to use simple nurse-initiated care; (ii) protocols help staff remember care; (iii) carefully considered education programme with protected time to attend training; and (iv) benefits of nurse-initiated care. Nine barriers were identified: (i) lack of knowledge; (ii) lack of skills to initiate complex care (paediatric patients, high-risk medications and imaging); (iii) risk for inappropriate care from influence of cognitive bias on decision-making; (iv) punitive re-enforcement; (v) protocols that are too limited, complex or lack clarity; (vi) perceived lack of support from medical or management; (vii) perception that tasks are outside nursing role; (viii) concern nurse-initiated care may increase the already high workload of medical and nursing staff; and (ix) context. The barriers and enablers were mapped to nine TDF domains, five intervention functions and 18 BCTs informing implementation using strategies, including an education programme, pre-existing videos, audit and feedback, clinical champions and an implementation plan.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;A rigorous, systematic process generated a multifaceted implementation strategy for optimising nurse-initiated care in rural, regional and metropolitan EDs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications: &lt;/strong&gt;Staff wanted safe interventions that did not lead to increased workload. Staff also wanted support from management and medical teams. Common barriers included a lack of knowledge and skill in advanced practice. Clinicians and policymakers can consider these barriers and enablers globally when implementing in the ED and other high-acuity areas. Successful strategies targeting barriers to advanced practice by emergency nurses can be addressed at the local, state and national levels.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Impact: &lt;/strong&gt;Implementation of new clinical practices in the ED is complex and presents challenges. Key barriers and enablers, including those related to initiating care and workloads in the ED were identified in this study. This research broadly impacts ED staff and policymakers","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460479","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":"Determinants of Professional Commitment Among Nurses in Turkey: The Role of Workplace Incivility.","authors":"Tuğba Gözütok Konuk, Mine Yılmaz Koçak","doi":"10.1111/jocn.17705","DOIUrl":"https://doi.org/10.1111/jocn.17705","url":null,"abstract":"<p><strong>Aim: </strong>To measure workplace incivility and professional commitment among nurses, explore how these factors relate to nurses' individual and professional characteristics, and identify the key factors influencing professional commitment.</p><p><strong>Design: </strong>Cross sectional, descriptive correlational design.</p><p><strong>Methods: </strong>This study was conducted with 479 nurses working at a public university hospital in Turkey between May 2023 and June 2023. This study followed the Reporting of Observational Studies in Epidemiology Guideline.</p><p><strong>Results: </strong>In this study, nurses reported experiencing a moderate level of workplace incivility (120.44 ± 32.09), with patients and visitors identified as the primary sources. Nurses also demonstrated moderate levels of professional commitment (72.00 ± 11.04). According to the multiple regression analysis, willingly choosing the profession, job satisfaction, and workplace incivility were found to significantly influence professional commitment. A key finding of the study was the negative impact of workplace incivility on professional commitment.</p><p><strong>Conclusion: </strong>The most notable finding of this study underscores the critical importance of preventing workplace incivility and increasing job satisfaction as key strategies for enhancing professional commitment.</p><p><strong>Implications for the profession and/or patient care: </strong>Nurse managers should implement practices and procedures to reduce workplace incivility, promote a culture of civility in clinical nursing environments, and improve working conditions to enhance job satisfaction. It is anticipated that these measures will lead to an increase in nurses' professional commitment.</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":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460466","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":"Stakeholders' Actions, Responsibility and Limitations in Support of Nursing Students Experiencing Workplace Violence During Clinical Placement: The Clinical Facilitators View.","authors":"Hila Ariela Dafny, Nicole Snaith, Paul Cooper, Nasreena Waheed, Stephanie Champion, Christine Mccloud","doi":"10.1111/jocn.17706","DOIUrl":"https://doi.org/10.1111/jocn.17706","url":null,"abstract":"<p><strong>Background: </strong>Workplace violence toward nurses is a significant global issue affecting their mental and physical health, job satisfaction and performance, and can ultimately lead to decisions to leave the profession. As the least experienced caregivers in the health workforce, nursing students are particularly vulnerable to experiencing workplace violence and are often powerless to deal with WPV incidents.</p><p><strong>Aim: </strong>To examine clinical facilitators' insights into how to support nursing students following experiences of workplace violence during their clinical placement.</p><p><strong>Design: </strong>An exploratory, descriptive qualitative design.</p><p><strong>Methods: </strong>Data were collected between September and November 2022 using semi-structured interviews with 11 clinical facilitators working in South Australia, each lasting about 1 h. The interviews were transcribed verbatim and analysed using thematic analysis.</p><p><strong>Results: </strong>Clinical facilitators identified that many students found support and solace from avenues outside of the CFs and university staff, including ward staff, family, friends and other students. However, students are limitedly prepared for the realities of clinical work, particularly concerning workplace violence, and that the university supports available were reactive to events in the clinical environment.</p><p><strong>Conclusion: </strong>Addressing workplace violence requires systemic changes, better support for clinical facilitators and a steadfast commitment by all stakeholders to student safety.</p><p><strong>Implications for the profession: </strong>Solid collaborations between universities and clinical facilities with clear guidelines and direct lines to address potential violence issues are essential. Zero-tolerance policies regarding workplace violence could provide a safer environment that promotes nursing student learning outcomes, safer placements, better student experiences and optimal healthcare provision.</p><p><strong>Reporting method: </strong>COREQ guidelines were adhered to for reporting qualitative research.</p><p><strong>No patient or public contribution: </strong>This paper specifically explores the perspective of the clinical facilitator's experience of WPV in their role of supporting student learning during clinical placement.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460481","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":"Barriers and Facilitators to Physical Activity in People With Young-Onset, Aged 18-40 Years Type 2 Diabetes: A Qualitative Study.","authors":"Xiaoyan Zhao, Maria Duaso, Haya Abu Ghazaleh, Xiaodi Guo, Angus Forbes","doi":"10.1111/jocn.17691","DOIUrl":"https://doi.org/10.1111/jocn.17691","url":null,"abstract":"<p><strong>Aim: </strong>To explore the barriers and facilitators to physical activity engagement among people with young-onset type 2 diabetes.</p><p><strong>Design: </strong>A qualitative research design using individual semi-structured interviews.</p><p><strong>Methods: </strong>A purposive sampling technique was used to recruit individuals with young-onset type 2 diabetes through social media, based on: age, gender, diabetes duration, diabetes complication and physical activity level. Interviews were audio recorded, transcribed verbatim and analysed using Framework analysis integrating the Capability, Opportunity, Motivation and Behaviour model.</p><p><strong>Results: </strong>Twenty-three individuals with type 2 diabetes (median age 29 years; 13 women; median diabetes duration 1 year) were interviewed. Nineteen subthemes were identified across all domains of the Capability, Opportunity, Motivation and Behaviour model. The most common domains and the related subthemes were psychological capability (physical activity knowledge, self-monitoring); social opportunity (stigma, family commitments, guidance from professionals, interactive physical activity, emotional support); and reflective motivation (perceived physical impact of physical activity, perceived mental impact of physical activity, social role & responsibility, perceived self-efficacy). Interactions were also observed between the different domains of the Capability, Opportunity, Motivation and Behaviour model.</p><p><strong>Conclusion: </strong>This study revealed in-depth and novel information on the barriers and facilitators to physical activity in people with young-onset type 2 diabetes. Future interventions would require multimodal approaches to enhance physical activity motivation in this population by addressing these underpinning psychological and social barriers.</p><p><strong>Implications for the profession and patient care: </strong>This study highlighted the need for a multimodal strategy that addresses psychological capability, social opportunity and reflective motivation for increasing physical activity in people with young-onset type 2 diabetes.</p><p><strong>Reporting method: </strong>This study was reported using the Consolidated Criteria for Reporting Qualitative Research checklist.</p><p><strong>Patient or public contribution: </strong>An advisory group including six individuals with young-onset type 2 diabetes contributed to the design of the interview topic guide.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442633","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}