Journal of Clinical Nursing最新文献

{"title":"Current Status and Factors Influencing Nutrition Literacy in Stroke Patients: A Cross-Sectional Study.","authors":"Weibin Liu, Nan Jiang, Yuan Li, Shuhua Cheng","doi":"10.1111/jocn.17742","DOIUrl":"https://doi.org/10.1111/jocn.17742","url":null,"abstract":"<p><strong>Aims: </strong>This study investigated the current status of nutrition literacy and related influencing factors in stroke patients, with a view to providing a reference for the development of targeted interventions.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>A convenience sampling method was used to select 342 stroke patients from June to November 2024 as the study population, and a cross-sectional survey was conducted using the General Information Questionnaire, Nutrition Literacy Scale, Herth Hope Scale, Chronic Disease Self-Efficacy Scale and Social Support Rating Scale. Descriptive analysis, independent samples t-test, one-way ANOVA, Pearson's correlation analysis and multiple linear regression analysis were used for data analysis.</p><p><strong>Results: </strong>The results showed that the nutrition literacy score of stroke patients was 122.24 ± 16.66, and gender, age, education level, monthly per capita family income, nutrition education, hope level, self-efficacy and social support were the factors affecting the nutrition literacy of stroke patients (all p < 0.05).</p><p><strong>Conclusion: </strong>According to the study, stroke patients' nutrition literacy has to be raised, and medical practitioners should create focused intervention plans to raise patients' nutrition literacy levels.</p><p><strong>Relevance to clinical practice: </strong>Healthcare professionals should assess the level of nutritional literacy in order to provide targeted interventions. The establishment of a multidisciplinary care team and implementation of long-term nutritional management after stroke are essential to reduce stroke recurrence and mortality.</p><p><strong>Reporting method: </strong>The study adhered to the STROBE checklist.</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":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659307","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":"Comment on 'Measurement Properties of Patient-Reported Outcome Measures for Women With Dysmenorrhea: A Systematic Review'.","authors":"Katharina Piontek, Christian Apfelbacher","doi":"10.1111/jocn.17739","DOIUrl":"https://doi.org/10.1111/jocn.17739","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659328","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":"Cross-Cultural Adaptation and Cross-Validation of the Italian Version of the EPICC Spiritual Care Competency Self-Assessment Tool for Clinical Nurses.","authors":"Michela Piredda, Alessio Lo Cascio, Maddalena De Maria, Roberto Latina, Anna Marchetti, Anna De Benedictis, Giorgia Petrucci, Linda Ross, Wilfred McSherry, Maria Grazia De Marinis","doi":"10.1111/jocn.17738","DOIUrl":"https://doi.org/10.1111/jocn.17738","url":null,"abstract":"<p><strong>Aim: </strong>To cross-culturally adapt and psychometrically test the Italian version of the EPICC Spiritual Care Competency Self-Assessment Tool for clinical nurses (EPICC Tool-It).</p><p><strong>Design: </strong>Multicentre, cross-sectional validation study.</p><p><strong>Methods: </strong>The 28-item EPICC Tool was translated into Italian and culturally adapted following a rigorous methodology. A nationwide survey was conducted. Psychometric evaluation included content validity, structural validity (exploratory and confirmatory factor analyses), construct validity (known group analysis) and reliability using Cronbach's alpha, McDonald's omega and factor score determinacy.</p><p><strong>Results: </strong>The sample included 725 clinical nurses (76% female, 80% hospital-based), on average 38.7 years old (SD 11.33), with 14.6 years (SD 11.03) of experience. Confirmatory factor analysis supported a four-factor model (Knowledge of spirituality, Attitudes towards spirituality and spiritual care, Knowledge of spiritual care and Skills in spiritual care), with a second-order factor for the EPICC Tool-It. Construct validity was supported through known group analysis, showing score variation based on nurses' experience, education and religiosity. Internal consistency was excellent across all factors and the overall scale.</p><p><strong>Conclusion: </strong>A valid, multidimensional instrument is provided to assess spiritual care competencies in Italian-speaking nurses. The EPICC Tool-It is suitable for research and practice, facilitating evaluation of self-perceived competencies and educational effectiveness.</p><p><strong>Implications for the profession and/or patient care: </strong>The use of the EPICC Tool-It by nursing managers, educators and clinicians is recommended in both clinical and research settings to support education on spiritual care competencies.</p><p><strong>Impact: </strong>The EPICC Tool-It sets reliable measurement standards for spiritual care competencies, enhancing holistic care and comprehensive understanding of competencies globally.</p><p><strong>Reporting: </strong>This study adheres to the Strengthening the Reporting of Observational studies in Epidemiology (STROBE) guidelines.</p><p><strong>Patient or public contribution: </strong>Patients, service users, caregivers, or the public were not involved in the study. However, nurses as target users of the tool participated in the cultural adaptation and validation process.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659331","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":"Successful Aging and Happiness Level in the Elderly: The Mediating Role of General Self-Efficacy.","authors":"Özlem Özlü, Songül Duran","doi":"10.1111/jocn.17711","DOIUrl":"https://doi.org/10.1111/jocn.17711","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to determine the relationship between successful aging and happiness levels in the elderly and to explore the mediating role of general self-efficacy in this relationship.</p><p><strong>Design: </strong>This is a quantitative research study designed using a correlational research model between March and May 2022.</p><p><strong>Methods: </strong>The Mini-Mental State Examination, the Descriptive Information Form, the Successful Aging Scale, the Oxford Happiness Questionnaire Short Form and the General Self-Efficacy Scale were filled out by 144 elderly individuals living in a nursing home.</p><p><strong>Results: </strong>It was determined that the participants had high levels of successful aging behaviours/attitudes and good levels of happiness. It was determined that general self-efficacy had a 'partial mediating role' in the relationship between successful aging and happiness.</p><p><strong>Conclusion: </strong>Due to the 'partial mediating role' of general self-efficacy related to happiness and successful aging, increasing self-efficacy may positively impact happiness and successful aging.</p><p><strong>Implications for the profession and/or patient care: </strong>Healthcare professionals should prioritise practices and training that support the self-efficacy of the elderly for their successful ageing and happiness. Within this scope, interventions can be made to increase the elderly's participation in self-care, active engagement and intrinsic motivation.</p><p><strong>Impact: </strong>This study determined whether general self-efficacy has an effect on successful aging and happiness in the elderly. It was determined that general self-efficacy has a 'partial mediating role' in the relationship between successful aging and happiness. The general self-efficacy of elderly individuals is an important issue to focus on. Successful aging includes functional ability, independence and quality of life aimed at maintaining health and well-being in old age. Self-efficacy, which is thought to have an effect on successful aging, is an important determinant in initiating and maintaining behaviours that improve the health of the elderly.</p><p><strong>Reporting method: </strong>This study was reported adhering to the Strengthening the Reporting of Observational Studies in Epidemiology checklist.</p><p><strong>Patient or public contribution: </strong>The elderly individuals residing in a nursing home were included in the study. All participants were selected from a single nursing home. This nursing home accommodates both outpatient and bedridden elderly individuals. One section is reserved for individuals diagnosed with dementia.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626722","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":"Associations Between Social Support, Health Literacy and Psychological Resilience to Self-Management Behaviours in Liver Transplant Recipients-A Structural Equation Model.","authors":"Yufei Gong, Yinghao Zhou, Dan Zhou, Ao Feng, Bingliang Zhang, Jiamin Wang, Lin Zhao","doi":"10.1111/jocn.17697","DOIUrl":"https://doi.org/10.1111/jocn.17697","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to develop a structural model to elucidate the contributions of social support, health literacy and psychological resilience to self-management behaviours in liver transplant recipients after surgery.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>This study included 215 Chinese patients who returned to the outpatient department after liver transplantation between June 2023 and March 2024. Data were collected via a general demographic questionnaire, a self-management questionnaire for liver transplant recipients, a chronic disease resource questionnaire, the Connor-Davidson resilience scale and the health literacy scale for chronic patients. Correlation analysis and structural equation modelling were utilised to analyse the relationships among social support, health literacy, psychological resilience and self-management ability.</p><p><strong>Results: </strong>The final model showed good fit (χ²/df = 1.690, GFI = 0.919, IFI = 0.951, TLI = 0.938, CFI = 0.950 and RMSEA = 0.057). The direct effect coefficient of social support on self-management ability is 0.293. The indirect effect value of health literacy on the relationship between social support and self-management ability was 0.312, whereas the indirect effect value of psychological resilience in this context was 0.096. Furthermore, the chain-mediating effect involving both health literacy and psychological resilience between social support and self-management ability was 0.109.</p><p><strong>Conclusion: </strong>The revised model, grounded in social cognitive theory, demonstrated a strong fit for predicting self-management behaviours among liver transplant recipients. Furthermore, social support, health literacy and psychological resilience exerted both direct and indirect influences on the self-management behaviours of these recipients.</p><p><strong>Reporting method: </strong>Strengthening the Reporting of Observational Studies in Epidemiology (STROBE).</p><p><strong>Patient or public contribution: </strong>In public or patient involvement in this study.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626716","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":"Differentiating Therapeutic Responses That Reduce Restrictive Practice Use and Situational Aggression in an Acute Mental Health Unit.","authors":"Esario Iv Daguman, Alison Taylor, Matthew Flowers, Richard Lakeman, Marie Hutchinson","doi":"10.1111/jocn.17727","DOIUrl":"https://doi.org/10.1111/jocn.17727","url":null,"abstract":"<p><strong>Aim: </strong>An analysis of mental health nursing de-escalation logs for 249 days from a regional adult inpatient unit in New South Wales, Australia, was completed to identify groups of cooccurring nursing therapeutic responses to aggression and examine their associations with reductions in restrictive practices and situational aggression.</p><p><strong>Design: </strong>A single-centre retrospective study was undertaken.</p><p><strong>Method: </strong>Hierarchical clustering of nursing interventions established groups of cooccurring nursing responses. Poisson mixed-effect models were then used to determine the associations of the intervention clusters with restrictive practices.</p><p><strong>Results: </strong>Two intervention clusters emerged: Cluster 1 involved verbal de-escalation with active listening and rapport building, whereas Cluster 2 included additional limit setting and problem-solving, distraction, sensory modulation, environmental change and individual staff time. Cluster 1 was linked with a reduction in seclusion use by 83% [IRR = 0.17, 95% CI (0.07, 0.41), p < 0.001], physical restraint by 79% [IRR = 0.21, 95% CI (0.11, 0.40), p < 0.001] and average judged situational aggression by 1.56 [95% CI (0.86, 2.25), p < 0.001]. Cluster 2 was related to statistically insignificant increases in the three studied outcomes.</p><p><strong>Conclusions: </strong>The intervention clusters prove the value of supplementary tools in surfacing nurses' therapeutic potential. The differences in restrictive practice use between intervention clusters signal the structure and progression of forming therapeutic relationships in aid of de-escalation and the possibility of assessing de-escalation components robustly.</p><p><strong>Relevance to clinical practice: </strong>Acknowledging and supporting nurses' therapeutic work support the development of recovery-oriented care and a positive professional identity for nurses.</p><p><strong>Reporting method: </strong>This study followed the applicable STROBE guidelines.</p><p><strong>Patient or public involvement: </strong>Due to the study's retrospective nature, there was no service user or public involvement.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626718","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":"Clinically Significant Functional Impairments and Symptoms in COVID-19 Survivors: Empirical Research Quantitative.","authors":"Chia-Chun Tang, Wei-Wen Wu, Sung-Jung Ho, Wang-Da Liu, Mei-Yan Pan, Shih-Chieh Chang, Wei-Shin Wang, Yi-Chen Yeh, Cheng-Hsuan Chen, Jung-Chen Chang","doi":"10.1111/jocn.17715","DOIUrl":"https://doi.org/10.1111/jocn.17715","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 survivors may experience complex, distressing and persistent symptoms, referred to as long COVID, lasting months or years after diagnosis. More evidence is needed for effective long COVID screening and management.</p><p><strong>Aim: </strong>To explore the clinical profile of long COVID and factors associated with its development.</p><p><strong>Design: </strong>A multicentre correlational study using a cross-sectional design.</p><p><strong>Methods: </strong>Adults diagnosed with COVID-19 6-9 months earlier were recruited via social media and referrals from three facilities. Participants provided demographic data and assessed their symptoms and functional status using validated questionnaires. Data were analysed using descriptive statistics and binomial logistic regression.</p><p><strong>Results: </strong>Among 102 participants, 13%-30% reported significant impairments in cognitive, emotional and physical functioning. Over 10% experienced symptoms such as diarrhoea, sleep problems, dyspnoea, nausea, fatigue and pain. These impairments and symptoms were associated with acute symptom severity, chronic disease, overweight status, regular exercise and living without partners.</p><p><strong>Conclusion: </strong>This study adds to the literature by examining long-term functional status and symptoms in omicron survivors using comprehensive, validated tools. The findings highlight the prevalence and clinical significance of long COVID symptoms, aiding in the identification of functional impairments requiring medical and nursing interventions.</p><p><strong>Implications for the profession and patient care: </strong>Nurses should recognise these symptoms and educate survivors about potential challenges. Policies addressing long-term issues, including research, health services and education, are essential.</p><p><strong>Reporting method: </strong>This study follows the STROBE guideline (Table S1).</p><p><strong>Patient or public contribution: </strong>Patients self-reported symptoms for this study.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov (NCT05303103).</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626717","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":"Failed by the System: A Content Analysis of Midwives' Experiences and Challenges When Providing Termination of Pregnancy Care.","authors":"Susanne Armour, Hazel Keedle, Andrea Gilkison, Hannah G Dahlen","doi":"10.1111/jocn.17723","DOIUrl":"https://doi.org/10.1111/jocn.17723","url":null,"abstract":"<p><strong>Aim: </strong>To explore the experiences of midwives' when caring for women undergoing pregnancy termination after 14 weeks in Australia and New Zealand and the challenges they encounter.</p><p><strong>Design and methods: </strong>Content analysis was used to analyse 1389 responses to 10 open text questions embedded in a web-based cross-sectional survey. Current understandings of grief and stigma were applied to the data. The SRQR guideline was used for reporting.</p><p><strong>Results: </strong>Data were grouped into four main categories: 'Failed by the system', 'Emotionally and morally challenged', 'Midwifery at the core' and 'Caring for myself'. Midwives strongly supported women's reproductive health choices and described delivering compassionate, woman-centred care during pregnancy termination. Midwives reported receiving minimal pre-registration education. Grief and sadness were prevalent emotions. Midwives described witnessing and experiencing abortion stigma. Other challenges that affected midwives' experiences included a lack of emotional and practical support. Self-care strategies did not provide enough relief to midwives to overcome the emotional impact of providing care.</p><p><strong>Conclusion: </strong>Midwives believe they deliver the very best of midwifery care to women who undergo pregnancy termination after 14 weeks but are affected by significant grief. Midwives not only witness stigma but also experience this as care providers. Failed by the healthcare systems that employ them, they lack appropriate support to overcome the emotional and moral challenges they encounter.</p><p><strong>Patient or public contribution: </strong>No patient or public involvement.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626719","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":"Segregation and Recycling in the Operating Room. An Intervention to Accelerate the Decarbonisation Process in the Health Sector.","authors":"Barbara Carmona-Pomada, Laura Diaz-Co, Hamid Azaroual El Bachiri, Núria Nieto-Lorente, Gemma Muriel-Serrano, Laia Zarza-Sánchez, Conxi Caro-Benito, Olga Monistrol","doi":"10.1111/jocn.17731","DOIUrl":"https://doi.org/10.1111/jocn.17731","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the impact of a multilevel intervention in a surgical department on the segregation of non-hazardous healthcare waste (plastic and paper) during the perioperative period as well as its effect on the carbon footprint of the healthcare organisation.</p><p><strong>Methods: </strong>A prospective before-after interventional study without a control group was carried out in the operating room of the Universitary Hospital Mútua Terrassa in Catalonia (Spain). A multilevel programme to improve the segregation process during the surgical interventions was implemented in several phases from May 2023 to December 2024. Data collection was conducted in each phase of the study through questionnaires addressed to the professionals along with calculations of the carbon footprint and the volume of waste segregation. The study is framed within the socio-ecological model and employs a collaborative design. The study population included all professionals working in the operating room (n = 320).</p><p><strong>Results: </strong>A multidisciplinary team was formed with consideration for all stakeholders. The project phases were implemented consecutively. A total of 141 professionals (44.4%) completed the baseline questionnaire. As a result of the project's development, the carbon footprint has been reduced to 79.1 kg CO2 eq/week, representing an 85% reduction in emissions.</p><p><strong>Conclusion: </strong>The implementation of the recycling project has led to significant reductions in the amount of waste generated and it has been positively evaluated by the professionals. The benefits of fostering a behavioural change among the professionals, coupled with the implementation of a well-designed segregation and recycling system, lead to significant benefits for the institution in carbon footprint.</p><p><strong>Implications for the profession and/or patient care: </strong>Nurses can lead this type of project with a clear impact on both the institution and the environment.</p><p><strong>Impact: </strong>Reduction of the carbon footprint in the operating room increased satisfaction among professionals for contributing to environmental improvement.</p><p><strong>Reporting method: </strong>The reporting of intervention evaluation studies using nonrandomized designs: the TREND statement Des Jarlais et al. (2004) was used to evaluate the quality of the study.</p><p><strong>Patient or public contribution: </strong>N/A. Only professionals are involved in this study.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626721","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":"Implementation of Simulation-Based Technology to Promote Safety in the Nursing Handover in the Intensive Care Unit.","authors":"Fabiana de Mello Barros, Grazielle Rezende da Silva Dos Santos, Camila Pureza Guimarães da Silva, Juliana Faria Campos, Rafael Celestino da Silva","doi":"10.1111/jocn.17735","DOIUrl":"https://doi.org/10.1111/jocn.17735","url":null,"abstract":"<p><strong>Aims and objectives: </strong>To evaluate the impact of implementing a prototype of simulation-based educational technology on raising awareness among ICU nurses, improving communication in nursing handover, and promoting patient safety.</p><p><strong>Design: </strong>Qualitative study based on the conceptual framework of patient safety. The COREQ tool guided the presentation of the research report.</p><p><strong>Methods: </strong>The research was conducted with 18 nurses from the ICU of a public hospital in Rio de Janeiro, Brazil, who worked directly in nursing handover. The technology implemented was developed based on communication failures identified in a previous stage of the macro research project. This evidence supported the development of a simulated scenario of a nursing handover of a critical patient, which was recorded in audio and video. The video addressed content (absence, incompleteness and lack of ordering of information) and behavioural errors (interruptions, distractions, noise and lack of clarity) during communication between intensive care nurses. The video was implemented with nurses through the use of telesimulation with debriefing. Finally, the nurses were subjected to a semi-structured interview to evaluate the potential of the technology, whose data underwent thematic analysis with an inductive model.</p><p><strong>Results: </strong>The nurses recognised the communication failures portrayed as part of their daily practice, reflected on their mistakes, and on actions to be adopted to change behaviour during the handover.</p><p><strong>Conclusions: </strong>The simulation-based technology prototype has the potential to promote self-reflection and raise nurses' awareness of the need to change behaviours during the handover.</p><p><strong>Relevance to clinical practice: </strong>The simulation-based technology prototype can be applied as an educational strategy to improve communication safety in nursing handover.</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":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626720","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}