Journal of Clinical Nursing最新文献

{"title":"Commentary on 'The Nonlinear Association Between Catheterisation Duration and Urinary Tract Infection in Patients With Geriatric Hip Fracture: A Retrospective Study'.","authors":"Mohammad Barary, Mostafa Javanian, Ali Zahedian, Danial Hosseinzadeh, Soheil Ebrahimpour","doi":"10.1111/jocn.70050","DOIUrl":"https://doi.org/10.1111/jocn.70050","url":null,"abstract":"","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":"144709654","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":"Response to Letter to the Editor: Discussion on the Reason for Non-Compliance With Evidence-Based Bundles in Central Venous Catheter Maintenance Among ICU Nurses.","authors":"Tianjun Zhou, Xiaofeng He, Yan Hu","doi":"10.1111/jocn.70045","DOIUrl":"https://doi.org/10.1111/jocn.70045","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692268","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":"Grit in the Workplace Experienced by Taiwanese Adults With Congenital Heart Disease: A Phenomenological Study.","authors":"Yu-Shiu Liu, Chun-Wei Lu, Hung-Tao Chung, Jou-Kou Wang, Ying-Mei Shu, Chi-Wen Chen","doi":"10.1111/jocn.70051","DOIUrl":"https://doi.org/10.1111/jocn.70051","url":null,"abstract":"<p><strong>Aim: </strong>To explore how adults with congenital heart disease (ACHD) experience and express grit in the workplace.</p><p><strong>Design: </strong>Qualitative study using Husserl's descriptive phenomenology.</p><p><strong>Methods: </strong>Between March 2022 and June 2023, semi-structured interviews were administered to 18 ACHD recruited from two medical centre outpatient departments. The collected data underwent analysis utilising Colaizzi's 7-step analysis method, coupled with Lincoln and Guba's framework, to ensure credibility and trustworthiness.</p><p><strong>Results: </strong>The analysis revealed five prominent themes derived from the data: (a) career choices amid constraints; (b) adjustments to one's work environment for reasons of fatigue; (c) crises in the workplace arising from exceeding one's physical limits; (d) supportive networks for better health and job stability; (e) resilience at work for balance and fulfilment in life.</p><p><strong>Conclusion: </strong>Grit significantly influences life satisfaction and job performance among adults with congenital heart disease, highlighting its profound impact on their experiences. Patients exhibit perseverance in job pursuits, adapt work methods to manage physical fatigue, confront challenges during work crises, value family and societal support and aim for self-satisfaction. These findings highlight the impact of grit and mental health on ACHD's lives and work, providing insights for better psychological support and interventions.</p><p><strong>Implications for the profession: </strong>This study clarifies the need for healthcare professionals to incorporate workplace grit training and assessment into ACHD care.</p><p><strong>Impact: </strong>Recognising grit as a key factor in ACHD patients' lives informs holistic care, workplace inclusivity and policies that enhance their long-term well-being.</p><p><strong>Reporting method: </strong>This study was performed in accordance with the COREQ guidelines.</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":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692267","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 'The Effect of Postoperative Thirst on Patient Comfort and Quality of Recovery in Patients Undergoing Colorectal Surgery: An Analytical Cross-Sectional Study'.","authors":"Fei Xu, Zilin Zhao, Zixuan Zhang","doi":"10.1111/jocn.70043","DOIUrl":"https://doi.org/10.1111/jocn.70043","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676381","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":"Evidence Mapping of Clinical Practice Guidelines Recommendations and Quality for Nutritional Management in Dementia.","authors":"Yu-Jie Su, Si-Jia Zhou, Wei Liu, Chao-Ran Qu, Wei-Wei Zhang, Mi Zhang, Yue-Ming Peng, Wei-Xiang Luo","doi":"10.1111/jocn.17844","DOIUrl":"https://doi.org/10.1111/jocn.17844","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to systematically review Clinical Practice Guidelines (CPGs) for nutritional management of dementia and use evidence mapping to highlight research trends and identify gaps to inform future research.</p><p><strong>Design: </strong>A systematic review of guidelines using the PRISMA statement.</p><p><strong>Methods: </strong>Systematically collect literature on dementia management CPGs from PubMed, Embase, Web of Science and guideline databases. Extract basic information, recommendations, methodological quality and reporting quality of the CPGs. Four researchers independently evaluated eligible CPGs using the AGREE II instrument and the RIGHT checklist. All recommendations from the CPGs were summarised and analysed, and evidence mapping bubble charts were created in Excel.</p><p><strong>Results: </strong>After excluding 5541 records, 10 CPGs were eventually proved eligible, 55 of which were of high quality and 5 medium quality. With 10 CPGs that combined 18 recommendations. The nutrition screening and assessment were summarised on the basis of the dementia recommendations for 4 major items, 7 items on nutritional interventions, 5 items on caring and 2 on education.</p><p><strong>Conclusion: </strong>This review provides an evidence map and offers new perspectives on CPGs for nutritional management in dementia. However, there are improvements to the included CPGs, but most CPGs have a number of key recommendations that can help guide clinical practice.</p><p><strong>Relevance to clinical practice: </strong>The currently available guidelines on dementia nutritional management have room for methodological improvement.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668884","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 'When Nurses Leave: A Critical Incident Study of Turnover Intentions'.","authors":"Zilin Zhao, Fei Xu, Hejia Wan","doi":"10.1111/jocn.70044","DOIUrl":"https://doi.org/10.1111/jocn.70044","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660940","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":"Perspectives of Community-Dwelling Older Adults With Sarcopenia on Exercise Engagement and Adherence: A Qualitative Study.","authors":"Shuang Wu, Jing Chang, Dian Jiang, Zeng Cao, Hui Feng, Lily Dongxia Xiao","doi":"10.1111/jocn.70041","DOIUrl":"https://doi.org/10.1111/jocn.70041","url":null,"abstract":"<p><strong>Aim: </strong>To explore the perspectives of community-dwelling older adults with sarcopenia on exercise engagement and adherence.</p><p><strong>Background: </strong>Sarcopenia is prevalent among community-dwelling older adults and is associated with a wide range of adverse health outcomes. Encouragingly, it is a treatable and potentially reversible condition through exercise interventions. However, studies on this population's views on exercise are scant, thus limiting the design and delivery of tailored, sustainable exercise interventions in primary care.</p><p><strong>Design: </strong>A descriptive qualitative study.</p><p><strong>Method: </strong>Data were collected through semistructured interviews with 27 community-dwelling older adults with sarcopenia from four community care centres in China between October 2023 and February 2024. The data were analysed using thematic analysis.</p><p><strong>Results: </strong>Four main themes with their respective subthemes were identified from the data analysis and described as: (1) limited capability to identify and engage in appropriate exercise; (2) various motivations influenced by personal values, resilience and habits; (3) exercise behaviour shaped by environmental and social factors; (4) expectations for community-based exercise programmes.</p><p><strong>Conclusion: </strong>Older adults with sarcopenia often misbelieve muscle issues to be normal ageing, leaving their condition undiagnosed and unmanaged. Limited information about appropriate exercises leads them to engage in simple, unstructured activities. Motivation levels and contextual factors influence their exercise engagement and adherence. Nurse-led tailored, evidence-based and group-based programmes, complemented by home-based exercise resources, are needed to address challenges and support long-term adherence.</p><p><strong>Implications for patience: </strong>This study provides new insights into the perspectives, challenges and expectations of exercise in this specific population. Findings inform nurse-led exercise programmes in primary care that meet the needs and preferences of this population.</p><p><strong>Reporting method: </strong>This study follows the Consolidated Criteria for Reporting Qualitative Studies.</p><p><strong>Patient or public contribution: </strong>Participant interviews offered valuable perspectives on exercise engagement and adherence.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627609","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' Insights on the Braden Scale and Their Vision for Artificial Intelligence Innovations: A Mixed Methods Study.","authors":"Tuba Sengul, Holly Kirkland-Kyhn, Dilek Yilmaz Akyaz, Tugba Cevizci","doi":"10.1111/jocn.70038","DOIUrl":"https://doi.org/10.1111/jocn.70038","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to explore nurses' experiences with the Braden Scale, assess their readiness for artificial intelligence (AI) technologies, and understand the innovations they envision for clinical practice.</p><p><strong>Design: </strong>Explanatory sequential mixed design.</p><p><strong>Methods: </strong>The study included 118 nurses in the quantitative data and 42 in focus groups. Quantitative data were collected using the MAIRS-MS. Qualitative data were analysed using phenomenological approaches and MAXQDA.</p><p><strong>Results: </strong>The average age was 33.38 ± 7.42 years and 88.1% were women. The average length of professional experience is 11.66 ± 8.22 years. The average time to administer the Braden Scale was 5.02 ± 4.36 min. While 55.1% of the participants found the Braden Scale inadequate, 55.9% stated that a more comprehensive risk assessment scale was needed and the MAIRS-MS score was 78.48 ± 16.66. The sub-themes were identified: Simple and quick applicability, early risk identification, validity and reliability issues, neglecting other risk factors, making it more comprehensive and specific, developing of a new risk assessment scale, technological improvements, patient data treasure chest, creating avatars and converting speech-to-text.</p><p><strong>Conclusions: </strong>This study highlights critical gaps in the Braden Scale's effectiveness. Nurses identified significant shortcomings, including non-specificity and the neglect of key risk factors, which undermine its utility in clinical settings. They emphasised that stronger risk predictions and personalised care plans can be achieved by AI technology.</p><p><strong>Implications for professional care: </strong>This study emphasises the need to revise the Braden Scale or develop a new one due to its limitations in risk assessment, providing crucial information to improve patient care and offering new perspectives on AI integration in PI risk assessment for nursing practice.</p><p><strong>Impact: </strong>This study highlights nurses' experiences and suggestions for improving the Braden Scale in clinical practice, emphasising their expectations for AI technology and its potential to revolutionise patient care.</p><p><strong>Reporting method: </strong>The study report was prepared following the Good Reporting of A Mixed Methods Study (GRAMMS) 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":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627608","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":"Medical Adhesive-Related Skin Injuries in Oncology and Haematology Patients With Peripherally Inserted Central Catheters: A Prospective Descriptive Study.","authors":"Maitane Zaballa Canive, Laura González Blas, Selene Lurueña Rodríguez, Oiane Báez Gurruchaga, Beatriz Landa Portilla, Edurne Martínez Hernández, Arantza Orive Aizpuru, Itsaso Palacios Rodríguez, Arantza Tomás López, Ana Isabel Cordero Osua, Nerea Zamora Suso, Estíbaliz Cristóbal Domínguez, Julene Argaluza Escudero, Victoria Armenteros Yeguas","doi":"10.1111/jocn.70035","DOIUrl":"https://doi.org/10.1111/jocn.70035","url":null,"abstract":"<p><strong>Aim: </strong>To determine the prevalence of MARSI associated with peripherally inserted central venous catheters (PICCs) in oncology and haematology patients, analyse the type of injury and identify risk factors.</p><p><strong>Methodology: </strong>A prospective descriptive study was conducted from 9 June 2021 to 8 February 2022. The study population was oncology and haematology patients with a PICC. The variables to be studied included the presence of MARSI in relation to PICC maintenance, injury type, time to onset, mean healing time, and type of treatment received. A descriptive analysis of the entire sample was performed. Chi-square and Student's t-test or Mann-Whitney U-tests were used to identify risk factors, depending on the nature of the variables.</p><p><strong>Results: </strong>The sample studied was 342 PICCs inserted in 309 patients, 49% (n = 169) women, and the mean overall age was 62.12 years (SD: 12.33). Seventy-six per cent were oncology and 24% haematology patients. The prevalence of MARSI was 32% (n = 111). The most common type of injury was erythema in 39% (n = 42). The mean duration of the lesion was 20.90 days (SD: 31.44). Alkylating agents, among others, were identified as a risk factor.</p><p><strong>Conclusions: </strong>The results indicate a high prevalence of MARSI. In agreement with the literature, mechanical injuries are the most frequent, and some antineoplastic treatments are a risk factor. This study may help to identify areas for improvement and design strategies for the prevention and treatment of MARSI.</p><p><strong>Relevance to clinical practice: </strong>This study has implications for clinical practice, as it helps to identify areas for improvement and the most relevant clinical practice guideline recommendations to avoid this adverse event.</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":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627607","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: Evaluation of Multimorbidity Burden in Frailty Transitions in Costa Rican Older Adults Using Multistate Markov Models.","authors":"Yuehua Yan, Yang Yang, Xiaoyu Liu","doi":"10.1111/jocn.70039","DOIUrl":"https://doi.org/10.1111/jocn.70039","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627635","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}