Journal of Nursing Scholarship最新文献

{"title":"Nursing Education Pathways in Europe and the Politics of Educational Standards: A Call to Action","authors":"Joana Pereira Sousa, Monica Bianchi, Tihana Gašpert, Marie-Louise Luiking, Daniela A. Collins, Keren Grinberg, Martin Červený, Chun Hua Shao, Sigalit Warshawski, Otília Freitas, Márcia Alves, Sue Baron, Małgorzata Nagórska, Kate Frazer","doi":"10.1111/jnu.70132","DOIUrl":"10.1111/jnu.70132","url":null,"abstract":"","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841652","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":"The moderating role of self-efficacy in influencing the level of competencies among Middle Nurse Managers: A cross-sectional study","authors":"Dhurata Ivziku,&nbsp;Felice Curcio,&nbsp;Lucia Filomeno,&nbsp;Alessio Lachi,&nbsp;Fabio D'Agostino,&nbsp;Noemi Giannetta,&nbsp;Daniela Forte,&nbsp;Nexhmije Gori,&nbsp;Cesar Ivan Aviles Gonzalez,&nbsp;Daniela Tartaglini","doi":"10.1111/jnu.70121","DOIUrl":"10.1111/jnu.70121","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Middle Nurse Managers (MNMs) play a pivotal role in translating organizational strategy into operational practice, ensuring care quality, and fostering team performance. Despite their importance, limited research has examined the factors influencing MNMs' competencies, particularly the interplay between individual and organizational determinants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine the direct and moderating effects of self-efficacy and other organizational and individual factors on MNMs' competence knowledge and competence application across Italy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional, multicenter study was conducted between September 2022 and December 2023 with the participation of 382 MNMs from public and private healthcare organizations. Data were collected using validated instruments, including the Chase Nurse Manager Competencies Scale, the Questionnaire on Experience and Work Evaluation (QEEW 2.0), and the Leadership Self-Efficacy Scale. Structural equation modeling (SEM) tested direct effects of educational appropriateness, leadership training intentions, autonomy, role clarity, and work complexity, and the moderating role of self-efficacy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Educational appropriateness, autonomy, and role clarity were significantly associated with competence knowledge, while educational appropriateness and autonomy were associated with competence application. Self-efficacy was directly associated with both competence outcomes and significantly moderated the relationship between educational appropriateness and autonomy with each competence dimension, with positive associations observed among individuals with higher self-efficacy (<i>β</i> = −0.456 for knowledge; <i>β</i> = −0.459 for application, <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Self-efficacy was associated with competence outcomes and moderated the associations between organizational factors and competence. High self-efficacy may reduce reliance on perceived educational appropriateness, whereas lower self-efficacy increases its importance.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13509116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820174","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":"International Nurse Leaders' Journeys of Engagement, Belonging, and Growth in Professional Nursing Organizations: A Qualitative Study","authors":"Jihane Frangieh,&nbsp;Edmund J. Walsh,&nbsp;Kay Kennedy,&nbsp;Kim Crawford,&nbsp;Cindy Zellefrow,&nbsp;Beverly Hancock,&nbsp;Mary A. Dolansky","doi":"10.1111/jnu.70125","DOIUrl":"10.1111/jnu.70125","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Professional nursing organizations play a central role in connecting nurse leaders across borders, advancing leadership science, and addressing shared challenges, including workforce sustainability, burnout, and policy influence. Little is known about how specialized professional nursing organizations with a primarily national membership base can build and sustain meaningful international membership. Barriers to and facilitators of international membership in professional nursing leadership organizations have received limited attention in the literature, particularly from the perspectives of international members themselves. The aims of the study are to explore the perspectives of international nurse leaders enrolled in the Association for Leadership Science in Nursing International Ambassador Program on what motivates and sustains their engagement, the leadership-related benefits they seek, the organizational supports that would make engagement more feasible, and the contributions they bring as members of an international nursing leadership community.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A qualitative descriptive design was used.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Data were collected using a Zoom-based focus group with five of 11 nurse leader ambassadors enrolled in the program. Data were analyzed using Braun and Clarke's six-phase reflexive thematic analysis. Trustworthiness was supported through investigator triangulation, peer debriefing, an audit trail, and reflexive review of researcher perspectives.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Four themes were developed: (1) &lt;i&gt;reciprocal exchange&lt;/i&gt;, in which members positioned themselves as contributors as well as recipients; (2) &lt;i&gt;engaging on our own terms&lt;/i&gt;, framing access and context-sensitivity as preconditions of membership; (3) &lt;i&gt;belonging as more than membership&lt;/i&gt;, distinguishing formal affiliation from felt inclusion in a community of nurse leaders; and (4) &lt;i&gt;growth through sustained international relationships,&lt;/i&gt; in which professional growth depends on ongoing cross-border connection rather than time-bound programs.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Findings suggest that international nursing leadership organizations should build infrastructure for reciprocal contribution, equitable access, substantive belonging, and sustained cross-border relationships to engage and retain global members.&lt;/p&gt;\u0000 ","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13504725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814876","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":"Barriers to Implementing Specialist and Advanced Specialist Nursing Roles in Jordan: Perspectives of Regulators, Nursing Leaders, and Educators","authors":"Muntaha K. Gharaibeh,&nbsp;Rabia S. Allari,&nbsp;Safa A. Al-Ashram,&nbsp;Rowaida Al Maaitah","doi":"10.1111/jnu.70129","DOIUrl":"https://doi.org/10.1111/jnu.70129","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Specialization in nursing is essential to enhance effectiveness, quality, and accessibility of healthcare. Barriers to implementing advanced practice nurses and specialist nurses have been widely reported to limit advanced practice roles in many countries. Identifying these barriers and promoting integration of the role requires an understanding of stakeholders' perspectives. The current study aimed to explore barriers to implementing specialist and advanced specialist nursing roles in Jordan from the perspective of nursing regulators, nursing leaders, and nursing educators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative descriptive design was used to collect data from a purposive sample of 23 nursing stakeholders from the private and public sectors. Data were collected through in-depth semi-structured interviews using an interview guide developed specifically for this study. Sample adequacy was guided by data saturation. Inductive thematic analysis following Braun and Clarke's 6-step approach was used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Based on the participants' narratives, findings were classified into four main themes and six sub-themes: (1) Policy and Regulatory Constraints, with two sub-themes: Scope of Practice limitations and Role Ambiguity, (2) Knowledge and Skill Gaps with two sub-themes: Incompetent Graduates and the Nature of Educational Programs, (3) Organizational and Administrative Obstacles with two sub-themes: Inefficient Management Structures and Burdens, and (4) the Reluctance to Implement. In addition, participants proposed recommendations and approaches such as clarifying scope of practice, defining roles, curricular reforms, and creating a supportive organization to facilitate effective role implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study demonstrates that implementation of specialist and advanced specialist roles in Jordan is constrained by educational, regulatory organizational structure gaps, and absence of coordinated policy alignment across all levels. Establishing a collaborative implementation model supported by effective policies is crucial to assist healthcare institutions in overcoming obstacles and barriers and to support the specialized roles in Jordan.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148784444","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":"“It's Not Just a Pause”: A Qualitative Exploration of Micro-Breaks Among Clinical Nurses","authors":"Lingling Pan,&nbsp;Jiayue Wu,&nbsp;Qianyun Jiang,&nbsp;Linyan Wang,&nbsp;Yumei Li","doi":"10.1111/jnu.70126","DOIUrl":"10.1111/jnu.70126","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study explored the specific experiences of clinical nurses regarding micro-breaks during work intervals, aiming to provide a reference for nursing managers in building supportive work environments.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The study was conducted and reported in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. From September to November 2025, purposive sampling was used to select 12 clinical nurses from a large teaching hospital in Shanghai. Guided by the Conservation of Resources Theory, we employed a descriptive qualitative research design with semi-structured in-depth interviews. Data were analyzed using directed content analysis.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The experiences of clinical nurses regarding micro-breaks were summarized into three main themes and seven subthemes: (1) the diverse practical forms of micro-breaks (physical disengagement, cognitive detachment, and minimal replenishment); (2) the complex impacts of micro-breaks (potential social costs, potential psychological costs); and (3) the feasibility of micro-breaks in different work environments (department characteristics and work pace, organizational culture and leadership style).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Micro-breaks serve as a proactive self-regulation strategy for clinical nurses in high-intensity work environments. They provide not only a momentary physical pause but also an opportunity for psychological and emotional recovery, contributing to the maintenance of professional resilience. Nursing managers should recognize and respect this behavior, strengthen external environmental support, and aim to enhance nurses work well-being and overall quality of care.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Patient or Public Contribution&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study did not include patient or public involvement in its design, conduct, or reporting.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Clinical Relevance&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nurses in high-acuity settings face continuous resource depletion that can compromise both their well-being and patient safety. This study offers evidence-based insights into how clinical nurses spontaneously use micro-breaks as a proactive self-regulation strategy to restore personal and social resources. By identifying the diverse forms, dual impacts, and contextual determinants of micro-breaks, the findings provide actionable guidance for nursing managers and healthcare o","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714503","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":"Machine Learning Models for Predicting Pain, Fatigue, Depression, Anxiety, and Malnutrition in Cancer Patients: A Systematic Review and Meta-Analysis","authors":"Maidenamu Reheman,&nbsp;Yunhuan Li,&nbsp;Yang Chen,&nbsp;Qianwen Yan,&nbsp;Xiaolin Hu","doi":"10.1111/jnu.70123","DOIUrl":"10.1111/jnu.70123","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Cancer-related symptoms including pain, fatigue, depression, anxiety, and malnutrition drive poor quality of life and adverse clinical outcomes in cancer patients. While machine learning (ML) models are increasingly developed to predict these symptoms, existing studies are marked by significant heterogeneity in algorithms, sample sizes, and predictors, and lack quantitative synthesis of model performance, methodological quality, and clinical applicability. This study aimed to comprehensively summarize the characteristics of models and predictors, evaluate the predictive accuracy, risk of bias, and clinical applicability of ML prediction models.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Systematic review and meta-analysis.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A comprehensive literature search was conducted in PubMed, Web of Science, the Cochrane Library, CINAHL, PsycINFO, CNKI, WanFang, VIP, and SinoMed, from database inception to August 31, 2025. Data were extracted in accordance with the Checklist for Critical Appraisal and Data Extraction for Systematic Reviews of Prediction Modeling Studies (CHARMS), and the risk of bias and applicability of included models were assessed using the Prediction Model Risk of Bias Assessment Tool and Artificial Intelligence (PROBAST-AI). The quality of evidence was evaluated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework. A random-effects model was employed for pooled analysis. Subgroup analyses were stratified by cancer type, geographic region, and algorithm type.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A total of 11,217 records were retrieved, and 34 studies were included in the analysis. The pooled AUCs for predicting pain, fatigue, depression, anxiety, and malnutrition were 0.76 (95% CI: 0.69–0.83, &lt;i&gt;I&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 97.7%), 0.82 (95% CI: 0.76–0.88, &lt;i&gt;I&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 98.5%), 0.76 (95% CI: 0.70–0.82, &lt;i&gt;I&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 98.4%), 0.78 (95% CI: 0.69–0.86, &lt;i&gt;I&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 37.9%), and 0.86 (95% CI: 0.80–0.91, &lt;i&gt;I&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 94.9%), respectively. Subgroup analyses across cancer type, geographical region, and algorithm type revealed no statistically significant sources of heterogeneity. The certainty of evidence was moderate across all outcomes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This systematic review and meta-analysis showed that ML models achieved acceptable discriminative performance for predicting pain, anxiety, depression, fatigue, and malnutrition in patients with cancer","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714548","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":"Virtual Reality–Based Rehabilitation to Improve Mobility and Prevent Falls in Older People With Diabetic Peripheral Neuropathy: Evidence Synthesis and Development of a Geriatric-Specific Framework","authors":"Leodoro J. Labrague,&nbsp;David M. Ha,&nbsp;Liza Visbal-Dionaldo,&nbsp;Kacy L. Aderhold,&nbsp;Anna Nguyen","doi":"10.1111/jnu.70124","DOIUrl":"10.1111/jnu.70124","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Diabetic peripheral neuropathy (DPN) among older people is associated with significant gait and balance impairments, postural instability, and an increased fall risk. Virtual reality (VR)-based interventions have been shown to be effective in improving balance and mobility; however, their design features and applicability for older people with DPN remain unclear. This systematic review was conducted to examine the effectiveness of VR systems on clinical outcomes in individuals with DPN and translate the findings into geriatric-specific VR design recommendations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A systematic review design was employed. Five electronic databases (Scopus, PubMed, CINAHL, Web of Science, and Embase) were systematically searched. Guided by the Synthesis Without a Meta-Analysis (SWiM) approach, a narrative synthesis was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of eight studies met the inclusion criteria, with a pooled sample of 341 participants (mean age = 49 to 72). VR systems were primarily used as intervention modalities (6 of 8 studies). Most VR systems employed non-immersive, screen-based platforms with real-time visual biofeedback. Progression algorithms were clinician-guided rather than adaptive. VR-based interventions demonstrated consistent improvements in postural sway, mediolateral stability, and functional mobility measures in adults with DPN.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>VR systems, used as either intervention and assessment modalities, were found to be effective in assessing and improving balance and functional mobility in adults with DPN.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>Based on these findings, the SAFE STEP PLAN Framework, a geriatric-specific design guidance for VR-based and other technology-assisted rehabilitation interventions in DPN, was developed to inform the design, implementation, and clinical integration of technology-assisted interventions for older people.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714514","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":"Evaluating Evidence-Based Practice and Quality Improvement Initiatives in the Nursing Literature Using a Critical Appraisal Tool","authors":"Julee Briscoe Waldrop,&nbsp;Staci Reynolds,&nbsp;Jayne Jennings Dunlap","doi":"10.1111/jnu.70128","DOIUrl":"10.1111/jnu.70128","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Reports of evidence-based practice (EBP) and quality improvement (QI) in nursing journals often vary in reporting quality, hindering translation into practice. A critical appraisal tool for evidence-based practice quality improvement (EBPQI) has recently been made available on the EQUATOR Network.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive cross-sectional study of full-length articles (Jan–Jun 2025) from 28 nursing journals that accept reports of EBP and/or QI (per submission guidelines); each article was scored by two authors using the open-access critical appraisal tool for EBPQI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Collectively, these journals published 86 issues and 949 full-length articles; 30 (3.2%) articles were identified as EBP or QI reports and were published among 10 (33%) journals. Of these 30 articles, only 6 (20%) used appropriate EBP and/or QI methods and were therefore appraised using the EBPQI critical appraisal tool. Based on the EBPQI critical appraisal tool, the EBP and QI reports varied in how and to what extent they met EBPQI criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Variation exists in journal guidance and reporting of EBP/QI initiatives. Consistent use of EBPQI criteria highlights the need for standardized reporting to improve transparency, transferability, and translation into practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>Transparent, standardized reporting of EBP and/or QI initiatives enables clinicians to appraise relevance and transferability to practice. Reporting aligned with recognized guidelines (or clear justification for deviations) is warranted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jnu.70128","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714535","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":"The Quality of Polish Pediatric Healthcare—The First Study of Caregiver Reported Pediatric Oncology Patient Experiences","authors":"Katarzyna Wiśniewska,&nbsp;Maria Malm,&nbsp;Magdalena Brodowicz-Król,&nbsp;Agnieszka Zaucha-Prażmo","doi":"10.1111/jnu.70119","DOIUrl":"https://doi.org/10.1111/jnu.70119","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The aim of this study was, with regard to the state of Poland's pediatric healthcare, to assess user experiences from the perspective of caregivers of pediatric patients and to provide a comprehensive picture of its quality. The research involved cooperating pediatric oncology and hematology wards across Poland.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Cross-sectional, multicentre instrument validation study and caregiver's experience survey in Poland.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In-patient study was conducted at 14 pediatric oncology and hematology wards. The cooperating wards represented all of Poland's voivodeships, and the study was coordinated by trained nurses. The reliability and validity of the research conclusions were obtained based on assessments provided by a representative population of 813 (adult) primary caregivers of pediatric patients. Two tools were used: the Pediatric Patient Experience Questionnaire (PPEQ) (the Polish adaptation of the CAHPS Child Hospital Survey (Child HCAHPS)); collected sociodemographic and clinical data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The highest percentage of Top Box scores, 84.30%, was recorded for the “Responsiveness to the call button”, and the lowest for “Preventing mistakes and helping you report concerns” (25.66%). The presence of verified hospital infrastructure elements ranged from 85% to 99%. Moreover, 68.39% of all respondents gave the Top Box rating to the pediatric oncology and hematology hospital where their child was treated, and 63.22% stated that they would recommend it.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Overall, the quality of healthcare in Poland's pediatric oncology and hematology centers is high. Caregivers evaluated hospitals mainly based on staff communication with the child and caregiver—and on the sense of comfort during the stay. The aesthetics of the interior and accessibility for people with special needs were also important, while ensuring comfort and safety remains an area for improvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>The use of the PPEQ supports the development of healthcare based on communication, empathy, and partnership with pediatric patients and their families, notably their primary caregivers. Frequent measurement of experiences can provide reliable guidance on adjustments that should be made to the healthcare system.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148696054","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":"A Decision-Making Framework for Selecting Intimate Partner Violence Measures in Health Research","authors":"Jessica Roberts Williams,&nbsp;Candace W. Burton,&nbsp;Gabrielle G. Grant,&nbsp;Abigail Hatcher,&nbsp;Natalia Villegas,&nbsp;Karen Sheffield-Abdullah","doi":"10.1111/jnu.70120","DOIUrl":"10.1111/jnu.70120","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Measuring intimate partner violence (IPV) remains a challenge in health research due to the wide range of available measures, with each designed for different purposes, populations, and types of violence. Selecting the most appropriate IPV measure requires careful alignment with a study's overall goals while balancing conceptual, ethical, and pragmatic considerations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To introduce a decision-making framework to guide researchers in selecting IPV measures for use in health-focused research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A targeted review was completed to identify all published systematic reviews focused on IPV measures. Using a consensus-driven approach, systematic reviews were appraised to determine the criteria and characteristics most commonly used to categorize and evaluate measures. A set of commonly recurring measurement characteristics was identified across reviews, including shared challenges in IPV measurement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identified six domains characterizing variation across IPV measures, including: purpose, populations, types of violence, time frame, context, and data collection methods. Some reviews considered additional characteristics including psychometric evidence and cultural relevance. Others discussed practical considerations, such as language availability and respondent burden. Based on these findings, we developed a decision-making framework and accompanying checklist designed to support researchers in evaluating the fit and appropriateness between available IPV measures and the specific aims, populations, and contextual considerations of their studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Structured guidance that draws on the broader IPV field can support intentional and transparent decision-making, improving the quality and fit of IPV measurement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Clinical Relevance</h3>\u0000 \u0000 <p>The proposed framework, along with the IPV measure checklist, supports both researchers and clinicians in selecting the strongest IPV measure for their study. By offering structured guidance on navigating the wide variety of available IPV measures, this framework supports more consistent, interpretable, and methodologically rigorous IPV measurement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51091,"journal":{"name":"Journal of Nursing Scholarship","volume":"58 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708382","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}