Journal of Advanced Nursing最新文献

{"title":"Duration and severity of COVID-19 symptoms among primary healthcare workers: A cross-sectional survey.","authors":"Rongji Ma, Beier Lu, Yongjie Zhang, Ya Shen, Jinshui Xu, Hualing Chen, Yongkang Qian, Pengcheng Miao, Biyun Xu, Haijian Guo, Bingwei Chen","doi":"10.1111/jan.16212","DOIUrl":"10.1111/jan.16212","url":null,"abstract":"<p><strong>Aims: </strong>This study aims to investigate the epidemiological characteristics of COVID-19 infection among healthcare workers, including the severity, duration of infection, post-infection symptoms and related influencing factors.</p><p><strong>Methods: </strong>A self-administered questionnaire was utilized to assess the post-infection status of primary healthcare workers in Jiangsu Province. The questionnaire collected information on demographic characteristics, lifestyle habits, post-infection clinical manifestations, work environment and recovery time of the respondents. Customized outcome events were selected as dependent variables and logistic regression models were employed to analyse the risk factors. Phi-coefficient was used to describe the relationship between post-infection symptoms.</p><p><strong>Results: </strong>The analysis revealed that several factors, such as female, older age, obesity, previous medical history, exposure to high-risk environments and stress, were associated with a higher likelihood of experiencing more severe outcomes. On the other hand, vaccination and regular exercise were found to contribute to an earlier resolution of the infection. Among the post-infection symptoms, cough, malaise and muscle aches were the most frequently reported. Overall, there was a weak association among symptoms persisting beyond 14 days, with only cough and malaise, malaise and dizziness and headache showing a stronger correlation.</p><p><strong>Conclusion: </strong>The study findings indicate that the overall severity of the first wave of infection, following the complete lifting of restrictions in China, was low. The impact on primary healthcare workers was limited, and the post-infection symptoms exhibited similarity to those observed in other countries. It is important to highlight that these conclusions are specifically relevant to the population infected with the Omicron variant.</p><p><strong>Impacts: </strong>This study helps to grasp the impacts of the first wave of COVID-19 infections on healthcare workers in China after the national lockdown was lifted.</p><p><strong>Patients: </strong>Primary healthcare workers in Jiangsu Province, including doctors, nurses, pharmacists and other personnel from primary healthcare units such as community health service centres and health centres.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":"249-259"},"PeriodicalIF":3.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869178","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 Role of Cultural Safety Within a Human Rights‐Based Approach to Improve Indigenous Peoples’ Health: A Scoping Review","authors":"Mele Lua Palu, Kathryn Wenham, Pravina Shagar","doi":"10.1111/jan.16685","DOIUrl":"https://doi.org/10.1111/jan.16685","url":null,"abstract":"AimTo examine the role of cultural safety within a human rights‐based approach to improving the health of Indigenous Peoples.DesignGuided by Askey and O'Malley's scoping review framework, the literature was examined on cultural safety and prioritised Indigenous voices to inform culturally safe practices. Relevant literature from 2009 to 2021 was included.Data SourcesDatabases included CINAHL, PubMed, Informit and the Australian Indigenous HealthInfoNet.Review MethodsSearch terms included ‘Indigenous Peoples’, ‘cultural safety’ and ‘human rights’ within the context of health in Australia, Aotearoa and Canada.ResultsThe database searches yielded 147 abstracts. After screening, 39 studies were included in the review, describing four overarching themes on the connection between cultural safety and the right to health.ConclusionsDespite cultural safety being linked to key elements of the right to health, such as availability, accessibility, and culturally acceptable resources and services, there is still paucity in research on cultural safety within a human rights framework. Evidence supports cultural safety to decolonise practices, embrace Indigenous knowledge and challenge racism. Linking cultural safety to key elements of the right to health compels nations that have ratified the International Covenant on Economic, Social and Cultural Rights to embed cultural safety to fulfil their legal obligation to address health equity according to International Human Rights Law. This study is the first to add a human rights lens on cultural safety.ImpactThe findings underscore the need for clear and explicit linkage between cultural safety and the right to health. This will prompt greater accountability for healthcare institutions and providers and governments to create a more culturally safe healthcare system and to recognise that cultural safety is not optional but an inherent part of the right to health.No Patient or Public ContributionCultural safety, decolonisation, health equity, human rights, Indigenous, nursing, racism.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"229 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142879686","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 Impacts of Second Victim Experiences on Nurses' Absenteeism and Intention to Leave: A Multi‐Site Cross‐Sectional Study","authors":"Zainab Alfar, Essa Hakamy, Adnan Innab","doi":"10.1111/jan.16695","DOIUrl":"https://doi.org/10.1111/jan.16695","url":null,"abstract":"AimAdverse events impact patients as primary victims including their families, while healthcare providers are impacted as second victims. These incidents have serious psychological and physical impacts on healthcare providers' quality of life and their ability to execute their jobs. As no studies have been conducted in the Middle East to explore the experiences of second victims among nurses, this study examined the relationship between nurses' second victim experiences, turnover and absenteeism.DesignDescriptive, correlational, cross‐sectional study.MethodsA convenience sample of 117 nurses was recruited from secondary‐ and tertiary‐level hospitals across 13 regions in Saudi Arabia. The Second Victim Experience and Support Tool was used to assess second victim experiences and their impact on turnover and absenteeism.ResultsSecond victim trauma affected over half of the participants. ‘The mental weight of my experience is exhausting’ and ‘My colleagues can be indifferent to the impact these situations have had on me’ obtained the highest mean scores. Healthcare providers who stated that these situations had improved their quality of care were found to have the lowest scores. Second victim experiences had significant relationships with turnover and absenteeism. Further, healthcare providers' length of experience did not affect absenteeism, while second victim experiences significantly predicted absenteeism. Additionally, a strong relationship was observed between turnover and absenteeism. Overall, those with a second victim experience had a greater turnover intention.ConclusionsThe results underscore the physical and psychological distress that healthcare providers endure, increasing the likelihood of them leaving the profession. These problems are worsened by inadequate institutional support, emphasising the need for efforts to stabilise second victims and avoid unfavourable organisational outcomes.Reporting MethodThe study adheres to the STROBE reporting guidelines.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"32 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142879687","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":"Effects of Dispositional and Contextual Moral Sensitivity in Moral Decision-Making: A Cross-Sectional Study Among Nursing Students","authors":"Na Zhang, Xiaoyu Ren, Zhen Xu, Chunhua Jin","doi":"10.1111/jan.16677","DOIUrl":"https://doi.org/10.1111/jan.16677","url":null,"abstract":"Based on Rest's Four Stage Model (moral sensitivity, moral judgement, moral intention and moral behaviour), we aim to compare the effects of dispositional moral sensitivity and contextual moral sensitivity on moral decision-making among nursing students.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"14 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142880107","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":"Empowering Primary Care Nurse Practitioners: A Multilevel Approach to Combating the Opioid Crisis","authors":"Zhanette Coffee, Chandra Speight, Lisa Reyes‐Walsh, Jennifer Foreman, Lorrie Davis‐Dick, Todd W. Vanderah, Judith S. Gordon","doi":"10.1111/jan.16694","DOIUrl":"https://doi.org/10.1111/jan.16694","url":null,"abstract":"AimsWe offer a literature‐driven, empirically informed, and highly warranted recommendation for a multilevel approach tailored to nurse practitioners. This approach aimed to drive change at the <jats:italic>individual level</jats:italic> (nurse practitioner), <jats:italic>dyadic level</jats:italic> (nurse–patient therapeutic relationship), and <jats:italic>systems level</jats:italic> (organisational culture, education, and policy) to strengthen nurse practitioners' capacity to deliver optimal opioid use disorder care.BackgroundThe opioid overdose epidemic is a global public health crisis, with the United States facing the most severe impact. Access to evidence‐based treatment for opioid use disorder remains a significant barrier. Primary care nurse practitioners can play a crucial role in expanding access and bridging the treatment gap. Addressing factors influencing access to, quality of, and effectiveness of treatment requires urgent and careful consideration.DesignThis position paper highlights the multilevel barriers that inhibit nurse practitioners in managing opioid use disorder, negatively impacting treatment access and opioid use disorder‐related outcomes.MethodThe Advanced Practice Provider conceptual model was adapted to guide this paper. This adapted model illustrates the interconnected layers among nurse practitioners, clinical care, education, professional development, and organisational culture and policy in caring for patients with opioid use disorder.ConclusionsEquipping primary care nurse practitioners with the necessary tools to both understand opioid addiction and empower patients experiencing it can have a profound impact. This impact benefits the provider and patient and extends to addressing the opioid crisis at multiple levels. Future research should explore nurse practitioners' experiences when working with individuals with opioid use disorder, identify barriers that hinder positive interactions with patients seeking treatment, and pragmatically test and implement multilevel interventions designed to holistically benefit providers and patient outcomes.Impact to NursingThis American‐based reflection offers valuable insights to nurse practitioners worldwide as they consider effective strategies for addressing opioid use disorder in primary care settings.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"122 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142874325","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":"Mindfulness and Voice Behaviour: A Diary Study of Ego Depletion and Work‐Related Self‐Efficacy Among Nurses","authors":"Xiaolong Yuan, Qian Ding, Yongyong Yang, Feng Wang, Xiujun Li, Jiameng Li, Wendian Shi","doi":"10.1111/jan.16691","DOIUrl":"https://doi.org/10.1111/jan.16691","url":null,"abstract":"AimThis study examined how mindfulness affects voice behaviour by altering nurses' daily resource levels.BackgroundMindfulness is an essential personal resource; it can enhance the accumulation of resources and empower individuals to engage in adaptive resource regulation. This study suggests that on days when nurses' mindfulness is higher than average, they may accumulate more resources that facilitate their voice behaviour.DesignWe employed an intensive longitudinal design in the form of a daily diary. Participants were asked to complete both one‐time and daily surveys.MethodsWe collected data between March and September 2024, and 119 nurses were tracked over seven workdays. We tested the hypothesised relationships using a multilevel analysis.ResultsMindfulness was positively related to nurses' voice behaviour; this relationship was mediated by work‐related self‐efficacy (WRSE). Moreover, ego depletion and WRSE played a chain‐mediating role between mindfulness and nurses' voice behaviour.ConclusionMindfulness enhances nurses' voice behaviour as well as an individual's resource level and enables him/her to obtain more resources through voice behaviour.ImpactGiven the positive impact of mindfulness, we advocate for expanding mindfulness training for nurses to boost their resource levels and consequently encourage voice behaviour. In addition, given the mediating role of ego depletion and WRSE, we emphasise the importance of identifying and mitigating factors that contribute to nurses' ego depletion. Furthermore, we call for training on professional skills to be provided to enhance nurses' confidence in their abilities.Patient or Public ContributionThere are no patient or public contributions. This study did not involve patients or the public in the design and implementation process because it focused on investigating the work behaviour of nurses, where the involvement of patients and the public may not have been essential.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"60 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142874327","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":"Senior Registered Nurses' Organisational Communication Satisfaction, Job Satisfaction, Burnout, and Intention to Stay: A Cross-Sectional Study of Two Healthcare Groups","authors":"Gemma Doleman, Kaoru Nosaka, Annemarie De Leo","doi":"10.1111/jan.16687","DOIUrl":"https://doi.org/10.1111/jan.16687","url":null,"abstract":"To explore organisational communication satisfaction and its impact on senior registered nurses' job satisfaction, burnout, and intention to stay.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"14 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142880103","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":"Strategies to Guide Paediatric Type 1 Diabetes Management and Transition of Care: A State-Of-The-Art Review","authors":"Danielle Pehr-Szeliga, Aneta Rutkowski, Michelle Neuman, Kim Amer, Kashica J. Webber-Ritchey","doi":"10.1111/jan.16666","DOIUrl":"https://doi.org/10.1111/jan.16666","url":null,"abstract":"The aim of the study was to synthesise current evidence on the transition of type 1 diabetes management responsibility from caregiver to child.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"39 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142867548","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 Systematic Review of Multimodal Analgesic Effectiveness on Acute Postoperative Pain After Adult Cardiac Surgery","authors":"Rochelle Wynne, Rebecca Miriam Jedwab, Kari Hanne Gjeilo, Suzanne Fredericks, Rosalie Magboo, Emily K. Phillips, Mohammad Goudarzi Rad, Sheila O'Keefe-Mccarthy, Lisa Keeping-Burke, Jo Murfin, Tieghan Killackey, Jill Bruneau, Stacey Matthews, Tracey Bowden, Julie Sanders, Irene Lie","doi":"10.1111/jan.16688","DOIUrl":"https://doi.org/10.1111/jan.16688","url":null,"abstract":"To synthesise the best available empirical evidence about the effectiveness of multimodal analgesics on pain after adult cardiac surgery.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"5 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857695","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-Based Leadership in Nursing: An Evolutionary Concept Analysis","authors":"Shuang Hu, Siying Liu, Xianfeng Li, Wenjun Chen, Jialin Li, Hu Jiale, Maritta Anneli Välimäki, Xianhong Li","doi":"10.1111/jan.16682","DOIUrl":"https://doi.org/10.1111/jan.16682","url":null,"abstract":"To conduct a concept analysis of evidence-based leadership in a nursing context.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"24 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142867546","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}