Journal of Advanced Nursing最新文献

{"title":"Experiences of Continuity of Care Among Registered Nurses Caring for Patients With Chronic Obstructive Pulmonary Disease in Primary Care: A Qualitative Study","authors":"Sara Roos, Malin Sjöström, Jörgen Medin, Christina Melin-Johansson","doi":"10.1111/jan.16936","DOIUrl":"https://doi.org/10.1111/jan.16936","url":null,"abstract":"To explore Registered Nurses' experiences of continuity of care for patients with chronic obstructive pulmonary disease in primary care.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143758635","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":"Parents' Experiences of Holding Their Child for Healthcare Procedures: A Qualitative Exploratory Study.","authors":"Sage Hay, Sharon Kinney, Stacey Richards, Fiona Newall, Meaghan Hawley, Jenny O'Neill","doi":"10.1111/jan.16935","DOIUrl":"https://doi.org/10.1111/jan.16935","url":null,"abstract":"<p><strong>Aim: </strong>To explore parents' experiences of holding children for healthcare procedures in an Australian paediatric hospital setting.</p><p><strong>Design: </strong>A qualitative exploratory study was undertaken at a paediatric tertiary hospital in Melbourne, Australia.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with parents of children who had undergone a procedure during their hospital admission. Interviews were audio recorded, transcribed and analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>Eight parents were interviewed, with four themes becoming apparent from their experiences, representing the multiple roles parents undertook when holding their child for a procedure. Parent as a protector was identified as the overarching role, with all roles involving aspects of parents protecting their child. The remaining roles included comforter-where parents supported their child by providing reassurance and being present; helper-where parents actively sought a role or stepped up to assist during a procedure and enforcer-where at times parents had a belief that to facilitate some procedures holding was necessary. A sliding-scale schema illustrates that these roles are not static, but rather positioned along a continuum, with some parents moving between roles throughout a procedure.</p><p><strong>Conclusion: </strong>This study provided valuable insight into the complexity of parents' involvement when supporting their child during a procedure. The varying roles suggest parents balance the desire for their child to feel safe (holding as a comforter) with wanting to get the procedure done (holding as an enforcer).</p><p><strong>Impact: </strong>This research impacts clinicians, parents and children involved in healthcare procedures. Clinicians can use the sliding-scale schema that illustrates the distinct roles parents can take on, as a visual tool to promote parental involvement and help parents define their role during a procedure.</p><p><strong>Reporting method: </strong>Consolidated Criteria for Reporting Qualitative Research (COREQ) guideline was utilised when reporting findings.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765950","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":"Burnout and Back Pain and Their Associations With Homecare Workers' Psychosocial Work Environment-A National Multicenter Cross-Sectional Study.","authors":"Tania Martins, Michael Simon, Nathalie Möckli, Carla Meyer-Massetti, Roland Fischer, Christine Serdaly, Franziska Zúñiga","doi":"10.1111/jan.16931","DOIUrl":"https://doi.org/10.1111/jan.16931","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aims: &lt;/strong&gt;To determine the prevalence of burnout and back pain in homecare workers in Switzerland and assess their associations with psychosocial work environment factors.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;National multicentre cross-sectional study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Using paper-pencil questionnaires, data were collected from January 2021 to September 2021 from employees of 88 homecare agencies across Switzerland. Respondents who identified themselves as administrators, apprentices, or trainees, who were in leadership positions, or who were not involved in the provision of care or housekeeping were excluded from this analysis. Burnout was assessed with the Copenhagen Burnout Inventory Scale (possible score range 0-100) and back pain with a single item from the Federal Statistical Office's Swiss Health Survey. Multilevel regression analyses were used to assess burnout and back pain's associations with psychosocial work environment factors.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;We included 2514 homecare workers. More than two-thirds (68.6%) reported back pain in the past 4 weeks. The overall mean burnout score was 36.0 (SD 18.3). Poorer work-life balance, higher perceived workload and verbal aggression from clients were positively associated with both outcomes. Better leadership and social support from colleagues were negatively associated with burnout. Higher role conflict levels correlated with higher burnout levels.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Our findings indicate that the psychosocial work environment should be considered when designing interventions to reduce the prevalence of burnout and back pain among homecare workers.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for the profession and patient care: &lt;/strong&gt;The high reported burnout and back pain prevalences among homecare workers highlight an urgent need to design and implement psychosocial work environment-improving interventions. In addition to contributing to homecare employees' long-term attraction and retention, protecting and promoting their health and well-being will likely not only benefit them, but also contribute to patient safety, quality of care and homecare sustainability.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Impact: &lt;/strong&gt;The study reports the prevalence of burnout and back pain among homecare workers and their associations with psychosocial work environment factors. The results indicate that six psychosocial work environment factors-work-life balance, perceived workload, leadership quality, levels of social support from colleagues, role conflict levels, and verbal aggression from clients-all correlate with burnout and/or back pain in homecare workers. For policy makers, researchers, healthcare managers, and homecare agencies, this study's findings will inform the development of interventions to enhance homecare work environments, leading to improvements both in workers' health and in the quality of their care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Reporting method: &lt;/strong&gt;We have adhered to the Strengthe","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765949","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 on the Identification of Hypoglycemia Risk in Patients With Type 2 Diabetes Mellitus During the Peri-Colonoscopy Period","authors":"Mengyang He, Qinglin Zha","doi":"10.1111/jan.16949","DOIUrl":"https://doi.org/10.1111/jan.16949","url":null,"abstract":"&lt;p&gt;Yang et al. (&lt;span&gt;2025&lt;/span&gt;) recently carried out a retrospective cohort study with the objective of devising a predictive model for evaluating the risk of hypoglycaemia among patients suffering from Type 2 diabetes mellitus in the peri-colonoscopy phase. This study was designed to pinpoint the crucial clinical and demographic elements that contribute to the risk of hypoglycaemia within this particular demographic. By scrutinising data from individuals undergoing colonoscopy, the research team assimilated multiple significant variables into their model to forecast hypoglycaemic incidents. The delineated predictors encompassed insulin utilisation, SGLT2 inhibitors, fasting subsequent to colonoscopy, fasting C-peptide levels and estimated glomerular filtration rate (eGFR). The components were integrated to establish a robust predictive model for evaluating the likelihood of hypoglycaemia during the peri-colonoscopy period. In the development cohort, the model exhibited a robust discriminatory ability, with an area under the receiver operating characteristic curve of 0.78 (95% CI, 0.71–0.84) and in the validation cohort, 0.82 (95% CI, 0.74–0.90). The results indicate that this model may aid clinicians in recognising patients at increased risk for hypoglycaemia, thereby facilitating more precise management strategies and preventive measures. Early identification of at-risk individuals can greatly enhance patient safety, minimise adverse events and improve clinical outcomes during the peri-colonoscopy phase. Based on the important results of Yang et al. (&lt;span&gt;2025&lt;/span&gt;), we present several points of view on the thorough evaluation of hypoglycaemia risk inside this specific group.&lt;/p&gt;\u0000&lt;p&gt;First, effective monitoring of insulin use depends on doctors closely reviewing the patient's insulin schedule and paying particular attention to any necessary dosage or timing changes before and after the operation. Regular monitoring of blood glucose levels is essential for identifying potential hypoglycaemic episodes, especially in patients with Type 2 diabetes mellitus undergoing colonoscopy. Patients prescribed SGLT2 inhibitors should undergo renal function assessment and maintain adequate hydration, as dehydration may elevate the risk of hypoglycaemia attributable to the medication's diuretic properties. In addition to monitoring blood glucose levels, physicians must also be vigilant for signs of dehydration, such as hypotension and dry mucous membranes. The management of fasting following colonoscopy must be carefully undertaken by ensuring that patients receive appropriate post-procedural nutritional guidance, which encompasses the gradual reintroduction of food to mitigate the risk of hypoglycaemia. Physicians must monitor the length of fasting and begin early feeding for patients who are on insulin or other glucose-lowering medications. Additionally, it is important to monitor fasting C-peptide levels, as low levels indicate compromised endogenous in","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"73 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143758102","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":"Multi Perspective Considerations for Health Smart Home: Early Phase Exploratory Study","authors":"Gordana Dermody, Rania Shibl, Mingzhong Wang, Andy Ward, Judy Watson, Kerry North, Jacqueline Blake, Erika Mealy, Abigail My Koay, Sirinthip Roomkhan, Phee Lep Yeoh, Roschelle Fritz","doi":"10.1111/jan.16945","DOIUrl":"https://doi.org/10.1111/jan.16945","url":null,"abstract":"This study engaged key stakeholders—older adults, family caregivers, home care support workers, nurses, and home healthcare leaders—to explore perspectives on essential components and integration into home care models, and to explore the role of their technology readiness for health smart homes adoption.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"32 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143758103","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":"Pedagogical Strategies for Teaching Conceptual Models and Nursing Theories in Undergraduate Students: A Scoping Review","authors":"Aurélie Demagny-Warmoes, Marvin Duchadeau, Paul Quindroit, Sébastien Colson","doi":"10.1111/jan.16888","DOIUrl":"https://doi.org/10.1111/jan.16888","url":null,"abstract":"Teaching nursing theories is essential to structure and guide clinical practice, yet their integration into initial training courses remains a challenge.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"15 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143758104","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":"Nurse-Led Models of Service Delivery for Skin Cancer Detection: A Systematic Review","authors":"Leila Kattach, Heidi Singleton, Steven Ersser, Debbie Holley, Ian Pearson, Abdulrahman Shadeed","doi":"10.1111/jan.16854","DOIUrl":"https://doi.org/10.1111/jan.16854","url":null,"abstract":"To consolidate evidence on nurse-led models for skin cancer detection by focusing on their roles, comparing their effectiveness to physician-led care and highlighting any value-added benefits.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"54 69 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143758101","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 Mixed Methods Evaluation of a Nurse-Led Domestic and Family Violence Service","authors":"Jane Currie, Claire Nelson, Leanne Papas, Talay Quinlan, Kia Reddan, Olivia Hollingdrake","doi":"10.1111/jan.16836","DOIUrl":"https://doi.org/10.1111/jan.16836","url":null,"abstract":"To explore the perceived impact of a nurse-led domestic and family violence service on access to care.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"232 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143745574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying Key Antecedents of Quiet Quitting Among Nurses: A Cross-Profession Meta-Analytic Review","authors":"Ruijia Geng, Xiulin Geng, Sujuan Geng","doi":"10.1111/jan.16934","DOIUrl":"https://doi.org/10.1111/jan.16934","url":null,"abstract":"This study aims to identify key antecedents of quiet quitting across industries through a three-level meta-analysis, evaluate their relevance to nursing and highlight aspects that have been under-explored in the nursing field, with the goal of guiding future research and interventions to improve nurse retention and engagement.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"25 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143745576","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":"Challenges, Skills and Training Needs of Nurses in Managing Paediatric Obesity in Primary Care Settings","authors":"C. Miguel-Atanes, A. R. Sepúlveda, M. T. Alcolea","doi":"10.1111/jan.16947","DOIUrl":"https://doi.org/10.1111/jan.16947","url":null,"abstract":"To explore the perceptions of primary care nurses regarding their skills and the challenges they face in managing paediatric obesity.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"183 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143745578","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}