Journal of Advanced Nursing最新文献

{"title":"Mobilisation Alarm Use in Hospitals and Alignment With Person-Centred Practice: A Qualitative Study.","authors":"Kelly Stephen,Dai Pu,Jennifer Weller-Newton,Terry P Haines","doi":"10.1111/jan.70113","DOIUrl":"https://doi.org/10.1111/jan.70113","url":null,"abstract":"AIMTo explore why and how staff use alarms for falls prevention in hospital and their alignment to person-centred practice.DESIGNQualitative interpretive design.METHODSOne hundred focus groups and 25 interviews across 10 health services were completed between October 2022 and September 2024. Participants included nurses (n = 451), allied health (n = 82), and fall prevention managers (n = 18). The Framework Method guided initial data familiarisation and analysis and led to the Person-Centred Practice Framework being identified as a useful framework.RESULTSThemes generated: (1) Understaffed, under-resourced, under pressure, (2) Alarm impact on stress and workload, (3) Negotiating patient safety and patient preference, (4) Engaging family as a resource, (5) Sharing responsibility for alarms and falls prevention, and (6) Navigating ambiguity and fearing consequences.CONCLUSIONStaff feel compelled to use alarms despite problems associated with their use and challenges to person-centred practice. Drivers of alarm use were feeling under-resourced and fearing liability if patients fell. Staff want clearer organisational guidance in alarm use but also want the freedom to use their own clinical reasoning.IMPACTHospitals worldwide are working to identify effective strategies for preventing falls. However, research has yet to adequately explore the perspectives of frontline nurses and allied health staff regarding the use of mobilisation alarms-a critical gap when evaluating their impact and effectiveness. This study's six key themes provide insights into why alarms are so widely used despite the limited evidence supporting their effectiveness.REPORTING METHODConsolidated Criteria for Reporting Qualitative Research.PATIENT OR PUBLIC CONTRIBUTIONThis study did not include patient or public involvement in its design, conduct, or reporting.TRIAL AND PROTOCOL REGISTRATIONAustralian New Zealand Clinical Trials Registry ACTRN12621000823875.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"148 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769800","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":"Adverse Outcomes and Associated Factors Among Children and Youths With Diabetes Mellitus in East Africa: A Systematic Review and Meta-Analysis.","authors":"Chalie Marew Tiruneh,Marilyn Cruickshank,Muhammad Chutiyami,Lin Perry","doi":"10.1111/jan.70124","DOIUrl":"https://doi.org/10.1111/jan.70124","url":null,"abstract":"AIMTo identify adverse outcomes and factors associated with diabetes mellitus among children and youths in East Africa.DESIGNThis review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.DATA SOURCESNo date restrictions were applied to searches of the Ovid MEDLINE, Embase, PubMed, CINAHL, Scopus, Web of Science, Cochrane Library databases and Google Scholar. The review identified and included literature published between 2007 and 2024.METHODSIndependent reviewers conducted study selection, data extraction, and quality assessment. Data were organised in Microsoft Excel, detailing study characteristics, demographics, exposures, and outcomes. Narrative synthesis summarised the data, while meta-analysis yielded pooled proportions.RESULTSFrom 3797 publications, 30 studies involving 6109 children and youths with type 1 diabetes were included. Findings revealed that between 39.3% and 99% did not achieve target glycaemic levels. Diabetic ketoacidosis at diagnosis ranged from 35.8% to 78.7%. Pooled estimates indicated mortality in 6.47%, nephropathy in 15.66%, and retinopathy in 27.49% of the cases. Other complications included decreased health-related quality of life, lipodystrophy, psychiatric disorders, and stunting.CONCLUSIONThis review highlights the need for context-specific, personalised diabetes care for children and youths in East Africa. It underscores the need for healthcare professionals, particularly nurse diabetes educators, to provide personalised, holistic care and education. Policies that strengthen health systems, expand health insurance, and improve access to care are critical priorities to improve outcomes for these populations.IMPACTThis study provides new information on diabetes-related complications and management challenges among children and youths in East Africa. Findings flag the urgent need for integrated care, standardised diagnostic criteria, and improved access to resources, with implications for healthcare providers, policymakers, and researchers to enhance health outcomes and quality of life.PATIENT OR PUBLIC CONTRIBUTIONThis study did not include patient or public involvement in its design, conduct, or reporting.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"12 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769705","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 Tutorial on Conducting and Interpreting a Bayesian Independent T-Test Using Open-Source Software.","authors":"Helen Evelyn Malone,Imelda Coyne","doi":"10.1111/jan.70122","DOIUrl":"https://doi.org/10.1111/jan.70122","url":null,"abstract":"AIMTo demonstrate a worked-out example of a Bayesian independent t-test using open-source software, simulated data, a hypothetical nurse education intervention and a randomised controlled study design. This tutorial explains relevant Bayesian concepts and highlights literature that provides statistically principled justifications for replacing or complementing the frequentist independent t-test with its Bayesian counterpart.DESIGNBayesian t-test analysis tutorial.METHODSA pedagogical framework was applied.DATA SOURCESimulated data generated in Microsoft Excel was uploaded to the Open Science Framework, accessible at: osf.io/4t9gn.RESULTSThe Bayesian independent t-test in JASP provides: (1) a Bayes factor quantifying the relative evidence for determining which of two competing theories, that is, the null (H0) or the alternative (H1) hypotheses, better supports the experimental data and (2) the posterior probability distribution, with its median point estimate plus a 95% credible interval, quantifying the magnitude and uncertainty of the effect size estimate.CONCLUSIONSThis article provides a practical method for nursing and midwifery researchers to conduct Bayesian analysis, offering statistical, practical and ethical advantages, including the application of sequential analysis and optimal stopping rules enhancing research efficiency.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREThis article increases awareness of the feasibility and benefits of Bayesian analysis in nursing and midwifery research, emphasising its ease of implementation through open-source software. Clear step-by-step guidance is provided to support its wider adoption and strengthen methodological rigour in nursing and midwifery research.IMPACTNursing and midwifery research has traditionally relied upon frequentist statistical techniques, based on p values and confidence intervals. Bayesian methods can: (a) improve nursing and midwifery decision-making with probabilistic evidence and (b) reduce publication bias by avoiding binary interpretation of research results.REPORTING METHODThe methodology aligns with van Doorn et al. (2021) guidelines for conducting and reporting a Bayesian analysis.PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"112 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769735","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":"Ready to Prevent? An Analysis of the Approach to Suicide in the Curricula of Nursing Degree Programs in Spain.","authors":"Marta Arrue,Izaro Babarro","doi":"10.1111/jan.70123","DOIUrl":"https://doi.org/10.1111/jan.70123","url":null,"abstract":"AIMTo analyse how suicide education is integrated into the curricula of nursing degree programmes in Spain.DESIGNA cross-sectional descriptive study was conducted.METHODSA review of 123 nursing curricula and a questionnaire. Data were analysed using IBM SPSS, applying a non-parametric statistical test to assess the presence and depth of suicide education in nursing programmes.RESULTSSuicide was typically included in a single module, usually titled Mental Health Nursing, taught in the third year (69%). Overall, 76.42% of programmes included suicide content, dedicating an average of 3.59 h. Teaching was mainly expository, while 27.4% applied active methodologies and 23.3% combined both. Programmes using active methods tended to allocate more hours.CONCLUSIONThe study highlights the need to enhance suicide prevention training in nursing education, both in content and methodology, to better equip future nurses for this critical healthcare challenge.IMPACTThis study reveals significant gaps in Spanish nursing programmes, encouraging improvements in curriculum design to better prepare nurses for real-world mental health challenges.PUBLIC OR PATIENT CONTRIBUTIONAlthough patients were not directly involved, the research is driven by the goal of enhancing care for individuals at risk of suicide by strengthening nurses' preparedness and response capabilities.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"77 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769710","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":"Exploring Resilience in Nursing: Multilevel Strategies for Enhancing Workplace Well-Being.","authors":"Sayed Ibrahim Ali,Mostafa Shaban","doi":"10.1111/jan.70117","DOIUrl":"https://doi.org/10.1111/jan.70117","url":null,"abstract":"AIMSTo explore how nurses working in a high-pressure academic healthcare setting in Saudi Arabia conceptualise, experience and sustain resilience in the face of professional stressors.DESIGNA qualitative, descriptive phenomenological study.METHODSSemi-structured interviews were conducted with 17 nurses from diverse clinical and academic backgrounds between March and May 2025. Data were analysed using reflexive thematic analysis, incorporating both inductive and interpretive approaches. Researcher reflexivity and methodological rigour were maintained throughout.RESULTSFour major themes were identified: (1) Navigating Emotional Demands, which captured nurses' experiences of compassion fatigue and emotional resilience; (2) Support Systems and Collegial Ties, emphasising peer collaboration and mentorship; (3) Organisational Culture and Leadership, which highlighted the role of managerial support, workload policies and institutional climate; and (4) Adaptive Coping Strategies and Personal Development, including mindfulness, spirituality and continuous learning. These themes demonstrate the multilevel nature of resilience, shaped by personal attributes, interpersonal relationships and systemic factors.CONCLUSIONNurses develop resilience through an interplay of individual, relational and organisational strategies. Supportive leadership, collegial networks and opportunities for professional growth are critical in mitigating stress and preventing burnout. Findings underscore the need for culturally responsive, system-wide interventions that embed emotional safety, reflective practice and mentorship into healthcare settings. Future research should evaluate the impact of resilience-oriented policies on workforce retention and patient care outcomes.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"6 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769711","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":"Conducting Eye-Tracking Research in Acute Care: A Scoping Review of Ethical, Feasibility and Acceptability Challenges.","authors":"Patrick Lavoie,Amélie Doherty,Lysanne Pariseau,Julie Allard,Élodie Petit,Delphine Roigt,Sophia Merisier,Maude Crétaz,Imène Khetir,Tanya Mailhot","doi":"10.1111/jan.70110","DOIUrl":"https://doi.org/10.1111/jan.70110","url":null,"abstract":"AIMTo identify and synthesise the ethical, feasibility and acceptability challenges associated with implementing eye-tracking research with clinicians in acute care settings and to explore strategies to address these concerns.DESIGNScoping review using the Joanna Briggs Institute methodology.DATA SOURCESSix databases (MEDLINE, CINAHL, EMBASE, Web of Science, APA PsycInfo and ProQuest Dissertations & Theses Global) were searched for peer-reviewed articles. Reference lists of included studies were also hand-searched.METHODSEligible studies involved clinicians using or interacting with eye-tracking devices in acute care environments and addressed at least one ethical, feasibility, or acceptability consideration. Data were extracted and thematically analysed. Knowledge users, including clinicians, ethicists and a patient partner, were engaged during protocol development and findings synthesis.RESULTSTwenty-five studies published from 2010 to 2024 were included. Seven challenges were identified: obtaining ethical approval, managing consent, privacy and confidentiality concerns, collecting data in unpredictable environments, interference with care, participant comfort and data loss or unreliability. Knowledge users highlighted the importance of early institutional engagement, clear protocols, continuous consent and context-sensitive ethical reflection.CONCLUSIONSEye-tracking offers valuable insights into clinician behaviour and cognition, but its implementation in acute care raises complex ethical and methodological issues. Responsible use requires anticipatory planning, stakeholder engagement and flexible yet rigorous protocols.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREBy informing the development of ethically sound study protocols and consent practices, this work contributes to safer, more transparent and patient-centred research that respects participant autonomy and protects clinical workflows.REGISTRATIONThe protocol was registered with the Open Science Framework (https://osf.io/jn4yx).REPORTING METHODPreferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA; Page et al., 2021) and its Extension for Scoping Reviews (Tricco et al., 2018).PATIENT AND PUBLIC CONTRIBUTIONA patient partner was involved in protocol development, interpretation of findings and development of study recommendations. Their contributions included participating in advisory groups and providing feedback alongside clinicians and ethicists during focus groups. This input helped ensure the research addressed patient-relevant priorities and informed the development of ethically responsible practices for conducting eye-tracking research in clinical care settings.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"10 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769706","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":"Nursing at the Intersection of Power and Practice: A Grounded Theory Analysis of the Profession's Social Position.","authors":"Ariadna Graells-Sans,Paola Galbany-Estragués,Dolors Rodríguez-Martín,Àngel Gasch-Gallén","doi":"10.1111/jan.70126","DOIUrl":"https://doi.org/10.1111/jan.70126","url":null,"abstract":"AIMTo explore nursing professionals' perceptions of the intersectional positioning of their profession within healthcare and society, examining how axes of oppression shape healthcare responses and resource management.DESIGNA qualitative study framed in critical theory paradigm employing constructivist grounded theory, as outlined by Charmaz.METHODSThe study was conducted in Catalonia, Spain, between 2022 and 2023. A total of 26 nursing professionals participated, representing a range of professional roles and settings. Theoretical sampling guided participant recruitment and was saturated after 17 in-depth interviews and 2 thematic focus groups. Interviews and focus groups were transcribed verbatim. Thematic analysis, informed by Charmaz's approach, was applied to identify key dimensions and themes. Intersectionality theory was used as a critical analysis framework.RESULTSA predominant theme emerged from data identified as 'intersectional disempowerment of nursing profession'. Four categories shape this positioning: (1) symbolic and historical undervaluation of care, rooted in nursing's feminization and patriarchal norms; (2) patriarchal influence on professional leadership, manifested by men disproportionately occupy leadership roles, reinforcing vertical segregation; (3) intra-professional hierarchies and technocratic influence, forcing prestige disparities within nursing and promoting horizontal segregation; and (4) internalised barriers among nurses regarding professional prestige, authority and recognition which combined undermine nursing's visibility, legitimacy and influence within healthcare.CONCLUSIONSNursing cannot be understood as a neutral profession. Its societal positioning is deeply shaped by structural inequities, gendered assumptions and entrenched hierarchies, which collectively undermine its potential for autonomy and recognition.IMPACTThis study highlights the need to challenge intersectional hierarchies in nursing, promoting equitable recognition, policy reforms and leadership opportunities to enhance nurses' authority, visibility and professional empowerment within healthcare systems. Addressing these challenges requires systemic policy reforms and a critical re-evaluation of societal perceptions. What problem did the study address? Nursing's social image is strongly shaped by biomedical, technocratic and social views. The gap between nursing's public image and identity limits professional growth and recognition. Analysing how power relations intersect in nursing's social position is essential. What were the main findings? Nursing's role is shaped by the intersection of gender, prestige, socioeconomic status and social recognition. Nurses' empowerment must be tied to transforming unjust institutions and systemic structures. Where and on whom will the research have an impact? This study provides a critical analysis of the intersectional positioning of the nursing profession. The findings have implications at multiple levels: ","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"28 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769840","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":"Cultural Beliefs and Practices of Internationally Educated Nurses in the Context of Cancer and End‐Of‐Life Care: A Hermeneutic Inquiry","authors":"Jay Balante, Diane Van Den Broek, Kate White","doi":"10.1111/jan.70119","DOIUrl":"https://doi.org/10.1111/jan.70119","url":null,"abstract":"AimsThis study aimed to (1) gain an understanding of the experiences of IENs in providing cancer and end‐of‐life care; (2) explore their cultural beliefs and practices and analyse how their experiences, beliefs, and practices shape approaches to nursing care within this care context.DesignHermeneutic inquiry.MethodsPurposive and snowball sampling was used to recruit 11 IENs from South, East, and Southeast Asian regions working as registered nurses in Australian healthcare settings. Data were collected between June 2021 and May 2023 through semi‐structured interviews that were audio‐recorded and transcribed verbatim. Thematic analysis was used to analyse the data and identify patterns and themes.ResultsThree major themes were identified: embodied beliefs and practices, tenets of care approaches, and professional adaptation and upskilling. The findings revealed that the personal and professional beliefs and practices of IENs were shaped by their own cultural heritage. These cultural values and practices were integrated into their care approaches despite the tensions and challenges of doing so.ConclusionIn culturally diverse workplaces, nurses bring deeply rooted care values into their practice. These perspectives offer an important yet often overlooked opportunity to improve care through more inclusive and culturally responsive models.Impact and ImplicationsThis study identified how IENs' cultural beliefs and practices shape their nursing care delivery, revealing tensions that can arise in integrating these cultural values. While cultural differences are expected, the significance lies in how they are acknowledged, integrated, or ignored. The findings suggest that IENs may experience cultural dissonance when their values are not aligned with dominant care models, highlighting the need for more inclusive workplace practices and structural support to promote belonging, cultural humility, and mutual learning within the nursing profession.Reporting MethodThe standards for reporting qualitative research guidelines were used.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"26 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144763328","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":"Experience and Perceptions of Retention Strategies in District Nursing Services: A Web‐Based Mixed Methods Cross‐Sectional Survey","authors":"Erkan Alkan, Vari M. Drennan, Claire Thurgate, Lihua Wu, Mary Halter, Chao Wang","doi":"10.1111/jan.70108","DOIUrl":"https://doi.org/10.1111/jan.70108","url":null,"abstract":"AimTo investigate the experience and perceptions of the effectiveness of retention strategies of nurses and nursing associates in district nursing services.DesignMixed methods cross‐sectional online survey.MethodsElectronic invitations were circulated via district nursing professional networks to complete an online survey in England. The survey questions were developed from international evidence‐based guidance. Quantitative data were analysed descriptively and using multinomial regression analysis, tested the variation in experienced strategies by job and work characteristics. Content analysis informed qualitative data analysis.ResultsThree hundred and forty‐five completed surveys were received. Over 60% of respondents reported experiencing strategies related to a safe working environment (75%), flexible work schedules (65%), well‐being (64%) and professional development opportunities (60%). The least frequently reported strategies experienced were involvement in service policymaking (26%), reducing job demands (31%); and creating cohesive nursing teams (40%). Nurses on lower pay grades were statistically less likely than those on the higher pay bands to experience strategies involving professional growth opportunities and involvement in service decision‐making. Nurses working in affluent areas were statistically more likely to report experiencing more types of retention strategies than those working in socio‐economically deprived areas. Participants' views on effective strategies were mixed but attention to financial aspects (particularly travel costs), manageable workloads, flexibility in work scheduling plus tailored induction/support for those new to district nursing were given the most testimony as effective.ConclusionsRetention strategies are created and enacted by those within employing organisations, district nursing services and district nursing teams, but within the context of a wider health care and labour market system. We suggest the findings could be the starting point for review by district nursing services experiencing high vacancy rates. Our findings raise questions for subsequent investigation across health systems.Patient Reporting MethodThis paper adhered to the relevant Equator guideline A Consensus‐Based Checklist for Reporting of Survey Studies (CROSS), <jats:ext-link xmlns:xlink=\"http://www.w3.org/1999/xlink\" xlink:href=\"https://doi.org/10.1007/s11606-021-06737-1\">https://doi.org/10.1007/s11606‐021‐06737‐1</jats:ext-link>.Patient or Public InvolvementThis study did not include patient or public involvement in its design, conduct or reporting.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"117 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755729","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":"Safe, Sustainable and Ethical Recruitment of Internationally Qualified Registered Nurses to Australia.","authors":"Louise Sheehy,Jennifer Fraser,Kate Cheney,Jacqueline Bloomfield","doi":"10.1111/jan.70114","DOIUrl":"https://doi.org/10.1111/jan.70114","url":null,"abstract":"AIMTo critically examine the safety, sustainability and ethical dimensions of recruiting internationally qualified nurses to Australia. A Global Justice Framework focusing on the political ethics of care is applied to the complexity and practical application of issues raised by the urgent nursing workforce needs in the health and aged care sectors.DESIGNA discursive paper based on a critical reading of the literature.METHODSBased broadly on a narrative review, this paper provides a critical analysis of relevant literature identified through CINAHL and PubMed databases. These included peer-reviewed articles, government reports, international guidelines and policy documents. Key issues identified included patient safety, sustainability and ethical considerations pertaining to international nurse migration.FINDINGSAustralia has rigorous standards for assessing the professional competency of Internationally Qualified Registered Nurses to ensure safety. Challenges persist, however, regarding professional integration, retention and adherence to ethical recruitment practices. While nurse migration alleviates workforce shortages in Australia, it exacerbates healthcare deficits in source countries facing critical shortages. Sustainability concerns include ensuring long-term workforce stability and maintaining high-quality care standards. Bilateral agreements must consider the needs of both source and host countries.CONCLUSIONAddressing Australia's nursing workforce shortages requires ethical and sustainable recruitment strategies. Workforce demands must be balanced to ensure global health equity while upholding public safety and professional standards for all countries.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREEthical recruitment practices are essential for developing policies and practices that support internationally qualified nurses' professional integration and retention. Establishing robust support systems enables these nurses to adapt effectively to Australian healthcare settings. Strengthening retention strategies fosters workforce stability, minimises attrition and may contribute towards consistent delivery of high-quality and safe patient care.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"27 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144756156","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}