Journal of Advanced Nursing最新文献

{"title":"Nurses' Perceptions of Their Involvement in Shared Decision‐Making for Advanced Cancer Treatment and Palliative Care; a Qualitative Interview Study","authors":"Jannicke Rabben, Mariann Fossum, Bella Vivat, Gudrun Elin Rohde","doi":"10.1111/jan.16994","DOIUrl":"https://doi.org/10.1111/jan.16994","url":null,"abstract":"AimTo explore nurses' perceptions of their involvement in shared decision‐making for advanced cancer treatment and palliative care, and their contributions to patient involvement.DesignExploratory qualitative research.MethodsIn‐depth interviews conducted in March–October 2023 with 15 nurses from two Norwegian hospitals were analysed using reflexive thematic analysis.ResultsTwo broad themes were constructed: Theme (1) ‘Person‐centredness; acquiring and sharing knowledge’; with subthemes; ‘Knowing and speaking for the person with cancer’, and ‘Providing informational, emotional and practical facilitation and support’, and Theme (2) Enacting the professional nurse role in complex situations'; with subthemes: ‘Palliative cancer care decision‐making is particularly complex’, ‘Systems and cultures shape nurses’ roles and contributions', and ‘Balancing beneficence and patient autonomy’.ConclusionParticipants perceived themselves as contributing to shared decision‐making, while facing challenges and dilemmas in their professional roles. More supportive interprofessional working might improve how health professionals involve patients in shared decision‐making.Implications for the Profession and Patient CareIncreased development of nurses' contributions to shared decision‐making about advanced cancer and palliative care could support their facilitation of patient involvement.ImpactAlthough nurses can support people receiving palliative cancer treatment and care in shared decision‐making, nursing's particular role and contribution has been unclear. Study findings suggest that nurses' important person‐centred approach is challenging to maintain in treatment decision‐making. These insights into nurses' involvement in shared decision‐making could inform and contribute to the further development of interprofessional education, training, and leadership.Reporting MethodCOREQ.What Does This Paper Contribute to the Wider Global Clinical Community?Provides in‐depth knowledge on nurses' perceptions of their contributions to shared decision‐making with patients and caregivers. Supports an increasing focus on nurses' role in facilitating and supporting patient involvement in treatment decision‐making.Patient or Public ContributionA patient and public involvement group participated in study design and conduct.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"48 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143875865","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":"Barriers and Facilitators to Implementing a Nurse‐Led Information System for Older Adult Patients' Post‐Discharge Self‐Care: An Exploratory Sequential Mixed‐Methods Study","authors":"Dorothy Yingxuan Wang, Eliza Lai‐Yi Wong, Annie Wai‐Ling Cheung, Zoe Pui‐Yee Tam, Kam‐Shing Tang, Eng‐Kiong Yeoh","doi":"10.1111/jan.16885","DOIUrl":"https://doi.org/10.1111/jan.16885","url":null,"abstract":"AimTo explore determinants impacting an Electronic Health Record‐based information system implementation and their association with implementation fidelity based on the Theoretical Domains Framework (TDF) from nurses' perspectives.DesignExploratory sequential mixed‐method design.MethodsIn stage one, semi‐structured interviews with 53 purposively selected nurses informed the exploration of TDF domains influencing the implementation of the information system with directed content analysis. In stage two, a cross‐sectional survey, informed by the qualitative findings, was conducted among 482 nurses to identify the most relevant and relatively important TDF domains by running generalised linear regression models.ResultsThe qualitative interviews generated 13 TDF domains that were identified as major influencing factors, including technology characteristics, knowledge, attitudes, role agreement, self‐efficacy, goal‐setting, information circulation, and communication among nurses. Quantitative findings showed that 70% of nurses used and printed the written form through the information system, and only 34% offered verbal education consistently. Regression analysis identified nine domains that were relevant and important factors for implementation fidelity, including knowledge, skills, role identity, beliefs in consequences, beliefs in capabilities, intentions, goals, memory and decision processes, and environmental context.ConclusionOur findings confirmed previous evidence on determinants of implementing digital health technologies, including knowledge, competencies, perceived effectiveness, role agreement, intentions, decision processes, and environmental context. Additionally, we highlighted the importance of goal‐setting for successful implementation.ImpactThis study investigated the relatively important associated factors that can impact the successful implementation of the nurse‐led information system for post‐acute care based on nurses' perspectives. These results can guide nurse practitioners in implementing similar initiatives and support evidence‐based decision‐making. Researchers can also further investigate the relationships between the identified determinants.Reporting MethodJournal Article Reporting Standards for Mixed Methods Research.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"1 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143875805","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":"Patient Agitation in the Intensive Care Unit: A Concept Analysis","authors":"Anne Mette N. Adams, Diane Chamberlain, Charlotte Brun Thorup, Matthew J. Maiden, Cherie Waite, Hila Ariela Dafny, Kay Bruce, Tiffany Conroy","doi":"10.1111/jan.17000","DOIUrl":"https://doi.org/10.1111/jan.17000","url":null,"abstract":"Exploring the concept of patient agitation in the intensive care unit.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"1 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143872506","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":"How to Ensure High-Quality Information and Communication for People With Advanced Cancer","authors":"Zhijie Hu","doi":"10.1111/jan.17006","DOIUrl":"https://doi.org/10.1111/jan.17006","url":null,"abstract":"<p>Rabben et al. (<span>2025</span>) investigated the perceptions and experiences of individuals with advanced-stage cancer and their family caregivers regarding shared decision-making in palliative care. Five key themes were identified by the researchers through qualitative interviews: (1) treatment options are intrinsically connected to critical life-and-death decisions, underscoring their importance; (2) patients and caregivers expressed varied expectations and preferences regarding their participation in decision-making; (3) uncertainty existed regarding the practicality and scope of shared decision-making, affected by emotional challenges and systemic obstacles; (4) access to high-quality information and effective communication was considered vital for meaningful engagement and (5) the role of nurses in the decision-making process was not clearly delineated. The findings highlight the critical necessity for enhanced, inclusive communication strategies within palliative care. We present various viewpoints on ensuring the provision of high-quality information and communication for individuals facing advanced cancer.</p>\u0000<p>Initially, healthcare professionals must evaluate the informational requirements, cognitive abilities and preferences of each patient regarding their participation in decision-making. Tailoring discussions to these particular factors enhances engagement and helps patients and caregivers navigate complex medical information. Open, honest and compassionate conversations about prognosis, treatment options and expected outcomes are essential for building trust and facilitating informed choices. Structured and coherent conversations that involve both patients and their family caregivers promote shared understanding, reduce ambiguity and improve collaborative decision-making. Moreover, collaboration across various disciplines is crucial; engaging nurses, social workers, and palliative care specialists fosters a holistic approach and ensures that communication remains consistent within the care team. It is essential for clinicians to record patients' values, goals and care preferences, integrating these elements into treatment planning to guarantee alignment with individual priorities. This model of communication focused on the patient is essential for providing exceptional palliative care and improving the overall care experience.</p>\u0000<p>Second, nurses are essential in facilitating effective information exchange and communication for patients with advanced cancer. They possess a distinctive ability to evaluate patients' understanding of medical information, elucidate intricate concepts and address both emotional and informational requirements, owing to their ongoing presence and strong therapeutic relationships with patients and families. Through consistent engagement at the bedside, nurses are able to identify potential issues early and relay them swiftly to the multidisciplinary team, thus promoting timely and coordinated care. ","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"31 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143872508","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 Neonatal Nurse-Controlled Model of Analgesia to Manage Post-Operative Pain in the Surgical Neonate: A Pilot Randomised Controlled Trial","authors":"Renee Muirhead, Kathryn Kynoch, Glenda Hawley, Emma Ballard, Pita Birch, P. A. Lewis","doi":"10.1111/jan.16992","DOIUrl":"https://doi.org/10.1111/jan.16992","url":null,"abstract":"To test the feasibility and acceptability of a newly developed model of neonatal nurse-controlled analgesia to manage pain in the post-operative infant.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"91 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143866816","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 the Implementation of Strategies to Improve Evidence-Based Surgical Care: A Focus Group Study","authors":"Karolina Härle, Carina Wennerholm, Jenny Drott","doi":"10.1111/jan.16988","DOIUrl":"https://doi.org/10.1111/jan.16988","url":null,"abstract":"To evaluate healthcare professionals' perspectives on factors that lead to success in the implementation of strategies to strengthen evidence-based surgical nursing care.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"68 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143866821","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":"Mediating Effects of Emotional Exhaustion Between Lateral Violence in Nursing and Turnover Intentions: A Cross-Sectional Survey","authors":"Aoqi Li, Lili Peng, Xiaojian Jiang, Binbin Ji, Yilan Li, Xinwei Xie","doi":"10.1111/jan.16907","DOIUrl":"https://doi.org/10.1111/jan.16907","url":null,"abstract":"This study aims to determine the mediating effect of emotional exhaustion on the relationship between lateral violence in nursing and turnover intentions.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"71 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143872507","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":"Letter to ‘Risk Prediction Models for Frailty in Adult Maintenance Haemodialysis Patients: A Systematic Review and Methodological Appraisal’","authors":"Xue Chen, Dianpu Zhang","doi":"10.1111/jan.16998","DOIUrl":"https://doi.org/10.1111/jan.16998","url":null,"abstract":"<p>We read with great interest the recent article ‘Risk Prediction Models for Frailty in Adult Maintenance Hemodialysis Patients: A Systematic Review and Methodological Appraisal’ by Zhang et al. (<span>2025</span>), an important contribution to the field of predictive modelling in nephrology. The authors adeptly summarised methodological challenges and highlighted the critical gaps in the development and validation of frailty prediction models. However, through a deeper reflection, we would like to revisit and expand upon certain aspects of their findings, particularly regarding the methodological rigour, clinical utility, and future directions for research and implementation.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"68 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143866823","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":"Self-Management Scale for Chronic Pruritus in Older People: Instrument Development and Preliminary Validation","authors":"Fanyu Zhao, Xiumei Zhou, Qian Liu, Lupei Yan, Xiuying Hu","doi":"10.1111/jan.16901","DOIUrl":"https://doi.org/10.1111/jan.16901","url":null,"abstract":"Chronic pruritus has a significant global impact, which is common in the elderly population. Developing a standardised and validated assessment tool is the basis for managing chronic pruritus. However, there is little research on standardised assessment tools for self-management in older people with chronic pruritus.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"17 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143872511","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 Mediating Role of Authentic Followership in the Relationship Between Job Crafting and Nurses' Quality of Work Life","authors":"Ahmed Farghaly Tawfik, Ayman Mohamed El-Ashry, Sanaa Hassan Mohamed, Shimaa Abd El-fattah Mahgoub","doi":"10.1111/jan.16993","DOIUrl":"https://doi.org/10.1111/jan.16993","url":null,"abstract":"The dynamic landscape of contemporary healthcare organisations presents substantial challenges and competition, underscoring the imperative to improve the quality of work life for staff nurses.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"14 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143866824","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}