Journal of Advanced Nursing最新文献

{"title":"Adherence in Patients With Heart Failure—Relationships to Symptom Burden and Hospitalisation Frequency: A Cross Sectional Survey Study","authors":"Helen Moe, Moa Lassbo Lundquist, Eva Ryrlén, Karin Persson, Linda Sonesson, Annica Ravn-Fischer, Niklas Bergh","doi":"10.1111/jan.16860","DOIUrl":"https://doi.org/10.1111/jan.16860","url":null,"abstract":"To investigate adherence and non-adherence to treatment regimens among heart failure patients and to explore relationships with symptom burden and hospitalisation frequency.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"85 3 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143518070","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":"Changing the Delivery of Healthcare in Mexico-Time for Advanced Practice Nursing","authors":"Geraldine Lee, Gustavo Nigenda","doi":"10.1111/jan.16872","DOIUrl":"https://doi.org/10.1111/jan.16872","url":null,"abstract":"<p>Mexico has a population of 131 million, and it has observed a dramatic rise in obesity over the past three decades, with only 23.5% of the adult population having a healthy body mass index (Barquera and Rivera <span>2020</span>). The prevalence of obesity is 70%, and diabetes rates are at 40%, and the two most common causes of death are cardiovascular disease (20%) and diabetes (15%) accounting for 315,000 deaths in 2022 (Mendoza <span>2024</span>). This shift, seen as a rapid epidemiological transition, reflects changes in behaviour, resulting in obesity. Lifestyle-related risk factors include a poor diet (high in saturated fat, salt and sugar), lack of physical activity, and increased alcohol consumption, which results in long-term health conditions such as hypercholesterolaemia, hypertension and diabetes. One study reported that, in the Mexican population, sugary drinks represent 10% of total daily energy intake and 70% of total daily sugar (Sánchez-Pimienta et al. <span>2016</span>). A recent study noted increased BMI in children examining nonessential energy-dense food consumption, highlighting the need for health-related monitoring and education (Illescas-Zárate et al. <span>2024</span>). Despite the knowledge of the growing issue with obesity and the continuing increase in diabetes and obesity in adults and children, policies have focused on food labelling and tax on sugary drinks, and some believe it is much too late, and the obesity rates support this (Barquera and White <span>2018</span>). An expansion of the policy scope is needed.</p>\u0000<p>Mexico has enshrined the right to health care within the constitution; however, the lack of funding and the way health care provision is organised has resulted in the need for focusing on treating lifestyle-related diseases instead of preventing their development in the first place. Solutions offered to address obesity and related health issues have not, to date, considered nurses. There is now significant evidence demonstrating the benefits of advanced practice nurses (APNs) across the globe (Htay and Whitehead <span>2021</span>). APNs can undertake clinical assessments, order and interpret diagnostic tests, treat conditions (including prescribing medications where appropriate), provide patient education and advice, and undertake regular monitoring and follow-up. Given the incidence of chronic long-term conditions in Mexico, APNs are one viable solution to address healthcare needs.</p>\u0000<p>The recently elected Mexican Government has stated its willingness to improve healthcare through a focus on primary care, prevention, integration of the healthcare system, and improved training for practitioners. This is partly driven by people arriving late to health services, where early detection and prevention may have improved outcomes. Their 10-point plan is aimed at the very young and the very old, with an increase in care delivered in people's homes, with incentives for families who care for their family ","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"55 3 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143518073","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":"Falls in Hospitals: Challenging Traditional Risk Assessments With New Insights Into Patient Mobility","authors":"Erik H. Hoyer, Daniel L. Young, Chi Zhang, Elizabeth Colantuoni, Kimia Ghobadi","doi":"10.1111/jan.16866","DOIUrl":"https://doi.org/10.1111/jan.16866","url":null,"abstract":"To explore the association between different aspects of patient functional mobility, specifically, mobility capability (i.e., what the patients could do) versus mobility performance (i.e., what the patients actually did) and hospital falls.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"16 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143518072","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 PATHIT: An Adapted Framework for Nurse Support for Patient Activation Through Health Information Technology","authors":"Maryum Zaidi, Priscilla K. Gazarian, Lisa Kennedy Sheldon, Ben Kragen, Mary E. Cooley, Wenjun Li, Comfort Enah","doi":"10.1111/jan.16844","DOIUrl":"https://doi.org/10.1111/jan.16844","url":null,"abstract":"This article presents an adapted framework that integrates the Patient Health Engagement (PHE) model with Orem's Nursing Systems theory. The framework highlights the nursing role in encouraging Health Information Technology (HIT) tools, such as secure messaging and patient portals, to enhance patient activation and support their self-care capabilities, particularly in chronic disease management aided by nursing actions.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"31 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143518071","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":"Induction and Rapid Orientation of Agency Nursing Staff in the Hospital Setting: A Systematic Synthesis of Qualitative Studies","authors":"Josephine Telschow, Almuth Berg","doi":"10.1111/jan.16840","DOIUrl":"https://doi.org/10.1111/jan.16840","url":null,"abstract":"To aggregate the experiences of temporary nursing staff in the hospital setting related to their induction and rapid orientation to new wards, describe the methods used, and identify facilitating and hindering factors.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"27 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143518095","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 the Unique Challenges of ICU-To-Ward Transitions for Patients and Families: A Meta-Synthesis of Qualitative Research.","authors":"Junru Zhang, Hongting Zhou, Weijing Sui, Yiyu Zhuang, Li Wang","doi":"10.1111/jan.16848","DOIUrl":"https://doi.org/10.1111/jan.16848","url":null,"abstract":"<p><strong>Background: </strong>The transition from the intensive care unit to the general ward is complex. Understanding patients' and families' experiences during this period is essential for optimising nursing care.</p><p><strong>Aim: </strong>Explore the experiences of patients and families during the transition from the intensive care unit to the general ward.</p><p><strong>Design: </strong>A qualitative meta-synthesis integrated and interpreted studies on intensive care unit patients' and families' experiences during transitions to general wards, involving systematic searches, appraisal, and integration analysis.</p><p><strong>Data sources: </strong>PubMed, Web of Science, Embase, EBSCO, CNKI, Wanfang, and VIP databases were searched using subject and free-text strategies, covering inception to July 2024.</p><p><strong>Review methods: </strong>Inclusion criteria included qualitative studies in English and Chinese that fit the study topic. Two researchers independently reviewed 42 full-text articles, of which 26 met the criteria. Quality appraisal used the JBI qualitative research assessment tool, and data were synthesised by the pooled integration method.</p><p><strong>Results: </strong>Three key themes emerged from the analysis: (1) emotional duality of hope and anxiety before transfer, (2) heightened vulnerability and disorientation during ICU-to-ward transition, and (3) unmet needs. These themes were further divided into nine subcategories.</p><p><strong>Conclusions: </strong>Transitions from intensive care units to general wards present patients and families with mixed emotions and challenges in adaptation. Continuity of care, family engagement, and tailored health education are vital to supporting patient recovery and family well-being.</p><p><strong>Impact: </strong>Assessing patient and family anxiety during ICU transitions and using evidence-based interventions to manage emotions can improve recovery and reduce complications. The healthcare team should prioritise early intensive care unit rehabilitation to prevent functional decline, particularly in lower-intensity ward care. Identify patient and family needs when designing transition interventions. Use personalised, targeted health education tailored to different patient and family characteristics to enhance effectiveness across varied healthcare settings.</p><p><strong>No patient or public contribution: </strong>This is a meta- synthesis without direct patient involvement.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517297","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":"Exploration of Nurses' Experiences Related to Moral Injury: A Reflexive Thematic Analysis of Nurse Interviews","authors":"Mindy J. Vanderloo, Ethan Evans, Andrew Smith, Megan Call, Amy Locke, Hannah Wright, Karen W. Tao","doi":"10.1111/jan.16856","DOIUrl":"https://doi.org/10.1111/jan.16856","url":null,"abstract":"To provide a description of nurses' experiences related to moral injury, including Potentially Morally Injurious Events and factors related to the impact of those events.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"85 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143495829","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":"Horizontal Violence or Workplace Bullying Among Intensive Care Unit Nurses: A Mixed Systematic Review","authors":"Guolei Zhang, Tianchang Zou, Menghua Zhang","doi":"10.1111/jan.16849","DOIUrl":"https://doi.org/10.1111/jan.16849","url":null,"abstract":"To synthesise literature about horizontal violence or workplace bullying among Intensive Care Unit nurses, exploring its awareness, factors, impacts, and strategies.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"22 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143495828","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 and Opportunities Faced by Migrant Nurses in the Receiving Country: A Mixed-Methods Study on Cultural Adaptation and Professional Integration","authors":"Mohamed Hussein Ramadan Atta, Azza Abd Elrazek Baraka, Eman Arafa Hassan","doi":"10.1111/jan.16838","DOIUrl":"https://doi.org/10.1111/jan.16838","url":null,"abstract":"To provide a comprehensive understanding of the cultural adaptation and professional integration experiences of migrant nurses in the receiving country.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"30 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485824","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 Perception of Involvement in Nursing Bedside Handover: A Cross-Sectional Study","authors":"Manonita Ghosh, Kaoru Nosaka, Rosemary Saunders, Olivia Gallagher, Amanda Towell-Barnard, Debannita Ghosh, Lucy Gent, Linda Coventry","doi":"10.1111/jan.16839","DOIUrl":"https://doi.org/10.1111/jan.16839","url":null,"abstract":"In Australia, aligned to safety and quality standards, the health system implements standardised practices that include patient involvement in nursing bedside handover. Despite this mandate, it remains unclear whether patients are genuinely participating in nursing bedside handovers and whether their perspectives are being considered.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"26 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143486353","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}