Journal of Advanced Nursing最新文献

{"title":"Professional Bereavement in Nursing: An Evolutionary Concept Analysis","authors":"Xingyue He, Yanxing Wang, Caizheng Yang, Huili Cao, Qiaohong Wang, Hui Yang","doi":"10.1111/jan.16545","DOIUrl":"https://doi.org/10.1111/jan.16545","url":null,"abstract":"AimsClarify and define the concept of professional bereavement in nursing.DesignRodgers' evolutionary method was used to identify the attributes, antecedents, and consequences of professional bereavement in nursing.Data SourcesLiterature from inception to May 20, 2024, was searched from PubMed, Embase, Web of Science, CINAHL, PsycINFO, Scopus, Medline, EBSCO host, Proquest, Ovid, and Cochrane.Reporting MethodsThe preferred reporting items for systematic reviews and meta‐analyses (PRISMA) guidelines were adopted.ResultsThe 32 articles included in the study provided data on the concept of professional bereavement in nursing. We propose the concept of professional bereavement in nursing as follows: Professional bereavement in nursing is the experience of a patient or colleague's death in the workplace, influenced by contextual, internal, and external factors. Nurses perceive personal and professional losses, exhibit a multidimensional liminal state, and experience personal impacts (life and worldview) and professional impacts (health‐related productivity and professional ability).ConclusionsWe developed a preliminary conceptual model of professional bereavement in nursing based on its attributes, antecedents, and consequences. This conceptual model promotes the development of theories related to professional bereavement.ImpactThis is the first article to clarify and define professional bereavement in nursing. We have clarified the antecedents, attributes, and consequences of professional bereavement, which provides a conceptual framework for understanding professional bereavement. The conceptual framework guides the content of interventions and suggests future professional bereavement interventions from a dialectical perspective.Patient or Public ContributionNot applicable.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142451350","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 Implementation Processes of a Multicomponent Family Support Intervention in Intensive Care Units (FICUS) Study: A Mixed-Methods Process Evaluation.","authors":"Saskia Oesch,Lotte Verweij,Marco Riguzzi,Tracy Finch,Rahel Naef","doi":"10.1111/jan.16544","DOIUrl":"https://doi.org/10.1111/jan.16544","url":null,"abstract":"AIMTo investigate the experience with and progress of the implementation of a Family Support Intervention (FSI) into adult intensive care units (ICUs) as part of the cluster-randomised FICUS trial.DESIGNA mixed-methods process evaluation using a multiple case study approach guided by the normalisation process theory.METHODSThis study took place between June 2022 and July 2023 in eight Swiss ICUs randomised to the intervention arm. A tailored implementation strategy was used to introduce the multicomponent FSI, consisting of a new family nursing role and a family care pathway, into interprofessional ICU teams. Participants were 40 ICU key clinical partners. Qualitative data were collected twice, early (3-6 months) and mid-implementation (9-12 months), using small group interviews. A questionnaire with psychometric measures (Acceptability of Intervention Measure, Feasibility of Intervention Measure, Intervention Appropriateness Measure, Normalisation Measure Development Questionnaire) was administered at mid-implementation. RITA pragmatic rapid thematic analysis and descriptive statistics were used to analyse the data. Qualitative and quantitative results were then compared across ICUs (cases).FINDINGSFindings indicated the desired progress of the FSI integration overall and across cases, with high acceptability and appropriateness ratings but only moderate to high feasibility scores. Study-related barriers were noted in all ICUs (i.e., FSI delivery as part of a clinical trial). Implementation barriers included family nurses' limited capacity and clinician's attitudes towards the FSI. Leadership support and interprofessional collaboration were identified as facilitators. Case-based, integrated findings yielded two implementation pathways, namely early and protracted adopters.CONCLUSIONImplementation barriers were related to the feasibility of FSI delivery within the study context that required a high degree of standardisation and protocol adherence. Implementation progress was shaped by an interprofessional culture of family care, sufficient staff and time resources, and leadership support. The study's findings will inform future implementation of complex health interventions in ICUs.REPORTING METHODGood reporting of a Mixed-Methods Study (GRAMMS).PATIENT OR PUBLIC CONTRIBUTIONWithin the FICUS trial, a patient and family advisory board with a patient expert, three family members and a patient with own lived experience of critical care collaborate with the research team.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142449342","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":"Approaches to Concept Clarification: Issues for Consideration","authors":"Ginny Mounce, Kathleen Greenway, Valerie Brueton, Helen Aveyard","doi":"10.1111/jan.16553","DOIUrl":"https://doi.org/10.1111/jan.16553","url":null,"abstract":"<p>Defining concepts is universally recognised as good practice, whether this be in our academic, professional or personal lives. The need to understand exactly what someone is referring to is an essential part of communication. In healthcare, words and terms can have multiple meanings and assumed understandings. When doing research, it is particularly important to define concepts, in order to ensure understanding of the precise context in which they are used. With this clarity and shared understanding, researchers are able to effectively conduct the research, and subsequently, readers can appropriately interpret and make meaning of the research. Concept analysis is a popular method for achieving clarity in the definition of concepts. The <i>Journal of Advanced Nursing</i> frequently publishes concept analyses, many of which become quite highly cited. In this editorial, we want to consider the different options that exist for defining a concept.</p>\u0000<p>A starting point is to acknowledge that some terms are unproblematic and do not need lengthy definition. <i>Handwashing</i>, for example, is a universally understood concept and its meaning could be simply clarified by an existing definition, such as that provided by the World Health Organization. <i>Infection control</i>, however, is far more complex and would require careful definition to ensure that the way the term is used is clear to all readers and used consistently throughout the work. A concept needs to have some complexity within it to require detailed clarification. For example: ‘<i>theory-practice gap</i>’ or ‘<i>professional enjoyment</i>’—which is more complex than either happiness or joy. Both of these concepts have an inherent ambiguity within them and hence require clarification.</p>\u0000<p>Concept analysis is a method used frequently within nursing literature. There are several methods for doing so; many have their roots in the technique devised by Wilson in <i>Thinking with Concepts</i> (<span>1963</span>). Wilson's aim was to help students revise for general university entrance exams, and he encouraged the methodical analysis of words used in questions in order to produce instances or cases nearest ‘the heart of the concept’ when they were applied (Wilson <span>1963</span>, 27). Most methods for concept analysis include several distinct stages similar to those first proposed by Wilson, making the process of concept analysis a detailed and lengthy one. For example, Walker and Avant's (<span>1988</span>) popular model for doing a concept analysis has eight stages: selection of concept, aim of analysis, identification of uses, determination of defining attributes, development of model cases, construct cases for further understanding, refine attributes by defining antecedents and consequences, and define empirical referents.</p>\u0000<p>There is some concern that the popularity of concept analysis methods is more connected to their ubiquity, rather than to their somewhat contested epistemolog","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142448362","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 Students' Experiences and Perceived Learning Effectiveness of Patient Safety and Its Influencing Factors: An Integrative Literature Review","authors":"Ming Wei Jeffrey Woo, Jiao Cui","doi":"10.1111/jan.16538","DOIUrl":"https://doi.org/10.1111/jan.16538","url":null,"abstract":"To examine and synthesise the current literature to gain insights into nursing students' experiences, their perceived learning effectiveness of patient safety and its influencing factors.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142448363","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":"Current Status of Nursing Home Distribution in China: A National Cross‐Sectional Study","authors":"Meng‐Wei Ge, Peng Liu, Hai‐Yan Shi, Xiao‐Min Li, Fei‐Hong Hu, Yi‐Jie Jia, Lu‐Ting Shen, Xiao‐Peng Xia, Hong‐Lin Chen","doi":"10.1111/jan.16505","DOIUrl":"https://doi.org/10.1111/jan.16505","url":null,"abstract":"AimsPopulation aging is a challenge that the whole world is facing, especially in China. This study aims to investigate the current distribution status of nursing homes in China using spatial epidemiology methods.DesignCross‐sectional study in China.MethodsThe data were obtained from the Integrated Civil Affairs Government Service Platform ‘China County Statistical Yearbook’ for 2020 and the ‘China City Statistical Yearbook’ for 2020. Using global Moran's index to test the clustering of nursing homes, inter‐group and intra‐group Theil index was utilised to differentiate the sources of differences. The coupling coordination analysis was conducted to explore the coordination. Geographically weighted regression was utilised to investigate the impact of economic development and aging on nursing home resources. All analyses were conducted by Arcgis 10.8 and R Studio 4.3.2.ResultsGlobal Moran's index indicated that the distribution of nursing homes in China exhibited clustering. The Theil index values for institutions and beds at the national county were 0.32450 and 0.30675. However, upon comparing provinces and regions, it was found that the differences across the country mainly stem from within provinces (contribution rate: institutions 65.0%; beds 73.0%) and within regions (contribution rate: institutions 99.0%; beds 91.0%). The majority of districts and counties had a coupling coordination index of institutions and bed numbers, both of which were < 0.5.ConclusionThe development of nursing home resources in China has been rapid, generally presenting a balanced state, but further optimisation is needed. This study established a foundation for the targeted distribution of essential public services, focusing on nursing home healthcare resources tailored to the needs of older persons.ImplicationsThe study underscored the urgent need for targeted elderly care policies, emphasising the optimisation of resource distribution to enhance the overall quality of care provided to the aging population.No Patients or Public ContributionThe study did not involve humans.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142448268","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 Concept of Health, From Definition to Measurement and the Implications of the Reserves-Based Model for Nursing in France","authors":"Camille Joannès, Fanny Crozes, Michelle Kelly-Irving, Cyrille Delpierre, Sébastien Couarraze","doi":"10.1111/jan.16555","DOIUrl":"https://doi.org/10.1111/jan.16555","url":null,"abstract":"To discuss a reserves-based model of Health, recently developed in the literature, defining Health and moving from conceptual considerations to methods of measuring Health, applicable to nursing practice and research.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142448361","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":"Development and Validation of an Artificial Intelligence–Assisted Patient Education Material for Ostomy Patients: A Methodological Study","authors":"Hatice Yüceler Kaçmaz, Hilal Kahraman, Seda Akutay, Derya Dağdelen","doi":"10.1111/jan.16542","DOIUrl":"https://doi.org/10.1111/jan.16542","url":null,"abstract":"To develop and test the validity of an artificial intelligence–assisted patient education material for ostomy patients.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142448365","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":"Addressing Nursing Resignation: Insights From Qualitative Studies on Nurses Leaving Healthcare Organisations and the Profession","authors":"Lara Lessi, Ilaria de Barbieri, Matteo Danielis","doi":"10.1111/jan.16546","DOIUrl":"https://doi.org/10.1111/jan.16546","url":null,"abstract":"The aim of this study is to explore the experiences of nurses who resigned from healthcare organisations or abandoned the profession and explore the reasons behind them.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142448364","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":"Comparison of the Achieved and Expected Competence Level of New Graduate Nurses: Two Cross-Sectional Studies.","authors":"Jie Wu,Yaqi Zhu,Dexiu Yan,Yaqing Zhang,Yuanyuan Zhang","doi":"10.1111/jan.16427","DOIUrl":"https://doi.org/10.1111/jan.16427","url":null,"abstract":"AIMTo explore and compare the self-perceived competence level of new graduate nurses with the expected competence level that nurse managers believe new graduate nurses should have in general.DESIGNTwo cross-sectional empirical studies.METHODSTwo independent cross-sectional studies were carried out in 12 tertiary hospitals in September 2020 and November 2021, respectively. Participants were 1017 new graduate nurses with less than 2 years of work experience and 306 nurse managers who completed an online survey.RESULTSThe score of self-perceived nursing competence of new graduate nurses was 74.77 ± 14.35, and the expectation of nurse managers was 74.21 ± 15.04. The values of 18 items were significantly different between the two of them (p < 0.05), and there were only three items showed higher expectations of nurse managers than the self-rated values of new graduate nurses. Results of latent profile analysis revealed that this cohort of new graduate nurses could be divided into three subgroups, named risky competent (11.1%), medium competent (46.0%) and advanced competent (42.9%). When comparing, the nurse managers' expected competence level was between the value of 'medium competent' group and 'advanced competent' group.CONCLUSIONSOur study adopted a dual perspective comparison of nurse managers and new graduate nurses, which broke through the limitations of the previous single perspective study of new graduate nurses' nursing competence.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREThis study highlights the importance of the consistency in new graduate nurses' nursing competence from the perspectives of new graduate nurses and nurse managers.IMPACTThis study showed a generally good match of actual nursing competence level of new graduate nurses and the expected level from nurse managers. While there was significant individual heterogeneity in the competence score of new graduate nurses, three subgroups were identified through the individual-centred analysis of latent profile analysis. Therefore, Nurse managers need to systematically adjust the standardized training programs and teaching methods for new graduate nurses according to the population characteristics and take precise interventions to improve nursing competence of new graduate nurses.REPORTING METHODWe adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.PATIENT OR PUBLIC CONTRIBUTIONNo Patient or Public Contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142449343","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 Experiences and Perceptions of Telehealth in Patients Living With Advanced Chronic Obstructive Pulmonary Disease: A Qualitative Evidence Synthesis","authors":"Úna O'Connor, Geraldine Crilly","doi":"10.1111/jan.16493","DOIUrl":"https://doi.org/10.1111/jan.16493","url":null,"abstract":"To systematically identify, appraise and synthesise qualitative research evidence which examined the impact of telehealth on the experiences and perceptions of patients living with advanced chronic obstructive pulmonary disease, to inform the development of patient-centred telehealth.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142448360","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}