Journal of Advanced Nursing最新文献

{"title":"Experiences of Generation Z Nurses Adapting to Work in a Tertiary Hospital: A Grounded Theory Study","authors":"Youngji Moon, Sunhee Lee","doi":"10.1111/jan.16439","DOIUrl":"https://doi.org/10.1111/jan.16439","url":null,"abstract":"To investigate the adaptation process of Generation Z nurses at a tertiary hospital in Korea.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142090499","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":"Social‐ecological barriers and facilitators to seeking inpatient psychiatric care among transgender and nonbinary people: A qualitative descriptive study","authors":"Ava J. Boutilier, Kristen D. Clark, Jordon D. Bosse, Kasey B. Jackman, Jaylyn Jewell, Carol Dawson‐Rose","doi":"10.1111/jan.16393","DOIUrl":"https://doi.org/10.1111/jan.16393","url":null,"abstract":"Aim(s)To assess barriers and facilitators to seeking inpatient psychiatric treatment among transgender and nonbinary people.DesignQualitative interview study.MethodsSemi‐structured interviews were conducted from March 2019 to June 2022 with transgender and nonbinary people admitted to an inpatient psychiatric hospital in the United States during the past 5 years. Data were analysed using thematic analysis and constructed within a modified social‐ecological model of stigma. Standards for Reporting Qualitative Research were used for this study.ResultsParticipants (<jats:italic>N</jats:italic> = 15) described barriers and facilitators across all three social‐ecological levels. i) Individual themes included distrust of the mental healthcare system, feeling unsafe, loss of autonomy, minimizing one's own mental health needs, and feelings of accountability to others. ii) Interpersonal themes included: lack of support for transgender/nonbinary identity, limited transgender/nonbinary knowledge among mental healthcare professionals, and allyship. iii) Structural themes included: carceral setting, financial costs, and availability of non‐profit treatment options.ConclusionMulti‐level themes were identified as barriers and facilitators to seeking inpatient psychiatric care for transgender and nonbinary people, providing opportunities among inpatient settings to improve care delivery and engagement. Greater health equity can be achieved by addressing barriers to care.ImplicationsIncorporating inclusive and affirming practices in inpatient psychiatric services presents an opportunity to reduce barriers to seeking care.ImpactThe present study describes the experiences of transgender and nonbinary people as they determine whether to voluntarily seek inpatient psychiatric treatment. This perspective allows nurses, health systems, and policymakers to integrate transgender and nonbinary people's needs to improve healthcare delivery.Patient/Public ContributionTransgender and nonbinary participants were recruited in collaboration with community organizations. Members of the transgender and nonbinary community participated in study design development and analysis and were part of the study team.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142100910","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":"‘Giving’, ‘Taking’ and ‘Lurking’: How Can We Better Manage Teams?","authors":"Catherine Hungerford, Debra Jackson, Michelle Cleary","doi":"10.1111/jan.16412","DOIUrl":"https://doi.org/10.1111/jan.16412","url":null,"abstract":"<p>Every day, nurses work as team members in wide-ranging settings to achieve diverse outcomes. Some teams are intradisciplinary (e.g., nursing only), others are multidisciplinary (i.e., various professions). Collaboration involves demonstrating mutual respect and trust, acknowledging the diverse but interconnected work of each of the professional groups, and focusing on shared goals (Sangaleti et al. <span>2017</span>). For teams to function cohesively, clear leadership and team member responsibilities are needed, together with well-defined disciplinary roles and other factors such as effective communication and feedback mechanisms (Wang et al. <span>2024</span>).</p>\u0000<p>Achieving cohesiveness, however, can be challenging. Such challenges could explain the large body of academic literature discussing the how, when, where and why of teams and teamwork or groups and group dynamics. Topics include the various functions of team members, such as the role of leaders or facilitators, encouragers or motivators, harmonisers or conflict mediators, evaluators or critics and so on. The phenomenon of the social loafer in groups has also been examined. More colloquially, team members are sometimes called ‘givers’, ‘takers’ and ‘lurkers’. This editorial discusses team or group dynamics, focusing on the benefits and challenges of managing the giving, taking and lurking factors at work in some groups. Tips on optimising group cohesion are also provided.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142090431","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":"Navigating the trauma-The experiences of significant others supporting patients with severe burn injury: A narrative inquiry.","authors":"Elizabeth Flannery, Gillian Murphy, Kath Peters, Elizabeth Halcomb, Lucie M Ramjan","doi":"10.1111/jan.16404","DOIUrl":"https://doi.org/10.1111/jan.16404","url":null,"abstract":"<p><strong>Aim: </strong>To explore the experiences of significant others of adult patients with severe burn injury in the Intensive Care Unit. Specifically, this study explored the strategies implemented by significant others and obstacles faced that served to protect or placed them at risk of psychological sequelae during their experience of trauma.</p><p><strong>Design: </strong>A qualitative study using a Narrative Inquiry approach was undertaken.</p><p><strong>Methods: </strong>Individual semi-structured interviews were conducted with 17 participants during 2021-2022, who were a significant other of an adult patient in ICU with severe burn injury. These participants were recruited from the two major severe burns receiving hospitals in New South Wales, Australia. Participants' stories were analysed using a narrative analysis approach informed by Polkinghorne. The COREQ guideline was used in reporting.</p><p><strong>Results: </strong>As each participant navigated the traumatic experience of supporting a loved one with a severe burn injury, they faced unique obstacles to maintaining their own mental health and well-being. They employed strategies that were likely to protect them on this journey. Psychologically protective factors included taking back control, coexisting in the trauma with the patient and forging a trauma bond. These strategies effectively contained the trauma and protected others (such as children, extended family and friends). While this allowed significant others an element of control, it also effectively isolated them from the support of family and friends.</p><p><strong>Conclusion: </strong>This study shows that significant others may also experience personal trauma and may not recognize this as they focus all their attention on supporting the patient with the burn injury.</p><p><strong>Implications for practice: </strong>With increased awareness of both protective and risk factors, support can be directed towards enhancing protective factors and addressing risk factors, thereby decreasing their impact and improving support for significant others.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047548","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":"Psychometric evaluation of the Arabic version of the heart failure-specific health literacy scale in a socio-politically challenged setting.","authors":"Hiba Deek, Nihan Türkoğlu, Angela R Massouh, Esin Kavuran","doi":"10.1111/jan.16386","DOIUrl":"https://doi.org/10.1111/jan.16386","url":null,"abstract":"<p><strong>Introduction: </strong>Low levels of formal education among Lebanese people with HF were reported. Additionally, limited discharge education is provided to this population. Therefore, it was necessary to evaluate the health literacy levels among this population following the translation of the heart failure-specific health literacy scale into Arabic and to evaluate its psychometric properties in the Lebanese setting.</p><p><strong>Methods: </strong>A cross-sectional design conducted on participants from the community with confirmed cases of heart failure. A research team was trained for data collection. Following securing participants' consents, baseline sociodemographic characteristics and the Arabic version of the heart failure-specific health literacy scale were administered. Data collection took place between June and December 2022. A pilot sample analysis was done to confirm homogeneity between the English and the Arabic versions. Exploratory and confirmatory factor analysis were performed to evaluate content and construct validity of the scale. Cronbach alpha was done to evaluate reliability.</p><p><strong>Results: </strong>The pilot analysis confirmed homogeneity of the items of the Arabic and English versions of the scale. The final sample of 343 participants was randomly divided to two parts for each of the exploratory factor analysis and confirmatory factor analysis. The mean age was 64 years with the majority being male participants. In terms of exploratory factor analysis, the three subscales of the literacy scale explained 60% of the variance. The best acceptable fit was found on 11 items of the scale after dropping the 10th item from the analysis. The Cronbach alpha of the scale was 0.68.</p><p><strong>Conclusion: </strong>The Arabic version of the heart failure-specific health literacy scale was evaluated to be a valid and reliable tool. Further analysis should be done on the dropped item, and correlations should be done with significant variables such as self-care.</p><p><strong>Reporting method: </strong>STROBE checklist.</p><p><strong>Patient/public contribution: </strong>No patient/public contribution.</p><p><strong>Contribution to the wider global community: </strong>Participants with heart failure were shown to have low levels of literacy in Lebanon. Additionally, low literacy levels are also common among Lebanese older adults living in high income, Western Countries. Therefore, this valid and reliable scale can be used to evaluate health literacy among people with heart failure in Lebanon and among Lebanese and other Arabic-speaking older adults globally.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047549","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":"Early postoperative core symptoms and their relationship with resilience in oesophageal cancer patients-A multicentre cross-sectional study.","authors":"Shaoxue Li, Lijun Wu, Jie He, Yaping Ge, Shuwen Li","doi":"10.1111/jan.16388","DOIUrl":"https://doi.org/10.1111/jan.16388","url":null,"abstract":"<p><strong>Aim: </strong>To assess early postoperative core symptoms in oesophageal cancer patients and their relationship with resilience.</p><p><strong>Background: </strong>Patients with oesophageal cancer face a high number of severe symptoms in the early post-operative period and require the development of an effective symptom management programme. Identifying core symptoms through network analysis helps in accurate patient care.</p><p><strong>Design: </strong>A multicentre cross-sectional study.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted from August 2022 to August 2023 at three hospitals in Anhui Province, China. A total of 469 patients were recruited for this study and 418 (89.1%) patients completed this investigation. Using network analysis to find early post-operative core symptoms in oesophageal cancer patients. Multiple linear regression was used to analyse resilience factors affecting core symptoms.</p><p><strong>Results: </strong>Sadness was the most core symptom in oesophageal cancer patients in the early post-operative period (r_s = 1.41), followed by incision pain and difficulty breathing while resting (r_s = 1.20, r_s = 1.08). Resilience was significantly associated with patients' feelings of sadness, with optimism having the greatest impact on sadness (p < .01).</p><p><strong>Conclusion: </strong>Sadness is the most core symptom in patients in the early post-operative period and special attention should be paid to improving their level of resilience. Local symptoms and dysfunction in the early post-operative period should be treated in a synergistic manner.</p><p><strong>Impact: </strong>This study identifies core symptoms and their relationship to resilience in patients with oesophageal cancer in the early post-operative period. Symptoms as the main core symptom in patients in the early post-operative period, which was sadness and was significantly associated with resilience. Precise interventions can be made to target patients' core post-operative symptoms, which can help improve the effectiveness of symptom management.</p><p><strong>Reporting method: </strong>We have complied with the relevant EQUATOR research reporting checklist.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution in the study.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037821","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":"Nurses' burnout and patient safety culture: The moderating effect of structural empowerment.","authors":"Jiaqi Xu, Ziyan Dong, Wen Xie, Liuqing Yang, Ying Zhou, Jie Li","doi":"10.1111/jan.16363","DOIUrl":"https://doi.org/10.1111/jan.16363","url":null,"abstract":"<p><strong>Aims: </strong>To identify correlations among job burnout, structural empowerment, and patient safety culture (PSC), and to explore the potential moderating effect of structural empowerment on the associations between burnout and PSC.</p><p><strong>Design: </strong>The study used a cross-sectional survey design.</p><p><strong>Methods: </strong>Convenient sampling was employed. We conducted an anonymous online survey in January 2024 among nurses employed at hospitals in three regions of China. Job burnout, structural empowerment, and perceptions of PSC were assessed. A total of 1026 useable surveys were included in the analyses. Descriptive statistics were performed using SPSS software. A latent structural equation modeling approach using Mplus software was used to analyze the moderating effect.</p><p><strong>Results: </strong>The proposed hypothetical model was supported. Job burnout had a strong direct negative effect on structural empowerment and PSC. Structural empowerment had a significant moderating effect on the relationship between job burnout and PSC.</p><p><strong>Conclusion: </strong>The empirically validated moderation model and study results suggest that managers of healthcare organisations can improve patient safety and care quality by fostering empowerment and providing sufficient support to clinical nurses.</p><p><strong>Implication: </strong>The findings of this study suggest that providing more support, resources, and information is likely to be effective in weakening the detrimental impact of job burnout on PSC. This study provides insights into the possible approaches that may improve patient safety. To control the impact of nurses' burnout on care quality, nurse managers should increase empowerment as well as staff nurse engagement.</p><p><strong>Reporting method: </strong>We have adhered to relevant EQUATOR guidelines and conducted an observational study, following the STROBE checklist.</p><p><strong>Public contribution: </strong>During the data collection phase of this study, clinical caregivers participated in completing the online survey.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019612","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 for reducing low-value home-based nursing care: A qualitative exploratory study among homecare professionals.","authors":"Milou Cremers, Benjamin Wendt, Getty Huisman-de Waal, Leti van Bodegom-Vos, Simone A van Dulmen, Elise Schipper, Monique van Dijk, Erwin Ista","doi":"10.1111/jan.16381","DOIUrl":"https://doi.org/10.1111/jan.16381","url":null,"abstract":"<p><strong>Aim: </strong>To explore barriers and facilitators for reducing low-value home-based nursing care.</p><p><strong>Design: </strong>Qualitative exploratory study.</p><p><strong>Method: </strong>Seven focus group interviews and two individual interviews were conducted with homecare professionals, managers and quality improvement staff members within seven homecare organizations. Data were deductively analysed using the Tailored Implementation for Chronic Diseases checklist.</p><p><strong>Results: </strong>Barriers perceived by homecare professionals included lack of knowledge and skills, such as using care aids, interactions between healthcare professionals and general practitioners creating expectations among clients. Facilitators perceived included reflecting on provided care together with colleagues, clearly communicating agreements and expectations towards clients. Additionally, clients' and relatives' behaviour could potentially hinder reduction. In contrast, clients' motivation to be independent and involving relatives can promote reduction. Lastly, non-reimbursement and additional costs of care aids were perceived as barriers. Support from organization and management for the reduction of care was considered as facilitator.</p><p><strong>Conclusion: </strong>Understanding barriers and facilitators experienced by homecare professionals in reducing low-value home-based nursing care is crucial. Enhancing knowledge and skills, fostering cross-professional collaboration, involving relatives and motivating clients' self-care can facilitate reduction of low-value home-based nursing care. Implications for profession and patient care: De-implementing low-value home-based nursing care offers opportunities for more appropriate care and inclusion of clients on waitlists.</p><p><strong>Impact: </strong>Addressing barriers with tailored strategies can successfully de-implement low-value home-based nursing care.</p><p><strong>Reporting method: </strong>The Consolidated Criteria for Reporting Qualitative Research checklist was used. No patient or public contribution.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019611","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":"Syrian refugee women's experiences of barriers to mental health services for postpartum depression.","authors":"Taghreed N Salameh, Sibel Sakarya, Ceren Acarturk, Lynne A Hall, Hanan Al-Modallal, Suad S Jakalat","doi":"10.1111/jan.16407","DOIUrl":"https://doi.org/10.1111/jan.16407","url":null,"abstract":"<p><strong>Objective: </strong>To describe Syrian refugee women's experiences of the barriers to access mental health services for postpartum depression (PPD).</p><p><strong>Design: </strong>A descriptive qualitative study was conducted.</p><p><strong>Methods: </strong>Fifteen purposefully selected Syrian refugee women who scored ≥10 on the Edinburgh Postnatal Depression Scale participated in the semi-structured telephone interviews. Transcripts were coded verbatim and analysed thematically according to the dimensions of Levesque's model of patient-centred access to healthcare. Data were collected between August 2022 and February 2023.</p><p><strong>Results: </strong>Five themes with 14 subthemes were identified: (1) approachability covered lack of knowledge and misconceptions related to PPD and its treatment, lack of awareness of available psychosocial services and perceived need of mental health treatment; (2) acceptability comprised being a refugee, stigma of mental illness, cultural preferences of healthcare provider and language barrier; (3) availability and accommodation encompassed transportation barrier and location of the centre, no support for childcare and lack of time; (4) affordability included financial difficulties and health insurance coverage; (5) appropriateness comprised no screening for PPD and intermittent services with limited focus on mental health.</p><p><strong>Conclusions: </strong>The findings of this study reveal that Syrian refugee women experienced multi-faceted complex barriers to access mental health services for PPD. It is important for health professionals, including nurses, and policymakers to address the cultural mental health needs of this population and establish strategies to protect their legal and health rights.</p><p><strong>Impact: </strong>Our study has important practice and policy implications for establishing strategies designed specifically for refugee mothers to mitigate their perceived barriers to PPD treatment and ultimately improve their mental health.</p><p><strong>Reporting method: </strong>The Consolidated Criteria for Reporting Qualitative Research was used.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution. Participants were Syrian refugee women with PPD symptoms and contributed only to the interviews and member checking.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019613","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 impact of a clinical academic nurse researcher in critical care: A 1-year service review","authors":"J. Ede, S. Sutherland, C. Lumley, A. Douglass, H. Walthall","doi":"10.1111/jan.16367","DOIUrl":"https://doi.org/10.1111/jan.16367","url":null,"abstract":"To outline the activity and impact from implementing a clinical academic nurse researcher in a multi-centre critical care unit.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":null,"pages":null},"PeriodicalIF":3.8,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142013905","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}