Journal of Advanced Nursing最新文献

{"title":"A Comparative Evaluation of Conceptual Frameworks for Examining Neighbourhood Socioeconomic Deprivation and Cancer Care Accessibility.","authors":"Danica Dorlette, Arlene Smaldone, Jingjing Shang","doi":"10.1111/jan.70139","DOIUrl":"10.1111/jan.70139","url":null,"abstract":"<p><strong>Aim (s): </strong>To identify and evaluate conceptual frameworks for studying neighbourhood deprivation and access to cancer services in nursing research.</p><p><strong>Design: </strong>Discussion paper.</p><p><strong>Methods: </strong>We searched the literature to identify conceptual models used in peer-reviewed articles that examined neighbourhood-level factors influencing access to cancer services. As a first step in the evaluation, the Theories, Models and Frameworks Comparison and Selection Tool (TCaST) was used to assess the rigour and applicability of eligible models. The two models with the highest TCaST scores were then further evaluated using Fawcett and DeSanto-Madeya's 2013 criteria.</p><p><strong>Data sources: </strong>A total of 546 articles were screened after searching PubMed, EBSCO Cumulated Index to Nursing and Allied Health Literature and Elsevier Co. Scopus from 2014 to 2025.</p><p><strong>Results: </strong>Of eight eligible models, two met the criteria for further analysis. Revision 6 of Andersen's Behavioral Model (ABM) includes the full nursing metaparadigm and has been widely applied. It is logically and socially congruent, offers testable hypotheses and holds global significance. However, full utility requires familiarity with its unique vocabulary. The Concept of Access Model also demonstrates congruence, testable hypotheses and has greater parsimony than ABM, but its omission of the health metaparadigm limits its application in nursing research.</p><p><strong>Conclusion: </strong>ABM most comprehensively provides clear and measurable concepts for neighbourhoods as well as realised, effective and equitable access for nursing research. It also supports the identification of highly mutable factors for clinical and policy intervention.</p><p><strong>Implications for nursing: </strong>Nurses can play a central role in applying frameworks to ensure research aligns with the holistic nature of profession values, captures contextual realities of patients and informs equitable care delivery.</p><p><strong>Impact: </strong>Neighbourhood deprivation continues to drive disparities in cancer care, making it a pressing research priority. This evaluation equips nurses with a clear conceptual foundation to study access inequities and support actionable cancer care solutions.</p><p><strong>Reporting method: </strong>There are no relevant EQUATOR guidelines for this discursive paper.</p><p><strong>Patient or public contribution: </strong>This study did not include patient or public involvement in its design, conduct or reporting.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":"5493-5512"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884298","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":"Outcome Domains of Professional Doctorates in Nursing: An International Three-Phase Exploratory Study.","authors":"Karen McBride-Henry, Dan Butcher, Jan S Jukema, Daniela Händler-Schuster","doi":"10.1111/jan.16582","DOIUrl":"10.1111/jan.16582","url":null,"abstract":"<p><strong>Aim: </strong>Professional Doctorate Programmes (PDP) in nursing continue to develop across many countries. However, there is a lack of evidence demonstrating the impact on nurses who graduate from these programmes and the outcomes they deliver. This exploratory study aims to identify graduate outcome domains that can be applied internationally to evaluate professional doctorate programmes in nursing.</p><p><strong>Design and methods: </strong>Underpinned by Kim's theory of knowledge development in nursing, this innovative exploratory study was carried out in three phases: (1) a scoping review of literature published between 1 January 2000 and 1 July 2023, guided by the methodology developed by Arksey and O'Malley; (2) a document analysis of the graduate outcomes of three different universities' Professional Doctorate Programmes in Nursing and (3) a thematic analysis and coalescence of the findings from the initial two study phases.</p><p><strong>Results: </strong>A scoping review revealed three patterns in the literature related to graduate outcomes: personal transformation, critical self-awareness and bridging the theory-practice divide. An analysis of three universities' Professional Doctorate Programmes revealed insights into documented graduate outcomes. The third and final research phase identified five graduate outcome domains: Personal achievement, critical self-awareness and professional identity, professional citizenship, discipline, research and information literacy and community-based academic practice.</p><p><strong>Conclusions: </strong>The impact of Professional Doctorate Programmes in nursing has traditionally lacked consensus and clarity. However, this research has led to the identification of graduate outcome domains that offer valuable insights for establishing new professional doctoral programmes and conducting meaningful evaluations of the outcomes of existing PDP and their graduates globally.</p><p><strong>Impact: </strong>This exploratory study establishes five graduate outcome domains for evaluating the effectiveness of PDP in nursing internationally. These domains offer valuable benchmarks for the development and assessment of such nursing programmes globally.</p><p><strong>Patient or public contribution: </strong>Not applicable.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":"4258-4269"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570402","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":"Parents' Lived Experiences of Their Child's Undergoing Emergence Delirium During Anaesthesia Recovery: A Descriptive Phenomenological Study.","authors":"Yi-Chen Chen, Jann Foster, Virginia Schmied, Anne Marks, Hsiao-Yean Chiu, Man-Ling Wang, Yeu-Hui Chuang","doi":"10.1111/jan.70157","DOIUrl":"10.1111/jan.70157","url":null,"abstract":"<p><strong>Aim: </strong>To explore parents' experience when their children underwent emergence delirium during anaesthesia recovery.</p><p><strong>Design: </strong>A descriptive phenomenological qualitative study.</p><p><strong>Methods and setting: </strong>This descriptive phenomenological study was conducted at a medical center in Taiwan. Purposive sampling was employed, and a semi-structured interview guide was used to conduct in-depth interviews. Twelve parents whose children experienced emergence delirium were recruited after data saturation was reached. Data were collected between January and July 2024 and analysed using Colaizzi's seven-step method.</p><p><strong>Findings: </strong>Parents underwent an unexpected journey characterised by emotional ups and downs when witnessing their child's emergence delirium. Four major themes were generated, including 'unexpected chaos', describing the disorienting situation parents experienced when confronted with their child's unfamiliar behaviours; 'help beyond reach', reflecting their inability to provide comfort despite being physically present; 'a day of suffering', highlighting the emotional overwhelm during the emergence delirium episode; and 'appreciation after recovery', illustrating their relief and gratitude once their child returned to baseline. These themes reveal the intense emotional fluctuations parents experience during this critical phase.</p><p><strong>Conclusions: </strong>This study highlights the complex emotional fluctuations parents experience when facing their child's emergence delirium. The findings emphasise the need for anticipatory guidance and support strategies to better prepare parents and inform family-centred nursing practices.</p><p><strong>Impact: </strong>This study addresses a gap regarding the emotional challenges experienced by East Asian parents when their child undergoes emergence delirium. The findings reveal complex parental distress shaped by internal worry and external social pressure in shared recovery spaces. These insights inform culturally sensitive care models, emphasising the importance of private environments and communication strategies that reduce parental stress and improve clinical support.</p><p><strong>Patient or public contribution: </strong>Two parents reviewed and provided feedback on the interview content and results, improving cultural relevance and clarity.</p><p><strong>Reporting method: </strong>The study followed COREQ guidelines.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":"5072-5081"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884317","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":"Doctoral Education in Nursing Is a 'Special Issue'.","authors":"Brendan McCormack, Christine Stirling, Yenna Salamonson, Debra Jackson","doi":"10.1111/jan.70567","DOIUrl":"10.1111/jan.70567","url":null,"abstract":"<p><p>The extent to which the analysis of the state of play of doctoral education and suggested ways forward are seen as being radical is of course dependent on the context within which nursing research programs currently exist. We are aware that no one size fits all contexts, but we are also aware of a critical need to challenge dominant perspectives and practices and work toward a radical repositioning of the nursing PhD. At a time when the narrative of nursing shortages is pervasive, we need to be positioning nursing research and researchers at the heart of the solution. Without a radical reconsideration of how we build sustainable research teams, the opportunity will bypass us. The special issue on doctoral education deliberately set out to be disruptive, to surface critical questions and trigger a conversation that needs to be had. We are open to continuing this conversation.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":"4081-4083"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318960","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":"Impact of Community-Based Long-Term Care on the Health of Older Adults: A Quantitative Study.","authors":"Yang Yi, Cangcang Jia","doi":"10.1111/jan.70152","DOIUrl":"10.1111/jan.70152","url":null,"abstract":"<p><strong>Aim: </strong>To explore the impact of community-based long-term care (LTC) on self-rated and observer-rated health (ORH) among older adults in China.</p><p><strong>Design: </strong>Cross-sectional observational study using repeated cross-sectional data from the Chinese Longitudinal Healthy Longevity Survey (2011, 2014 and 2018).</p><p><strong>Methods: </strong>Multivariate regression models were employed to examine the association between community-based LTC and both self-rated and ORH among older adults. Robustness was assessed using objective health indicators and alternative model specifications. Propensity score matching was used to minimise selection bias. Subgroup analyses were conducted by age, gender, living arrangement and urban versus non-urban residence.</p><p><strong>Results: </strong>Community-based LTC was significantly associated with higher self-rated health and higher ORH among older adults. Robustness checks using objective measures-such as hypertension and activities of daily living-and alternative analytic strategies confirmed these findings. The beneficial effects were more pronounced among women, those aged 75 and above, those living alone and urban residents.</p><p><strong>Conclusion: </strong>Community-based LTC significantly improves both subjective and objective health outcomes among older adults in China. The effects are particularly strong for women, those aged 75 and above, those living alone and urban residents, highlighting the importance of targeting vulnerable groups.</p><p><strong>Implications for the profession and/or patient care: </strong>Expanding and improving community-based LTC is essential for meeting the diverse needs of China's ageing population. These findings provide valuable insights for nursing professionals and health policymakers working to promote healthy ageing.</p><p><strong>Impact: </strong>This study demonstrates that community-based LTC improves health outcomes among older adults in China. The results offer important guidance for nursing practice and health policy supporting healthy ageing, especially in rapidly ageing societies.</p><p><strong>Reporting method: </strong>This study adheres to the STROBE guidelines for reporting observational studies.</p><p><strong>Patient or public contribution: </strong>This study did not include patient or public involvement in its design, conduct, or reporting.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":"4943-4954"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884299","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 Systematic Review as a Doctor of Nursing Practice (DNP) Project: A Curricular Innovation in One DNP Program.","authors":"Tracy Vitale, William Kernan, Irina Benenson, Rubab Qureshi, Cheryl Holly","doi":"10.1111/jan.70141","DOIUrl":"10.1111/jan.70141","url":null,"abstract":"<p><strong>Aims: </strong>To advocate for the systematic review as a rigorous, competency-aligned option for the Doctor of Nursing Practice (DNP) project.</p><p><strong>Methods: </strong>A descriptive and conceptual analysis was used, drawing on existing literature, historical context, and a case study of a three-semester curriculum integrating systematic review methodology. Data sources included peer-reviewed research, professional guidelines, and faculty experience in teaching and mentoring DNP students.</p><p><strong>Results: </strong>Integrating systematic reviews as DNP projects equips students with competencies in evidence synthesis, critical appraisal, knowledge translation, and project management. A three-semester scaffolded approach to conducting a systematic review has the potential to foster strong student engagement, build essential skills, and prepare graduates to lead evidence-based practice change.</p><p><strong>Conclusions: </strong>Systematic reviews meet DNP project criteria when paired with practice-focused implementation and evaluation components. This approach offers an alternative where site access, time, or feasibility limits primary data collection, while ensuring methodological rigor and professional relevance.</p><p><strong>Impact: </strong>Adopting systematic reviews as DNP projects can reduce clinical site burden, expand project opportunities, and strengthen evidence-based practice capacity in nursing. Broader acceptance and standardization of this model could enhance practice-based doctoral education globally.</p><p><strong>Patient or public contributions: </strong>No Patient or Public Contribution.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"82 5","pages":"4185-4191"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13069223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender Differences in Cardiac Rehabilitation Information Needs, Barriers and Participation Decisions Among Patients With Coronary Heart Disease: Fairlie Decomposition Analysis.","authors":"Lihua Shi, Rongrong Yang, Xianwen Li, Minmin Chen, Yunuo Song, Chaoyu Cao, Qiu Sun, Qing Zhou, Yingchun Liu, Jianfang Zhang","doi":"10.1111/jan.70633","DOIUrl":"https://doi.org/10.1111/jan.70633","url":null,"abstract":"<p><strong>Aim: </strong>Cardiac rehabilitation (CR) is an effective intervention for improving outcomes in patients with coronary heart disease (CHD). However, the actual participation rate is unsatisfactory and exhibits significant gender disparities. This study aimed to investigate gender-specific determinants of the decision to participate in CR among patients with CHD, together with underlying causes.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>A cross-sectional survey of 264 patients with CHD from 3 Chinese tertiary hospitals between February 2024 and February 2025. Data were collected using questionnaires based on the Information Need in Cardiac Rehabilitation scale, the Chinese version of Cardiac Rehabilitation Barriers Scale, the Family APGAR index questionnaire, and the International Physical Activity Questionnaire-Short Form.</p><p><strong>Results: </strong>There were 158 men aged 66 (SD = 13.3) and 106 women aged 66 (SD = 11.0). 55.1% of men CHD patients decided to participate in CR, significantly higher than in women patients (34.0%; χ² = 11.351, p = 0.001). Logistic regression analysis for men indicated that the facilitators of the decision to participate in CR were the level of family functioning and ≥ 2 comorbidities. The barriers included emergency/safety information needs and functional status. For women, the facilitators were retirement, family functioning level, being overweight/obesity, ≥ 2 comorbidities, and work/vocational/social factors. The barriers included medication information needs, logistical factors, and functional status. Fairlie decomposition revealed gender differences primarily driven by work/vocational/social factors (contribution: 71.19%), functional status (50.50%), and retirement (-39.16%) (all p < 0.05).</p><p><strong>Impact: </strong>This study highlights the necessity of gender-specific interventions during the decision-making phase for CR. Healthcare professionals should tailor CR strategies to address women's social role barriers and men's emergency risk concerns, while enhancing family functioning and targeting support for functional status and work-related factors.</p><p><strong>Reporting method: </strong>STROBE checklist, cross-sectional.</p><p><strong>Patient or public contribution: </strong>Three tertiary hospitals assisted in participant recruitment.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789525","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":"Determinant Factors of Self-Care Deficit in People With Chronic Wounds: A Scoping Review.","authors":"Janislei Soares Dantas, Yan Lincoln Mamede Gomes, Ana Clara de Macedo Farias Ramos, Selene Cordeiro Vasconcelos, Maria Eliane Moreira Freire","doi":"10.1111/jan.70628","DOIUrl":"https://doi.org/10.1111/jan.70628","url":null,"abstract":"<p><strong>Aims: </strong>To identify and synthesise the scientific evidence on determinants of self-care deficits in people with chronic wounds.</p><p><strong>Design: </strong>Scoping review based on the Joanna Briggs Institute guidelines.</p><p><strong>Methods: </strong>This scoping review was conducted by a review team responsible for study screening, data extraction and synthesis. The categorisation of findings was grounded in Orem's Self-Care Deficit Theory and operationalised using the COM-B model and the Theoretical Domains Framework.</p><p><strong>Data sources: </strong>A comprehensive search, without date or language restrictions, was conducted in Web of Science, MEDLINE (PubMed), Cochrane Library, Scopus (Elsevier), SciELO, Ovid and EMBASE (Elsevier), from November 2023 to April 2024.</p><p><strong>Results: </strong>Of the 3076 records identified, 22 studies were included. Most were cross-sectional studies, with sample sizes ranging from seven to 1085 participants and a mean age of 61.45 years, predominantly involving people with venous leg ulcers and diabetic foot ulcers. Findings were synthesised into four categories: clinical, socioeconomic, behavioural and health system-related factors, indicating that multiple interrelated determinants influence engagement in self-care and contribute to persistent self-care deficits.</p><p><strong>Conclusion: </strong>The findings demonstrate the vulnerability of people living with chronic wounds, arising from the complex interaction of clinical, psychosocial, socioeconomic and health service-related factors that determine self-care deficits. These deficits compromise wound healing, prolong treatment and negatively affect quality of life, underscoring the need for person-centred approaches to care.</p><p><strong>Implications for the profession and/or patient care: </strong>This study reinforces the need for integrated and sustainable models of care grounded in person-centred practice, aimed at strengthening self-care capacities, enhancing clinical practice and informing more equitable health policies.</p><p><strong>Impact: </strong>This review highlights the multifactorial nature of self-care deficits in people with chronic wounds. Nursing plays a key role in identifying barriers and strengthening capacities through Orem's supportive-educative system. Person-centred interventions improve adherence and continuity of care.</p><p><strong>Reporting method: </strong>This review follows the PRISMA guidelines for reporting.</p><p><strong>Patient or public contribution: </strong>This study did not include patient or public involvement in its design, conduct, or reporting.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789486","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' Experiences of Pain Management for Patients With Diagnosed Mental Health Conditions: A Systematic Review.","authors":"Aaron Lapuz Alejandro,Yvonne Middlewick,Seng Giap Marcus Ang,Rosemary Saunders,Irene Ngune","doi":"10.1111/jan.70626","DOIUrl":"https://doi.org/10.1111/jan.70626","url":null,"abstract":"AIMTo synthesise the available evidence related to nurses' pain assessment and management practices for patients with diagnosed mental health conditions.DESIGNMixed-methods systematic review.DATA SOURCESMedline, CINAHL, PsycINFO, SPORTDiscus and Psychology and Behavioural Sciences Collection.METHODSDatabases search was conducted in March 2024 and updated in June 2025. Methodological quality was assessed using the Mixed Methods Appraisal Tool. Data synthesis followed the Joanna Briggs Institute (JBI) Manual for Evidence Synthesis.RESULTSOf the 1318 eligible studies identified, 12 met the inclusion criteria. The included studies were methodologically robust overall but frequently neglected nonresponse bias and were predominantly conducted in high-income countries, potentially limiting generalisability. The synthesis revealed diverse experiences among nurses in assessing and managing pain in patients with diagnosed mental health conditions. Six key themes emerged: Inadequate and Inconsistent Pain Assessments, Seeing is Believing, To Trust or Not to Trust the Patient, A Balancing Act, Diagnostic Overshadowing and Organisational Restraint and Support.CONCLUSIONSThis review highlights the ongoing challenges nurses encounter in assessing and managing pain and the need for enhanced education and institutional support to strengthen nurses' capacity for effective pain assessment and management in patients with diagnosed mental health conditions. Stigma, both structural and interpersonal, continues to shape clinical decision-making, often leading to under-assessment and inadequate treatment of pain. Integrating clinical judgement with validated pain assessment tools will help ensure nurses provide evidence-based pain management for this often-marginalised group.IMPLICATIONS FOR PATIENT CAREEnhancing nursing competence in pain assessment and management for patients with diagnosed mental health conditions leads to more accurate and timely pain relief, significantly improving physical and psychological wellbeing. Effective pain control for this vulnerable group can reduce hospital length of stay and minimise complications, ultimately contributing to better health outcomes and quality of life.PATIENT CONTRIBUTIONNo patient contribution.IMPACTWhat problem did the study address?: Pain is a complex sensation affecting people with diagnosed mental health conditions. They are likely to receive inadequate pain assessment and management due to mental health conditions preventing them from accurately self-reporting their pain and advocating for timely treatment. This review explored the pain assessment and management practices among nurses for patients with diagnosed mental health conditions. What were the main findings?: Significant barriers were identified, including inconsistent use of pain assessment tools, limited knowledge and confidence among nurses, power imbalances in the nurse-patient relationship, diagnostic overshadowing where physical symptoms are presumed","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"472 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147754828","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' Lived Experiences of Generative Artificial Intelligence-Enabled Shift Handover Innovation: A Descriptive Phenomenological Study.","authors":"Ravi Shankar,Amaevia Lim,Qian Xu","doi":"10.1111/jan.70629","DOIUrl":"https://doi.org/10.1111/jan.70629","url":null,"abstract":"AIMTo explore nurses' lived experiences of a generative artificial intelligence-enabled shift handover innovation.DESIGNA descriptive phenomenological study guided by Husserl's philosophical framework and operationalized through Colaizzi's seven-step analytical method.METHODSPurposive sampling was used to recruit 18 registered nurses at an Integrated General Hospital in Singapore. Semi-structured individual interviews (n = 12) served as the primary data source, followed by two confirmatory focus group discussions (n = 6 per group) incorporating six previously interviewed participants alongside six additional participants to validate and refine emerging themes. Data were collected between January and June 2025 and analysed using Colaizzi's seven-step phenomenological method.RESULTSFive interconnected themes emerged: (1) the burden of fragmented documentation; (2) navigating technological change with cautious optimism; (3) anchoring innovation in familiar clinical frameworks; (4) anticipating barriers to seamless integration; and (5) envisioning enhanced patient safety and professional practice.CONCLUSIONParticipants experienced a tension between documentation demands and direct patient care. Their conditional acceptance of AI assistance, contingent upon accuracy, clinical oversight, and workflow integration, reflects a sophisticated professional stance rather than resistance. The findings illuminate the essence of navigating the intersection of traditional practice and technological innovation.IMPACTThis study offers insights into nurses' lived experiences of AI-enabled handover innovation. The findings can inform user-centred implementation strategies that align technological innovation with nursing values and workflow realities.REPORTING METHODThis study adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines.PATIENT OR PUBLIC CONTRIBUTIONNursing staff contributed to the refinement of interview guides through pilot testing and provided feedback on preliminary findings through member checking procedures.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"31 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147735518","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}