Journal of Advanced Nursing最新文献

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Caring Science as a Mature Solution to Global Healthcare Challenges. 护理科学是应对全球医疗保健挑战的成熟解决方案。
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-10-10 DOI: 10.1111/jan.70237
Sara Horton-Deutsch,Jean Watson,Christine Griffin
{"title":"Caring Science as a Mature Solution to Global Healthcare Challenges.","authors":"Sara Horton-Deutsch,Jean Watson,Christine Griffin","doi":"10.1111/jan.70237","DOIUrl":"https://doi.org/10.1111/jan.70237","url":null,"abstract":"AIMHealthcare systems face a growing challenge: as technology advances, patients increasingly feel like data points in systems that prioritise efficiency over empathy. This paper addresses the global healthcare crisis of disconnection, arguing that fundamental change requires putting human experience at the centre through Caring Science principles in nursing.BACKGROUNDCOVID-19 clearly revealed this disconnect. While showcasing scientific advances, it exposed gaps in compassionate care and fair access globally. Nurses struggled to maintain human connection while dealing with resource shortages and isolation protocols, proving that advanced medical treatments alone cannot address the physical, emotional, spiritual, and social factors that influence health.SOURCE OF EVIDENCEThis work draws on peer-reviewed studies, contemporary research, and theories of human caring to demonstrate the global responsibility and urgent need for integrating caring practices into healthcare systems. Collectively, this evidence underscores both the necessity of intervention and the effectiveness of Caring Science as a strategy for transforming organisational practices while highlighting a pressing truth: healthcare systems worldwide must move beyond efficiency alone and intentionally weave caring practices into their structures.CONCLUSIONThis analysis examines Caring Science through three key areas: Relational, Organisational, and Global. Using Watson's Theory of Human Caring and current research, the paper shows how caring relationships can improve through thoughtful use of innovation. Recent healthcare improvements demonstrate promising results when technology integration enhances both nurse empowerment and patient outcomes within frameworks that prioritise human connection.IMPLICATIONS FOR NURSINGFuture directions position Caring Science as a mature, evidence-informed framework for addressing healthcare's complex challenges. The paper calls for 'sacred activism'-a commitment to protecting caring's essential dimensions while embracing beneficial innovation, positioning nursing to lead healthcare transformation through both the art and science of nursing that honours human dignity.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145261196","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}
引用次数: 0
Older Adults' Self‐Care and Family Caregiver Contribution in Multiple Chronic Conditions: A Dyadic Qualitative Study 老年人自我照顾和家庭照顾对多种慢性疾病的贡献:一项二元定性研究
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-10-05 DOI: 10.1111/jan.70246
Giulia Andrea Baldan, Irene Dello Iacono, Valentina Giurissevich, Davide Ausili, Ercole Vellone, Maddalena De Maria, Maria Matarese
{"title":"Older Adults' Self‐Care and Family Caregiver Contribution in Multiple Chronic Conditions: A Dyadic Qualitative Study","authors":"Giulia Andrea Baldan, Irene Dello Iacono, Valentina Giurissevich, Davide Ausili, Ercole Vellone, Maddalena De Maria, Maria Matarese","doi":"10.1111/jan.70246","DOIUrl":"https://doi.org/10.1111/jan.70246","url":null,"abstract":"AimsTo explore how older adult‐family caregiver dyads jointly manage multiple chronic conditions. Specifically, it investigates how dyads (i) prioritise chronic diseases, (ii) make and negotiate decisions related to self‐care and (iii) define and distribute self‐care tasks and caregiver contributions.DesignA qualitative descriptive study using dyadic data collection and analysis.MethodsSemi‐structured interviews were conducted separately with chronically ill older adults and their family caregivers between July and December 2024. A hybrid inductive‐deductive content analysis was applied. Dyadic analysis compared intra‐dyad perspectives to identify patterns of agreement and disagreement.ResultsThirty‐four dyads (<jats:italic>n</jats:italic> = 68 participants) were interviewed. Older adults had a mean age of 80.09 years (SD = 6.95) and were affected by a median of four chronic conditions. Family caregivers had a mean age of 51.71 years (SD = 14.59), with most being the older adults' children (66.67%) and women (82.35%). Five categories, comprising 25 subcategories, were derived from the data. Disease prioritisation varied within dyads: older adults often focused on conditions with the most disabling symptoms, while caregivers emphasised those with higher risks of complication. Decision‐making roles ranged from older adult‐led to caregiver‐led to shared. Care organisation followed three models: collaborative, older adult‐directed, or caregiver‐directed. Challenges in managing diseases included treatment adherence, care coordination, emotional burden and addressing multiple symptoms simultaneously. Role distribution in disease management and decision‐making was complex and occasionally misaligned, sometimes resulting in conflict. Collaborative dyads reported greater adaptability and balance, while incongruent dyads experienced relational and organisational strain.ConclusionManaging multiple chronic conditions in older adults is a relational process shaped by interpersonal dynamics and shared responsibilities with family caregivers. Recognising dyadic relational patterns is essential for designing targeted educational interventions. Nurses should incorporate dyadic assessments into routine care to improve outcomes for older adults and reduce caregiver burden.Implications for the Profession and/or Patient CareThis study highlights the importance of viewing chronic disease management as a dyadic process, rather than an individual task, involving both the older adult and the family caregiver. Tailored strategies that account for the relational dynamics within dyads, such as decision‐making roles and care task distribution, are essential for effective chronic disease management.Reporting MethodConsolidated criteria for reporting qualitative studies (COREQ).Patient or Public ContributionNone.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"18 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226614","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}
引用次数: 0
Exploring Oral Health Promotion Among Palliative Care Providers: An Integrative Review 探讨缓和医疗提供者的口腔健康促进:一项综合综述
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-10-05 DOI: 10.1111/jan.70263
Vipin Kailasmal Jain, Paula Sanchez, Bradley Christian, Shilpi Ajwani, Zanab Malik, Riona Pais, Janeane Harlum, Jane Frost, Ajesh George
{"title":"Exploring Oral Health Promotion Among Palliative Care Providers: An Integrative Review","authors":"Vipin Kailasmal Jain, Paula Sanchez, Bradley Christian, Shilpi Ajwani, Zanab Malik, Riona Pais, Janeane Harlum, Jane Frost, Ajesh George","doi":"10.1111/jan.70263","DOIUrl":"https://doi.org/10.1111/jan.70263","url":null,"abstract":"AimPoor oral health is a common but often overlooked concern in palliative care, negatively impacting patients' quality of life. There is limited understanding of how palliative care providers (PCPs) approach oral health promotion in this context. This review synthesises evidence on the knowledge, attitudes and practices of PCPs regarding oral health care and strategies to support them in this area.DesignIntegrative review.Data SourcesA systematic literature search was undertaken until January 2025 across multiple databases (MEDLINE, CINAHL, Cochrane, ProQuest, EMBASE and Scopus) and grey literature. Inclusion criteria focused on nurses, medical specialists and allied health professionals involved in palliative or end‐of‐life care, with no publication year restriction.MethodsThis review followed Whittemore and Knafl's (2005) framework for integrative reviews. Study quality was assessed using appropriate tools for qualitative and quantitative studies, clinical guidelines and screening tools. A hybrid thematic synthesis approach was used for analysis.ResultsTwenty‐five studies were included, mostly of moderate to high quality. Sample sizes ranged from 8 to 1339, with most participants being nurses and nursing assistants, followed by medical professionals. Findings revealed inconsistent knowledge, varied practices and limited prioritisation of oral health care. Barriers included system constraints, limited training and patient‐related challenges. Supportive strategies such as guidelines, screening tools and educational interventions were identified.ConclusionA significant gap exists in PCP knowledge and practices regarding oral healthcare due to various barriers, with few supportive strategies documented in this field.Implications for the Profession and/or Patient CareThere is an urgent need for enhanced education, robust evidence‐based guidelines and tailored training for providers to advance and integrate oral health care in palliative care settings.Reporting MethodPRISMA Checklist.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"76 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226642","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}
引用次数: 0
Exploring Mechanisms and Contextual Factors for the Normalised Implementation of Transitional Care for Adult Patients With Enterostomy: A Realist Review. 探索成年肠造口患者过渡护理规范化实施的机制和背景因素:现实主义回顾。
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-10-02 DOI: 10.1111/jan.70266
Tao Liu,Le Zhang,Yuanmin Jia,Yue Hou,Mengyuan Zhang,Yingying Cai,Xiaohe Ren,Junlian Gu,Yufang Guo,Ou Chen
{"title":"Exploring Mechanisms and Contextual Factors for the Normalised Implementation of Transitional Care for Adult Patients With Enterostomy: A Realist Review.","authors":"Tao Liu,Le Zhang,Yuanmin Jia,Yue Hou,Mengyuan Zhang,Yingying Cai,Xiaohe Ren,Junlian Gu,Yufang Guo,Ou Chen","doi":"10.1111/jan.70266","DOIUrl":"https://doi.org/10.1111/jan.70266","url":null,"abstract":"AIMTo explore how, why and under what circumstances transitional care can be normalised as a routine care practice for adult patients with enterostomy after discharge from hospitals.DESIGNRealist review.METHODSThis review was conducted in three iterative phases: (1) constructing an initial programme theory to identify the scope of the study; (2) retrieving and evaluating the evidence, extracting data and integrating the evidence; and (3) analysing and integrating the evidence to refine the programme theory.DATA SOURCESFive bibliographic databases and the grey literature were searched from 1947 to 2024 to identify the studies of two core concepts: enterostomy and transitional care.RESULTSA total of 36 papers were included, identifying nine context-mechanism-outcome configurations that explain how, why and under what circumstances transitional care can be normalised as routine care for adult patients with enterostomy after discharge: (1) Responsibilities of individual roles; (2) Interdisciplinary team collaboration; (3) Support from upper management; (4) Communication and interaction; (5) Multiple linkage; (6) Professional training; (7) External support and policy formulation; (8) Personalised measures; and (9) Evaluation and feedback.CONCLUSIONThe normalised implementation of transitional care is essential to help enterostomal patients better adapt to stoma life and improve their quality of life. An effective transitional care model not only relies on the support of professional caregivers, but requires the close cooperation of patients, family members, communities and healthcare organisations.REPORTING METHODReporting was adhered to the RAMESES publication standards: realist syntheses.PATIENT OR PUBLIC CONTRIBUTIONPatients and members of the public were involved in study design. Their contributions were participating in advisory groups, ensuring the research was addressed.IMPACTThis study provides theoretical guidance for clinical stoma transitional care, translating the research findings into routine healthcare practices, constantly optimising and improving the stoma care system, and offering patients higher-quality and more efficient services.IMPACT STATEMENTThis research, through the realist review approach in combination with the Normalisation Process Theory (NPT) and the Consolidated Framework for Implementation Research (CFIR), systematically elucidates for the first time how, why and under what circumstances transitional care can be regularised as a routine post-discharge care measure for adult enterostomy patients. The research findings will: Improve the quality of life of patients: Through personalised care plans and multidisciplinary team cooperation, help patients better adapt to life with an ostomy, reduce complications and improve self-management ability. Optimise clinical practice: Provide theoretical guidance for medical staff, promote the regular implementation of transitional care and improve the quality and efficiency of care. P","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"24 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145209123","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}
引用次数: 0
Exploring Subjective Cognitive Decline and Its Related Factors Among Young‐Old Adults: A Perspective on Social Network Types 从社会网络类型的角度探讨青壮年主观认知能力下降及其相关因素
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-10-02 DOI: 10.1111/jan.70243
Lilu Wang, Shuting Sun, Chenxi Zhu, Yiqian Tang, Lianlian Zhu, Yechun Gu, Hongbo Xu
{"title":"Exploring Subjective Cognitive Decline and Its Related Factors Among Young‐Old Adults: A Perspective on Social Network Types","authors":"Lilu Wang, Shuting Sun, Chenxi Zhu, Yiqian Tang, Lianlian Zhu, Yechun Gu, Hongbo Xu","doi":"10.1111/jan.70243","DOIUrl":"https://doi.org/10.1111/jan.70243","url":null,"abstract":"AimsTo identify distinct social network types among young‐old adults based on the characteristics of social network structure and to explore the relationship between different types, socio‐demographic characteristics and subjective cognitive decline.DesignA cross‐sectional study was conducted from July 2022 to October 2023.MethodsA total of 652 young‐old adults aged 60–74 years completed the sociodemographic questionnaire, the subjective cognitive decline questionnaire‐9 and the self‐designed egocentric social network questionnaire. The types of social networks were identified by latent profile analysis. Univariate analysis and binary logistic regression were used to analyse the influencing factors of subjective cognitive decline.ResultsThe incidence of subjective cognitive decline was 38%. Social networks of young‐old adults tended to be large, predominantly family‐centred and characterised by strong contact strength, high density and significant demographic heterogeneity among network members. Four social network types were identified: diverse‐moderate, family‐dense, family‐strong and friend‐loose. Young‐old adults embedded in the family‐dense and family‐strong types were more likely to develop subjective cognitive decline than those in the diverse‐moderate type. Additionally, age, education level, previous occupation, daily sleep duration and exercise were related to the incidence of subjective cognitive decline.ConclusionsThe findings highlight the relatively high incidence of subjective cognitive decline in young‐old adults that is notably influenced by the type of social network they are embedded in. More attention needs to be paid to identifying and supporting young‐old adults at high risk of subjective cognitive decline, especially to promote their social integration and friend network building, to improve their subjective cognitive function.Implications for the Profession and/or Patient CareThe findings emphasise the importance of considering the structure and composition of social networks when addressing subjective cognitive decline among young‐old adults. A diversified social network incorporating both familial and friendship ties may provide enhanced cognitive protection. Therefore, interventions targeting subjective cognitive decline should promote the expansion of friendship‐based relationships and foster the development of more heterogeneous and multi‐source networks.Reporting MethodSTROBE checklist.Patient or Public ContributionNot applicable.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"143 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145203256","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}
引用次数: 0
Recovery After Critical Illness: A Meta‐Ethnography of Patient, Family and Staff Perspectives 危重疾病后的康复:病人、家属和工作人员视角的元人种志
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-10-02 DOI: 10.1111/jan.70189
Elizabeth King, Owen Gustafson, Annabel Williams, Francine Toye, Mark Williams, Sarah Vollam
{"title":"Recovery After Critical Illness: A Meta‐Ethnography of Patient, Family and Staff Perspectives","authors":"Elizabeth King, Owen Gustafson, Annabel Williams, Francine Toye, Mark Williams, Sarah Vollam","doi":"10.1111/jan.70189","DOIUrl":"https://doi.org/10.1111/jan.70189","url":null,"abstract":"AimTo synthesise primary qualitative studies reporting experiences of post‐hospital recovery for critical care survivors, their family and the healthcare professionals supporting them with a particular focus on physical impairment.DesignThe review was conducted through a meta‐ethnography using the seven stages of Noblit and Hare.MethodsQualitative studies or mixed‐method studies which included qualitative research were included if they were based on the phenomenon of interest. Study quality was assessed using the Critical Appraisal Skills Programme checklist and confidence in the findings with the GRADE CERQual framework.Data SourcesFive electronic databases (PubMed, EMBASE, CINAHL, AMED and PEDro) were searched from inception to February 2022 and updated in November 2024. Grey literature for primary qualitative studies was also searched.ResultsA total of 26,249 studies were initially screened, and 38 eligible studies were analysed. Four themes were distilled describing the experiences of critical care survivors, their family members and staff involved in their care: ‘I survived, but I didn't thrive’, ‘Healthcare was there to save my life, but not for my long‐term recovery’, ‘I am a burden on my family, and they feel the weight of carrying me’ and ‘My body still doesn't work like it used to’.ConclusionThis meta‐ethnography is unique in bringing together the experiences of patients recovering from critical illness, their families, and the staff who support them after hospital discharge. Ongoing diverse physical impairments prevented patients from thriving, significantly impacting family members. All groups clearly identified unmet rehabilitation needs following critical illness.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"7 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145203216","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}
引用次数: 0
Harnessing Machine Learning to Predict Nurse Turnover Intention and Uncover Key Predictors: A Multinational Investigation 利用机器学习预测护士离职意向并揭示关键预测因素:一项跨国调查
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-10-02 DOI: 10.1111/jan.70260
Veysel Karani Baris, Yubo Fu, Brad Gilbreath, Jessica Rainbow, Luke A. Fiorini, Pamela Love
{"title":"Harnessing Machine Learning to Predict Nurse Turnover Intention and Uncover Key Predictors: A Multinational Investigation","authors":"Veysel Karani Baris, Yubo Fu, Brad Gilbreath, Jessica Rainbow, Luke A. Fiorini, Pamela Love","doi":"10.1111/jan.70260","DOIUrl":"https://doi.org/10.1111/jan.70260","url":null,"abstract":"AimsTo predict nurses' turnover intention using machine learning techniques and identify the most influential psychosocial, organisational and demographic predictors across three countries.DesignA cross‐sectional, multinational survey design.MethodsData were collected from 1625 nurses in the United States, Türkiye and Malta between June and September 2023 via an online survey. Twenty variables were assessed, including job satisfaction, psychological safety, depression, presenteeism, person‐group fit and work engagement. Turnover intention was transformed into a binary variable using unsupervised machine learning (k‐means clustering). Six supervised algorithms—logistic regression, random forest, XGBoost, decision tree, support vector machine and artificial neural networks—were employed. Model performance was evaluated using accuracy, precision, recall, F1 score and Area Under the Curve (AUC). Feature importance was examined using logistic regression (coefficients), XGBoost (gain) and random forest (mean decrease accuracy).ResultsLogistic regression achieved the best predictive performance (accuracy = 0.829, f1 = 0.851, AUC = 0.890) followed closely by support vector machine (polynomial kernel) (accuracy = 0.805, f1 0.830, AUC = 0.864) and random forest (accuracy = 0.791, f1 = 0.820, AUC = 0.859). In the feature importance analysis, job satisfaction consistently emerged as the most influential predictor across all models. Other key predictors identified in the logistic regression model included country (USA), work experience (6–10 years), depression and psychological safety. XGBoost and random forest additionally emphasised the roles of work engagement, group‐level authenticity and person–group fit. Job‐stress‐related presenteeism was uniquely significant in XGBoost, while depression ranked among the top predictors in both logistic regression and random forest models.ConclusionMachine learning can effectively predict turnover intention using multidimensional predictors. This methodology can support data‐driven decision‐making in clinical retention strategies.ImpactThis study provides a data‐driven framework to identify nurses at risk of turnover. By integrating machine learning into workforce planning, healthcare leaders can develop targeted, evidence‐based strategies to enhance retention and improve organisational stability.Reporting MethodThis study adhered to STROBE reporting guideline.Patient and Public ContributionThis study did not include patient or public involvement in its design, conduct or reporting.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"9 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145203255","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}
引用次数: 0
Intersectional Praxis for Addressing Health Inequalities and Promoting Population Health 解决健康不平等和促进人口健康的交叉实践
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-10-02 DOI: 10.1111/jan.70272
Ahtisham Younas
{"title":"Intersectional Praxis for Addressing Health Inequalities and Promoting Population Health","authors":"Ahtisham Younas","doi":"10.1111/jan.70272","DOIUrl":"https://doi.org/10.1111/jan.70272","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"24 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145203505","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}
引用次数: 0
The Experiences of Women With Polycystic Ovary Syndrome of the Healthcare They Receive: A Qualitative Systematic Review. 多囊卵巢综合征妇女的医疗保健经验:一个定性的系统评价。
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-09-30 DOI: 10.1111/jan.70265
Baoying Zhang,Joan Lalor
{"title":"The Experiences of Women With Polycystic Ovary Syndrome of the Healthcare They Receive: A Qualitative Systematic Review.","authors":"Baoying Zhang,Joan Lalor","doi":"10.1111/jan.70265","DOIUrl":"https://doi.org/10.1111/jan.70265","url":null,"abstract":"BACKGROUNDMore than 12% of women worldwide are affected by polycystic ovary syndrome (PCOS), whose symptoms are similar to those of puberty, often leading to delayed diagnosis and missing the opportunity for early intervention. This not only puts PCOS women under physical and mental stress but also reduces their trust in doctors and makes them dissatisfied with the healthcare they receive, which in turn affects their quality of life. Therefore, to improve the doctor-patient relationship and promote health, it is essential to investigate and understand the healthcare experiences that women with polycystic ovary syndrome (PCOS) receive.AIMTo explore the experiences of women with PCOS when they receive healthcare.DESIGNQualitative systematic review.METHODSData were collected and screened using the systematic review management system Covidence, based on the established inclusion criteria. The Critical Appraisal Skills Programme Checklist was used for critical appraisal, and thematic analysis was used for data analysis.DATA SOURCESThe databases searched included CINAHL, MEDLINE, PsycINFO, and Scopus. The search was limited to studies published in English between 2002 and May 2024.RESULTSSeven studies were selected for final inclusion. Three themes were identified: (1) responsive care from healthcare practitioners, (2) managing polycystic ovarian syndrome, and (3) polycystic ovary syndrome and its impact on self-image.CONCLUSIONThe development of a multidisciplinary PCOS clinic, the establishment of online support groups, and the creation of comprehensive patient-centered treatment plans are vital to enhancing the health outcomes of women with PCOS.IMPACTMultidisciplinary PCOS clinics, online support groups, and comprehensive patient-centered treatment plans can improve health outcomes for women with PCOS.REPORTING METHODThe EQUATOR guidelines for PRISMA have been utilised.PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"78 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194838","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}
引用次数: 0
Investigating Healthcare Educators' Interprofessional Socialisation Following an Interprofessional Simulation Facilitator Training Programme: A Mixed Methods Study. 调查医疗保健教育工作者在跨专业模拟促进者培训计划后的跨专业社交:一项混合方法研究。
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-09-30 DOI: 10.1111/jan.70267
Sara Dolan,Lorelli Nowell,Nancy Moules,Alyshah Kaba,Meredith Brockway
{"title":"Investigating Healthcare Educators' Interprofessional Socialisation Following an Interprofessional Simulation Facilitator Training Programme: A Mixed Methods Study.","authors":"Sara Dolan,Lorelli Nowell,Nancy Moules,Alyshah Kaba,Meredith Brockway","doi":"10.1111/jan.70267","DOIUrl":"https://doi.org/10.1111/jan.70267","url":null,"abstract":"AIMInterprofessional socialisation can contribute to collaborative patient care. Although there is research regarding interprofessional socialisation of healthcare students and frontline staff, there is limited literature regarding healthcare educators in practice settings. Our aim was to examine interprofessional socialisation of healthcare educators in the practice setting following an interprofessional simulation facilitator training programme.DESIGNExplanatory sequential mixed methods study.METHODSQuantitative provincial simulation programme evaluation data from 2022 and 2023 (n = 87) were analysed and used to inform qualitative interviews (n = 17). Qualitative and quantitative data were integrated following independent analysis.RESULTSThere was a statistically significant increase in attitudes toward interprofessional socialisation following the simulation facilitator training programme. Qualitative findings revealed themes regarding interprofessional socialisation: (a) benefits gained through interprofessional socialisation, (b) interprofessional, uniprofessional or both, (c) facilitators to interprofessional socialisation, (d) barriers to interprofessional socialisation and (e) opportunities to strengthen interprofessional socialisation.CONCLUSIONDespite positive views of interprofessional socialisation, socialisation behaviours may not be consistent in a variety of contexts. Interprofessional education may increase interprofessional socialisation among educators.IMPLICATIONS FOR THE PROFESSIONIt is important to provide interprofessional socialisation opportunities for educators to promote more interprofessional education initiatives.IMPACTThe findings of this study provided insights into how to foster interprofessional socialisation in existing structures and how new pathways might be built to connect educators.REPORTING METHODThis study is reported in congruence with the Journal Article Reporting Standards-Mixed Methods, Quantitative, and Qualitative Standards provided on the Equator Network.PUBLIC CONTRIBUTIONMembers of the provincial simulation team were consulted regarding study design and data collection to optimise participation.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"7 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194833","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}
引用次数: 0
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