Journal of Advanced Nursing最新文献

{"title":"Diversity in Patient and Public Involvement as a Vehicle to Address Disparities in Pressure Injury Prevention","authors":"Hannah Wilson, Declan Naughton, Neesha Oozageer Gunowa","doi":"10.1111/jan.16975","DOIUrl":"https://doi.org/10.1111/jan.16975","url":null,"abstract":"<p>Involving diverse groups of patients and the public in research decisions is central to addressing the disparities that exist in healthcare. Bridging the gap between research and practice requires generalisability and relevance of research findings to the wider population. However, not all research has included representative populations, which raises the question of whether diverse patient and public involvement (PPI) practices could make research and healthcare more inclusive. Research exploring the early identification of pressure injuries (PIs) has not always included diverse populations, which has highlighted critical gaps in current PI prevention practices for people with dark skin tones. This commentary places a spotlight on how researchers can strive for greater representation when establishing PPI panels, suggesting that diversity in PPI may be a vehicle for addressing disparities in healthcare, particularly for PI prevention.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"59 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820037","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":"Mediating Effects of Resilience and Perceived Social Support Between Gratitude and the Adaptability to Return‐To‐Work in Cancer Patients","authors":"Jing‐yi Zhao, Jin‐feng Jiang, Shu‐yuan Shi, Xiao‐qin Su, Wen‐qian Que, Li‐li Zhu, Yu‐jie Guo","doi":"10.1111/jan.16966","DOIUrl":"https://doi.org/10.1111/jan.16966","url":null,"abstract":"AimsThis study aims to explore the mediating role of resilience and perceived social support in the relationship between gratitude and the work reintegration adaptability of cancer patients in China.DesignA cross‐sectional and correlational study.MethodsA total of 402 participants were collected from July to December 2023 from a tertiary hospital in Jiangsu Province, China, using a convenience sampling method. The survey utilised the General Information Questionnaire, the Gratitude Questionnaire‐6 (C‐GQ‐6), the Cancer Patient Return‐to‐Work Adaptation Scale, the resilience Scale (CD‐RISD), and the Perceived Social Support Scale (PSSS) to collect data. The theoretical hypothesis was tested using structural equation modelling (SEM) analysis, with model fit corrections performed to examine the internal relationships and pathways among gratitude, resilience, perceived social support and return‐to‐work adaptability.ResultsGratitude, resilience, and perceived social support were significantly correlated with work reintegration adaptability. Resilience and perceived social support independently mediate the relationship between gratitude and work reintegration adaptability, with mediation effects of 56.63% and 7.77%, respectively. Additionally, resilience and perceived social support fully mediate the relationship between gratitude and work reintegration adaptability, with a chain mediation effect of 35.60%.ConclusionGratitude can affect cancer patients' return to work adaptation through resilience and perceived social support.ImpactHealthcare professionals should focus on the impact of gratitude on cancer patients' adaptability to work reintegration. Interventions targeting resilience and perceived social support should be developed to enhance patients' work reintegration and promote their overall recovery and social reintegration.Reporting MethodSTROBE checklist.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"77 10 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143819004","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 to Self-Management of Multimorbidity Among Culturally and Linguistically Diverse Immigrants: A Qualitative Descriptive Study","authors":"Esther Monari, Ahtisham Younas, Saleh Salimi","doi":"10.1111/jan.16971","DOIUrl":"https://doi.org/10.1111/jan.16971","url":null,"abstract":"To explore the barriers and facilitators to self-management of multimorbidity of culturally and linguistically diverse immigrants, primarily Black individuals and people of colour (e.g., South Asian, Middle Eastern).","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"183 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143819970","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":"Developing Evidence-Based Implementation Strategies for the Management of Women With Early Pregnancy Bleeding in the Emergency Department: A Multi-Method Study","authors":"Baylie Trostian, Kate Curtis, Andrea McCloughen","doi":"10.1111/jan.16954","DOIUrl":"https://doi.org/10.1111/jan.16954","url":null,"abstract":"To determine characteristics, variability and enablers/barriers to evidence-based care and generate recommendations with implementation strategies to improve the management of early pregnancy bleeding in the emergency department (ED).","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"74 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820045","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":"Staying Connected to Our Purpose in Nursing: Linking Past Motivations With Current Practice","authors":"Carmel Bond","doi":"10.1111/jan.16974","DOIUrl":"https://doi.org/10.1111/jan.16974","url":null,"abstract":"<h2>1 Motivation and Purpose in Nursing</h2>\u0000<p>Many individuals enter the nursing profession driven by a deep sense of care and responsibility toward others. Often, personal experiences or observations of healthcare challenges inspire a commitment to providing compassionate person-centred care. These motivations shape professional journeys, reinforcing the resilience and empathy needed to navigate the complexities of nursing. The role of nurses extends beyond clinical tasks, encompassing emotional support, advocacy, and the ability to respond to diverse patient needs with compassion and competence.</p>\u0000<p>Across generations, those in the nursing profession have found meaning in their work by transforming difficult experiences into opportunities for growth. While each nurse's journey is unique, the common thread of dedication to patient care remains a defining characteristic of the profession. This shared sense of purpose unites nurses across different specialties, cultures, and healthcare systems, creating a global network of committed professionals.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"59 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820047","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":"When Nurses Worry: A Concept Analysis of Intuition in Clinical Deterioration","authors":"Amy-Louise Byrne, Deb Massey, Tracy Flenady, Justine Connor, Wei Ling Chua, Danielle Le Lagadec","doi":"10.1111/jan.16956","DOIUrl":"https://doi.org/10.1111/jan.16956","url":null,"abstract":"Nurse worry is a criterion often included in early warning systems tools and used to escalate care when other clinical markers do not indicate deterioration. What it means to worry, however, is not always clear.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"6 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820021","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":"Letter to ‘Risk Prediction Models for Frailty in Adult Maintenance Haemodialysis Patients: A Systematic Review and Methodological Appraisal’","authors":"Man Wang, Yuli Li, Guoying Wang","doi":"10.1111/jan.16978","DOIUrl":"https://doi.org/10.1111/jan.16978","url":null,"abstract":"&lt;p&gt;We are writing in response to the article titled ‘Risk Prediction Models for Frailty in Adult Maintenance Hemodialysis Patients: A Systematic Review and Methodological Appraisal’ (Zhang et al. &lt;span&gt;2025&lt;/span&gt;). The authors should be commended for their effort in synthesising evidence on frailty risk prediction models in maintenance haemodialysis (MHD) patients, a population notoriously vulnerable to adverse outcomes. However, we wish to highlight certain aspects of the review that merit further discussion.&lt;/p&gt;\u0000&lt;p&gt;First, although the authors meticulously assessed methodological robustness using tools, such as TRIPOD, one cannot help but question whether prediction model development in the reviewed studies adequately reflects the complexities of frailty in MHD patients. Frailty in MHD is undeniably multifactorial, influenced by age, dialysis-related factors, inflammation, nutrition and psychosocial status. However, the inclusion of univariate analysis for variable selection in nine studies raises concerns about oversimplified model construction (Lipkovich et al. &lt;span&gt;2017&lt;/span&gt;). Should predictive modelling efforts not prioritise multivariate strategies, such as LASSO regression, to capture nuanced interactions and address multicollinearity (Efthimiou et al. &lt;span&gt;2024&lt;/span&gt;)? This would align with the inherent complexity of frailty and may improve generalisability across diverse MHD populations. Furthermore, binary transformation of continuous variables, as noted in multiple studies (Zhang et al. &lt;span&gt;2025&lt;/span&gt;), significantly reduces data informativeness. For example, converting ‘serum albumin’ into a dichotomous variable ignores clinically significant gradients that can stratify patients' frailty risk more precisely.&lt;/p&gt;\u0000&lt;p&gt;Second, although external validation was rightfully emphasised as critical, its scarcity in practice is worrying. The single externally validated model demonstrated an AUC decline of 15% when applied to independent cohorts (Zhong et al. &lt;span&gt;2025&lt;/span&gt;). This highlights not only a lack of generalisability but also potential overfitting during model development, which is further compounded by small sample sizes across studies. Given the need for predictions that transcend centre-specific practices, wouldn't a collaborative, multi-centre initiative with larger, ethnically diverse cohorts improve the validity and adoption of prediction tools? Such efforts could also ensure that region-specific practices, such as dialysis modalities or nutritional interventions, are reflected in frailty risk models.&lt;/p&gt;\u0000&lt;p&gt;Third, from a clinical standpoint, the risk models lack actionable integration into routine practice. Despite proposing dynamic tools like wearable-derived metrics, their visibility within the reviewed studies was limited. Considering the rapid adoption of wearable technologies in nephrology, how might future models incorporate real-time patient data—for example, step counts or heart rate variability—to enhance FRA","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"59 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143819963","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":"How Can Personalised Training and Incentive Measures Be Developed to Align With the Characteristics of Different Nurses?","authors":"Yujing Du, Liang Wu","doi":"10.1111/jan.16970","DOIUrl":"https://doi.org/10.1111/jan.16970","url":null,"abstract":"&lt;p&gt;Ma et al. (Ma et al. &lt;span&gt;2025&lt;/span&gt;) recently looked at the correlation between oncology nurses' adherence to safety procedures and degree of participation they felt while on the job. The three engagement categories the researchers used latent profile analysis to describe the nurses were ‘highly efficient and focused’ (43.7%), ‘moderate balanced’ (37.4%) and ‘low effort and coping’ (18.9%). Strongly linked with the distribution of these traits were work hours per week, history of bad occurrences, involvement in safety training and confidence in one's own abilities. In line with their key responsibility for professional behaviour, the findings revealed that greater degrees of participation helped nurses' dedication to safety criteria to be improved. The study comes to the conclusion that in developing training courses and remuneration schemes, hospital administration should consider the particular requirements of several nursing specialties. Using such tailored strategies might help to improve patient safety and nursing effectiveness. These results lead us to provide several approaches for designing motivating systems and cancer nurses-specific training.&lt;/p&gt;\u0000&lt;p&gt;First, newly hired nurses should first participate in organised orientation courses covering clinical competencies, patient safety precautions and institutional policies—that is, fundamental knowledge in these areas. Moving from theoretical knowledge to practical application presents significant challenges for nurses, so mentoring programs whereby experienced nurses can assist in real-world scenarios are rather important. Such training can enhance confidence, augment expertise and diminish errors in patient care. Furthermore, hospitals may provide incentives, such as completion bonuses for training modules or access to additional skill-enhancing seminars, to promote active engagement in learning and professional development. Training for mid-career nurses should stress advanced clinical skills, leadership development and multidisciplinary teamwork. At this point, nurses can choose to specialise in particular areas or acquire supervisory responsibilities, which would need hospitals to provide high-fidelity simulations, specialty certification courses and scenario-based training to improve their knowledge. All while keeping high performance standards, incentive systems including salary increments, defined career paths or awards for professional recognition can greatly increase motivation, involvement and retention. Senior and experienced nurses should get training on mentoring, healthcare management and creative approaches for patient care. Encouragement of these nurses to engage in quality improvement projects, policy development and research will help to increase their influence on the healthcare system. Effective incentives could be leadership development programs, conference sponsorships or flexible work schedules, therefore promoting information sharing and ensuring a highly qualif","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"11 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820042","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":"Investigating Person‐Centred Care Planning in Care Homes Across England: An Exploratory Study of Practices and Contextual Factors","authors":"Jacqueline Damant, Yuri Hamashima, Madalina Toma, Nick Smith, Jonathan Taylor, Thais Caprioli, Sarah Jasim, Laura Prato, Hugh Mcleod, Clarissa Giebel, Michele Peters, Anna Ferguson Montague, Lynne Wright, Martin Knapp, Anne‐Marie Towers","doi":"10.1111/jan.16965","DOIUrl":"https://doi.org/10.1111/jan.16965","url":null,"abstract":"AimsTo report how person‐centred care principles are applied to care planning and to explore the contextual factors affecting their implementation in older adult care homes in England.DesignA combined framework analysis and quantitative content analysis study.MethodsUsing a semi‐structured questionnaire, we interviewed 22 care home managers in England, exploring topics around care planning processes. Audio recordings were transcribed verbatim. Transcripts were analysed through a combined framework approach and content analysis.ResultsMost care home managers discussed person‐centred care planning in terms of understanding residents' values and preferences and their engagement in decision‐making. Factors facilitating person‐centred planning implementation included accessible planning tools, supportive care home leadership, effective communication and collaborative partnerships. Inhibiting factors included regulatory and care practice misalignment, time constraints and adverse staffing conditions.ConclusionDifferences between care home practitioners' understanding and practice of person‐centred care planning require further examination to improve understanding of the sector's complexity and to develop suitable care planning instruments.Implications for the ProfessionFindings demonstrate a need for improved staff access to specialised person‐centred care training and an opportunity for care home nursing practitioners to lead the co‐development of digital person‐centred care planning tools that reflect the reality of long‐term care settings.ImpactIdentifying factors influencing the implementation of holistic approaches to care planning makes clear the need for modernising long‐term care policy and practice to adapt to the contemporary challenges of the care home sector.Reporting MethodStudy reporting was guided by the Standards for Reporting Qualitative Research.Patient or Public ContributionTwo public involvement advisors with lived experience of caring for a relative living in a care home contributed to the development of the interview guide, advised on care home engagement, guided the interpretation of the findings and commented on the drafted manuscript.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"6 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797604","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":"WHO ICOPE Programme Adherence of 8672 Older Age People Over 2‐Years of Follow‐Up","authors":"Caroline Berbon, Yves Rolland, Catherine Takeda, Christine Lafont, Neda Tavassoli, Justine De Kerimel, Véronique Bezombes, Laurent Balardy, Fatemeh Nourhashemi, Bruno Vellas, Sandrine Andrieu, Maria‐Eugenia Soto","doi":"10.1111/jan.16740","DOIUrl":"https://doi.org/10.1111/jan.16740","url":null,"abstract":"AimTo compare the characteristics of participants who discontinued prematurely with those who remained in the ICOPE program (Integrated Care for Older PEople) in France and to compare completely adherent participants with partially adherent ones after 2 years of follow‐up.DesignRetrospective observational study.MethodsWe analysed the data of older age people participating during 2 years from the ICOPE MONITOR database. The study compared the population that discontinued follow‐up with the population currently in follow‐up. Among the population in follow‐up, a comparison was made between the completely adherent and partially adherent populations.ResultsIn total, 8672 participants had a follow‐up period of at least 2 years. After 2 years, three‐quarters of the participants were still in follow‐up with varying levels of adherence. Participants who discontinued follow‐up are older and had more compromised Step 1 levels across all domains of intrinsic capacity (IC). Partially adherent participants were older and generally more compromised in IC than completely adherent participants. Those participants least adherent to ICOPE presented higher declines in clinical parameters.ConclusionAmong autonomous older age people, the most impaired in intrinsic capacity domains and aged participants were more likely to discontinue follow‐up, highlighting the need to focus efforts on this group. On the other hand, younger robust and healthier older age people represent a good target for ICOPE program, in terms of adherence and primary prevention.Reported MethodEQUATOR guidelines: STROBE.Patient of Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"48 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797930","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}