Journal of Advanced Nursing最新文献

{"title":"Evolving Nursing Decision-Making-From Theories to Smart Care Decisions.","authors":"Sanna Salanterä","doi":"10.1111/jan.70615","DOIUrl":"https://doi.org/10.1111/jan.70615","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"142 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147731487","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":"Decolonising Care: A Justice Oriented Approach in Nursing.","authors":"Moorley Calvin","doi":"10.1111/jan.70627","DOIUrl":"https://doi.org/10.1111/jan.70627","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"68 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147731486","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":"Correction to “Exploring Mother–Daughter Perceptions of Weight, Shape and Physical Activity in a Refugee Camp”","authors":"","doi":"10.1111/jan.70625","DOIUrl":"https://doi.org/10.1111/jan.70625","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"21 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147725951","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":"'Out of My Control'-Emergency Nurses' Experiences of Violence From Patients and Visitors in China: A Qualitative Descriptive Study.","authors":"Yongchao Hou,Melissa Corbally,Fiona Timmins","doi":"10.1111/jan.70617","DOIUrl":"https://doi.org/10.1111/jan.70617","url":null,"abstract":"AIMTo explore emergency nurses' experiences and perceptions of violence from patients and visitors in China, focusing on its nature, contributing factors, and consequences.DESIGNA qualitative descriptive design was employed.METHODSThirteen emergency nurses from eight tertiary public hospitals in a provincial capital city in northern China were recruited using purposive and snowball sampling; most were female and had several years of emergency nursing experience. Data were collected through semi-structured, face-to-face interviews conducted in Mandarin and analysed using latent content analysis.FINDINGSTwo overarching themes were identified. The first theme, Nurses as Healers or Targets: Confronting Misplaced Anger, described how violence from patients and visitors emerged in high-pressure emergency environments, often involving verbal abuse, threats, or physical aggression, and was shaped by situational stressors and perceived power imbalances. The second theme, Healing in Shackles: Maintaining Professional Composure and Emotional Desensitization, captured nurses' efforts to remain professional while experiencing fear, exhaustion, and emotional distancing following repeated exposure to violence.CONCLUSIONViolence from patients and visitors represents a persistent occupational challenge for emergency nurses, with cumulative effects on their emotional wellbeing and professional functioning. The findings highlight the need to shift responsibility for managing violence from individual nurses to organizational and systemic levels.IMPLICATIONS FOR NURSING PRACTICEStrengthening organizational responses, such as emotional support mechanisms, clear visitor management policies, and accountability for violence prevention, may help create safer and more sustainable emergency care environments.REPORTING METHODThis study adhered to the COREQ reporting guidelines.IMPACT1. What problem did the study address? This study addressed the persistent problem of violence against emergency nurses in urban tertiary hospital emergency departments in northern China, particularly incidents perpetrated by patients and visitors. It explored how nurses perceive the nature of such violence, the factors contributing to its occurrence, and its consequences for their professional and personal well-being. 2. What were the main findings? Violence against nurses by patients and visitors in the ED was often driven by enabling factors, such as high-pressure environments, nurses' visibility, and perceived power imbalances, as well as by reward-based motivations. Nurses responded with professional composure but reported limited peer and managerial support. Over time, cumulative exposure led to physical harm, lingering emotional distress, heightened vigilance, and emotional detachment. 3. Where and on whom will the research have an impact? The findings will inform nurse leaders, policymakers, and hospital administrators by reframing resilience as an organizational responsibility. Embedding","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"1 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147719561","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":"Assessing Quality of Action Research Using the Quality Assessment Action Research Checklist (QuARC): A Hybrid Systematic Narrative Review.","authors":"Mary Casey,David Coghlan,Áine Carroll,Tom Buckley,Diarmuid Stokes","doi":"10.1111/jan.70607","DOIUrl":"https://doi.org/10.1111/jan.70607","url":null,"abstract":"AIMTo evaluate the quality of action research studies using the Quality Assessment Action Research Checklist (QuARC) and to assess its utility as a tool for quality appraisal.DESIGNA hybrid systematic narrative review following Turnbull et al.'s six-stage methodology and reported in accordance with PRISMA 2020 guidance.DATA SOURCESScopus was searched for author self-identified action research studies published between January 2020 and March 2024.REVIEW METHODSTwo reviewers independently selected studies meeting inclusion criteria: health science action research papers addressing any or all of QuARC's four quality factors. A scoring system was used to capture each of QuARC's 17 quality items, which was scored as 0 (absent), 0.5 (partial) or 1 (comprehensive). Narrative synthesis was undertaken across the four QuARC domains.RESULTSThirty-two studies met the inclusion criteria. Reporting frequencies across QuARC were: Context (92.5%, mean = 3.7/4), Quality of Relationships (55% mean = 2.2/4), Quality of Action Research Process (62.5% mean = 2.5/4), and Quality of Outcomes (62.5% mean = 3.1/5). Reporting gaps were most evident in reflexive co-analysis, relational evaluation and explicit theoretical contribution.CONCLUSIONGlobal reporting of rigour and quality in action research remains inconsistent. QuARC functioned both as an appraisal instrument and as an analytic lens, revealing systematic patterns in how action research privileges practical change over theoretical articulation and reflexive relational work. Further refinement and validation are recommended to strengthen its reliability as an appraisal tool.IMPLICATIONSFindings highlighted a critical need to establish a standardised, validated approach to assess quality in action research. Adoption of QuARC can enhance consistency, clarity and comparability across studies, strengthening the evidence base for action research methodologies.IMPACTThis first systematic synthesis of QuARC's application provides an evidence base for its further development. This lays foundations for international standards in quality appraisal, strengthening the credibility, reproducibility and influence of action research.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"23 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147719560","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":"You Can't Be With Your Patients All the Time-Patient and Staff Views of a Wearable Vital Signs Monitoring System.","authors":"Clare Edwards,Holly Edmundson,Elizabeth King,Cristian Roman,Peter Watkinson,Sarah Vollam","doi":"10.1111/jan.70610","DOIUrl":"https://doi.org/10.1111/jan.70610","url":null,"abstract":"AIMTo explore staff and patient perception of the newly co-developed wearable monitoring system (WMS), including acceptability of use in clinical practice.DESIGNPragmatic qualitative descriptive study.METHODSSemi-structured interviews were conducted with 12 patient participants and eight staff members between June 2023 and August 2024, and were analysed thematically.RESULTSThree themes were identified, building on previous qualitative work around the use of WMS on hospital wards. The first theme-centralised continuous monitoring enhances care-explores how WMS provides staff with a means to provide safe, efficient care with the ability to see the vital signs away from the patient. Patients reported feeling safer, knowing they were being monitored when staff were not at the bedside. The second theme-human connection at the bedside-considers how both patients and staff emphasised that the system should not replace nurse/patient interactions and face-to-face care, even though it provided patients with a stronger sense of independence. The final theme-system usability and integration into care-focuses on use of the system in clinical practice and implications for the future.CONCLUSIONWearable monitoring systems have the potential to support nurses to provide safer, more efficient care, whilst providing reassurance to patients. However, centralised monitoring should not replace face-to-face clinical contact, and careful consideration should be given to who would benefit most from the technology.IMPACTThis study extends existing knowledge of the impact of WMS from being a tool to enhance patient safety to an intervention to improve nurse efficiency and patient experience, within the context of a high-demand surgical ward.PATIENT AND PUBLIC CONTRIBUTIONPatients and members of the public were involved in study design and data collection. Their contributions included participating in advisory groups, ensuring the research addressed patient-relevant priorities.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"246 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147719562","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":"Perceptions of Health and Self-Care Needs Among Older Female Caregivers Living in Poverty in a High-Income Country: A Qualitative Study.","authors":"Anabel Chica-Pérez,Sergio Martínez-Granero,Matías Correa-Casado,Wladimir Morante-García,Cayetano Fernández-Sola,José Manuel Hernández-Padilla","doi":"10.1111/jan.70624","DOIUrl":"https://doi.org/10.1111/jan.70624","url":null,"abstract":"AIMTo explore the perceptions of older female caregivers living in poverty in a high-income country regarding their health and self-care needs.DESIGNDescriptive qualitative study.METHODSSeventeen semi-structured interviews were conducted with older female caregivers between October 2023 and March 2024. The reflexive thematic analysis method described by Braun & Clarke was followed, and ATLAS.ti 25 software was used for data analysis.RESULTSThe analysis identified one main overarching theme, 'Caring as an expected role that shapes identity and daily life' and two interrelated themes: (1) 'The need for a holistic approach to self-care' and (2) 'Caring on empty in the context of economic hardship and limited support'.CONCLUSIONSelf-care among older female caregivers living in poverty is constrained by caregiving expectations and socioeconomic disadvantage. Addressing their health needs requires nursing interventions that recognise caregiving as a central element of their lives and adopt holistic, context-sensitive approaches.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARENursing interventions should comprehensively assess older female caregivers' multidimensional health needs and enhance access to integrated support and services, addressing structural gender and socioeconomic inequities to strengthen health, dignity, and resilience.IMPACTLiving in poverty exacerbates the challenges older female caregivers face in attending to their own health and self-care, increasing the risk of exhaustion, distress, and chronic illness. Recognising and addressing these needs through equitable, targeted interventions is essential to reduce health inequalities.REPORTING METHODThe study has been reported following the COREQ guidelines.PATIENT OR PUBLIC CONTRIBUTIONLimited patient and public involvement was incorporated, focusing on verification of their transcripts, ensuring accuracy and credibility in the interpretation of their accounts.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"57 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147719563","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":"Equitable Discharge Teaching During COVID-19: Paediatric Emergency Nurses' Perspectives From Qualitative Interviews.","authors":"Brian Burns,Kirsten Senturia,Yesenia Garcia,Emily Hartford,Julie C Brown,Elizabeth Wingfield,K Casey Lion,M Rebecca O'Connor","doi":"10.1111/jan.70604","DOIUrl":"https://doi.org/10.1111/jan.70604","url":null,"abstract":"AIMSTo identify facilitators and barriers to quality, equitable discharge teaching by paediatric emergency department nurses during the COVID-19 pandemic, describe impacts of inequitable discharge teaching, and identify potential solutions to the barriers.DESIGN AND METHODSTwenty-two nurses in a single urban paediatric hospital participated in individual interviews from January to April 2022 via phone or videoconference. Interviews were transcribed and analysed using an inductive codebook.RESULTSSix barriers to equitable discharge teaching were identified: ED overcrowding, travel nurse training/knowledge, burnout and stress, increased role complexity, COVID precautions, and resource bottlenecks. Two facilitators were also identified: engagement and effective communication. Nurses described the impacts of these barriers along with proposed solutions to improve discharge teaching.CONCLUSIONSThe COVID-19 pandemic created additional barriers to discharge teaching in the paediatric emergency department. Nurses identified barriers and facilitators, the impacts on patients and families, and potential solutions to improve equitable discharge teaching.PRACTICE IMPLICATIONSThis study identifies how periods of high patient volumes or frequent process changes during a pandemic exacerbate inequities in discharge teaching.IMPACTThis study identifies barriers and facilitators that shaped nurses' ability to provide quality, equitable discharge teaching during the COVID-19 pandemic and offers actionable guidance for hospital leaders and health systems to improve discharge teaching and enhance emergency preparedness for future public health crises.REPORTING METHODThis study conforms to the Standards for Reporting Qualitative Research.PATIENT OR PUBLIC CONTRIBUTIONThis study did not include patient or public involvement in its design, conduct, or reporting.TRIAL REGISTRATIONClinicalTrials.gov identifier: NCT04676490.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"140 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147719581","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":"Beyond Autonomy? Understanding Patient Participation in Contemporary Nursing Care: A Focused Ethnography of Chronic Illness Contexts.","authors":"Yin Wang,Lian Zhu,Jingfang Hong,Lissette Avilés,Colin Chandler","doi":"10.1111/jan.70622","DOIUrl":"https://doi.org/10.1111/jan.70622","url":null,"abstract":"AIMTo explore how chronically ill patients, family members and nurses perceive and experience patient participation in nursing care within a Chinese hospital context.DESIGNFocused ethnography.METHODSThe study was conducted in a Chinese public hospital over 8 months between February and September 2021. Data were generated through 90 h of participant observation and 30 semi-structured interviews, including individual and dyadic interviews with 10 nurses, 17 patients and 7 family members. Data were analysed using reflexive thematic analysis through an inductive and iterative process.RESULTSAn overarching theme 'participation as relational, holistic and dynamic' was developed, comprising three themes: (1) participation as fulfilling individual responsibility, (2) family members as co-participants and (3) participation as an evolving multidimensional practice. These themes suggest that participation was understood as a relational responsibility enacted through everyday interactions. Family members were actively involved in care processes, and participation extended across physical, intellectual and emotional dimensions. Digital information and technologies further reshaped participation, creating new opportunities and tensions in everyday care.CONCLUSIONPatient participation in nursing care extends beyond autonomy-based models and is shaped by relational responsibilities, family involvement and evolving digital healthcare contexts.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARETo promote patient participation, policies and practices should recognise relational and family-based dimensions of care. Healthcare organisations should foster environments that support collaborative participation among patients, families and nurses. Training and education should be developed to promote nurses' digital literacy, cultural competence, ethical sensitivity and relational communication to support participation in contemporary care contexts.IMPACTThis study broadens prevailing autonomy-centred understandings of patient participation by demonstrating how participation is co-constructed through relational responsibilities and family involvement. The findings offer insights for nursing practice and policy in culturally diverse and increasingly digital healthcare environments.REPORTING METHODSCOREQ.PATIENT OR PUBLIC CONTRIBUTIONNo Patient or Public Contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"142 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing-Led Knowledge Translation Strategies to Improve Patient Safety in Hospital Settings: A Scoping Review.","authors":"Jhenyfer Amanda Ciriaco Canhete,Vânia Ana Silveira Muniz,Milene Negri Reiser,Chantal Backman,Gabriela Marcellino de Melo Lanzoni,Ana Lúcia Schaefer Ferreira de Mello","doi":"10.1111/jan.70621","DOIUrl":"https://doi.org/10.1111/jan.70621","url":null,"abstract":"AIMTo conduct a scoping review of nurse-led Knowledge Translation strategies aimed at promoting and enhancing patient safety in hospital settings.DESIGNScoping review.METHODSThis review followed the Joanna Briggs Institute methodology and was reported according to PRISMA-ScR.DATA SOURCESTwelve electronic databases and additional grey literature sources were searched for studies published between 2002 and 2023, with no language restrictions.RESULTSFrom 23,691 records identified, 59 studies were included. The majority (n = 56) employed multifaceted Knowledge Translation strategies, incorporating simulation, audits, digital tools and interprofessional education. The interventions focused on patient safety-related events, including falls, pressure injuries and catheter-associated complications. Nursing leadership emerged as a key component, particularly in team training, developing care protocols and delivering feedback. Outcomes included reductions in adverse events, improved adherence to clinical guidelines and cost savings. Yet, sustaining behaviour changes over time and limited interprofessional and family engagement remained recurrent challenges.CONCLUSIONSNurse-led Knowledge Translation strategies were heterogeneous, with increasing use of simulations, technologies and multifaceted approaches. Evidence suggests potential associations with fewer adverse events, improved care quality, individualized planning and cost efficiency. Challenges related to the sustainability of interventions persist. Findings underscore the importance of investing in nursing leadership and capacity-building to strengthen patient safety.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREStrengthening nurse-led KT capacities may enhance evidence-based care and improve safety outcomes. Investment in leadership and tailored implementation is critical.IMPACTWhat problem did the study address? The limited synthesis of how nurses lead KT strategies to improve patient safety in hospitals. What were the main findings? Most strategies were multifaceted, context-sensitive and associated with improved care processes and safety indicators. Where and on whom will the research have an impact? Findings are relevant to hospital nurses, nurse educators, managers and health systems seeking to implement evidence-informed safety interventions.REPORTING METHODThis scoping review followed the PRISMA-ScR reporting guideline.PATIENT OR PUBLIC CONTRIBUTIONThis study did not include patient or public involvement in its design, conduct or reporting.TRIAL REGISTRATIONOpen Science Framework (OSF); registration identifier: 10.17605/OSF.IO/K3VJC.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"23 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147695187","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}