Journal of Advanced Nursing最新文献

{"title":"Exploring the Perceived Effectiveness, Impact and Benefits of a Work-Based Cancer Survivorship Peer Support Programme: A Qualitative Descriptive Study.","authors":"Maria O'Malley,Teresa Wills,Sean Kelleher,Ciaran Evans,Caroline Kilty,Irem Koc,Olga Cleary,Helen Forristal,Mohamad M Saab,Josephine Hegarty","doi":"10.1111/jan.70623","DOIUrl":"https://doi.org/10.1111/jan.70623","url":null,"abstract":"AIMTo explore the perceived effectiveness, impact and benefits of a work-based cancer survivorship peer support programme for healthcare employees who have experienced or are experiencing cancer.DESIGNA qualitative descriptive study.METHODSPurposive sampling was used to recruit 33 participants (10 peers, 12 peer supporters, 4 line managers and 7 members of the governance group). Data were collected between October 2024 and February 2025 through individual interviews and focus groups. Data were analysed using reflexive thematic analysis.RESULTSFour themes were generated: Programme Reach and Adoption, Implementing the Programme, Programme Effectiveness and Impact and Programme Maintenance and Growth. Challenges included the pilot status of the programme impacting awareness and uptake, potential reluctance to share diagnoses and the impact of cancer on colleagues. The approach of peer supporters was considered central to the programmes' success. Peer supporters valued training and continuous practice development opportunities.CONCLUSIONDemonstrated benefits, including satisfaction and the value of peer support, were evident. To ensure programme maintenance, increased recruitment and training of peer supporters and clear communication regarding the programme and referral pathways are essential. Financial support is required to maintain training and address dissemination challenges.IMPLICATIONS FOR THE PROFESSIONWork-based peer support programmes can help cancer survivors reintegrate into the workforce more effectively, rebuilding confidence, fostering resilience and navigating workplace expectations. Enhanced staff well-being may also positively influence retention, performance and health-related disruptions.IMPACTFindings from this underexplored area of work-based peer support within a healthcare setting have the potential to influence healthcare leaders, policy makers and future research. Improving staff's' quality of life on return to work benefits the individual, the organisation and care delivery by ensuring a healthy, supported workforce.REPORTING METHODThe Standards for Reporting Qualitative Research (SRQR) checklist and the Template for Intervention Description and Replication (TiDieR) checklist were utilised.PATIENT OR PUBLIC CONTRIBUTIONSNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"47 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147695257","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":"Collaboration Amidst Contested Definitions: A Qualitative Ethnography of Shared Decision-Making in a Paediatric Feeding Clinic.","authors":"Marion Margaret Aw,Jamie Qiao Xin Ng, Aayisha,Nicholas Beng Hui Ng,Shefaly Shorey","doi":"10.1111/jan.70611","DOIUrl":"https://doi.org/10.1111/jan.70611","url":null,"abstract":"AIMSTo explore how children, caregivers and healthcare providers experience shared decision-making in real time within an interdisciplinary paediatric feeding clinic in multicultural Singapore.DESIGNA qualitative ethnographic approach was used.METHODSData collection involved one-time participant observations of interdisciplinary feeding clinic consultations, observations of healthcare providers-only debrief and follow-up interviews with caregivers. Data were collected from July 2024 to November 2024. Participants included caregivers, healthcare providers and otherwise well children presenting with feeding difficulties. Fieldnotes, including observational matrices, reflexive journals and interview transcripts, were analysed thematically using Braun and Clarke's six-step process for thematic analysis.RESULTSTwenty observations and 11 interviews were conducted. Four themes were identified: (1) Centring the child: building trust and respect; (2) Tensions and teamwork: negotiating expertise and expectations; (3) Feeding across cultures; and (4) Parenting under pressure: the social context of feeding choices.CONCLUSIONIn an interdisciplinary feeding clinic, shared decision-making extends beyond the clinical encounter, reflecting relational, cultural and structural realities. The feeding clinic modelled effective shared decision-making through child-centred care practices, balancing biomedical expertise with lived experiences, actively engaging caregivers and codesigning culturally responsive and sustainable feeding strategies with the family. However, divergent perceptions of what problematic feeding entails, caregivers' hesitancy in taking on an active role in consultations, and the external pressures caregivers contended with constrained this process. These findings highlight the need for inclusive, culturally responsive care models and more caregiver support interventions that acknowledge the full complexity of feeding care.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARENurses, with their central role in relational and communicative care, are uniquely positioned to bridge tensions between medical paternalism and collaborative, family-centred approaches. By facilitating trust, clarifying goals and supporting caregiver participation in feeding decisions, they play a critical role in advancing child health outcomes while strengthening caregiver agency within multicultural healthcare systems.IMPACTThis study revealed how cultural, familial and systemic pressures shape caregiving practices, often constraining caregiver participation and shared decision-making in clinical encounters. Shared decision making in an interdisciplinary feeding clinic comprised of child-centred care practices, balancing biomedical expertise with lived experiences, actively engaging caregivers and codesigning culturally responsive and sustainable feeding strategies with the family. This study expounds on the potentially critical role nurses could play within the multidiscipli","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"56 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147684941","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":"Neurodivergence Among Nurses in the Workforce: A Scoping Review.","authors":"Kylee Deterding,Rana Halabi Najjar,Ashley Roach,Kristin G Cloyes","doi":"10.1111/jan.70541","DOIUrl":"https://doi.org/10.1111/jan.70541","url":null,"abstract":"AIMTo identify and describe the current literature on neurodivergence in nursing and to identify existing gaps in knowledge.DESIGNScoping review guided by Joanna Briggs Institute scoping review guidelines and PRISMA-Scoping Review framework.METHODSComprehensive search with inclusion following Participants, Concept, and Context framework: nurses or nursing workforce; neurodiversity or neurodivergence defined as autism, attention deficit hyperactivity disorder, dyslexia; workplace environment. Articles were screened and data extracted by independent reviewers. Dates of inclusion were 1999-2025. Data analysed through descriptive categorisation.DATA SOURCESMEDLINE (PubMed), CINAHL (EBSCOhost), and PsycINFO (Ovid) were searched in April 2025, followed by reference mining and citation cross-referencing. Inclusion criteria were set for empirical studies, reviews, or textual evidence (expert opinions or narratives).RESULTSTwenty-two sources met inclusion criteria. Most addressed dyslexia and neurodiversity. Sources described strengths of neurodivergent nurses (e.g., deep focus, relationality, novel perspectives), workable challenges (e.g., documentation and multitasking). Studies reported adaptations at multiple levels: individual, interpersonal, and intraprofessional, noting system influences of medical model framing and gender bias in diagnosis.CONCLUSIONLiterature on neurodivergent nurses in the workplace is scarce. Neurodivergence offers strengths and challenges, yet ableism and limited research restrict well-being and professional advancement.IMPLICATIONSGreater recognition of neurodivergence in nursing could enhance workforce retention, innovation, and inclusivity. Neurodivergent nurses' perspectives should inform research, workplace design, and professional development.IMPACTWhat problem did the study address?: Limited research on neurodivergence in nursing despite growing awareness of neurodivergence generally and overall challenges in nursing retention and well-being. What were the main findings?: Literature encompasses empirical studies and textual evidence presenting strengths and challenges for nurses. Adaptation centered on the individual. Where and on whom will the research have an impact?: Researchers to increase empirical studies on neurodivergent nurses, including participatory methods; Leaders interested in workplace inclusion, sustainable workplaces, and professional innovation; Neurodivergent nurses and policy-makers concerned with workforce rights and healthcare resilience.PATIENT OR PUBLIC CONTRIBUTIONNo Patient or Public Contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"37 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147684942","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":"Reflections and Milestones: A Commentary on Nursing Inquiry, Cardiovascular Care, Research, and Public Health.","authors":"Diana-Lyn Baptiste","doi":"10.1111/jan.70616","DOIUrl":"https://doi.org/10.1111/jan.70616","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"441 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147684878","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":"Preserving Our Ethical Foundations: The Future of Nursing Is Now.","authors":"Cynda Hylton Rushton","doi":"10.1111/jan.70614","DOIUrl":"https://doi.org/10.1111/jan.70614","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"238 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147684879","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":"Inconvenient Truths and Uncomfortable Stories: Nursing Children and Managing Pain","authors":"Bernie Carter","doi":"10.1111/jan.70618","DOIUrl":"https://doi.org/10.1111/jan.70618","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"57 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147666703","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":"Defining Priorities for Nursing Organizational Well‐Being: A Delphi Study of Organizational Variables and Interventions","authors":"Federica Forcellini, Valerio Della Bella, Alessandro Sili, Jacopo Fiorini","doi":"10.1111/jan.70619","DOIUrl":"https://doi.org/10.1111/jan.70619","url":null,"abstract":"Aim(s) To achieve expert consensus on key organizational variables and categories of organizational interventions considered most relevant for promoting nurses' organizational well‐being. Design An e‐Delphi study. Methods Three panels of experts were enrolled: nursing managers, clinical nurses and occupational psychologists. Eight variables from the Nursing Organizational Well‐being model and six categories of intervention drawn from the literature were rated for perceived usefulness, applicability and organizational feasibility. Consensus was defined with thresholds for percentage agreement (≥ 75%; ≥ 85%), Content Validity Ratio (CVR ≥ 0.49) and Coefficient of Variation (CV < 0.5). Results Eighty‐four experts took part in Round 1, and forty‐four in Round 2. The organizational variables with the most stable consensus were professional autonomy, workload, support from colleagues and superiors, with agreement > 90% and CV < 0.2. Among the areas of intervention, there was high consensus on organizational support. Mindfulness, meditation, yoga and digital interventions, although supported by literature, did not achieve a stable consensus. Conclusion This study identified organizational variables and areas of intervention that achieved stable expert consensus and can guide future organizational planning and empirical evaluation, rather than prescriptive recommendations, to improve nursing organizational well‐being. Impact What problem did the study address? There is a lack of agreement on which organizational variables and areas of intervention should be a priority to support the organizational well‐being of nurses, despite the extensive and heterogeneous literature on this topic. What were the main findings? Nurses, nursing managers and occupational psychologists agreed that: Organizational and work support, as well as educational/training were the most rated areas for intervention. Experts rated professional autonomy, workload and peer and supervisory support as priority areas in influencing nurses' well‐being. Already noted interventions, such as mindfulness or yoga, did not reach consensus. Where and on whom will the research have an impact? The study results, highlighting shared priorities among experts, can inform nursing managers, organizational leadership and policymakers and guide organizational decision‐making processes in designing future interventions. Professional autonomy, organizational support and working conditions emerged as shared expert priorities that may inform organizational reflection on nurses' well‐being and workplace sustainability. Reporting Method The study was conducted according to the Accurate Consensus Reporting Document (ACCORD) guidelines. Patient or Public Contribution This study did not include patient or public involvement in its design, conduct or reporting.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"33 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147666926","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":"From Description to Contribution: Translating Research Into Nursing Knowledge.","authors":"Debra Jackson","doi":"10.1111/jan.70613","DOIUrl":"https://doi.org/10.1111/jan.70613","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"16 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147663907","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":"Workplace Support Engagement and External Help‐Seeking Among Nurses Participating in Virtual Schwartz Rounds: Findings From a Cross‐Sectional Survey","authors":"Irina B. Grafova, Pamela B. De Cordova, Jennifer Polakowski, Jessica Anderson, Susan W. Salmond","doi":"10.1111/jan.70609","DOIUrl":"https://doi.org/10.1111/jan.70609","url":null,"abstract":"Aim(s) To examine participation in workplace and non‐workplace emotional well‐being programs among nurses. Design Cross‐sectional survey. Methods Survey was administered to nurses who participated in the Virtual Schwartz Rounds peer support program retrospectively (sessions November 19, 2020–March 31, 2024; survey administered April 23, 2024–June 22, 2024) or immediately following a session (April 1–December 12, 2024). Of 290 respondents, 55 were excluded due to missing data, yielding an analytic sample of 235 nurses. Results Nurses who participated in workplace emotional well‐being programs reported greater use of external resources than those who did not. These nurses were more likely to spend time with animals for emotional support, use mindful or physical self‐care strategies, and participate in community support, social media, online nursing forums and counselling. Conclusion Nurses adopt a multipronged approach to well‐being, combining self‐care, group and individual supports. Findings underscore maintaining well‐being resources, with non‐workplace programs complementing workplace initiatives to support the emotional needs of the nursing workforce. Implications for Profession and/or Patient Care Findings highlight the need for leaders to invest in organizational well‐being programs and increase awareness of resources outside the workplace that may support nurses' emotional well‐being. These insights can inform development of well‐being programs that increase engagement and support patient care. Impact Nurses experience emotional strain, yet little is known about the resources they use outside workplace programs. This study found that nurses who participate in workplace well‐being programs are more likely to engage with additional supports, including self‐care practices, peer or community groups and counselling. These findings can inform healthcare organizations and nursing leaders designing well‐being initiatives that better support nurses. Reporting Method The study adheres to Strengthening the Reporting of Observational Studies in Epidemiology guidelines. Patient or Public Contribution This study did not include patient or public involvement in its design, conduct or reporting.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"63 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147648952","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 “Fluid Volume Assessment in Acute Haemodialysis by Dialysis Nurses Using Clinical Signs, Symptoms and Bio‐Electrical Impedance‐A Pilot Implementation Study”","authors":"","doi":"10.1111/jan.70612","DOIUrl":"https://doi.org/10.1111/jan.70612","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"17 2 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147648953","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}