Journal of Advanced Nursing最新文献

{"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}

{"title":"Barriers to Women's Leadership in Nursing: A Rapid Evidence Assessment and Proposal for an Integrated Theoretical Framework.","authors":"Chiara Palazzo,Vincenza Giordano,Andrea Chirico,Teresa Rea,Assunta Guillari","doi":"10.1111/jan.70570","DOIUrl":"https://doi.org/10.1111/jan.70570","url":null,"abstract":"AIM(S)This review analyses and synthesises the available evidence on the barriers limiting women's career advancement in nursing. It aims to identify effective interventions to promote gender equity in healthcare leadership through an integrated framework informed by Social Role Theory, Ambivalent Sexism Theory and Theory of Planned Behaviour.DESIGNRapid Evidence Assessment.DATA SOURCESThe search was conducted on the databases: PubMed, CINAHL Complete, MEDLINE, ApaPsycArticles, ApaPsycInfo between March and May 2025.METHODSThe Population-Exposure-Outcome framework guided the formulation of the research question. Two reviewers independently conducted screening, quality appraisal and data extraction.RESULTSEight studies with heterogeneous research designs were included: four literature reviews, three quantitative studies and one qualitative study. The analysis identified four themes: (1) gender pay gap; (2) gender stereotypes and cultural expectations; (3) systemic barriers: organisational structures and institutional culture; (4) organisational strategies for gender equity and female leadership.CONCLUSIONCareer advancement for female nurses is limited by systemic and internalised constraints that reinforce vertical segregation. Multilevel interventions are needed to dismantle structural inequalities and reshape gender norms within nursing leadership.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARETargeted reforms, including transparent promotion criteria, structured mentoring, bias awareness training and inclusive organisational policies, are essential to promote leadership equity, improve workplace justice and foster a sustainable health system.IMPACTThis study addresses the persistent gender gap in nursing leadership, identifying systemic, cultural and individual barriers to women's career progression. Through a Rapid Evidence Assessment, it proposes a new multilevel theoretical framework. The results support policies and interventions to promote gender equity in nursing leadership.REPORTING METHODSThis review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for reporting.PATIENT OR PUBLIC CONTRIBUTIONNone.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"8 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147641745","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":"Depression Beyond the 6-Month Postpartum Period: A Mixed-Method Study Among Women in Nepal.","authors":"Sangita Pudasainee-Kapri,Tumla Shrestha,Mary Wunnenberg,Kul Kapri,Apsara Pandey,Manisha Chapagai,Ram Hari Chapagain,Pradeep Gupta","doi":"10.1111/jan.70601","DOIUrl":"https://doi.org/10.1111/jan.70601","url":null,"abstract":"AIMThis study aimed to comprehensively examine social and clinical factors contributing to postpartum depression among women in Nepal and identify their perspectives/experiences regarding postpartum mental health.DESIGN AND METHODSThe explanatory sequential mixed-method study was conducted in two phases. In the quantitative phase, data were collected via survey of 200 postpartum women at immunisation clinics of two hospitals in Kathmandu Nepal. Measures included sociodemographic and perinatal factors and the Edinburgh Postpartum Depression Scale. Regression models were conducted to analyse data. In the qualitative phase, in-depth interviews were conducted with 15 participants having depression scores ≥ 10. Data were analysed using the thematic content analysis method. Qualitative and quantitative findings were integrated using the joint display and the narrative weaving approach to generate results.RESULTSFindings show that 28% of postpartum women screened positive for depressive symptoms, requiring referral for further evaluation. Integrated findings indicate that prenatal mental health problems, low birth weight or medical conditions among infants, intimate partner violence, partner substance abuse, and a lack of postpartum social support were major contributors to postpartum depression.CONCLUSIONDepression is highly prevalent among women 6-12 months postpartum in Nepal and is associated with several clinical and social factors.IMPLICATIONSThese findings have important implications, emphasising the need for routine screening using validated tools for early identification, timely treatment and referral of women at-risk for postpartum depression. Evidence-based clinical and community initiatives are needed to promote positive outcomes for women and their families.PATIENT OR PUBLIC CONTRIBUTIONExternal experts were consulted for survey questions and qualitative interview guide, then refined those instruments based on their feedback to improve construct validity. The immunisation clinic staff provided input during study design, for participant recruitment and data collection. Key findings were presented to stakeholders to validate the interpretation of findings.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"116 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147630404","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":"Exploring Nurses' Practices in Supporting Sexual Wellbeing of People Living With Inflammatory Bowel Disease: An International Qualitative Study.","authors":"Sayaka Wakai,Simona Fourie,Aki Kawakami,Mina Nozawa,Makoto Tanaka","doi":"10.1111/jan.70602","DOIUrl":"https://doi.org/10.1111/jan.70602","url":null,"abstract":"AIMTo explore how nurses across international settings support the sexual wellbeing of people living with inflammatory bowel disease through their clinical practice.DESIGNQualitative descriptive study.METHODSOnline semi-structured interviews and one focus group were conducted with nurses from Australia, Canada, Japan, the Republic of Ireland and the United Kingdom. The interviews were conducted in Japanese (for Japanese participants) and English (for the rest). A total of 28 nurses with extensive experience caring for people living with inflammatory bowel disease were recruited between May 2023 and December 2024 through snowball sampling. Data were analysed using thematic analysis.RESULTSThe overarching theme identified was 'careful exploration in real life practice' with the following primary themes: (1) building the foundation for sexual wellbeing care, (2) addressing sexual wellbeing issues as a team, (3) identifying sexual wellbeing needs and (4) providing personalised nursing support. These themes highlighted the lack of sexual wellbeing care education in nursing, leading to unpreparedness and low confidence among nurses who nonetheless strived to support people living with inflammatory bowel disease despite limited training and communication barriers.CONCLUSIONNurses supported the sexual wellbeing of people living with inflammatory bowel disease by building trust and working collaboratively. They offered individualised care based on each patient's life context, fostering open communication. Despite cultural taboos surrounding sex, similar challenges and training needs were reported across target regions.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREThis study highlights the importance of addressing sexual wellbeing as a key component of holistic care for people living with inflammatory bowel disease. To achieve this, sexual wellbeing should be treated as a routine and important aspect of everyday nursing practice. Furthermore, nurses need to be empowered to play an active role in supporting sexual wellbeing and work in environments that facilitate open and respectful discussions.IMPACTThis study addresses the long-neglected issue of sexual wellbeing in inflammatory bowel disease care, which has rarely been explored in nursing research. Drawing on qualitative data from multiple countries, primarily Japan, it offers a new international perspective by illustrating how nurses engage with and support sexual wellbeing. The findings have implications for clinical practice, nurse education and global research on holistic chronic illness care.REPORTING METHODThe Consolidated Criteria for Reporting Qualitative Research checklist was followed.PATIENT OR 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":"2 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147630407","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":"Family Caregiving, Chronic Care and Nursing: Reframing an Unsustainable Care Settlement for the Next 50 Years.","authors":"Angela Durante","doi":"10.1111/jan.70606","DOIUrl":"https://doi.org/10.1111/jan.70606","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"61 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147630403","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":"What Does Psychological Wellbeing at Work Mean to Healthcare Professionals' and for Patients' Experiences of Care?","authors":"Kathryn Bamforth,Helen Lloyd,Bridie Kent,Jill Maben,Susie Pearce","doi":"10.1111/jan.70592","DOIUrl":"https://doi.org/10.1111/jan.70592","url":null,"abstract":"AIMTo explore perceptions of healthcare professionals' psychological wellbeing at work and patients' experiences of care.DESIGNNarrative interviews were undertaken as part of a wider experience-based co-design study.METHODSInterviews were undertaken March to December 2022 with 19 participants (healthcare professionals n = 13 and patients n = 6) from a community hospital and analysed for emotional touchpoints using reflexive thematic analysis.RESULTSTen themes were synthesised into five categories: (1) What is psychological wellbeing at work? (2) Barriers to psychological wellbeing at work ('Misaligned NHS Culture' and 'Pressurised System'); (3) How negative psychological wellbeing at work impacts on staff and patients' experiences of care ('Staff Struggle to Survive' and 'Patients Suffer'); (4) Enablers of psychological wellbeing at work ('Nurturing Culture' and 'Teamwork'); and (5) How positive psychological wellbeing at work impacts staff and patients' experiences of care ('Staff Thrive' and 'Patients Benefit').CONCLUSIONPoor psychological wellbeing negatively impacted healthcare professionals' health and their ability to provide care. In response, patients deliberately withheld requests for help, risking their recovery. Conversely, when psychological wellbeing was supported, staff provided more relational care with improved patient experience.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREA nurturing culture and teamwork are positive enablers of staff psychological wellbeing and can be used to improve staff and patients' experience.IMPACTThis is one of the first studies to demonstrate that patients modify their behaviour in response to perceptions of staff wellbeing, with implications for their recovery.REPORTING METHODCOREQ.PATIENT OR PUBLIC CONTRIBUTIONMembers of the public advised on the patient-facing materials and the overarching study design.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"1 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147630405","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 Microfiche to Meta-Analysis: How Literature Reviewing Changed.","authors":"Helen Aveyard","doi":"10.1111/jan.70590","DOIUrl":"https://doi.org/10.1111/jan.70590","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"119 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619501","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":"Redefining Nursing Leadership: A Multilevel Competency Framework for Future Healthcare Challenges.","authors":"Aleix Fontanals-Jimenez,Marta Trapero-Bertran,Montserrat Gea-Sánchez,Esther Insa-Calderón","doi":"10.1111/jan.70600","DOIUrl":"https://doi.org/10.1111/jan.70600","url":null,"abstract":"AIMTo examine the conceptual ambiguity of nursing leadership, particularly in relation to management roles, and to propose a multilevel competency framework that redefines leadership as a core dimension of nursing practice. The paper introduces an innovative hybrid Iceberg-Alles model that integrates observable competencies with deeper motivational, ethical and personality-based attributes.DESIGNIntegrative review.METHODSTwo-stage evidence identification process informed by theoretical reflection and existing evidence on nursing leadership and management.DATA SOURCESA literature search was conducted in targeted databases such as PubMed, Scopus, Web of Science, CINAHL and extended to Google Scholar and grey literature.IMPLICATIONS FOR NURSINGCurrent understandings of nursing leadership are fragmented and often limited to managerial skills, overlooking crucial aspects such as ethical commitment, personal values, interpersonal skills and relational capacities. The hybrid Iceberg-Alles model reconceptualizes leadership as a multidimensional construct that balances visible skills with underlying drivers such as motivation, self-awareness and value alignment, offering a more comprehensive basis for leadership development.CONCLUSIONSNursing leadership should be understood as a relational and value-based process embedded across all levels of practice, not confined to formal administrative positions. The proposed model enhances conceptual clarity and provides a transferable framework that can be adapted across diverse health systems, roles and organisational structures.IMPACTBroadening the scope of nursing leadership can reduce role ambiguity, highlight the unique contribution of nurses to healthcare systems, and strengthen the profession's influence in policy and decision-making. The hybrid model provides concrete guidance for educational programmes, competency-based curricula and organisational strategies aimed at preparing future nurse leaders to manage complexity, promote collaboration and improve patient care.REPORTING METHODThis manuscript followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines (PRISMA-ScR).PATIENT OR 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":"15 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619456","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":"Relatives' Experiences of Circulatory Death Following Out-of-Hospital Cardiac Arrest and Their Hypothetical Perspectives on Organ Donation: A Qualitative Study.","authors":"Gisela Vogel,Karin Hildebrand,Mattias Ringh,Eva Joelsson-Alm","doi":"10.1111/jan.70603","DOIUrl":"https://doi.org/10.1111/jan.70603","url":null,"abstract":"AIMSTo explore relatives' experiences of the circulatory death of a family member following out-of-hospital cardiac arrest and to explore their hypothetical perspectives on being asked to decide about organ donation in this situation. This study forms part of a broader initiative undertaken to assess the prerequisites for implementing uncontrolled donation after circulatory death in Sweden with a focus on ethical issues.DESIGNA qualitative design, using semi-structured interviews with open-ended questions.METHODSData were collected in Sweden between March 2024 and September 2024 and analysed using reflexive thematic analysis with an inductive, descriptive approach. Included were 13 bereaved relatives, four men and nine women.FINDINGSThe analysis generated three themes: 'Fluctuating between hope and despair', which describes relatives' experiences of their family member's sudden cardiac arrest; 'Exposed to vulnerability', concerning their experiences of death and their perspectives on reasoning about the deceased person's wishes regarding donation; and 'Balancing a major life change', which involves experiences of facilitators and barriers to dealing with the loss.CONCLUSIONSAwareness of the deceased family member's wishes regarding organ donation facilitates relatives' ability to support the deceased's known or presumed wishes. Compassionate and communicatively competent healthcare professionals influence relatives' capacity to reason about the deceased's wishes and cope with their experience of loss. Ensuring sufficient time for goodbyes and providing follow-up may facilitate emotional processing and should be considered when implementing uncontrolled donation after circulatory death.IMPLICATION FOR THE PROFESSIONPolicies and clinical practice should ensure that relatives are adequately informed and supported in reasoning on their family members' wishes regarding organ donation. To achieve this, nurses and other healthcare professionals require training in compassionate and empathetic communication strategies. Such training is essential both for guiding relatives through reasoning about their family preferences and for providing emotional support during the grieving process.IMPACTWhat is already known? ○ Organ donation after sudden death in out-of-hospital cardiac arrest is a complex process that raises ethical issues concerning both the timing and the content of conversation with the deceased's relatives, as well as the relatives' capacity to reason about the deceased's wishes in the context of sudden death. ○ Knowing the wishes of the deceased person, personal beliefs, and receiving clear, direct, and honest information from nurses and other healthcare professionals prepares relatives to reason about the deceased's known or presumed wishes regarding organ donation. What were the main findings? ○ The quality of nurses' and healthcare professionals' communicative competence and their behaviours influence relatives' ability to reason and reflect ","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"37 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619458","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}