Journal of Advanced Nursing最新文献

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Evaluation of Nurses' Perceptions and Readiness for Artificial Intelligence Integration in Healthcare: A Cross-Sectional Study in Turkey. 评估护士的感知和准备人工智能整合在医疗保健:在土耳其的横断面研究。
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-09-26 DOI: 10.1111/jan.70256
Orkun Erkayıran,Rahime Aslan
{"title":"Evaluation of Nurses' Perceptions and Readiness for Artificial Intelligence Integration in Healthcare: A Cross-Sectional Study in Turkey.","authors":"Orkun Erkayıran,Rahime Aslan","doi":"10.1111/jan.70256","DOIUrl":"https://doi.org/10.1111/jan.70256","url":null,"abstract":"AIMTo determine the perceptions and readiness of nurses regarding the integration of artificial intelligence (AI) into healthcare services.DESIGNA descriptive cross-sectional study.METHODSData were collected from 388 nurses across Turkey using an online questionnaire designed to gather sociodemographic information, perceptions (measured by attitudes) and readiness (assessed by AI knowledge and confidence) toward artificial intelligence. Statistical analyses, including independent t-tests and ANOVA, were used to examine group differences. The study adhered to ethical principles and followed the STROBE Statement guidelines for cross-sectional research.RESULTSFindings revealed that nurses' knowledge of AI in healthcare was generally limited, though many participants expressed optimism about its potential to improve efficiency, enhance patient care quality and alleviate nurse burnout. However, concerns about patient privacy and ethical challenges were identified as significant challenges to AI integration in healthcare settings.CONCLUSIONThe study underscores that while nurses recognise the potential benefits of AI, there is a significant need to address their limited knowledge and concerns regarding ethical and privacy issues. Educational initiatives and ethical frameworks are essential to facilitate AI's successful implementation in nursing practice.IMPACTThis study emphasises the necessity of incorporating AI-related education into nursing curricula and highlights the importance of developing policies that mitigate ethical challenges, thereby preparing nurses for a future that integrates AI into patient-centred care.PATIENT OR PUBLIC CONTRIBUTIONThe study involved practicing nurses as participants to provide real-world insights into their perceptions and readiness for AI in healthcare, ensuring that findings reflect the practical implications of AI integration in clinical settings.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"52 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145153488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predicting Pressure Injury Prevention Education by Acute Care Nurses Within 24 h of Hospital Admission: A Cross-Sectional Study. 急性护理护士在入院24小时内预测压力伤害预防教育:一项横断面研究。
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-09-25 DOI: 10.1111/jan.70181
Jodie Lee Deakin,Sharon Leanne Latimer,Rachel M Walker,Brett Dyer,Brigid Mary Gillespie
{"title":"Predicting Pressure Injury Prevention Education by Acute Care Nurses Within 24 h of Hospital Admission: A Cross-Sectional Study.","authors":"Jodie Lee Deakin,Sharon Leanne Latimer,Rachel M Walker,Brett Dyer,Brigid Mary Gillespie","doi":"10.1111/jan.70181","DOIUrl":"https://doi.org/10.1111/jan.70181","url":null,"abstract":"AIMPredicting medical/surgical nurses' delivery of patient pressure injury prevention education within 24 h of hospitalisation.DESIGNA cross-sectional sub-study drawn from a larger multisite randomised controlled trial.METHODSA consecutive sub-sample of 300 randomly assigned control group participants was recruited from 20 medical and surgical wards at two major hospitals (July 2020 to August 2023) in Queensland, Australia. Semi-structured observations and chart audit data were collected, including patient education, demographic and clinical data. Binary logistic regression identified hospital site, clinical and patient predictors contributing to pressure injury prevention education delivery by nurses.RESULTSSeventeen (5.7%) participants received pressure injury prevention education within the first 24 h of admission. Body mass index was an independent predictor, increasing the odds of nurses delivering patient education.CONCLUSIONFew episodes of pressure injury prevention education were observed in this study. As a patient's body mass index rises, they are more likely to receive preventative education from nurses soon after admission.IMPLICATIONS FOR PRACTICE AND POLICYOur findings underscore the need for standardised inclusive protocols and ongoing nurse training to assess and address education needs beyond single risk factors like body mass index. Further research should explore other factors influencing patient education delivery in hospitals.REPORTING METHODThis study adhered to STROBE guidelines. Dr. Brett Dyer, statistician, is part of the author team.PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"67 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145140120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Upholding Planetary Health Through Nursing Leadership in a Fragmented Global Landscape 在支离破碎的全球格局中,通过护理领导维护地球健康
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-09-25 DOI: 10.1111/jan.70247
Zerina Lokmic‐Tomkins, Elizabeth C. Schenk, Jung Jae Lee, Calvin Moorley
{"title":"Upholding Planetary Health Through Nursing Leadership in a Fragmented Global Landscape","authors":"Zerina Lokmic‐Tomkins, Elizabeth C. Schenk, Jung Jae Lee, Calvin Moorley","doi":"10.1111/jan.70247","DOIUrl":"https://doi.org/10.1111/jan.70247","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"95 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Mediation of AI Trust on AI Uncertainties and AI Competence Among Nurses: A Cross-Sectional Study. 护士人工智能信任对人工智能不确定性和人工智能胜任力的中介作用:一项横断面研究
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-09-25 DOI: 10.1111/jan.70250
Xiangxia Liu,Yuxi Chen,Wenqing Guan,Pingping Jiang,Lihui Yan,Miao Fan,Qi Zhou
{"title":"The Mediation of AI Trust on AI Uncertainties and AI Competence Among Nurses: A Cross-Sectional Study.","authors":"Xiangxia Liu,Yuxi Chen,Wenqing Guan,Pingping Jiang,Lihui Yan,Miao Fan,Qi Zhou","doi":"10.1111/jan.70250","DOIUrl":"https://doi.org/10.1111/jan.70250","url":null,"abstract":"AIMThis study aimed to validate the mediating role of nurses' AI trust in the relationship between AI uncertainties and AI competence.DESIGNA cross-sectional study.METHODSA purposive sample of 550 registered nurses with at least 1 year of clinical experience from three tertiary and two secondary hospitals in Jinan and Hangzhou, China, was used. Data were collected using structured questionnaires assessing AI uncertainty, trust and competence. Demographic data included gender, age, education level, years of clinical experience, professional title and hospital level. Mediation analysis.RESULTSMost nurses were from tertiary hospitals (88.9%), held a bachelor's degree (87.6%), and had over 6 years of experience. The mediating role of AI trust between AI uncertainties and AI competence is validated. AI uncertainties affected AI trust (B = 0.39, p < 0.0001), explaining 10% of the variance. AI uncertainties and AI trust affected AI competence (B = 0.25 and 0.67, p < 0.0001), explaining 63% of the variation. AI trust's total effect was 0.51, comprising direct and indirect effects of 0.25 and 0.26, respectively.CONCLUSIONHospitals can reduce uncertainty through an AI-transparent decision-making process, providing clinical examples of AI and training nurses to use AI, thereby increasing trust. Second, AI systems should be designed to consider nurses' psychological safety needs. Hospital administrators utilise optimised AI technology training and promotional techniques to mitigate nurses' resistance to AI and enhance their positive perceptions of AI competence through trust-building mechanisms.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREImpact: Enhancing nurses' AI trust can reduce uncertainty and improve their competence in clinical use. Strategies such as transparency, explainability and training programmes are crucial for improving AI implementation in healthcare.NO PATIENT OR PUBLIC CONTRIBUTIONThis study focused solely on clinical nurses and did not include patients or the public.REPORTING METHODThe study adhered to STROBE guidelines.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"6 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145134443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond AIC: An Interpretive Descriptive Qualitative Study of Youth Experiences and Perceptions of Living With Type 2 Diabetes. 超越AIC:一项对2型糖尿病青少年经历和认知的解释性描述性定性研究。
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-09-25 DOI: 10.1111/jan.70230
Mandy M Archibald,Allison Dart,Brandy Wicklow,Katherine J Pundyk,Seth D Marks,Elizabeth A C Sellers
{"title":"Beyond AIC: An Interpretive Descriptive Qualitative Study of Youth Experiences and Perceptions of Living With Type 2 Diabetes.","authors":"Mandy M Archibald,Allison Dart,Brandy Wicklow,Katherine J Pundyk,Seth D Marks,Elizabeth A C Sellers","doi":"10.1111/jan.70230","DOIUrl":"https://doi.org/10.1111/jan.70230","url":null,"abstract":"OBJECTIVETo generate an in-depth understanding of the perceptions and experiences of individuals with youth-onset type 2 diabetes (T2D) to inform knowledge translation initiatives and clinical care.DESIGNInterpretive descriptive qualitative study.METHODSIndividuals were eligible to participate if they received a T2D diagnosis on or before 18 years of age, resided in Manitoba, and were between 10 and 25 years of age at the time of data collection. Twenty-two individuals (13 females, 7 males, 2 prefer not to indicate gender; mean age = 19.3 years) participated in 22 semi-structured interviews (mean length: 29:01 min) remotely using Zoom video conferencing software or by telephone. Data were analysed using inductive thematic analysis.RESULTSFour themes were generated: (1) Low public knowledge, misconceptions, and stigma impact youth experiences including those of diagnosis, disclosure, treatment, and supports; (2) shared familial experiences impacts perception of the future; (3) mental and emotional wellness is critically important but requires more attention; and (4) T2D carries unanticipated positive and negative impacts for youth.CONCLUSIONSFindings illustrate the complex interrelationships between public and personal conceptions of T2D, stigma, and T2D navigation, emphasising the centrality of emotional and mental well-being to participants' T2D experiences and management. This representation of experiences and perceptions of youth onset T2D offers direction for holistic and youth-centred research and care and highlights areas where further mental health and educational resources would be beneficial.PATIENT AND PUBLIC CONTRIBUTIONThe knowledge translation resource being developed from this study involves input from patient and public partners.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"53 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145134442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Time to Hang Up the Gloves: A Scoping Review of Evidence on Non-Sterile Glove Use During Intravenous Antimicrobial Preparation and Administration. 挂手套的时候了:静脉抗菌药物制备和给药过程中使用非无菌手套的证据的范围审查。
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-09-25 DOI: 10.1111/jan.70197
Natasya Raja Azlan,Debbie Massey,Lesley Andrew,Amanda Towell-Barnard,Seng Giap Marcus Ang,Carol Crevacore,Martina Costello,Aaron Alejandro,Weiting Liu,Naila Zaman,Peta-Anne Zimmerman
{"title":"Time to Hang Up the Gloves: A Scoping Review of Evidence on Non-Sterile Glove Use During Intravenous Antimicrobial Preparation and Administration.","authors":"Natasya Raja Azlan,Debbie Massey,Lesley Andrew,Amanda Towell-Barnard,Seng Giap Marcus Ang,Carol Crevacore,Martina Costello,Aaron Alejandro,Weiting Liu,Naila Zaman,Peta-Anne Zimmerman","doi":"10.1111/jan.70197","DOIUrl":"https://doi.org/10.1111/jan.70197","url":null,"abstract":"AIMSTo systematically summarise evidence related to the use of non-sterile gloves when preparing and administering intravenous antimicrobials.DESIGNScoping review.METHODSA rigorous scoping review was undertaken following Arksey and O'Malley's (2005) framework and the modified Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for scoping review guidelines (2018). Five databases and grey literature were included in the search. Literature published between 2009 and 2024 was included.DATA SOURCESFive databases (Medline, CINAHL, EMBASE, Scopus and Web of Science) and the grey literature were searched in February 2024.RESULTSThree studies were included; however, none directly addressed correct non-sterile glove use during intravenous antimicrobial preparation or administration in clinical practice.CONCLUSIONWe found no evidence to support the use of non-sterile gloves in intravenous antimicrobial preparation. There is an urgent need for rigorous research to inform the development of clear guidelines on non-sterile glove use to underpin evidence-based decision-making in nursing and other health professional education, improve patient outcomes, reduce healthcare costs and promote environmental sustainability in healthcare.IMPLICATIONSInappropriate use of non-sterile gloves for preparing and administering intravenous antimicrobials hinders correct hand hygiene practices and increases healthcare-associated infections, healthcare costs and waste.IMPACTA critical gap in the existing evidence was a key finding of this review, highlighting the urgency for evidence-based guidelines to improve patient safety outcomes, reduce healthcare costs and promote environmental sustainability in healthcare.REPORTING METHODThis scoping review adhered to the relevant EQUATOR guidelines and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) reporting checklist.PATIENT OF PUBLIC CONTRIBUTIONThis study did not include patient or public involvement in its design, conduct or reporting.TRIAL AND PROTOCOL REGISTRATIONThe protocol was registered on Open Science Framework (https://doi.org/10.17605/OSF.IO/QY4J2).","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"100 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145140119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self-Construction of Person With Cancer: A Corpus-Assisted Critical Discourse Analysis of Online Blogs. 癌症患者的自我建构:基于语料库的网络博客批评话语分析。
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-09-24 DOI: 10.1111/jan.70241
Elin Margrethe Aasen,Lisbeth Alnes Vestgarden,Berit Misund Dahl
{"title":"Self-Construction of Person With Cancer: A Corpus-Assisted Critical Discourse Analysis of Online Blogs.","authors":"Elin Margrethe Aasen,Lisbeth Alnes Vestgarden,Berit Misund Dahl","doi":"10.1111/jan.70241","DOIUrl":"https://doi.org/10.1111/jan.70241","url":null,"abstract":"AIMTo explore how persons with cancer construct and socially position themselves in online blogs. Clarifying the discursive practice of self-construction can deepen healthcare professionals' understanding of how persons with cancer perceive themselves and their place in society.DESIGNMixed qualitative and quantitative design using corpus-assisted critical discourse analysis.METHODSOnline blogs active between 2015 and 2023 were evaluated. Google search with keywords: 'Blog about cancer' was conducted. Corpus-assisted critical discourse analysis, following Fairclough's framework, was used to analyse data from four persons with cancer living in Norway.RESULTSThe analysis identified three discursive practices in which bloggers constructed themselves: a discourse of a person's existence, a discourse of norms, and a discourse of a paternalistic system. The bloggers constructed themselves as being trapped in their own bodies, changed and vulnerable individuals who should conform to the expected behaviours, and not being seen and heard by the healthcare system.CONCLUSIONThe bloggers with cancer struggled between holistic and dualistic ideology, wishing to separate their bodies from themselves and constructed themselves as changed persons. Moreover, they struggled with societal expectations and adapted themselves to a paternalistic healthcare system, despite their desire to be seen and heard as individuals.IMPLICATIONS FOR THE PROFESSION AND PATIENT CAREThis study investigated the experiences of patients living with cancer, offering valuable knowledge for nurses, other healthcare professionals, and the government. The study uncovered that persons with cancer constructed themselves as changed persons and felt vulnerable socially and within a paternalistic healthcare system. These results may provide a stimulus for further discussions on the patient roles in cancer treatment and how to meet their needs for care and treatment.REPORTING METHODThis study adhered to the Standards for Reporting Qualitative Research (SRQR) guidelines.PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"91 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145134444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mapping Nursing Roles in Long-Term Care: A Systematic Review With Network Analysis. 长期护理中的护理角色映射:基于网络分析的系统综述。
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-09-23 DOI: 10.1111/jan.70242
Kyong Hee Park,Hye-Ryoung Kim
{"title":"Mapping Nursing Roles in Long-Term Care: A Systematic Review With Network Analysis.","authors":"Kyong Hee Park,Hye-Ryoung Kim","doi":"10.1111/jan.70242","DOIUrl":"https://doi.org/10.1111/jan.70242","url":null,"abstract":"AIMTo synthesise evidence on nurses' roles in long-term care settings and map their interactions.DESIGNSystematic review with network analysis.METHODSThematic synthesis was used to identify nurses' roles, and network analysis mapped their interactions across domains.DATA SOURCESSix databases-Cumulative Index to Nursing and Allied Health Literature, PubMed, Embase, Cochrane Library, Research Information Sharing Service and Database of Periodical Information Academic-were searched for peer-reviewed articles from 2014 to 2024. The Mixed Methods Appraisal Tool assessed study quality.RESULTSFifteen studies were included. Nurses' roles spanned six domains: collaboration, education, leadership, resident-centred care, quality improvement and resource management. Network analysis revealed collaboration and leadership as the most central, each with a degree centrality of five, acting as bridges across domains. Three thematic clusters emerged: collaboration and resource management focused on operational teamwork; leadership and quality improvement centred on systemic care enhancements; and education and resident-centered care emphasised training and resident-focused care. A technological competence gap was identified, alongside barriers like staffing shortages and role ambiguity.CONCLUSIONSNurses' interconnected roles are critical for resident-centered care; however, they require systemic support to address barriers and technological gaps.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREEnhanced interprofessional training, leadership development and digital skill integration can improve care quality and nurse well-being in long-term care settings.IMPACTThis study addressed the complexity of nurses' roles in long-term care and their structural interactions, finding collaboration and leadership as pivotal with three role clusters and a technological gap, impacting long-term care nurses, educators and policymakers to inform workforce strategies.REPORTING METHODThis study adhered to the PRISMA 2020 guidelines and was preregistered in PROSPERO (CRD42024588422).PATIENT OR PUBLIC CONTRIBUTIONThis study did not include patient or public involvement in its design, conduct or reporting.TRIAL REGISTRATIONPROSPERO: CRD42024588422.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"59 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145127290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bridging the Social Gap Through 'Conscious Caring': A Constructivist Grounded Theory of the Art of Caring for Older Adults With Dual Sensory Impairment. 通过“有意识的关怀”弥合社会差距:一个基于建构主义的双重感觉障碍老年人关怀艺术理论。
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-09-23 DOI: 10.1111/jan.70232
Moira E Dunsmore,Julie Schneider,Heather Mckenzie,James A Gillespie
{"title":"Bridging the Social Gap Through 'Conscious Caring': A Constructivist Grounded Theory of the Art of Caring for Older Adults With Dual Sensory Impairment.","authors":"Moira E Dunsmore,Julie Schneider,Heather Mckenzie,James A Gillespie","doi":"10.1111/jan.70232","DOIUrl":"https://doi.org/10.1111/jan.70232","url":null,"abstract":"AIMThe aim of this study was to develop a conceptual understanding of the role of caring for older adults with combined vision and hearing impairment (DSI).BACKGROUNDDual sensory impairment (DSI) impacts both listening and speechreading communication, function and social participation, meaning that older adults often require support and care to 'age in place' successfully. Family carers play a key role in supporting older adults with DSI to maintain social and physical health.DESIGN/METHODSThis qualitative study uses Charmaz's constructivist grounded theory (GT) methodology. Data were collected between 2017 and 2019 and analysed using constructivist GT methods. Lengthy interviews with eight family carers of older adults living with DSI explored personal histories of DSI, relationships with families, social networks and health care professionals.RESULTSThis study demonstrates that caring in this context is predominantly social and 'invisible'. To reduce the social effort of their family member with DSI and to maintain their own self-identity, family carers adopted a 'conscious caring' approach. This is conceptualised as an approach to caring that supports family carers to access resources embedded in their social networks by bridging the gap between the dyad and their broader, more diverse social networks.CONCLUSIONThis study identifies that a reduction in both close and broader social networks limits personal, social and psychosocial resources and impacts the capacity of the dyad to renegotiate their roles, create and maintain their individual and shared social networks and successfully transition to living with DSI.IMPLICATIONSThere is a gap in the literature regarding the impact of sensory impairments on complex communication, health and social care needs of older adults and the role that family carers play. Registered nurses require complex communication skills to support older persons with DSI during health and social care interactions. A better understanding of DSI itself, as well as understanding the key role family carers play in integrating care for their family member, is crucial to delivering person-centred care.IMPACTThis study addresses a growing social gerontological issue and identifies the role that family carers play in integrating health and social care for their family member with DSI. Better professional recognition of DSI and increased visibility of the challenges of living with DSI could help address barriers to effective communication between service providers, formal care support staff and those with DSI. Integrating family carers into care teams is critical to improving health and social care experiences for both caregiver and care receiver.NO PATIENT OR PUBLIC INVOLVEMENTThis study did not include patient or public involvement in its design, conduct, or reporting.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"17 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145127291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Profiles of Compassion Competence Among Nurses of China: A Latent Profile Analysis. 中国护士同情能力的潜在特征分析
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2025-09-23 DOI: 10.1111/jan.70244
Jiaoyue Li,Fengling Wang,Xiao Zhang,Shuya Chen,Jiacheng Su,Li Yang
{"title":"Profiles of Compassion Competence Among Nurses of China: A Latent Profile Analysis.","authors":"Jiaoyue Li,Fengling Wang,Xiao Zhang,Shuya Chen,Jiacheng Su,Li Yang","doi":"10.1111/jan.70244","DOIUrl":"https://doi.org/10.1111/jan.70244","url":null,"abstract":"AIMSTo understand the current situation of nurses' compassion competence and analyse the characteristics and influencing factors of different categories of nurses' compassion competence based on latent profile analysis, to provide a theoretical basis for formulating targeted compassion training programmes.DESIGNA cross-sectional study.METHODSFrom June to October 2023, 550 nurses from tertiary grade A hospitals in Shandong province were selected by convenience sampling and investigated by utilising a demographic characteristics questionnaire, the Compassion Competence Scale for the Nurses, the Mindful Attention Awareness Scale and the Maslach Burnout Inventory-Human Service Survey. Latent profile analysis was performed to explore the potential categories of nurses' compassion competence, and single-factor analysis and logistic regression analysis were used to explore the related influencing factors.RESULTSA total of 513 nurses were included. The compassion competence of nurses could be divided into four categories: the compassion competence deficient group (7.56%), the compassion competence low-imbalanced group (15.35%), the compassion competence high-balanced group (50.38%) and the compassion competence excellent group (26.70%). Department, years of working, humanistic care training experience, whether work is supported by colleagues and leaders, mindfulness and job burnout were the influencing factors of different potential categories (all p < 0.05).CONCLUSIONThere are four categories into which nurses' compassion competency can be categorised. Nursing managers and medical institutions can formulate precise training methods that enhance nurses' compassion competency based on the traits of various nurse categories in order to improve the quality of nursing service.IMPACTThe results of this study help to understand the categories and heterogeneity of nurses' compassion competence and provide a basis for nursing managers and medical institutions to improve the compassion competence of different categories of nurses.PATIENT OR PUBLIC CONTRIBUTIONAll participants were nurses who completed an electronic questionnaire related to this study.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"90 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145127292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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