Journal of Advanced Nursing最新文献

{"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}

{"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}

{"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}

{"title":"Navigating Prediabetes in a Foreign Country: A Qualitative Study of Self-Management Experiences Among Chinese-Speaking Immigrants in Australia.","authors":"Min Zhang,Kirsten J Coppell,Johnny Lo,Lisa Whitehead","doi":"10.1111/jan.70214","DOIUrl":"https://doi.org/10.1111/jan.70214","url":null,"abstract":"AIMChinese-speaking immigrants in Australia have a higher risk of type 2 diabetes and face more barriers to accessing quality healthcare compared to non-culturally and linguistically diverse populations. This study aimed to explore the self-management experiences of Chinese-speaking Australians with self-reported lived experience of prediabetes following immigration.DESIGNQualitative study.METHODSSemi-structured interviews were conducted with 10 purposively selected Australian Chinese-speaking immigrants aged over 40 years. Data collection was undertaken in Perth, Western Australia between April and August 2024. Data were analysed using reflexive thematic analysis.RESULTSThree themes are presented in this paper: (1) An acculturation journey: Reshaping cultural identity and social connections in immigrant lives, (2) Embodying prediabetes: Cognitive reconstruction and emotional adaptation in the transition to the patient role and (3) Decision-behaviour dynamics: Mapping agency and adaptiveness in self-management processes. Participants demonstrated dynamic adjustment through the processes of self-awareness, adaptive behaviours, self-reflection and self-attribution of health outcomes.CONCLUSIONChinese-speaking Australians navigating prediabetes following immigration underwent a complex process of reconstruction across cognitive, cultural and psychological domains. Prediabetes self-management was shaped by cultural values, acculturation, dietary preferences, emotional resilience, local and distant social networks and resource availability. These findings underscore the importance of empowering both individuals and communities through evidence-based and culturally appropriate strategies.IMPLICATIONS AND IMPACTParticipants experienced profound transformations in their cultural adaptation, prediabetes cognition, social support networks and emotional-psychological landscape. Future interventions must address identified barriers (e.g., cooking burden, comorbidities, stress), facilitators (e.g., leisure travel, family support), motivations (e.g., cultural heritage, health risk perception) and challenges (e.g., knowledge-behaviour gap, digital health information) that shape self-management behaviours. A community empowerment approach, utilising evidence-based content, flexible delivery formats and existing cultural networks, should be adopted to offer promising pathways for prediabetes health education.REPORTING METHODThe study adhered to the Consolidated Criteria for Reporting Qualitative Research guidelines.PATIENT OR PUBLIC CONTRIBUTIONLimited patient and public involvement was incorporated, with two community representatives providing feedback on interview questions and recruitment strategies.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"80 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145117173","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":"Evaluating Procedure Videos to Support Clinical Nurses With Rare Procedures: Impact on Anxiety and Clinical Reasoning in a Pre-Post Study.","authors":"Jacqueline Colgan,Sarah Kourouche,Geoffrey Tofler,Kim Miles,Thomas Buckley","doi":"10.1111/jan.70234","DOIUrl":"https://doi.org/10.1111/jan.70234","url":null,"abstract":"AIMSTo evaluate clinical nurses' perceptions and acceptability of procedure videos developed to support them during rare clinical procedures. In addition, a secondary aim was to investigate whether these videos reduce anxiety and enhance clinical reasoning.DESIGNA descriptive multi-methods study within a pre-post-implementation evaluation design.METHODSSeven locally developed procedure videos (non-invasive ventilation (n = 2), temporary cardiac pacing (n = 3) and pericardiocentesis (n = 2)) were evaluated using questionnaires before and after a 6-month implementation period at a local health district in Australia. Participants self-rated their clinical reasoning skills in response to video procedures, mapped against the Clinical Reasoning cycle stages. The Spielberger State-Trait Anxiety Inventory (STAI) assessed anxiety towards rare procedures. Data from open-ended questions were analysed using inductive content analysis.RESULTSA total of 247 participants completed the pre-implementation questionnaire, and 133 completed the post-implementation questionnaire. Before implementation, many reported feeling heightened anxiety when faced with rare or infrequent procedures, reporting levels that exceeded commonly accepted clinical thresholds for concern. Content analysis revealed persistent concerns among participants, including the need for support during new procedures and a fear of making errors. Before implementation, participants reported searching online for videos to support undertaking new procedures. Following implementation, most participants reported that viewing the videos enhanced their learning experience and improved their clinical reasoning. Perceived anxiety towards undertaking rare procedures was not significantly different from post-implementation.CONCLUSIONThis study highlights the need for timely support during infrequent clinical procedures, as participants reported anxiety about them. It also demonstrates that procedure videos are valued tools for nurses before rare clinical procedures.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARERare procedures are linked to nurse anxiety and mixed emotions, some of which may be eustress. Organisations can enhance clinical resources for nursing staff by providing online videos tailored to local practices and context, which many nurses find helpful for improving clinical reasoning when undertaking rare procedures.IMPACTThis study highlights the anxiety nurses experience before rare procedures and the significance of incorporating multimedia resources, especially online videos, in nursing professional development for rarely performed procedures. Additionally, it informs employers about nursing staff preferences.REPORTING METHODSQUIRE 2.0 reporting was adhered to.PATIENT OR PUBLIC CONTRIBUTIONNone.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"9 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145117172","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":"Information Distortion in Electronic Health Records: A Concept Analysis.","authors":"Jianan Wang,Yihong Xu,Rongrong Zhang,Zhichao Yang,Xiaojie Zhang,Hongying Pan","doi":"10.1111/jan.70233","DOIUrl":"https://doi.org/10.1111/jan.70233","url":null,"abstract":"AIMSTo conceptualise information distortion in Electronic Health Records (EHRs), with the goal of providing a theoretical foundation for improving documentation practices.DESIGNA concept analysis.METHODSWalker and Avant's strategy for concept analysis was used. The defining attributes, antecedents and consequences were identified.DATA SOURCESA comprehensive search was conducted across PubMed, Web of Science, Embase, CINAHL and Scopus from their inception to December 2024. Studies published in English that addressed information distortion in EHRs were included.RESULTSA total of 37 studies were included. The three defining attributes were: real-world health truth, representation of reality and mismatch relationship. Antecedents were divided into five categories: people-related factors, equipment factors, regulatory factors, working environment factors and management factors. The consequences of information distortion in EHRs included threats to patient safety, poor operational performance, eroded trust, compromised research quality and health inequity.CONCLUSIONThis concept analysis enhances the understanding of information distortion in EHRs and provides a foundation for further empirical validation. The findings may contribute to the development of measurement instruments and strategies to mitigate information distortion in healthcare settings.IMPACTBy undertaking a concept analysis of information distortion in EHRs, healthcare professionals will be better equipped to recognise and assess this ethical phenomenon, thereby supporting the development of targeted interventions to mitigate potential harms to healthcare practices. In addition, the clarity of this concept could provide a new angle from which to analyse the origins of flawed EHR documentation and its ripple effects across healthcare systems.PATIENT OR PUBLIC CONTRIBUTIONNo patient or public involvement.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"11 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145117171","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":"Patient Participation in Decision-Making During Nursing Care: A Relational Autonomy Perspective.","authors":"Yin Wang,Lissette Avilés,Colin Chandler","doi":"10.1111/jan.70236","DOIUrl":"https://doi.org/10.1111/jan.70236","url":null,"abstract":"AIMTo explore patient participation in decision-making during nursing care experienced by patients with chronic diseases, family members and nurses.DESIGNFocused ethnography.METHODSThis study included an 8-month fieldwork in a Chinese hospital. Fieldnotes from 90 h of participant observation and 30 semi-structured interviews (10 nurses, 13 patients, three family members, and four with both patients and family members present) were analysed using reflexive thematic analysis.RESULTSPatient participation in decision-making was facilitated in the form of co-determination, which respected patients' relational autonomy. However, participation required further development or was challenged in the form of unilateral determination, constraining relational autonomy. Interpersonal relationships among nurses, patients and family members played a significant role in promoting patient participation in decision-making.CONCLUSIONA relational autonomy framework was identified to understand patient participation in decision-making within nursing care. While patient participation is encouraged and autonomy is respected in some situations, paternalistic approaches still persist in clinical practice.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREEnhancing nurses' awareness of involving patients and family members in decision-making is needed. The findings highlight the need for better integration and implementation of existing guidelines to support healthcare staff, patients and family members. They also point to the importance of developing culturally relevant frameworks to promote patient participation in decision-making in nursing care.IMPACTThis research provided insight into the experiences of chronically ill patients, family members and nurses regarding patient participation in decision-making during inpatient nursing care within a non-Western context. Interpersonal dynamics are highlighted as a key element influencing patient participation.REPORTING METHODSThe study is reported using the COREQ checklist.PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"5 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145089862","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":"Nurses' Opinions About Clinical Nursing Research: A Cross-Sectional Study.","authors":"Debra Kerr,Alice Alice,Wendy Giddings,Rochelle Wynne","doi":"10.1111/jan.70227","DOIUrl":"https://doi.org/10.1111/jan.70227","url":null,"abstract":"AIMTo examine nurses' opinions and assess their level of engagement in clinical research.DESIGNAn observational study employing a cross-sectional online survey from April to August 2024.METHODSA convenience sample of registered nurses in a metropolitan health service in Victoria, Australia completed a self-report survey from April to August 2024. The survey consisted of fixed-response questions (5-point Likert scale) that measured nurses' opinions about clinical research and level of research involvement. Data were analysed using descriptive and univariate statistics, and content for two free-text open-ended questions.RESULTSThere were 186 participants who reported positive opinions towards the role of clinical nursing research in improving patient outcomes and quality of care. Lower ratings were observed for items concerning confidence in understanding and conducting research, enjoyment of reading research articles and access to resources necessary for participation in research. Few participants had previous experience in study design, data analysis and manuscript preparation and publication. Nurses with higher academic qualifications (e.g., Master's, PhD), and those employed in senior roles, had more positive opinions about clinical nursing research and were more actively engaged in it. Content analysis revealed five themes: (1) Accessibility and awareness of research opportunities, (2) Support and resources, (3) Time constraints and workload, (4) Professional development and (5) Integration of research into clinical practice.CONCLUSIONSWhilst nurses perceive the importance of research, the findings underscore the need for targeted strategies to build their confidence and capacity to engage in clinical nursing research.IMPLICATIONS FOR THE PROFESSIONNurses face significant barriers to active participation in research. Consideration is needed regarding how nurses are prepared for and adequately resourced to increase their involvement in clinical nursing research.IMPACTThis study addresses the gap in evidence regarding nurses' opinions and level of engagement in clinical nursing research. Research leaders need to develop and test interventions to increase nurses' involvement in research.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":"78 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145083431","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":"Trends in Spirituality and Spiritual Care in Nursing-A Discursive Paper.","authors":"Fiona Timmins,Josephine Attard,Beata Dobrowolska,Michael Connolly,Sílvia Caldeira,Stelios Parissopoulos,Enrico De Luca,Jacqueline Whelan","doi":"10.1111/jan.70231","DOIUrl":"https://doi.org/10.1111/jan.70231","url":null,"abstract":"AIMThis paper outlines key developments, innovations, and milestones in the field of spirituality and spiritual care in nursing.DESIGNA discursive paper.RESULTSNursing scholars have significantly influenced the profession and contributed to the development of nursing knowledge, particularly in the field of spirituality and spiritual care. Key research has focused on nurses' perceptions and attitudes toward spirituality, clarifying foundational spiritual concepts, and establishing a framework of core spiritual care competencies for the profession.CONCLUSIONDespite these advancements, significant gaps remain in nurses' knowledge, understanding, and experience in providing spiritual care. The development of agreed-upon spiritual care competencies at the European level offers important guidance for the profession, and educational initiatives are underway to support their integration. However, the field remains in an early stage of development, and further research is needed to embed spiritual care competencies into national and international nursing policy and practice. Moreover, continued research is also essential to inform and evaluate current educational programmes and nursing interventions, and to support the translation of evidence-based knowledge into effective spiritual care delivery.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARESpiritual support is proven to be an important consideration for many patients and families globally. Imbedding spiritual care education into both undergraduate and postgraduate nursing curricula is essential to prepare nurses to address the spiritual needs of patients in healthcare settings. Structured curricula that provide clear instructions on how to recognise, assess, and respond to spiritual concerns in clinical practice can enhance nurses' competence and confidence. Embedding spiritual care into education and training helps normalise spiritual care as a component of holistic nursing, supporting its inclusion in everyday care rather than treating it as an optional or marginal practice. Such educational integration has the potential to improve the consistency and quality of spiritual care across healthcare settings.IMPACTInternationally there are evident gaps in the consistent provision of spiritual care to patients and their families. These are being addressed through conceptual clarity, the agreed-upon competencies, and enhanced educational initiatives. It is essential to continue to increase awareness among the nursing profession on the necessity of addressing spiritual care needs, within the context of cultural perspectives to ensure that value is placed on the significance of these issues on a global scale.PATIENT OR PUBLIC CONTRIBUTIONThere was no patient or publication contribution in this specific commentary.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"71 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145077812","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":"Nurse and Other Healthcare Managers' Experiences and Recommendations for Patient Incident Reporting Processes and Real-Time Software Development: A Qualitative Study.","authors":"Saija Koskiniemi,Laura Jukarainen,Tiina Syyrilä,Elizabeth Manias,Katri Hämeen-Anttila,Marja Härkänen","doi":"10.1111/jan.70220","DOIUrl":"https://doi.org/10.1111/jan.70220","url":null,"abstract":"AIMSTo (1) analyse managers' experiences with handling patient safety incident reports in an incident reporting software, identifying key challenges; (2) analyse the incident report processes from the managers' perspective; (3) examine managers' perceptions of ways to support and improve health professionals' experiences of report-handling processes; and (4) investigate how, from their point of view, incident reporting software should be developed in the future.DESIGNA descriptive qualitative study.METHODSInterviews and focus group discussions on Microsoft Teams from 11/2024 to 3/2025, including 16 participants, analysis with deductive and inductive content analysis.RESULTSOf 16 participants, 15 were managers and one was a patient safety expert. Most were nurse managers (n = 9). Four discussion themes were divided into 30 categories. Participants highlighted the need to improve the reporting software's terminology, classification and analysis tools. The use of artificial intelligence was desired but not currently integrated into the software. Participants were unsure of their skills to use all the software features. Clear and transparent handling processes, feedback, managers' behaviour and communication methods were seen as key to improving staff's experience with report processes. A real-time warning system was considered beneficial for various incident types. Specific questions must be answered before further developing such systems.CONCLUSIONThis study deepened the understanding of reporting software's challenges regarding its handling features. The handling processes of incident reports had multiple shortcomings, which may negatively affect health professionals' experiences in report handling. Real-time warning systems could assist healthcare managers in processing reports.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREOrganisational-level guidance for incident report processing is needed. Improvements to report processing and reporting software can improve shared learning and understanding of the status of patient safety.PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contribution.REPORTING METHODCOnsolidated criteria for REporting Qualitative research Checklist.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"8 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145077849","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}