Journal of Advanced Nursing最新文献

{"title":"Mentor-Student Relationship and Graduate Students' Satisfaction With Mentors: A Moderated Mediation Model.","authors":"Xingzi Chen,Jiaqian Song,Hanjing Wen,Liuyi Zhang","doi":"10.1111/jan.70229","DOIUrl":"https://doi.org/10.1111/jan.70229","url":null,"abstract":"OBJECTIVETo explore how the mentor-student relationship affects nursing graduate students' satisfaction with mentors, as well as how mentoring mode and learning motivation work together.DESIGNA multi-centre cross-sectional study.SETTINGThirty universities and colleges in eastern, central and western China.PARTICIPANTSA total of 826 nursing graduate students from thirty universities and colleges participated in this study in April 2024.METHODSData were collected using the general information questionnaire, mentor-student relationship entry, mentoring mode questionnaire, graduate students' satisfaction item and learning motivation scale. Data were analysed using SPSS 25.0 software. The PROCESS macro-plugin and the bootstrap method were utilised to examine the mediating and moderating effects of learning motivation and mentoring mode.RESULTSThere was a positive correlation between nursing graduate students' satisfaction with mentors and the mentor-student relationship (r = 0.377, p < 0.001), learning motivation (r = 0.600, p < 0.001), and mentoring mode (r = 0.292, p 0.001). Learning motivation exerted a partial mediation effect between the mentor-student relationship and graduate students' satisfaction with mentors (mediation effect value = 0.182, 95% CI = 0.148-0.218). Mentoring mode moderated the path of learning motivation in the mentor-student relationship (interaction term coefficient = 0.031, 95% CI = 0.005-0.056).CONCLUSIONMentor-student relationship positively predicted nursing graduate students' satisfaction with mentors significantly. Learning motivation played a partial mediating effect between mentor-student relationship and graduate students' satisfaction with mentors and mentoring mode moderated between mentor-student relationship and learning motivation pathways. Therefore, cultivating positive teacher/helpful friend relationship, boosting students' learning motivation and improving mentoring mode techniques can all increase nursing graduate students' satisfaction with mentors.NO PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"24 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145068198","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":"Social Representations of Bedside Milk Expression Among Mothers of Preterm Newborns in Neonatal Intensive Care Units.","authors":"Ana Karen de Sousa Alves,Ana Paula Melo Façanha,Elaine Meireles Castro,Keline Soraya Santana Nobre,Flávia Vasconcelos Teixeira,Maria Milena Farias de Souza Castro,José Mateus Pires,Victórya Suéllen Maciel Abreu,Priscila de Souza Aquino","doi":"10.1111/jan.70228","DOIUrl":"https://doi.org/10.1111/jan.70228","url":null,"abstract":"AIMTo understand the social representations of bedside milk expression (BME) among mothers of preterm newborns in neonatal intensive care units (NICUs).DESIGNQualitative descriptive study.METHODSThe study was conducted from July to August 2024 in two NICUs of a referral maternity hospital in Fortaleza, Brazil. Nineteen mothers of hospitalised premature newborns participated. Semi-structured interviews were conducted and subjected to thematic content analysis.RESULTSMothers perceived BME as a meaningful act of protection and bonding, though some were unfamiliar with the practice. Emotional ambivalence was common, shaped by prior breastfeeding experiences and the context of prematurity. Discomfort related to privacy and shared spaces was noted. Support from healthcare professionals was essential to promote understanding and adherence.CONCLUSIONSocial representations of BME are shaped by emotional, social and institutional experiences. Anchored in prior breastfeeding experiences and cultural meanings of maternal care, the practice is objectified through both gestures of affection and tangible barriers.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREHealthcare professionals, particularly nurses, should receive training to support mothers in BME. Structural improvements, privacy and emotional support are essential for fostering maternal autonomy and confidence.IMPACTThis study highlights the barriers to BME, emphasising the role of healthcare support and the need for better infrastructure, privacy and training to enhance maternal confidence and breastfeeding.REPORTING METHODThe study followed the Consolidated Criteria for Reporting Qualitative Research checklist.PATIENT OR PUBLIC CONTRIBUTIONNone. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: This paper highlights the pivotal role of healthcare professional support in overcoming barriers to BME and promoting breastfeeding practices. WHAT ALREADY IS KNOWN?: Fresh breast milk is considered the gold standard for reducing complications and improving survival in preterm infants. BME is recommended as an effective strategy to ensure the availability of fresh breast milk. Mothers' social representations of this practice remain underexplored within the neonatal intensive care context. WHAT THIS PAPER ADDS?: Explores mothers' social representations of BME in NICUs, addressing a significant gap in qualitative research. Reveals how emotional, social and institutional factors shape mothers' perceptions, motivations and challenges related to BME. Highlights the need for targeted professional support, improved infrastructure and privacy to enhance maternal autonomy and adherence to milk expression practices.IMPLICATIONS FOR PRACTICEHealthcare professionals, particularly nurses, should receive specialised training to provide technical guidance and emotional support, enhancing mothers' confidence and autonomy in BME. Improving infrastructure and ensuring privacy in NICUs are crucial to c","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"17 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145068202","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":"Scoping Review of Sexual and Gender Minority Health Research in Ireland.","authors":"John P Gilmore,Tonda L Hughes,Sean Kearns,Laurie A Drabble,Diarmuid Stokes,Siobhán D Thomas,Chris Noone,Lauren Bochicchio","doi":"10.1111/jan.70201","DOIUrl":"https://doi.org/10.1111/jan.70201","url":null,"abstract":"AIMTo map existing sexual and gender minority (SGM) health research in Ireland, identify gaps in literature and outline priorities for future research and healthcare. SGM is an umbrella term that includes people who identify as lesbian, gay, bisexual, transgender, queer or intersex and is sometimes abbreviated as LGBTQI+.DESIGNA scoping review of peer-reviewed studies published between 2014 and 2024.METHODSThe review followed Joanna Briggs Institute (JBI) guidelines and PRISMA-ScR framework for scoping reviews. Articles were identified through systematic database searches and screened independently by reviewers.DATA SOURCESPubMed, PsycINFO, CINAHL and Embase were searched for articles published between January 2014 and April 2024. Sixty studies met inclusion criteria.RESULTSThe review highlighted a disproportionate focus on gay, bisexual and other men who have sex with men (gbMSM), particularly regarding HIV and sexual health. Mental health research revealed high levels of anxiety, depression and suicidality, largely attributed to minority stress and systemic discrimination. Transgender health studies documented barriers to accessing gender-affirming care and mental health services. Few studies explored experiences of sexual minority women, older SGM individuals or intersex people. Intersectional perspectives on race, disability and socio-economic status were notably absent.CONCLUSIONSGM health research in Ireland reflects significant progress in documenting disparities in mental and sexual health. However, there is a lack of representation for some groups. There is also limited attention to intersectionality. Systematic gaps in sexual orientation and gender identity (SOGI) data impede targeted policymaking and service delivery.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREFindings underscore the need for inclusive, culturally competent healthcare services, better integration of SGM health topics into nursing education, and community-centred interventions. Addressing structural barriers and improving provider competence can enhance equitable healthcare access for SGM populations.IMPACTThis review addresses the fragmented state of SGM health research in Ireland, highlighting gaps in representation and systemic issues.NO PATIENT OR PUBLIC CONTRIBUTIONAuthorship includes individuals from various sexual and gender minority communities.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"46 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145068208","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":"Structural Resilience Across the Life Course: Perspectives From Older Adults Racialized as Black.","authors":"Boeun Kim,Alicia K Cooke,Tiffany J Riser,Melissa D Hladek,Paris B Adkins-Jackson,Laura J Samuel,Roland J Thorpe,Sarah L Szanton","doi":"10.1111/jan.70222","DOIUrl":"https://doi.org/10.1111/jan.70222","url":null,"abstract":"AIM(S)This study explored perceptions of older adults racialised as Black on structural resilience across the life course.DESIGNA qualitative descriptive study.METHODSUsing purposive sampling, we recruited 15 Black adults aged 50 and older residing in Baltimore, Maryland, including individuals possessing historical or current knowledge of the community. Semi-structured interviews were conducted to elicit participants' experiences with structural resources during childhood, adulthood and late adulthood. Interviews were audio-recorded, transcribed verbatim and analysed using content analysis.RESULTSOf the 15 participants, three identified as male (20.0%) and 12 as female (80.0%), with an average age of 70.9 ± 8.2 years. The analysis identified nine categories of structural resilience, confirming its multifaceted and dynamic nature. Common categories present across all life stages included: Built environment, civic engagement, food and housing, healthcare, and social capital and cohesion. Life stage-specific categories included child and family services, educational supports, and workforce development supports during childhood and adulthood, and financial support during adulthood and late adulthood.CONCLUSIONThese categories were interdependent and spanned across life stages, illustrating the dynamic, cumulative and relational qualities of structural resilience. Furthermore, structural resources were identified as key to safeguarding, empowering and restorative responses to adversity.IMPACTThese findings contribute to the development of a nuanced, life course-informed framework of structural resilience and highlight the need for ecological strategies that address structural forces shaping health and well-being, particularly among older adults racialised as Black.REPORTING METHODThis study was reported in accordance with the Consolidated Criteria for Reporting Qualitative Research checklist.PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"24 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145068207","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":"Experiences of Visually Impaired Individuals in Self-Administering Prescription Medications: A Cross-Sectional Study.","authors":"Branislava Brestovački Svitlica,Aleksandra Radovanović,Ljubica Obrenov,Sanja Hromiš","doi":"10.1111/jan.70223","DOIUrl":"https://doi.org/10.1111/jan.70223","url":null,"abstract":"AIMTo explore the challenges that visually impaired individuals face in managing their prescribed therapy at home, and to identify the implications for all healthcare professionals involved in medication management and patient safety.DESIGNA cross-sectional, descriptive, observational study.METHODSData were collected from 357 visually impaired adults recruited at the premises of the Union of the Blind and Visually Impaired during their visits for various reasons between October 2022 and June 2023, using an interviewer-administered questionnaire. Variables included demographics, medication practices, and self-reported challenges in medication administration and dosing. Data were analysed using multivariate analysis of variance (MANOVA), a series of Kruskal-Wallis tests, and post hoc Dunn's tests in R (v. 4.4.3).RESULTSRespondents faced major problems in differentiating different types of tablets/capsules (56%) and differentiating different packages of drugs (47%); 5% of respondents sometimes take the wrong medicine, 4% sometimes take the wrong dose, and 11% sometimes take medicine at the wrong time. The most frequent problem was applying medications in liquid form. Older participants, those with chronic illness, multiple medications, lower education, or complete blindness reported significantly more difficulties. More than half of the respondents stated that they needed help in recognising drugs (60%), dosing (62%), and the expiration date of the drug (74%).CONCLUSIONSVisually impaired individuals, particularly those who are older and have complex medication regimens, face substantial barriers to safe and independent medication use. These findings highlight the need for individualised support and practical education strategies.IMPLICATIONS FOR PROFESSION AND/OR PATIENT CAREThrough individualised approaches and practical training, with interprofessional collaboration, patient safety can be significantly improved and the risk of medication errors reduced. In a healthcare system with rapid technological advances and a growing shortage of healthcare workers, it is necessary to consider a broader range of support strategies, including efforts to understand the specific needs of people with visual impairments and the use of available assistive devices.IMPACTWhat problem did the study address?: Visually impaired individuals encounter substantial challenges in safely managing their prescribed medications, especially as they age and develop chronic health conditions. Despite the increasing global prevalence of vision impairment, this issue remains underexplored in nursing literature and practice. What were the main findings?: This study presents evidence on the specific challenges that visually impaired adults face when self-administering medications. It identifies key risk factors-including advanced age, polypharmacy, chronic illness, and complete blindness-and highlights the dosage forms that pose the greatest difficulty. Importantly, it also reveals a w","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"36 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145068203","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":"The Right Framework, The Right Questions: Advancing Resilience Through a Multi-Level Framework.","authors":"Sarah Szanton,Jessica Gill","doi":"10.1111/jan.70225","DOIUrl":"https://doi.org/10.1111/jan.70225","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"83 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145068204","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 the Presence and Impact of Advanced Nursing Roles in Care Homes and Charitable Organisations: An International Systematic Scoping Review.","authors":"Siobhán Kelly,Claire Pryor,Melanie Stephens,Vanessa Heaslip","doi":"10.1111/jan.70212","DOIUrl":"https://doi.org/10.1111/jan.70212","url":null,"abstract":"INTRODUCTIONInvesting in advanced nursing roles (AN) in social care is a strategic priority to address workforce challenges, create new career pathways, improve outcomes and future-proof the sector. However, there is limited understanding of these roles globally. This systematic scoping review maps the international presence and impact of post-qualification advanced practice roles for registered nurses (RNs) working in care homes and charitable organisations.DESIGNThis review was conducted following the methodology established by the JBI and adhered to the PRISMA extension for scoping reviews checklist.METHODSStudies were included if (1) they included RNs working in care homes, charities or not-for-profit health centres, (2) the RN was in a specialist, enhanced or advanced practice role and (3) if role details were provided. Studies were limited to those published in the English language between 2014 and 2024. Evidence was gathered from a comprehensive search of electronic databases (CINAHL, MEDLINE, Scopus, PubMed and Web of Science), grey literature, relevant webpages, and reference lists. Expert consultations were also conducted. Eligible full texts were reviewed in Covidence software by two independent researchers.RESULTSThe search yielded 575 records, and 89 were taken forward for full-text screening. A total of 20 met the inclusion criteria: 19 were concerned with AN roles in care homes, and one focused on a charitable organisation. The majority of these studies (n = 12) were conducted in North America.CONCLUSIONThe literature on AN roles in care homes and charitable organisations is notably sparse. Despite this, the available evidence highlights substantial benefits, including improved care quality, enhanced resident outcomes and positive impacts on team dynamics. This review identifies four key themes: scope of practice, positive impacts, influencing factors and barriers, which provide a framework for policymakers, healthcare leaders and educators to optimise the contributions of this group within the evolving global social care sector.PUBLIC OR PATIENT CONTRIBUTIONNot undertaken because of the nature of scoping reviews.CLINICAL RELEVANCEThis review highlights the crucial role of advanced nurses in enhancing care quality, resident outcomes, and workforce sustainability in care homes and charitable organisations. The findings provide direction for policymakers and health and social care leaders to further develop the role of nursing in social care settings globally.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145068205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of Trans and Gender Non-Conforming People on General Health Care in the Being LGBTQI+ in Ireland Study.","authors":"Agnes Higgins,Carmel Downes,Karin O'Sullivan,Matt Kennedy,Thelma Begley,Mark Monahan,Renee Molloy,Brian Keogh,Louise Doyle,Jan De Vries","doi":"10.1111/jan.70224","DOIUrl":"https://doi.org/10.1111/jan.70224","url":null,"abstract":"AIMTo examine if trans and gender non-conforming participants perceive greater healthcare inequities in their interactions with healthcare practitioners than cisgender sexual minority participants, and analyse free text responses from transgender and gender non-conforming participants to gain possible insight into causes of inequities.DESIGNA cross-sectional study.METHODSAn anonymous online survey of over 2800 self-selecting LGBTQI+ participants, 30% of whom identified as trans and gender non-conforming. The research team devised closed and open-ended questions about perceptions of healthcare provision and analysed quantitative responses using SPSS and open-ended data through thematic analysis.RESULTSOver half of trans and gender non-conforming participants reported having had occasion to educate healthcare professionals about LGBTQI+ identities and a majority reported that healthcare professionals made incorrect assumptions about their LGBTQI+ identity. Invalidation and pathologisation of participants' trans and gender non-conforming identity and unhelpful therapeutic approaches were some of the negative health experiences cited.CONCLUSIONTrans and gender non-conforming populations experience significant barriers to healthcare relative to their cisgender sexual minority peers. Cisnormative thinking in healthcare practice together with a lack of knowledge of trans and gender non-conforming people's experiences leads to substandard care and acts as a barrier to disclosure and help seeking.IMPLICATIONSCulturally responsive healthcare is critical to ending health inequities experienced by trans and gender non-conforming people.IMPACTProblem addressed: Healthcare inequities among trans and gender non-conforming participants.MAIN FINDINGSTrans and gender non-conforming participants reported more negative perceptions of their healthcare experiences compared to cisgender sexual minority participants. Where and on whom will the research have an impact? Healthcare educators/practitioners.REPORTING METHODStrobe.PUBLIC OR PATIENT CONTRIBUTIONMembers of the LGBTQI+ community were part of the research advisory group and inputted into paper authorship.PAPER CONTRIBUTION TO THE WIDER GLOBAL CLINICAL COMMUNITYHighlights the need for training to increase cultural competency among healthcare providers.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"72 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145068209","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 on Gerontological Nursing Over the Past 50 Years.","authors":"Wendy Moyle","doi":"10.1111/jan.70226","DOIUrl":"https://doi.org/10.1111/jan.70226","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"46 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145068200","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":"Intrinsic Influences on Medical Emergency Team Call Stand-Down Decision-Making: An Observational Study.","authors":"Natalie A Kondos,Jo McDonall,Jonathan Barrett,Tracey Bucknall","doi":"10.1111/jan.70148","DOIUrl":"https://doi.org/10.1111/jan.70148","url":null,"abstract":"AIMThe aim of this research was to describe factors that influence Intensive Care Unit liaison nurses' decision to stand down a medical emergency team call response. The decision to end a medical emergency team response for a deteriorating patient is referred to as the medical emergency team call stand-down decision. Intensive Care Unit liaison nurses, also known internationally as critical care outreach nurses, make medical emergency team call stand-down decisions in complex and challenging clinical environments. However, the factors influencing these decisions are not well described in the literature.DESIGNExploratory descriptive qualitative study.METHODSSeven Intensive Care Unit liaison nurses who attended medical emergency team calls in a large acute metropolitan tertiary referral public hospital, with a mature three-tiered rapid response system, were observed and interviewed. Observations of 50 medical emergency team call responses and 50 post medical emergency team call interviews were conducted between March 2022 and August 2022. Findings were analysed using inductive content analysis.RESULTSIntensive Care Unit liaison nurse decisions to stand down MET call responses were influenced by three intrinsic factors: (1) propositional knowledge, (2) experiential knowledge, (3) situational knowledge and information processing styles. Intensive Care Unit liaison nurses utilised these intrinsic factors to support their decision to terminate medical emergency team call response.CONCLUSIONThis study explored the intrinsic influences on individual Intensive Care Unit liaison nurses in deciding to end a medical emergency team call. By highlighting these individual influences on decision-making, the findings may be used to support medical emergency team responders educational needs and identification of potential heuristics and biases inherent in clinical decision-making which contribute to adverse events.PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contribution.IMPLICATIONS FOR PROFESSION AND/OR PATIENT CAREBy understanding the influences on an individual's clinical decision-making, strategies can be put in place for educational development and support for experiential learning. The study highlights areas of potential bias and heuristic use that may lead to sub-optimal clinical decisions and increased risk for deteriorating patients. Research findings can be applied internationally to a range of rapid response systems and critical care outreach teams that respond to deteriorating patients.REPORTING METHODThe consolidated criteria for reporting qualitative research (COREQ) guidelines were used for reporting this study.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"45 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145068239","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}