Journal of Advanced Nursing最新文献

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Risk Factors of Secondary Traumatic Stress: A Scoping Review 继发性创伤应激的危险因素:范围综述
IF 3.4 3区 医学
Journal of Advanced Nursing Pub Date : 2026-03-17 Epub Date: 2025-07-11 DOI: 10.1111/jan.70076
Natalie Tracy, Julie K. Zadinsky
{"title":"Risk Factors of Secondary Traumatic Stress: A Scoping Review","authors":"Natalie Tracy, Julie K. Zadinsky","doi":"10.1111/jan.70076","DOIUrl":"10.1111/jan.70076","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To establish current knowledge about the risk factors of secondary traumatic stress (STS) in healthcare workers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A scoping literature review was conducted following the preferred reporting items for systematic and meta-analysis extension for the scoping reviews (PRISMA-ScR).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data Source/Review Method</h3>\u0000 \u0000 <p>A literature search was conducted using the following electronic databases of studies published between January 2014 and the end of May 2024: The Cumulative Index to Nursing and Allied Health Literature, PubMed and PsycInfo. Eligibility of the literature found in the three databases was screened using the PRISMA-ScR. The literature was reviewed using the framework by Arksey and O'Malley and further developed by Levac, Colquhoun and O'Brien.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The review identified three main themes of STS, including personal history and support mechanisms, workplace influences affecting employee well-being and high-stress healthcare environments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The most significant source of risks associated with STS is related to the workplace influences affecting the well-being of a healthcare worker. The factors within this environment include increased workload and workplace demands, low job satisfaction levels and high job burnout levels. The main implications of this scoping review are the impact the workplace has on the development of STS and the potential ability employers and healthcare workers have to address the risk factors of STS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for the Profession and/or Patient Care</h3>\u0000 \u0000 <p>The problem addressed was secondary traumatic stress in healthcare workers. The main findings of the scoping review were the identification of secondary traumatic stress risk factors originating in the personal history and support mechanisms, workplace influences and high-stress environments within the healthcare structure.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Impact</h3>\u0000 \u0000 <p>Due to the strong correlation between work environment and STS, healthcare employers must be aware of the influence the workplace has on the development of STS in employees. Healthcare workers can use the information from the scoping review to be aware of and identify the modifiable and non-modifiable risk factors of STS and enact ","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"82 4","pages":"2570-2590"},"PeriodicalIF":3.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144603154","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
Virtual Nursing in Residential Aged Care: What Is Known? A Rapid Review 居家养老中的虚拟护理:已知的是什么?快速回顾。
IF 3.4 3区 医学
Journal of Advanced Nursing Pub Date : 2026-03-17 Epub Date: 2025-07-28 DOI: 10.1111/jan.70071
S. J. Haines, J. FitzGerald, S. Clune, Y. Wells, A.-M. Mahoney, D. Fetherstonhaugh, H. Jiang, I. Blackberry, J. Collier, D. Ratnaike, T. Rasekaba, S. MacDermott
{"title":"Virtual Nursing in Residential Aged Care: What Is Known? A Rapid Review","authors":"S. J. Haines,&nbsp;J. FitzGerald,&nbsp;S. Clune,&nbsp;Y. Wells,&nbsp;A.-M. Mahoney,&nbsp;D. Fetherstonhaugh,&nbsp;H. Jiang,&nbsp;I. Blackberry,&nbsp;J. Collier,&nbsp;D. Ratnaike,&nbsp;T. Rasekaba,&nbsp;S. MacDermott","doi":"10.1111/jan.70071","DOIUrl":"10.1111/jan.70071","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To review current evidence on the implementation and impact of virtual nursing care in long-term aged care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>An integrative rapid literature review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data Sources</h3>\u0000 \u0000 <p>Medline, CINAHL, Web of Science, Embase, Ageline and Scopus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Review Methods</h3>\u0000 \u0000 <p>The review included studies involving virtual care interventions provided by nurses (or by a multidisciplinary team including nurses) to older people in residential aged care that reported health outcomes or stakeholder experiences. Consistent with PRISMA guidelines, databases were systematically searched in July and August 2024, focusing on literature published since 2014. Studies were screened in Covidence by three team members, with conflicts resolved by additional reviewers. Studies not involving nurses or not set in aged care were excluded.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The search identified 13 studies, which included quantitative, qualitative and mixed-method approaches, conducted in both Australian and international settings, as well as in rural and metropolitan locations. Nurses were often involved as part of an existing virtual care programme, typically located in a hospital setting. The training and credentials of nurses delivering VN varied in terms of specialisation and advanced practice. The model of care in general was ad hoc, though in some cases there were regular, scheduled VN consultations. The time requirements for onsite staff and nurses were not well articulated in any of the studies, and information on the funding models used was also lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There is some evidence that VN interventions in aged care may improve communication, enhance person-centred care and reduce emergency department presentations and hospitalisations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Impact, Patient or Public Contribution</h3>\u0000 \u0000 <p>Rigorous, ongoing evaluation of VN interventions is required to ensure their appropriate application in residential aged care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"82 4","pages":"2810-2826"},"PeriodicalIF":3.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jan.70071","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144720026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the Impact of COVID-19 on Acute Care Nurses: An Integrative Review 探索COVID-19对急症护理护士的影响:一项综合综述
IF 3.4 3区 医学
Journal of Advanced Nursing Pub Date : 2026-03-17 Epub Date: 2025-05-15 DOI: 10.1111/jan.17057
Janelle Schentag, Kelly Penz, Helen Vandenberg
{"title":"Exploring the Impact of COVID-19 on Acute Care Nurses: An Integrative Review","authors":"Janelle Schentag,&nbsp;Kelly Penz,&nbsp;Helen Vandenberg","doi":"10.1111/jan.17057","DOIUrl":"10.1111/jan.17057","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To analyse, critique, and synthesise available research to create a unique framework of the impacts of COVID-19 on acute care nurses.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Whittemore and Knafl's framework was used to organise this review. The Mixed Methods Appraisal Tool was used for quality analysis.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Data Sources&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;CINAHL, MEDLINE, Web of Science, Scopus and the National Institute of Health COVID-19 database were searched.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Twenty-five articles were included. Impacts on acute care nurses came from changes, access to resources, interrupted relationships, and the virus itself. The outcomes from nurses were categorised as positive, physical, emotional responses, leaving and mental disorders. These outcomes were mediated by making connections, coping, learning and experience, and finding meaning.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Nurses working in acute care during COVID-19 were faced with immense stressors in a tumultuous and dangerous time. The vastly negative outcomes were less surprising than the fact nurses were left to find mitigating factors on their own. Given the large attrition from nursing that occurred and is still occurring, health systems that can both lessen the impacts and strengthen the buffering effects of mediating factors may fare better when the next pandemic comes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Lessons learned can be used to prepare for future pandemics. Nurses should be at the forefront of all planning whether through education, policy, or research. Having a framework allows for a more comprehensive understanding and provides an underpinning for future action.&lt;/p&gt;\u0000 \u0000 &lt;p&gt;The possibility for impact spans nurses across the globe who have worked, and who may work, during a pandemic. This framework provides a basis for changes related to pandemic planning throughout nursing domains.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Reporting Method&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The researcher has adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement.&lt;/p&gt;\u0000 \u0000 &lt;p&gt;No Patient or Public Contribution.&lt;/p&gt;\u0000 &lt;/sec","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"82 4","pages":"2685-2695"},"PeriodicalIF":3.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jan.17057","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Weight Bias Interventions for Healthcare Professionals: An Integrative Review 医疗保健专业人员的体重偏倚干预:一项综合综述。
IF 3.4 3区 医学
Journal of Advanced Nursing Pub Date : 2026-03-17 Epub Date: 2025-05-19 DOI: 10.1111/jan.17065
Gregory S. Marler, Melanie T. Turk, Melissa Kalarchian, Marilyn H. Oermann, Valerie K. Sabol, Sean M. Phelan
{"title":"Weight Bias Interventions for Healthcare Professionals: An Integrative Review","authors":"Gregory S. Marler,&nbsp;Melanie T. Turk,&nbsp;Melissa Kalarchian,&nbsp;Marilyn H. Oermann,&nbsp;Valerie K. Sabol,&nbsp;Sean M. Phelan","doi":"10.1111/jan.17065","DOIUrl":"10.1111/jan.17065","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To describe interventions to mitigate weight bias among practicing healthcare providers and examine their effectiveness.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;An integrative review.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The framework of Whittemore and Knafl (2005) was utilised to identify and synthesise studies of weight bias interventions. Covidence reference management software facilitated screening using predetermined eligibility criteria that is, published in peer-reviewed journals, reported in English, and described outcomes for weight bias mitigation interventions among healthcare providers with a professional practice licence. We evaluated study quality using Joanna Briggs Institute's Critical Appraisal Tools for qualitative and quantitative studies.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Data Sources&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Five databases were searched (CINAHL, Embase, EBSCOhost, APA PsycINFO, and Scopus) in July 2024.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Sixteen articles met the inclusion criteria. Four themes emerged: (1) active learning lessens weight bias more than passive learning, (2) multicomponent approaches yield better outcomes, (3) healthcare providers are willing to change their practices, and (4) explicit attitudes and beliefs are more amenable to change than implicit ones. Four sub-themes within theme one included the use of in-person workgroups; films, computer-based, and podcast delivery; written modules; and physical characteristic modifications, such as the use of an adiposity empathy suit. Intervention designs using a theory-based, active learning approach with repeated sessions were most successful at decreasing negative weight-biased attitudes and beliefs.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Interventions that effectively reduce weight bias among practicing healthcare providers vary, yet evidence suggests that weight bias mitigation is achievable. These interventions offer strategies to improve patient-centred care among patients living with obesity.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Impact&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Healthcare providers often display weight bias. This review synthesises information on effective interventions for reducing bias, which may limit the subsequent negative patient outco","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"82 4","pages":"2696-2710"},"PeriodicalIF":3.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jan.17065","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adverse Outcomes and Associated Factors Among Children and Youths With Diabetes Mellitus in East Africa: A Systematic Review and Meta-Analysis 东非儿童和青少年糖尿病患者的不良结局和相关因素:一项系统回顾和荟萃分析
IF 3.4 3区 医学
Journal of Advanced Nursing Pub Date : 2026-03-17 Epub Date: 2025-08-04 DOI: 10.1111/jan.70124
Chalie Marew Tiruneh, Marilyn Cruickshank, Muhammad Chutiyami, Lin Perry
{"title":"Adverse Outcomes and Associated Factors Among Children and Youths With Diabetes Mellitus in East Africa: A Systematic Review and Meta-Analysis","authors":"Chalie Marew Tiruneh,&nbsp;Marilyn Cruickshank,&nbsp;Muhammad Chutiyami,&nbsp;Lin Perry","doi":"10.1111/jan.70124","DOIUrl":"10.1111/jan.70124","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To identify adverse outcomes and factors associated with diabetes mellitus among children and youths in East Africa.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Data Sources&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;No date restrictions were applied to searches of the Ovid MEDLINE, Embase, PubMed, CINAHL, Scopus, Web of Science, Cochrane Library databases and Google Scholar. The review identified and included literature published between 2007 and 2024.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Independent reviewers conducted study selection, data extraction, and quality assessment. Data were organised in Microsoft Excel, detailing study characteristics, demographics, exposures, and outcomes. Narrative synthesis summarised the data, while meta-analysis yielded pooled proportions.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;From 3797 publications, 30 studies involving 6109 children and youths with type 1 diabetes were included. Findings revealed that between 39.3% and 99% did not achieve target glycaemic levels. Diabetic ketoacidosis at diagnosis ranged from 35.8% to 78.7%. Pooled estimates indicated mortality in 6.47%, nephropathy in 15.66%, and retinopathy in 27.49% of the cases. Other complications included decreased health-related quality of life, lipodystrophy, psychiatric disorders, and stunting.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This review highlights the need for context-specific, personalised diabetes care for children and youths in East Africa. It underscores the need for healthcare professionals, particularly nurse diabetes educators, to provide personalised, holistic care and education. Policies that strengthen health systems, expand health insurance, and improve access to care are critical priorities to improve outcomes for these populations.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Impact&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study provides new information on diabetes-related complications and management challenges among children and youths in East Africa. Findings flag the urgent need for integrated care, standardised diagnostic criteria, and improved access to resources, with implications for healthcare","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"82 4","pages":"2659-2684"},"PeriodicalIF":3.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jan.70124","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Culturally and Linguistically Diverse Fathers' Experiences of Early Parenting: A Qualitative Study 文化和语言差异的父亲早期养育经验:一项定性研究
IF 3.8 3区 医学
Journal of Advanced Nursing Pub Date : 2026-03-17 DOI: 10.1111/jan.70565
Rakime Elmir, Simone Ormsby, Particia Leahy-Warren, Lloyd Frank Philpott, Alka Kothari, Virginia Schmied
{"title":"Culturally and Linguistically Diverse Fathers' Experiences of Early Parenting: A Qualitative Study","authors":"Rakime Elmir, Simone Ormsby, Particia Leahy-Warren, Lloyd Frank Philpott, Alka Kothari, Virginia Schmied","doi":"10.1111/jan.70565","DOIUrl":"https://doi.org/10.1111/jan.70565","url":null,"abstract":"This study aimed to explore culturally and linguistically diverse (CALD) fathers' early parenting support needs in the perinatal period in Australia.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"213 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147478006","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
Less Pain, More Meaning and Comfort: The Need to Enhance Paediatric Palliative Care in the West Bank of Palestine 更少的痛苦,更多的意义和舒适:需要加强在巴勒斯坦西岸的儿科姑息治疗
IF 3.4 3区 医学
Journal of Advanced Nursing Pub Date : 2026-03-17 Epub Date: 2025-12-12 DOI: 10.1111/jan.70440
George Ghareeb, Pearl Handal, Tamer Jafar, Daniel Kelly
{"title":"Less Pain, More Meaning and Comfort: The Need to Enhance Paediatric Palliative Care in the West Bank of Palestine","authors":"George Ghareeb,&nbsp;Pearl Handal,&nbsp;Tamer Jafar,&nbsp;Daniel Kelly","doi":"10.1111/jan.70440","DOIUrl":"10.1111/jan.70440","url":null,"abstract":"&lt;p&gt;The children from the West Bank region of the Palestinian territories, in general, are known to suffer from more incurable diseases and conditions that cannot be relieved by the available health care services (Ngaruiya et al. &lt;span&gt;2022&lt;/span&gt;), and their families often face the manifestation of illness and disease without the necessary support. To reduce suffering and preserve dignity, paediatric palliative care (PPC) is an essential integral component of patient-centred care that focuses on promoting comfort alongside treatment (WHO &lt;span&gt;2018&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;The demand for PPC is increasing globally. Connor et al. (&lt;span&gt;2017&lt;/span&gt;) and Delamere et al. (&lt;span&gt;2024&lt;/span&gt;) provide evidence that over eight million children require PPC annually, most of whom live in low- and middle-income countries (LMICs). PPC is most effective when initiated early and delivered by multidisciplinary teams that are both skilled and appropriately trained (WHO &lt;span&gt;2018&lt;/span&gt;). However, despite international recognition of its importance, access remains alarmingly unequal across the Palestinian territories.&lt;/p&gt;&lt;p&gt;Within the Palestinian territories, palliative care education is limited at both the undergraduate and postgraduate levels. At the undergraduate level, only Al-Quds University, Hebron University, and Palestine Polytechnic University include palliative care in their nursing curricula, offering courses worth one to three credit hours. For postgraduate studies, Bethlehem University is the only one providing a master's degree specialising in this field.&lt;/p&gt;&lt;p&gt;In terms of service provision, palliative care is offered by a small number of institutions, including Augusta Victoria Hospital, the Bethlehem Care &amp; Hospice Trust, and the Al-Sadeel Society. A new organisation, Basmet Hayaah in Nablus, has also been established but is not yet operational.&lt;/p&gt;&lt;p&gt;In the West Bank, referrals and care delivery are more difficult to maintain due to fragmented services and lack of resources. Due to the lack of specialised services, some cancer patients from the West Bank and Gaza Strip are referred to neighbouring countries, such as Israel, Jordan, and Egypt (Salem &lt;span&gt;2023&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;Mitwalli et al. (&lt;span&gt;2023&lt;/span&gt;) found that supportive services are inadequate and systemic obstacles hinder prompt access to cancer care pathways. Healthcare professionals in the region report insufficient PPC education, a high volume of psychological support cases, and a lack of ability to offer coordinated, family-centred care (Ghareeb and Kelly &lt;span&gt;2025&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;Palliative care is a comprehensive approach designed to improve the quality of life for patients and their families who are dealing with chronic or life-limiting illnesses (Toqan et al. &lt;span&gt;2022&lt;/span&gt;). In the West Bank, PPC is still a disjointed and undeveloped service that faces several structural, political and cultural challenges.&lt;/p&gt;&lt;p&gt;In the Gaza Strip, no data are available about new cancer cases d","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"82 4","pages":"2513-2516"},"PeriodicalIF":3.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jan.70440","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145730740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Deployment of Perioperative Nurses From Their Clinical Specialty During the COVID-19 Pandemic: An Integrative Review COVID-19大流行期间临床专业围手术期护士的部署:一项综合综述
IF 3.4 3区 医学
Journal of Advanced Nursing Pub Date : 2026-03-17 Epub Date: 2025-06-09 DOI: 10.1111/jan.17106
Jennifer Crump, Debra Jackson, Maricris Algoso, Kath Peters
{"title":"Deployment of Perioperative Nurses From Their Clinical Specialty During the COVID-19 Pandemic: An Integrative Review","authors":"Jennifer Crump,&nbsp;Debra Jackson,&nbsp;Maricris Algoso,&nbsp;Kath Peters","doi":"10.1111/jan.17106","DOIUrl":"10.1111/jan.17106","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To identify the available records surrounding the deployment of perioperative nurses into differing clinical settings during the COVID-19 pandemic.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Integrative review methodology.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Quality appraisal of each record was conducted using a modified Critical Appraisal Skills Programme checklist. Data were extracted and presented based on outlined research objectives.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Data Sources&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Six electronic databases (CINAHL Plus, Google Scholar, MEDLINE, Pubmed, Scopus, and Web of Science) were searched, with relevant peer-reviewed records published after 2019 until February 2025 included to differentiate from other respiratory pandemics.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Ten records were included in the review. Opposing discourse exists between perioperative decision makers and those perioperative nurses who underwent deployment to differing clinical areas surrounding perceptions and experiences of deployment during the COVID-19 pandemic.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Few studies exist exploring experiences of perioperative nurse deployment to a different clinical area during the COVID-19 pandemic. Further research is vital to develop strategies that enhance the deployment process and ensure effective patient care across various clinical settings when cared for by deployed perioperative nurses.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for the Profession and/or Patient Care&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Further research exploring transferable perioperative nursing skills and its subsequent influence on safe patient care may enhance and inform nurse deployment practices, enriching future staffing protocols in the event of a future pandemic.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Reporting Method&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;PRISMA guidelines for reporting systematic reviews guided this review.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Patient or Public Contribution&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study did not include patient or public involvement in its de","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"82 4","pages":"2723-2735"},"PeriodicalIF":3.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jan.17106","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144237944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Communication Dynamics Between Professional Nursing Organisations and Their Stakeholders: A Scoping Review 专业护理组织及其利益相关者之间的沟通动态:范围审查
IF 3.4 3区 医学
Journal of Advanced Nursing Pub Date : 2026-03-17 Epub Date: 2025-06-09 DOI: 10.1111/jan.17095
Edgardo Álvarez-Muñoz, Hildegart González Luis, Zuleyma Orellana, Mónica Vázquez-Calatayud
{"title":"Communication Dynamics Between Professional Nursing Organisations and Their Stakeholders: A Scoping Review","authors":"Edgardo Álvarez-Muñoz,&nbsp;Hildegart González Luis,&nbsp;Zuleyma Orellana,&nbsp;Mónica Vázquez-Calatayud","doi":"10.1111/jan.17095","DOIUrl":"10.1111/jan.17095","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Communicating a clear, authentic and socially coherent image among nurses and their associations is essential because it helps shape an accurate perception of their role in society. Thus, although each nurse plays a crucial role individually, real transformation in the public perception of the profession requires coordinated and strategic actions by the organisations representing them.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study explored existing knowledge on how nursing colleges, professional associations and unions communicate with their stakeholders.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A scoping review was performed following the methodological framework proposed by Arksey and O'Malley and the Joanna Briggs Institute. Eight electronic databases were searched, including CINAHL, Cochrane, Dialnet, Scopus, Scielo, PsycINFO, PubMed and Web of Science for both peer-reviewed articles and grey literature (e.g., reports, policy documents), using both MeSH terms and keywords. Data were collected using the Covidence platform, and articles published in English, Spanish, Portuguese and Italian were included. No limitations were applied regarding the publication year of the articles. They were then independently analysed based on their titles, abstracts and full text according to predefined inclusion and exclusion criteria. Conflicts were resolved via discussions with a third reviewer.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;In total, 2033 articles were analysed from databases, of which 47 met the inclusion criteria. Eighteen studies used a structured methodology, while 29 were categorised as grey literature. The findings were organised into five key themes: (1) &lt;i&gt;what&lt;/i&gt; organisations communicate (e.g., labour conditions, political content, health information); (2) &lt;i&gt;with whom&lt;/i&gt; they communicate (e.g., nurses, journalists, political actors, the public); (3) &lt;i&gt;for what purpose&lt;/i&gt; (e.g., advocacy, education, recruitment); (4) &lt;i&gt;through what media&lt;/i&gt; (e.g., social media, websites, professional journals) and (5) &lt;i&gt;how communication is evaluated&lt;/i&gt; (limited but promising insights on effectiveness).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This review provides the first diagnosis of communication management in professional nursing organisations. The lack of communication structures, trained professionals and effective strategies limits the effectiveness of communication amo","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"82 4","pages":"2517-2538"},"PeriodicalIF":3.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jan.17095","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144237945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maternity Care Providers Perspectives and Experiences of Obstetric Violence in Low-, Middle- and High-Income Countries: An Integrative Review 低、中、高收入国家产科暴力的产科护理提供者的观点和经验:一项综合综述。
IF 3.4 3区 医学
Journal of Advanced Nursing Pub Date : 2026-03-17 Epub Date: 2025-07-04 DOI: 10.1111/jan.70055
Emma C. Collins, Elaine S. Burns, Hazel Keedle, Hannah G. Dahlen
{"title":"Maternity Care Providers Perspectives and Experiences of Obstetric Violence in Low-, Middle- and High-Income Countries: An Integrative Review","authors":"Emma C. Collins,&nbsp;Elaine S. Burns,&nbsp;Hazel Keedle,&nbsp;Hannah G. Dahlen","doi":"10.1111/jan.70055","DOIUrl":"10.1111/jan.70055","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To explore the perspectives and experiences of maternity care providers regarding obstetric violence across low-, middle-, and high-income countries.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;An integrative review of the literature.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A systematic literature search in CINAHL, Medline (via Ovid), SCOPUS, and the Cochrane Library was conducted from 2014 to 2024. Further papers were identified through a review of the reference lists of identified studies and through email alerts from searched databases. Articles were appraised using the applicable Joanna Briggs Institute qualitative or cross-sectional critical appraisal tool.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Title and abstract screen were undertaken on 2748 records. Fifty-four studies using qualitative, quantitative, and mixed-methods designs were included. Maternity providers across all socio-economic levels described witnessing, and/or involvement in both respectful care and incidents of obstetric violence. The most common forms of obstetric violence were verbal and physical abuse, coercion, unconsented and unnecessary interventions, and violations of privacy and autonomy. Women who were socially marginalised, impoverished, and illiterate were vulnerable to obstetric violence. Differences were noted between low- and high-income countries, with detention of women for non-payment, privacy violations due to building design and lack of space, mistreatment due to HIV status, and women who were considered non-compliant being more vulnerable to obstetric violence in low-and low-middle-income countries. Obstetric violence was justified and normalised in the name of saving the baby, with less focus on the psychological health of the mother.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Our findings demonstrate that obstetric violence is a gender-based violence enabled through patriarchal structures and power imbalances. Maternity providers are witnessing or enacting obstetric violence across low-, middle- and high-income countries, with significant impacts on women and maternity care providers alike. This review highlights opportunities for further research and action to develop health and legal frameworks to prevent instances of obstetric violence and improve outcomes for women and maternity care providers.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Impact","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"82 4","pages":"2790-2809"},"PeriodicalIF":3.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12994647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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