Journal of Research in Nursing最新文献

Background: Concepts are fundamental to nursing theory, practice, and research, serving as abstract constructs that represent key aspects of human experience. However, the reporting of concept analysis in nursing lacks standardised guidelines, leading to inconsistencies in methodological transparency and rigour. Existing frameworks for qualitative and mixed-methods research do not adequately address the unique aspects of concept analysis.

Aims: This study aims to develop a comprehensive reporting guideline for concept analysis in nursing research, guided by the EQUATOR Network toolkit.

Methods: The first stage of guideline development involves a systematic review of MEDLINE, CINAHL, and PsycINFO to identify key components of concept analysis reporting in nursing. The review will focus on studies utilising concept analysis within the nursing metaparadigms: person, environment, health, and nursing, while adhering to PRISMA guidelines to ensure methodological rigour.

Results: The systematic review synthesised existing literature to establish a foundational framework of essential elements for reporting concept analysis in nursing.

Conclusions: Findings from this review will inform a subsequent Delphi study and structured guideline development process. The resulting standardised reporting framework will enhance methodological consistency, transparency, and reproducibility in concept analysis, thereby contributing to the advancement of nursing theory, research, and practice.

Background: Globally, many children and young people (CYP) obtain insufficient good quality sleep. School nurses (SNs) are ideally-placed to support sleep health, but few studies have explored their practical experiences.

Aims: To explore SNs' experiences, perceived barriers and priorities (including training and resource requirements) in providing sleep-related support to CYP and their caregivers.

Method: A convenience sample of eighteen SNs from the United Kingdom took part in two in-person focus groups (n = 8; n = 8) and one online focus group (n = 2) in June 2024. Qualitative data were inductively reflexively thematically analysed.

Results: Seven themes were identified. Nurses reported that Sleep issues present as secondary concerns; and identified Perceived causes of delayed bedtimes and insufficient sleep. They faced barriers to practice including Challenges engaging families with sleep-supportive changes; Systemic barriers to successful delivery of sleep services and Challenges in identifying appropriate resources. To overcome such challenges, they emphasised School nurse training requirements; and The need for a trusted directory of resources.

Conclusions: SNs in England regularly support families around sleep health but face significant challenges. To support their practice, policy changes recognising sleep as a public health priority and increased investment in staffing, training, and resources are needed.

Background: Social connection is fundamental to healthy ageing reducing the serious health impacts of loneliness and social isolation. General practice nurses (GPNs) have skills in assessing and responding to older people's complex needs, applicable to nurse-led interventions strengthening older people's social connections.

Aim: To explore factors influencing the implementation of a GPN-led social prescribing intervention to improve social connectedness among older people.

Methods: A qualitative descriptive study was conducted through semi-structured interviews (n = 13) and two focus groups with eight Australian GPNs exploring intervention implementation. The intervention comprised assessment, goal setting, co-production of personalised plans, referral, and follow-up. Data were inductively analysed using reflexive thematic analysis.

Results: Themes revealed individual, organisational, and system-level factors that influenced implementation. Barriers included the attitudes and priorities of older people, the disruptive environmental context arising from natural disasters, and system factors including primary care funding and community infrastructure. Family support, positive general practice workplace cultures, and intervention adaptability were enabling factors.

Conclusions: GPNs were able to integrate the intervention into their usual workflow and appropriately respond to lonely and socially isolated older people. However, GPN-led interventions are currently limited by funding models. Building nursing workforce capacity can support integrated health and social care for older people.