Catherine Jurd, Jennieffer Barr, Margaret Yen, Julie Flynn
Aims: To summarise current research that defines cardiopulmonary resuscitation and to provide a succinct conceptual definition of cardiopulmonary resuscitation.
Design: Scoping review using JBI guidelines to develop the study protocol.
Methods: The most recent (2024) research papers on cardiopulmonary resuscitation were evaluated for inclusion. Individual definitions of cardiopulmonary resuscitation extracted from 25 papers were summarised and then analysed to conceptualise a single definition for cardiopulmonary resuscitation.
Data sources: CINAHL, Medline and Scopus databases were evaluated for inclusion.
Results: Definitions of cardiopulmonary resuscitation focused on interventions, mainly chest compressions and ventilation. Defibrillation was inconsistently included. There was less emphasis on criteria for initiating cardiopulmonary resuscitation and desired outcomes.
Conclusion: This scoping review found limited consensus between definitions of cardiopulmonary resuscitation. Analysis of the range of perspectives found in the review enabled the researchers to propose definitions in three areas: cardiopulmonary resuscitation, basic life support and advanced life support.
Implications for the profession and patient care: Nurses working in hospitals and responding to cardiac arrests are guided by Advanced Resuscitation Plans and Do Not Resuscitate orders. In turn, these documents should communicate a clear definition of cardiopulmonary resuscitation in policies, procedures and standards. This is important for clinical nurses to ensure patients' consent for cardiopulmonary resuscitation and defibrillation is informed.
Impact: Currently cardiopulmonary resuscitation is inconsistently defined. Cardiopulmonary resuscitation includes compressions and ventilation. A standardised definition of cardiopulmonary resuscitation supports professional nursing practice and has wider implications for patient consent and research practice.
Reporting method: This scoping review adheres to and is reported according to PRISMA-ScR.
Patient or public contribution: No patient or public contribution.
{"title":"Lifting the Fog on Resuscitation: A Scoping Review to Define Cardiopulmonary Resuscitation.","authors":"Catherine Jurd, Jennieffer Barr, Margaret Yen, Julie Flynn","doi":"10.1111/jocn.70153","DOIUrl":"https://doi.org/10.1111/jocn.70153","url":null,"abstract":"<p><strong>Aims: </strong>To summarise current research that defines cardiopulmonary resuscitation and to provide a succinct conceptual definition of cardiopulmonary resuscitation.</p><p><strong>Design: </strong>Scoping review using JBI guidelines to develop the study protocol.</p><p><strong>Methods: </strong>The most recent (2024) research papers on cardiopulmonary resuscitation were evaluated for inclusion. Individual definitions of cardiopulmonary resuscitation extracted from 25 papers were summarised and then analysed to conceptualise a single definition for cardiopulmonary resuscitation.</p><p><strong>Data sources: </strong>CINAHL, Medline and Scopus databases were evaluated for inclusion.</p><p><strong>Results: </strong>Definitions of cardiopulmonary resuscitation focused on interventions, mainly chest compressions and ventilation. Defibrillation was inconsistently included. There was less emphasis on criteria for initiating cardiopulmonary resuscitation and desired outcomes.</p><p><strong>Conclusion: </strong>This scoping review found limited consensus between definitions of cardiopulmonary resuscitation. Analysis of the range of perspectives found in the review enabled the researchers to propose definitions in three areas: cardiopulmonary resuscitation, basic life support and advanced life support.</p><p><strong>Implications for the profession and patient care: </strong>Nurses working in hospitals and responding to cardiac arrests are guided by Advanced Resuscitation Plans and Do Not Resuscitate orders. In turn, these documents should communicate a clear definition of cardiopulmonary resuscitation in policies, procedures and standards. This is important for clinical nurses to ensure patients' consent for cardiopulmonary resuscitation and defibrillation is informed.</p><p><strong>Impact: </strong>Currently cardiopulmonary resuscitation is inconsistently defined. Cardiopulmonary resuscitation includes compressions and ventilation. A standardised definition of cardiopulmonary resuscitation supports professional nursing practice and has wider implications for patient consent and research practice.</p><p><strong>Reporting method: </strong>This scoping review adheres to and is reported according to PRISMA-ScR.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543893","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}
Xia Wang, Xin Tang, Jun Chen, Shunyan Yang, Kaiyue Lyu, Jin Liu, Feilong Wang, Yan Liu, Yuhong Li, Jishu Xian, Yujie Chen, Binbin Tan
<p><strong>Aim: </strong>The best evidence on programmed weaning from mechanical ventilation in neurocritical care patients should be gathered, evaluated, and integrated to provide an evidence basis for determining the optimal weaning program for these patients.</p><p><strong>Methods: </strong>According to the '6S' pyramid model of evidence-based practice resources, Chinese and international guideline websites, websites of relevant professional societies, and Chinese and English databases were systematically searched. The databases were searched from the time of establishment to October 2024. Literature screening was subsequently performed according to the inclusion and exclusion criteria. Two researchers independently evaluated the literature quality and extracted and summarised the evidence.</p><p><strong>Results: </strong>A total of 21 publications were included, including 3 guidelines, 5 expert consensus papers, 1 evidence summary, and 12 systematic reviews. A total of 29 pieces of best evidence in the following 5 aspects were summarised: preweaning preparation and screening, a weaning protocol, extubation assessment, extubation preparation and procedure, and postextubation management.</p><p><strong>Conclusions: </strong>This study summarises the best evidence for the programmed weaning of neurocritical care patients from mechanical ventilation and provides a basis for clinical medical personnel to standardise this weaning process. Evidence-based application of these strategies should be implemented to verify their clinical efficacy and safety in practice.</p><p><strong>Implications for clinical practice: </strong>Successful weaning is key in the management of neurocritical care patients receiving mechanical ventilation. The establishment of a localised extubation protocol guided by a multidisciplinary team can significantly reduce the extubation failure rate, the duration of mechanical ventilation and the incidence of related complications. However, evidence-based application is needed to verify the efficacy and safety of these strategies in clinical practice.</p><p><strong>Reporting method: </strong>This evidence review adhered to the evidence review report guidelines formulated by the Evidence-Based Nursing Center of Fudan University. These guidelines cover aspects such as problem establishment, literature search, literature screening, literature evaluation, evidence summary and classification, as well as the formulation of practical suggestions. This evidence summary followed the evidence summary reporting specifications of the Fudan University Center for Evidence-Based Nursing (http://ebn.nursing.fudan.edu.cn) with registration number ES20244849.</p><p><strong>Trial registration: </strong>This study was based on the evidence summary reporting specifications of the Fudan University Center for Evidence-based Nursing; the registered name is 'Summary of the best evidence for weaning from mechanical ventilation in neurocritical care patients'
{"title":"Summary of the Best Evidence for Weaning From Mechanical Ventilation in Neurocritical Care Patients.","authors":"Xia Wang, Xin Tang, Jun Chen, Shunyan Yang, Kaiyue Lyu, Jin Liu, Feilong Wang, Yan Liu, Yuhong Li, Jishu Xian, Yujie Chen, Binbin Tan","doi":"10.1111/jocn.70150","DOIUrl":"https://doi.org/10.1111/jocn.70150","url":null,"abstract":"<p><strong>Aim: </strong>The best evidence on programmed weaning from mechanical ventilation in neurocritical care patients should be gathered, evaluated, and integrated to provide an evidence basis for determining the optimal weaning program for these patients.</p><p><strong>Methods: </strong>According to the '6S' pyramid model of evidence-based practice resources, Chinese and international guideline websites, websites of relevant professional societies, and Chinese and English databases were systematically searched. The databases were searched from the time of establishment to October 2024. Literature screening was subsequently performed according to the inclusion and exclusion criteria. Two researchers independently evaluated the literature quality and extracted and summarised the evidence.</p><p><strong>Results: </strong>A total of 21 publications were included, including 3 guidelines, 5 expert consensus papers, 1 evidence summary, and 12 systematic reviews. A total of 29 pieces of best evidence in the following 5 aspects were summarised: preweaning preparation and screening, a weaning protocol, extubation assessment, extubation preparation and procedure, and postextubation management.</p><p><strong>Conclusions: </strong>This study summarises the best evidence for the programmed weaning of neurocritical care patients from mechanical ventilation and provides a basis for clinical medical personnel to standardise this weaning process. Evidence-based application of these strategies should be implemented to verify their clinical efficacy and safety in practice.</p><p><strong>Implications for clinical practice: </strong>Successful weaning is key in the management of neurocritical care patients receiving mechanical ventilation. The establishment of a localised extubation protocol guided by a multidisciplinary team can significantly reduce the extubation failure rate, the duration of mechanical ventilation and the incidence of related complications. However, evidence-based application is needed to verify the efficacy and safety of these strategies in clinical practice.</p><p><strong>Reporting method: </strong>This evidence review adhered to the evidence review report guidelines formulated by the Evidence-Based Nursing Center of Fudan University. These guidelines cover aspects such as problem establishment, literature search, literature screening, literature evaluation, evidence summary and classification, as well as the formulation of practical suggestions. This evidence summary followed the evidence summary reporting specifications of the Fudan University Center for Evidence-Based Nursing (http://ebn.nursing.fudan.edu.cn) with registration number ES20244849.</p><p><strong>Trial registration: </strong>This study was based on the evidence summary reporting specifications of the Fudan University Center for Evidence-based Nursing; the registered name is 'Summary of the best evidence for weaning from mechanical ventilation in neurocritical care patients'","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514657","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 Promise and Pitfalls of Innovative Indicators in Predicting Stroke.","authors":"Yiwen Guo, Yan Zhou","doi":"10.1111/jocn.70152","DOIUrl":"https://doi.org/10.1111/jocn.70152","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514653","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}
Alwyn T Pandian, Clinton R Brenner, Vinciya Pandian, Michael J Brenner
{"title":"When Life Hangs on a Breath: A Narrative Inquiry Into Nursing Presence and Hope.","authors":"Alwyn T Pandian, Clinton R Brenner, Vinciya Pandian, Michael J Brenner","doi":"10.1111/jocn.70148","DOIUrl":"https://doi.org/10.1111/jocn.70148","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483176","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 \"Developing and Evaluating the Use of ChatGPT as a Screening Tool for Nurses Conducting Structured Literature Reviews: Proof of Concept Study Results\".","authors":"Ahmadreza Abedi, Maedeh Alhosseini","doi":"10.1111/jocn.70149","DOIUrl":"https://doi.org/10.1111/jocn.70149","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460564","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}
Aim: To examine the characteristics of the health care needs corresponding to the medical care process and HR-QOL of women with cancer.
Design: A descriptive design was adopted.
Methods: The study's participants were 122 women with cancer who completed a survey before and 6 months after treatment initiation. A principal component analysis (PCA) was conducted on a set of 12 health care satisfaction scores at each point. Correlations were examined between the resulting components and HR-QOL indicators, including subjective well-being, symptoms, symptom-related interference, anxiety and depression.
Results: Most participants reported high health care satisfaction in both phases. PCA indicated the presence of 3 distinct domains: satisfaction with health care, health care management and supportive care. In both phases, these domains accounted for about 60% of the variance, while the remaining 40% was unexplained. Only satisfaction with health care was correlated with HR-QOL at both phases, with particularly strong associations observed for subjective well-being and depression at 6 months. Before treatment initiation, the item of 'nursing care and practice' received the highest average score, but demonstrated a negative loading on the component of 'satisfaction with health care management'. The component of 'satisfaction with supportive care needs' was retained at both phases.
Conclusion: Health care plays a pivotal role in maintaining patients' quality of life, while supportive care and the integration of nursing practice within health care management remain essential.
Implications for patient care: High satisfaction scores do not necessarily mean that all health care needs are met. Addressing unmet needs from the perspective of HR-QOL and ensuring continuous supportive care throughout the treatment process is imperative.
Patient contribution: Data provided by women with cancer was used.
{"title":"Exploring Health Care Needs and HR-QOL Among Women With Cancer: A Principal Component Analysis Before and 6 Months After Treatment Initiation.","authors":"Michiyo Mizuno, Ikuko Chiba, Natsumi Oda, Miki Kondo, Toru Mukohara, Tatsuya Onishi, Choei Tai, Yui Nakagawa, Ako Hosono, Susumu Okano, Hiroshi Tanabe, Saori Mishima, Masami Yuda, Tetsuo Akimoto","doi":"10.1111/jocn.70146","DOIUrl":"https://doi.org/10.1111/jocn.70146","url":null,"abstract":"<p><strong>Aim: </strong>To examine the characteristics of the health care needs corresponding to the medical care process and HR-QOL of women with cancer.</p><p><strong>Design: </strong>A descriptive design was adopted.</p><p><strong>Methods: </strong>The study's participants were 122 women with cancer who completed a survey before and 6 months after treatment initiation. A principal component analysis (PCA) was conducted on a set of 12 health care satisfaction scores at each point. Correlations were examined between the resulting components and HR-QOL indicators, including subjective well-being, symptoms, symptom-related interference, anxiety and depression.</p><p><strong>Results: </strong>Most participants reported high health care satisfaction in both phases. PCA indicated the presence of 3 distinct domains: satisfaction with health care, health care management and supportive care. In both phases, these domains accounted for about 60% of the variance, while the remaining 40% was unexplained. Only satisfaction with health care was correlated with HR-QOL at both phases, with particularly strong associations observed for subjective well-being and depression at 6 months. Before treatment initiation, the item of 'nursing care and practice' received the highest average score, but demonstrated a negative loading on the component of 'satisfaction with health care management'. The component of 'satisfaction with supportive care needs' was retained at both phases.</p><p><strong>Conclusion: </strong>Health care plays a pivotal role in maintaining patients' quality of life, while supportive care and the integration of nursing practice within health care management remain essential.</p><p><strong>Implications for patient care: </strong>High satisfaction scores do not necessarily mean that all health care needs are met. Addressing unmet needs from the perspective of HR-QOL and ensuring continuous supportive care throughout the treatment process is imperative.</p><p><strong>Patient contribution: </strong>Data provided by women with cancer was used.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145394861","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":"Comment on \"Barriers and Facilitators in Implementing Clinical Practice Guidelines Among Nurses in Emergency Departments and Critical Care Units: A Systematic Review\".","authors":"Dalyal Nader Alosaimi","doi":"10.1111/jocn.70125","DOIUrl":"https://doi.org/10.1111/jocn.70125","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145394947","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}
Qian Zhang, Gege Cao, Xuan Duan, Ruifang Zhu, Shifan Han
<p><strong>Aims: </strong>To identify barriers and facilitators to nurse prescribing implementation through a synthesis of qualitative studies.</p><p><strong>Background: </strong>The roles of healthcare professionals are expanding in response to the growing demand for access to high-quality healthcare services. Advanced practice nurses are a global trend, and nurse prescribing is a crucial feature of advanced practice nurses that can meet the needs of growing healthcare services. The development and promotion of nurse prescribing varies significantly across countries, and it is essential to identify the factors influencing the implementation of nurse prescribing.</p><p><strong>Methods: </strong>A systematic search of PubMed, Web of Science, Embase, Cochrane Library, CINAHL, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, Wan Fang and Weipu database was conducted to retrieve literature on barriers and facilitators related to the implementation of nurse prescribing. We searched records from inception to 29 March 2025. Two researchers independently performed literature screening, literature evaluation, data extraction and synthesis. Literature screening and data extraction adhered to the predefined inclusion and exclusion criteria. Literature quality was evaluated using the JBI Checklist for Qualitative Research. The results were synthesised using the thematic synthesis approach. Information was extracted using the Consolidated Framework for Implementation Research (CFIR) in a deductive way, and barriers and facilitators to the implementation were categorised based on the CFIR. Report rigour assessed via ENTREQ.</p><p><strong>Results: </strong>The synthesis of 14 included papers identified 18 thematic categories, yielding two key findings. The main barriers identified included failure to anticipate the cost of nurse prescribing, legal constraints, social pressures, poor organisational structure, insufficient prescribing education, lack of competence of nurses leading to psychological changes, opposition and lack of cooperation of team members, and insufficient planning of nurse prescribing. Facilitating factors included prescribing experience, resource and labor conservation, cost reduction, resources, nurses' prescribing training, leadership support, patients' needs, nursing professional development, nurses' competence, and team cooperation and support.</p><p><strong>Conclusion: </strong>Identifying barriers and facilitators to nurse prescribing is critical for informing policy-making and clinical prescribing practices. The results offers practical guidance to develop strategic plans that enhance implementation and adoption of nurse prescribing.</p><p><strong>Relevance to clinical practice: </strong>Nurse prescribing improves patient access while mitigating healthcare strain. By streamlining medication delivery and optimising resource use in overburdened systems, this model strengthens patient-centered care while al
目的：通过综合定性研究确定护理处方实施的障碍和促进因素。背景：医疗保健专业人员的作用正在扩大，以应对日益增长的需求，获得高质量的医疗保健服务。高级执业护士是一种全球趋势，护士开处方是高级执业护士的一个重要特征，可以满足日益增长的医疗服务需求。各国护士处方的发展和推广情况差异很大，确定影响护士处方实施的因素至关重要。方法：系统检索PubMed、Web of Science、Embase、Cochrane Library、CINAHL、中国国家知识基础设施数据库、中国生物医学文献数据库、万方数据库和卫普数据库，检索护士处方实施障碍和促进因素相关文献。我们检索了从成立到2025年3月29日的记录。两位研究者独立进行文献筛选、文献评价、数据提取和综合。文献筛选和资料提取遵循预先设定的纳入和排除标准。使用JBI质性研究检查表评估文献质量。使用主题综合方法对结果进行综合。使用实施研究综合框架（CFIR）以演绎的方式提取信息，并根据CFIR对实施的障碍和促进因素进行分类。通过ENTREQ评估报告严谨性。结果：综合14篇纳入的论文，确定了18个主题类别，产生了两个关键发现。确定的主要障碍包括未能预测护士开处方的成本、法律约束、社会压力、组织结构不良、开处方教育不足、护士缺乏能力导致心理变化、团队成员的反对和缺乏合作以及护士开处方的规划不足。促进因素包括处方经验、节约资源和劳动力、降低成本、资源、护士处方培训、领导支持、患者需求、护理专业发展、护士能力和团队合作与支持。结论：识别护士开处方的障碍和促进因素对决策和临床开处方实践至关重要。研究结果为制定战略计划提供了实用指导，以加强护士处方的实施和采用。与临床实践的相关性：护士处方改善患者访问，同时减轻医疗压力。通过在负担过重的系统中简化药物交付和优化资源使用，这种模式加强了以患者为中心的护理，同时允许医生专门处理复杂病例。这种劳动力创新加强了以团队为基础的护理，并确保了对弱势群体的连续性。影响陈述：本文确定了障碍和促进因素，为政策制定者、医疗保健管理人员和教育工作者提供了可操作的见解，以实现护士角色的扩展，减少医生的工作量，并通过整体护理提高结果。患者或公众捐款：没有患者或公众捐款。
{"title":"Barriers and Facilitators to Implementation of Nurse Prescribing: A Qualitative Synthesis Based on the Consolidated Framework for Implementation Research.","authors":"Qian Zhang, Gege Cao, Xuan Duan, Ruifang Zhu, Shifan Han","doi":"10.1111/jocn.70130","DOIUrl":"https://doi.org/10.1111/jocn.70130","url":null,"abstract":"<p><strong>Aims: </strong>To identify barriers and facilitators to nurse prescribing implementation through a synthesis of qualitative studies.</p><p><strong>Background: </strong>The roles of healthcare professionals are expanding in response to the growing demand for access to high-quality healthcare services. Advanced practice nurses are a global trend, and nurse prescribing is a crucial feature of advanced practice nurses that can meet the needs of growing healthcare services. The development and promotion of nurse prescribing varies significantly across countries, and it is essential to identify the factors influencing the implementation of nurse prescribing.</p><p><strong>Methods: </strong>A systematic search of PubMed, Web of Science, Embase, Cochrane Library, CINAHL, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, Wan Fang and Weipu database was conducted to retrieve literature on barriers and facilitators related to the implementation of nurse prescribing. We searched records from inception to 29 March 2025. Two researchers independently performed literature screening, literature evaluation, data extraction and synthesis. Literature screening and data extraction adhered to the predefined inclusion and exclusion criteria. Literature quality was evaluated using the JBI Checklist for Qualitative Research. The results were synthesised using the thematic synthesis approach. Information was extracted using the Consolidated Framework for Implementation Research (CFIR) in a deductive way, and barriers and facilitators to the implementation were categorised based on the CFIR. Report rigour assessed via ENTREQ.</p><p><strong>Results: </strong>The synthesis of 14 included papers identified 18 thematic categories, yielding two key findings. The main barriers identified included failure to anticipate the cost of nurse prescribing, legal constraints, social pressures, poor organisational structure, insufficient prescribing education, lack of competence of nurses leading to psychological changes, opposition and lack of cooperation of team members, and insufficient planning of nurse prescribing. Facilitating factors included prescribing experience, resource and labor conservation, cost reduction, resources, nurses' prescribing training, leadership support, patients' needs, nursing professional development, nurses' competence, and team cooperation and support.</p><p><strong>Conclusion: </strong>Identifying barriers and facilitators to nurse prescribing is critical for informing policy-making and clinical prescribing practices. The results offers practical guidance to develop strategic plans that enhance implementation and adoption of nurse prescribing.</p><p><strong>Relevance to clinical practice: </strong>Nurse prescribing improves patient access while mitigating healthcare strain. By streamlining medication delivery and optimising resource use in overburdened systems, this model strengthens patient-centered care while al","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379962","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}
Caihong Zhang, Tiantian Zhang, Wangying Jiang, Meiyu Yang
{"title":"On the Construct Specificity and Application of the Negative Emotions Scale: From an Assessment Tool to a Screening Tool.","authors":"Caihong Zhang, Tiantian Zhang, Wangying Jiang, Meiyu Yang","doi":"10.1111/jocn.70145","DOIUrl":"https://doi.org/10.1111/jocn.70145","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349799","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}
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