Journal of Advanced Nursing最新文献

{"title":"Planetary Health in Nursing: A Scoping Review","authors":"Shannon Vandenberg, Jacqueline/Jack Avanthay Strus, Andrea Chircop, Amanda Egert, Julie Savard","doi":"10.1111/jan.16570","DOIUrl":"https://doi.org/10.1111/jan.16570","url":null,"abstract":"To map the extent of the use of the term ‘planetary health’ in peer-reviewed nursing literature.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"9 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142487821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse Practitioners' Experiences of Transitioning to and Working in the Pioneering Nursing Role: An Interview Study.","authors":"Birgitta Ljungbeck,Elisabeth Carlson,Katarina Sjögren Forss","doi":"10.1111/jan.16560","DOIUrl":"https://doi.org/10.1111/jan.16560","url":null,"abstract":"BACKGROUNDNurse practitioners (NPs) play a crucial role in healthcare by providing person-centred and high-quality care. Their contributions encompass enhanced accessibility to healthcare and reduced hospital admissions and cost-effectiveness. They usually hold a master's degree in nursing, incorporating expanded clinical skills to manage patients in different settings and address both nursing and medical needs. Despite the global development of the role, its implementation varies, presenting challenges related to role clarity, regulation and acceptance by other healthcare professionals.AIMTo explore how nurses who are or have been employed as NPs describe their experiences of transitioning to and working in the NP role in Sweden.DESIGNA qualitative interview study.METHODThis study explores the experiences of 15 NPs in Sweden, using a snowball sampling strategy and semi-structured interviews. The data were collected through interviews in April and May 2022 and analysed with inductive content analysis.FINDINGSThe present study explores the experiences of NPs as they transition from experienced nurses to NPs, emphasising motivations, educational challenges, acceptance and autonomy. Transitioning into the NP role initially brought isolation that evolved into acceptance. They recognised their strength in integrating medical and nursing competencies for holistic care. Leadership was pivotal, with managerial support crucial for the successful implementation of the role. Autonomy-related challenges, such as prescription rights and dependency on physicians, underscored the need for a protected professional title and national guidelines.CONCLUSIONThis study enriches the evolution of the NP role in Sweden, offering vital insights into the ongoing national-level dialogues on NP role development in Sweden.IMPACTThe paper's relevance extends globally by providing valuable perspectives on NPs practicalities and fostering international understanding and advancement.REPORTING METHODStandards for reporting qualitative research.PATIENT OR PUBLIC CONTRIBUTIONNot applicable.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"28 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142488315","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":"Identifying Trends in the Most Cited Nursing Articles: Research Topics, Author Gender Representation and Characteristics Correlated With Citation Counts.","authors":"Christopher Holmberg","doi":"10.1111/jan.16562","DOIUrl":"https://doi.org/10.1111/jan.16562","url":null,"abstract":"AIMTo assess the top 1000 cited nursing articles in terms of their impact, conceptual and social characteristics.DESIGNBibliometric literature review design.METHODSA bibliometric analysis on the 1000 most cited nursing articles in English, focusing on assessing their impact and prevalent terms, keywords, co-occurrence networks and topic trends. Non-parametric statistical tests were used.DATA SOURCESWeb of Science Core Collection (accessed 14 February 2024).RESULTSThe 1000 most cited articles were exported from 201,310 eligible articles. The most cited articles received a total of 319,643 citations. The Journal of Advanced Nursing and the International Journal of Nursing Studies were the most cited journals. Literature reviews accounted for 21% of the most cited articles, compared to only 7% of all eligible articles. Most first authors were female, 63%. The data showed an increase in female first authorship among the most cited articles over time. This may reflect a shift towards greater gender equity in nursing research. Shorter article titles and fewer article pages were associated with more citations.CONCLUSIONMethodological and conceptual articles received the most citations, likely due to their broad applicability (e.g., across disciplines) and enduring relevance. There was a statistically significant correlation between article brevity and citation count, but the relationship should be viewed with caution given the small effect size.IMPLICATIONS FOR THE PROFESSIONBibliometrics is important for evidence-based practice because it helps nurses evaluate journals, articles and research topics. Since citation counts do not always indicate research quality, nurses and nursing students would benefit from training in bibliometrics to enhance their critical thinking in this area.IMPACTTop-cited nursing articles indicate influential research topics and methods. They also influence authors' academic career opportunities, allowing assessment of research equity in terms of dominant countries and author gender representation.REPORTING METHODThe Preferred Reporting Items for Bibliometric Analysis (PRIBA) guidelines.PATIENT OR PUBLIC CONTRIBUTIONNo Patient or Public Contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"89 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142488316","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":"Renew the Nursing Profession to Attract New Forces and Be Increasingly Inclusive and Attentive to Diversity.","authors":"Gianluca Azzellino, Lia Ginaldi, Massimo De Martinis","doi":"10.1111/jan.16552","DOIUrl":"https://doi.org/10.1111/jan.16552","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481213","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":"Using Implementation Science to Implement Evidence-Based Practice: A Discursive Paper","authors":"Audrey Chays-Amania, Jocelyn Schwingrouber, Sébastien Colson","doi":"10.1111/jan.16571","DOIUrl":"https://doi.org/10.1111/jan.16571","url":null,"abstract":"The purpose of this manuscript is to offer an overview of knowledge regarding Evidence-Based Practice and implementation science. It addresses the question: What are the EBP implementation models used in nursing settings?","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"33 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142451917","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":"Sociodemographic Characteristics of Internationally Educated Nurses Associated With Successful Outcomes in Canada: Quantitative Analysis","authors":"Nasrin Alostaz, Jiajie Mo, Margaret Walton‐Roberts, Ruth Chen, Maria Pratt, Olive Wahoush","doi":"10.1111/jan.16497","DOIUrl":"https://doi.org/10.1111/jan.16497","url":null,"abstract":"AimsThis article describes the sociodemographic characteristics of internationally educated nurses since the change in the registration examination in 2015. It aims to investigate the association between internationally educated nurses' sociodemographic characteristics and their successful integration into the nursing workforce in Canada.DesignCross‐sectional and secondary data survey questions.MethodsThis study adopts a cross‐sectional and secondary data analysis, utilising data from IENs who engaged with internationally educated nurse initiatives such as the Creating Access to Regulated Employment Centre for Internationally Educated Nurses (CARE) or initiated the registration process with the College of Nurses of Ontario (CNO) in 2015 and after.ResultsThere were 259 participants, with 155 participants from primary data collection and 104 participants from secondary data sources. Quantitative analysis reveals that most participants are females, under 40 years old, educated in English and hold at least a bachelor's degree in nursing, with 47.3% of internationally educated nurses migrated from India and the Philippines. Significant associations were identified between internationally educated nurses having CARE membership and the currency of nursing practice and their successful outcomes.ConclusionRecognising and addressing the unique needs of IENs is essential for their successful integration into the Canadian healthcare workforce, thereby ensuring resilience and cultural competence in nursing for the future.Implications for the ProfessionThis analysis highlights the impact of sociodemographic characteristics of internationally educated nurses on their successful outcomes and underscores the diversity and richness they bring to the healthcare landscape. Since internationally educated nurses continue to experience challenges while integrating into the Canadian nursing workforce, these findings have substantial implications for nursing policy, practice, professional development and research.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"81 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142449566","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":"Acute Care Nurses' Partnership With Patients to Recognise and Respond to Changes in Patients' Clinical States: A Qualitative Study","authors":"Gabrielle Burdeu, Bodil Rasmussen, Grainne Lowe, Julie Considine","doi":"10.1111/jan.16520","DOIUrl":"https://doi.org/10.1111/jan.16520","url":null,"abstract":"AimTo explore and describe acute care nurses' partnership with patients to recognise and respond to changes in patients' clinical states. Acute care nurses' decisions to partner with patients to recognise deterioration in clinical states and to respond by activating a rapid response system improves patient outcomes. Acutely unwell patients can also experience clinical changes that include improvement and deterioration that does not trigger rapid response system activation over the course of hospitalisation from illness and treatment. How acute care nurses partner with patients in response to improvement and deterioration not triggering a rapid response system is not well‐understood.DesignAn exploratory, descriptive study underpinned by Tanner's Clinical Judgement Model.MethodsUsing purposive and quota sampling, 20 nurses with direct patient care responsibilities on one medical and one surgical ward in a large Australian hospital were recruited. Nonparticipant observations followed by semistructured interviews were conducted between January and May of 2021. Nurse–patient interactions were observed for 4 h, and verbally described and recorded. Semistructured interviews were recorded and explored nurses' reasoning behind decisions observed. Reflexive thematic analysis was used to analyse the data.ResultsThree themes were identified from the data: nurses checking in for changes; nurses forming judgements; and nurses partnering with patients to respond. Acute care nurses promoted subjective assessment based on patients' safety risks. Patients' participation in response to changes was prioritised based on acute care nurses' judgement of safety.ConclusionPatients receive significant safety benefits when acute care nurses partner with patients in response to their experience of improvement and deterioration during acute illness. Further research should evaluate the sensitivity of subjective cues in patient assessment.Implications for the Profession and Patient Care<jats:list list-type=\"bullet\"> <jats:list-item>Partnership with patients in assessment and management of improvement and deterioration improves the quality and safety of patient care.</jats:list-item> <jats:list-item>Assessment frameworks should equally prioritise the use of objective and subjective cues.</jats:list-item> <jats:list-item>Nursing education should promote the safety benefits of patient partnerships in responding to patient changes.</jats:list-item> </jats:list>Reporting MethodEquator checklist COREQ.Patient or Public ContributionData collected included description of patients' interactions with study participants.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"6 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142451343","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":"Intravenous Line Labels For High‐Alert Drugs Administered To Critically Ill Patients: A Simulated Experimental Assessment","authors":"Geovane de Kassio Nunes, Bruna Gonçalves Ribeiro Araújo, Letícia Braga Portes Alves Rentz, Flávia Giron Camerini, Sabrina da Costa Machado Duarte, Juliana Faria Campos, Rafael Celestino da Silva","doi":"10.1111/jan.16529","DOIUrl":"https://doi.org/10.1111/jan.16529","url":null,"abstract":"Aims and ObjectivesEvaluate the effect of IV line labels on nurses' identification of high‐alert medications in a simulated scenario of multiple infusions for critically ill patients.DesignRandomised crossover simulation experimental study.MethodsA study was conducted on 29 nurses working in intensive care for over 6 months. They were given two critical scenarios in a simulated environment, one with labels and the other without labels, involving multiple intravenous infusions. The nurses had to identify the medications infused into the critical patients' intravenous lines and disconnect a specific line. The data were collected and analysed to evaluate the errors made by the nurses in identifying and disconnecting the medications and the time they spent carrying out the tasks. The Wilcoxon test was used to analyse the variation in outcome before and after the intervention.ResultsApproximately one‐third of the study participants incorrectly identified the intravenous lines in both scenarios. There was no significant difference in the average number of errors between the scenarios with and without labels. However, the time taken to perform the tasks in the scenario with labels was 1 min less than in the scenario without labels, suggesting a potential efficiency gain.ConclusionsThe labels on the intravenous lines allowed for quick drug identification and disconnection. The professionals performed similarly in correctly recognising the high‐alert medication intravenous lines, in the scenarios with or without labels.Relevance to Clinical PracticeThe label can be used as a technology to prevent misidentification of high‐alert medications administered to critically ill patients through intravenous lines, thereby enhancing medication safety in healthcare institutions.No Public Contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"45 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142451349","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":"An Evaluative Study of a Nurse‐Led Surgical Information Initiative for Gender Diverse Individuals Seeking Genital Surgery","authors":"Seán Kearns, Pauline Forrester, Donal O'Shea, Karl Neff","doi":"10.1111/jan.16532","DOIUrl":"https://doi.org/10.1111/jan.16532","url":null,"abstract":"AimTo evaluate the impact of nurse‐led one‐on‐one psychoeducation sessions on gender diverse individuals seeking gender‐affirming genital surgery.DesignA quasi‐experimental, pre‐ and post‐test research design was employed to examine the impact of a nurse‐led initiative on improving patients self‐perceived knowledge and confidence pertaining to gender affirming genital surgery. The study followed the SQUIRE 2.0 (Standards for Quality Improvement Reporting Excellence) guidelines and the COREQ (Consolidated Criteria for Reporting Qualitative Research) guidelines.MethodsThe curriculum for the initiative was crafted through literature reviews, expert panel engagements, multidisciplinary team input and was delivered by two specialist gender nurses.ResultsThe results indicated a statistically significant increase in all participants' self‐perceived knowledge and confidence scores. Furthermore, the study increased confidence in the ability to ask questions and plan for the logistical and financial aspects of surgery.ConclusionParticipants reported that the sessions were very useful, and for most, the information did not change their desire to seek surgery but did help them make more informed choices about the procedure, timing and preferred surgeon.Implications for Patient CareThe study underscores the imperative role of support networks and recommends interventions to facilitate open communication within families. The study emphasises the importance of customising healthcare approaches to align with the preferences of patients.ImpactThe study addressed the need for psychoeducation sessions for individuals considering gender‐affirming genital surgery. The main findings revealed a significant increase in participants' self‐perceived knowledge and confidence, following a nurse‐led intervention. The research's impact extends to gender‐diverse individuals seeking surgery globally.Patient or Public ContributionFour individuals who had undergone gender‐affirming surgeries contributed their perspectives to the study design, ensuring that the educational content addressed specific information needs and concerns.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"2 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142451388","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":"Newly Graduated Perioperative Nurses' Experiences of Transitioning to Clinical Practice: A Qualitative Explorative Secondary Analysis","authors":"Hege Kristin Aslaksen Kaldheim, Judy Munday, Kristine Haddeland, Mariann Fossum","doi":"10.1111/jan.16537","DOIUrl":"https://doi.org/10.1111/jan.16537","url":null,"abstract":"AimThe aim of this secondary analysis was to explore newly graduated perioperative nurses' experiences of transitioning to clinical practice to gain more in‐depth knowledge of this phenomenon.DesignA qualitative explorative study of secondary data was used, and this study was reported following the Consolidated Criteria for Reporting Qualitative Research checklist.MethodsA secondary analysis of data collected between March 2019 and November 2020 via 16 semi‐structured interviews with newly graduated perioperative nurses. The interviews were conducted 3 to 5 months after they graduated from five different educational institutions in Norway and entered clinical practice as perioperative nurses. A three‐step phenomenological hermeneutical analysis inspired by Ricoeur's theory was applied: naïve reading, structural analysis and comprehensive understanding.ResultsWe identified three themes: expectations of competence, facilitation for newly graduated perioperative nurses and the transition from being a student to a newly qualified perioperative nurse.ConclusionsNewly graduated perioperative nurses emphasised the critical role of supportive facilitation, manageable expectations and support from leaders and colleagues, which seemed essential for a successful transition to clinical practice.ImpactThis study addresses knowledge essential for universities, universities colleges and clinical practice, specifically healthcare organisations, to understand the transition process for newly graduated perioperative nurses. This can support the establishment of improved practices to ensure patient safety via more specific education and mentoring and more accurate expectations of competence.Patient and Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"103 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142451346","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}