Jizhe Wang, Xiaohong Lu, Yan Zhang, Maojing Wang, Shu Han, Menglu Zhao, Lihua Cao, Yunxia Zhao, Lili Wei
AimTo cross‐culturally adapt the Knowledge about Atrial Fibrillation and Stroke Prevention Questionnaire (KAFSP‐Q) for Chinese AF patients and validate its effectiveness.DesignInstrument adaptation and cross‐sectional validation.MethodsThe KAFSP‐Q was translated into Chinese by using the forward and back translation method. Experts and patients were invited to revise the questionnaire domains and items. The psychometric properties of the Chinese version of the KAFSP‐Q were evaluated, that is, its construct validity, discriminant validity, convergent validity, internal consistency and test–retest reliability.FindingsThe Chinese version of the KAFSP‐Q consists of 41 items and six domains, namely, bleeding knowledge, AF complications, stroke risk and stroke prevention, stroke symptoms, AF symptoms and general AF knowledge. The Chinese version of the KAFSP‐Q demonstrated acceptable content validity (scale‐content validity index = 0.859). The exploratory factor analysis revealed six factors, which accounted for 65.725% of the total variance, and the confirmatory factor analysis revealed acceptable fit indices. The convergent validity was poor, because the average variance extracted coefficient of the six domains was lower than 0.500. The square root of the average variance extracted coefficients was higher than the bivariate correlation between the domains, which indicated an acceptable discriminant validity. Meanwhile, the internal consistency and test–retest reliability were satisfactory (Cronbach's α coefficient = 0.973, intraclass correlation coefficient = 0.872).ConclusionsThe Chinese version of the KAFSP‐Q demonstrates acceptable validity and reliability and can be used as a valuable instrument for AF and stroke prevention knowledge evaluation.ImpactIn clinical practice, the Chinese version of the KAFSP‐Q can be used to help patients increase their disease management knowledge and engage in effective disease management behaviour. Future research is necessary to confirm the psychometric properties of the questionnaire with samples that are highly representative.Patient or Public ContributionNo patient or public contribution.
{"title":"Cross‐Cultural Validation of Knowledge About Atrial Fibrillation and Stroke Prevention Questionnaire: A Cross‐Sectional Study Among Chinese Patients With Atrial Fibrillation","authors":"Jizhe Wang, Xiaohong Lu, Yan Zhang, Maojing Wang, Shu Han, Menglu Zhao, Lihua Cao, Yunxia Zhao, Lili Wei","doi":"10.1111/jan.16700","DOIUrl":"https://doi.org/10.1111/jan.16700","url":null,"abstract":"AimTo cross‐culturally adapt the Knowledge about Atrial Fibrillation and Stroke Prevention Questionnaire (KAFSP‐Q) for Chinese AF patients and validate its effectiveness.DesignInstrument adaptation and cross‐sectional validation.MethodsThe KAFSP‐Q was translated into Chinese by using the forward and back translation method. Experts and patients were invited to revise the questionnaire domains and items. The psychometric properties of the Chinese version of the KAFSP‐Q were evaluated, that is, its construct validity, discriminant validity, convergent validity, internal consistency and test–retest reliability.FindingsThe Chinese version of the KAFSP‐Q consists of 41 items and six domains, namely, bleeding knowledge, AF complications, stroke risk and stroke prevention, stroke symptoms, AF symptoms and general AF knowledge. The Chinese version of the KAFSP‐Q demonstrated acceptable content validity (scale‐content validity index = 0.859). The exploratory factor analysis revealed six factors, which accounted for 65.725% of the total variance, and the confirmatory factor analysis revealed acceptable fit indices. The convergent validity was poor, because the average variance extracted coefficient of the six domains was lower than 0.500. The square root of the average variance extracted coefficients was higher than the bivariate correlation between the domains, which indicated an acceptable discriminant validity. Meanwhile, the internal consistency and test–retest reliability were satisfactory (Cronbach's <jats:italic>α</jats:italic> coefficient = 0.973, intraclass correlation coefficient = 0.872).ConclusionsThe Chinese version of the KAFSP‐Q demonstrates acceptable validity and reliability and can be used as a valuable instrument for AF and stroke prevention knowledge evaluation.ImpactIn clinical practice, the Chinese version of the KAFSP‐Q can be used to help patients increase their disease management knowledge and engage in effective disease management behaviour. Future research is necessary to confirm the psychometric properties of the questionnaire with samples that are highly representative.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"25 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142961587","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}
Desy Indra Yani, John Chee Meng Wong, Minna Pikkarainen, Joelle Yan Xin Chua, Hung Chew Wong, Yong Shian Shawn Goh, Shefaly Shorey
AimsThis study aims to identify factors associated with mental health literacy (mental health knowledge and attitudes towards mental health and help‐seeking behaviours), depression and anxiety amongst adolescents, and test the hypothesised model by examining the interrelationships between these outcomes.DesignCross‐sectional descriptive quantitative research.MethodsUsing convenient sampling, 615 adolescents from four public schools completed online questionnaires measuring mental health literacy, depression, and anxiety. The data were analysed using Pearson correlation, multiple linear regression, and structural equation modelling (SEM).ResultsIndividual factors (e.g., gender, physical health and past traumatic experiences), family factors (e.g., parental criticism and family support) and school/community factors (e.g., academic pressure and safety) were associated with mental health outcomes. SEM revealed an association between higher mental health knowledge and better attitudes towards mental health and help‐seeking behaviours but did not show a significant association with depression and anxiety.ConclusionsFindings emphasise the need for holistic and culturally safe approaches to address adolescent mental health in Indonesia.ImplicationsFuture research should focus on developing and evaluating tailored mental health interventions in Indonesia that address individual, family, school, and community factors. These interventions should target the interrelated aspects of mental health literacy, depression, and anxiety identified in this study. Key areas for intervention include enhancing self‐esteem, promoting help‐seeking behaviours, supporting spirituality, managing long‐term conditions, improving sleep hygiene, encouraging physical activity, teaching stress management techniques, fostering diversity, managing trauma, and combating discrimination. A comprehensive approach to adolescent mental well‐being should integrate parental involvement, peer support systems, community engagement initiatives, and mental health literacy education.ImpactThis research informs future interventions such as school‐based programs, family‐oriented campaigns, and community initiatives to support adolescent mental health, potentially influencing policy decisions, and resource allocation in mental health services.Reporting MethodSTROBE guidelines.Patient or Public ContributionNo direct patient or public contribution.
{"title":"Factors Associated With Mental Health Literacy, Depression, and Anxiety Amongst Indonesian Adolescents","authors":"Desy Indra Yani, John Chee Meng Wong, Minna Pikkarainen, Joelle Yan Xin Chua, Hung Chew Wong, Yong Shian Shawn Goh, Shefaly Shorey","doi":"10.1111/jan.16742","DOIUrl":"https://doi.org/10.1111/jan.16742","url":null,"abstract":"AimsThis study aims to identify factors associated with mental health literacy (mental health knowledge and attitudes towards mental health and help‐seeking behaviours), depression and anxiety amongst adolescents, and test the hypothesised model by examining the interrelationships between these outcomes.DesignCross‐sectional descriptive quantitative research.MethodsUsing convenient sampling, 615 adolescents from four public schools completed online questionnaires measuring mental health literacy, depression, and anxiety. The data were analysed using Pearson correlation, multiple linear regression, and structural equation modelling (SEM).ResultsIndividual factors (e.g., gender, physical health and past traumatic experiences), family factors (e.g., parental criticism and family support) and school/community factors (e.g., academic pressure and safety) were associated with mental health outcomes. SEM revealed an association between higher mental health knowledge and better attitudes towards mental health and help‐seeking behaviours but did not show a significant association with depression and anxiety.ConclusionsFindings emphasise the need for holistic and culturally safe approaches to address adolescent mental health in Indonesia.ImplicationsFuture research should focus on developing and evaluating tailored mental health interventions in Indonesia that address individual, family, school, and community factors. These interventions should target the interrelated aspects of mental health literacy, depression, and anxiety identified in this study. Key areas for intervention include enhancing self‐esteem, promoting help‐seeking behaviours, supporting spirituality, managing long‐term conditions, improving sleep hygiene, encouraging physical activity, teaching stress management techniques, fostering diversity, managing trauma, and combating discrimination. A comprehensive approach to adolescent mental well‐being should integrate parental involvement, peer support systems, community engagement initiatives, and mental health literacy education.ImpactThis research informs future interventions such as school‐based programs, family‐oriented campaigns, and community initiatives to support adolescent mental health, potentially influencing policy decisions, and resource allocation in mental health services.Reporting MethodSTROBE guidelines.Patient or Public ContributionNo direct patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"130 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142939916","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}
Calvin Moorley, Ruth Oshikanlu, John Unsworth, Crystal Oldman, Helen T. Allan
{"title":"Redefining Regulation: Towards Equity and Social Justice","authors":"Calvin Moorley, Ruth Oshikanlu, John Unsworth, Crystal Oldman, Helen T. Allan","doi":"10.1111/jan.16726","DOIUrl":"https://doi.org/10.1111/jan.16726","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"9 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142939913","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}
James Lee, Rebecca Mowat, Julie Blamires, Mandie Foster
This integrative review aims to identify what nurses currently offer through digital technology and their success in managing chronic pain.
这篇综合综述旨在确定护士目前通过数字技术提供了什么，以及他们在管理慢性疼痛方面的成功。
{"title":"Recent Advances in Non-Invasive Digital Nursing Technologies for Chronic Pain Assessment and Management: An Integrative Review","authors":"James Lee, Rebecca Mowat, Julie Blamires, Mandie Foster","doi":"10.1111/jan.16716","DOIUrl":"https://doi.org/10.1111/jan.16716","url":null,"abstract":"This integrative review aims to identify what nurses currently offer through digital technology and their success in managing chronic pain.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"20 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142940359","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}
Hege Wathne, Marianne Storm, Ingvild Margreta Morken, Anne Marie Lunde Husebø
AimTo explore patients and nurses' experiences of digital self‐management support following participation in a remote patient monitoring intervention.DesignAn exploratory qualitative multimethod study.MethodsThe study was conducted at two Norwegian university hospitals between January 2022 and February 2023. Data were obtained through semistructured interviews of 17 patients with heart failure, 10 patients surgically treated for colorectal cancer and eight nurses. The data collection also included excerpts from chat messages between patients and nurses obtained from the digital platform during January and February 2024. Data were analysed using abductive thematic analysis.ResultsThe analysis revealed three themes: (1) raising illness awareness through RPM technology, (2) establishing a mutual collaboration in self‐management challenges and (3) fostering a continued engagement in health behaviour change. The themes captured patients and nurses' experiences of receiving and providing digital self‐management support. The analysis also identified a unifying key theme: ‘bridging technology and self‐management support through remote caring encounters’, which firmly connected the three themes.ConclusionRemote patient monitoring appeared to benefit both patients and nurses by altering patients' self‐management routines and the nurses' workflows. Furthermore, applying the theory of technological competency as caring in nursing to remote patient monitoring interventions may help ensure that the patient–nurse relationship is not weakened as technology advances.Implications for the Profession and Patient CareRemote patient monitoring interventions have the potential to become a valuable tool in modern healthcare, enabling effective communication and collaboration between patients and nurses while also ensuring patient‐centred care. However, future development of remote patient monitoring interventions should include nursing support.ImpactThis study addresses remote patient monitoring and digital self‐management support from the perspectives of both patients and nurses. The findings may have an impact on remote nursing, patient satisfaction and strategies to improve digital follow‐up care for patients with long‐term illnesses.Reporting MethodThe authors adhered to the EQUATOR guidelines through the SRQR reporting method.Patient or Public ContributionNo patient or public contribution.
{"title":"Nurse‐Assisted Remote Patient Monitoring for Self‐Management Support to Patients With Long‐Term Illness—A Qualitative Multimethod Study","authors":"Hege Wathne, Marianne Storm, Ingvild Margreta Morken, Anne Marie Lunde Husebø","doi":"10.1111/jan.16736","DOIUrl":"https://doi.org/10.1111/jan.16736","url":null,"abstract":"AimTo explore patients and nurses' experiences of digital self‐management support following participation in a remote patient monitoring intervention.DesignAn exploratory qualitative multimethod study.MethodsThe study was conducted at two Norwegian university hospitals between January 2022 and February 2023. Data were obtained through semistructured interviews of 17 patients with heart failure, 10 patients surgically treated for colorectal cancer and eight nurses. The data collection also included excerpts from chat messages between patients and nurses obtained from the digital platform during January and February 2024. Data were analysed using abductive thematic analysis.ResultsThe analysis revealed three themes: (1) raising illness awareness through RPM technology, (2) establishing a mutual collaboration in self‐management challenges and (3) fostering a continued engagement in health behaviour change. The themes captured patients and nurses' experiences of receiving and providing digital self‐management support. The analysis also identified a unifying key theme: ‘bridging technology and self‐management support through remote caring encounters’, which firmly connected the three themes.ConclusionRemote patient monitoring appeared to benefit both patients and nurses by altering patients' self‐management routines and the nurses' workflows. Furthermore, applying the theory of technological competency as caring in nursing to remote patient monitoring interventions may help ensure that the patient–nurse relationship is not weakened as technology advances.Implications for the Profession and Patient CareRemote patient monitoring interventions have the potential to become a valuable tool in modern healthcare, enabling effective communication and collaboration between patients and nurses while also ensuring patient‐centred care. However, future development of remote patient monitoring interventions should include nursing support.ImpactThis study addresses remote patient monitoring and digital self‐management support from the perspectives of both patients and nurses. The findings may have an impact on remote nursing, patient satisfaction and strategies to improve digital follow‐up care for patients with long‐term illnesses.Reporting MethodThe authors adhered to the EQUATOR guidelines through the SRQR reporting method.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"67 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142939919","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}
To explore the acceptability and feasibility of using a trauma-informed communication tool to convey client needs to health professionals; and to understand the barriers and enablers for clients using the tool.
{"title":"A Novel Tool to Communicate the Needs of Survivors of Trauma to Health Professionals: A Mixed Methods Pilot Study","authors":"Holly Lewtas, Michael Field, Kabir Ahmad","doi":"10.1111/jan.16701","DOIUrl":"https://doi.org/10.1111/jan.16701","url":null,"abstract":"To explore the acceptability and feasibility of using a trauma-informed communication tool to convey client needs to health professionals; and to understand the barriers and enablers for clients using the tool.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"9 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142940301","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}
To clarify the concept of preconception care and develop a precise and inclusive definition to improve its implementation and impact on reproductive health outcomes.
澄清孕前护理的概念，并制定一个精确和包容的定义，以改进其实施和对生殖健康结果的影响。
{"title":"Preconception Care: A Concept Analysis of an Evolving Paradigm","authors":"Yared Asmare Aynalem, Pauline Paul, Joanne Olson, Zohra S. Lassi, Salima Meherali","doi":"10.1111/jan.16711","DOIUrl":"https://doi.org/10.1111/jan.16711","url":null,"abstract":"To clarify the concept of preconception care and develop a precise and inclusive definition to improve its implementation and impact on reproductive health outcomes.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"14 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142940302","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}
Siri Lygum Voldbjerg, Sara Mandahl Ellehave, Ingrid Poulsen, Signe Eekholm, Mette Grønkjær, Kathrine Hoffmann Kusk, Amanda Agnes Østervig Buus, Hanne Mainz, Helle Haslund‐Thomsen, Lone Jørgensen, Britt Laugesen
AimTo explore nurses' perceptions of reasons for missed nursing care.DesignA multicentre qualitative descriptive study was undertaken from August 2022 to January 2023.MethodsInterpretive description methodology was used. Individual interviews were conducted with 36 registered nurses and eight licensed practical nurses working in medical, surgical and intensive care units at three public university hospitals in Denmark. Using a semi‐structured interview guide, nurses were asked to share their perceptions of reasons for missed care. The analysis was guided by an inductive thematic approach.ResultsThe nurses' immediate responses to reasons for missed nursing care circulated around limited time and busyness. However, further analysis unfolded layers of reasons described within three themes: being challenged by workload and patients' diverse care needs; falling short on competencies; and being governed by organisational structures and decisions.ConclusionsThe study underlines that reasons for missed nursing care are multiple and complex and extend from an individual to an organisational level. They can therefore not be seen nor targeted isolated. Furthermore, there is a need to draw attention to organisation of care and nurses' clinical decision‐making to ensure that patient's fundamental care needs are met.Implications for the ProfessionReducing missed nursing care calls for interventions that require nurses to change their working practices, roles and value perceptions. This study provides valuable insight into nurses' perspectives on reasons for missed nursing care, which is pertinent for designing interventions targeting missed nursing care.ImpactThe study provides insight into nurses' perceptions on reasons for missed nursing care within hospital settings. The findings of the study show that reasons for missed nursing care are multiple and complex and cannot be limited to time and busyness. The findings can be used to inform future interventions aimed at reducing missed nursing care.Reporting MethodThe reporting of the study followed the consolidated criteria for reporting qualitative research.Patient or Public ContributionNo patient or public contribution.
{"title":"Hidden Factors of Limited Time and Busyness: A Qualitative, Multicentre Study of the Reasons for Missed Nursing Care","authors":"Siri Lygum Voldbjerg, Sara Mandahl Ellehave, Ingrid Poulsen, Signe Eekholm, Mette Grønkjær, Kathrine Hoffmann Kusk, Amanda Agnes Østervig Buus, Hanne Mainz, Helle Haslund‐Thomsen, Lone Jørgensen, Britt Laugesen","doi":"10.1111/jan.16717","DOIUrl":"https://doi.org/10.1111/jan.16717","url":null,"abstract":"AimTo explore nurses' perceptions of reasons for missed nursing care.DesignA multicentre qualitative descriptive study was undertaken from August 2022 to January 2023.MethodsInterpretive description methodology was used. Individual interviews were conducted with 36 registered nurses and eight licensed practical nurses working in medical, surgical and intensive care units at three public university hospitals in Denmark. Using a semi‐structured interview guide, nurses were asked to share their perceptions of reasons for missed care. The analysis was guided by an inductive thematic approach.ResultsThe nurses' immediate responses to reasons for missed nursing care circulated around limited time and busyness. However, further analysis unfolded layers of reasons described within three themes: being challenged by workload and patients' diverse care needs; falling short on competencies; and being governed by organisational structures and decisions.ConclusionsThe study underlines that reasons for missed nursing care are multiple and complex and extend from an individual to an organisational level. They can therefore not be seen nor targeted isolated. Furthermore, there is a need to draw attention to organisation of care and nurses' clinical decision‐making to ensure that patient's fundamental care needs are met.Implications for the ProfessionReducing missed nursing care calls for interventions that require nurses to change their working practices, roles and value perceptions. This study provides valuable insight into nurses' perspectives on reasons for missed nursing care, which is pertinent for designing interventions targeting missed nursing care.ImpactThe study provides insight into nurses' perceptions on reasons for missed nursing care within hospital settings. The findings of the study show that reasons for missed nursing care are multiple and complex and cannot be limited to time and busyness. The findings can be used to inform future interventions aimed at reducing missed nursing care.Reporting MethodThe reporting of the study followed the consolidated criteria for reporting qualitative research.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"20 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142939862","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}
AimsTo explore how Australian oncology nurses perceive and experience compassion fatigue when caring for adult cancer patients, how they mitigate compassion fatigue and identify potential interventions to address compassion fatigue.DesignA qualitative, descriptive study.MethodsTwenty Australian oncology nurses caring for adult cancer patients were interviewed between August and September 2023. Participants were recruited from a larger, quantitative study. Interviews were conducted virtually, transcribed verbatim and analysed using thematic analysis.ResultsThree themes and nine sub‐themes were identified. Participants viewed heavy workloads, low staffing and organisational support as contributing factors to compassion fatigue. They described compassion fatigue as a feeling of having nothing left to give, impacting their ability to self‐care, deliver quality patient care and maintain relationships. The pride participants felt in their cancer care work helped mitigate compassion fatigue. Self‐care strategies, workplace mentoring and support were identified as ways to mitigate compassion fatigue.ConclusionThe work of oncology nurses can contribute to compassion fatigue, which may impact nurses and patient care. Organisations would benefit from supporting staff to engage in self‐care activities, professional development and mentoring.Implications for ProfessionalFindings support a multi‐tiered approach to addressing compassion fatigue among oncology nurses. Organisations can prioritise adequate staffing levels, mentoring opportunities, focused well‐being interventions and provide avenues for meaningful recognition.Reporting MethodThis study adheres to the COREQ reporting guidelines.Patient or Public ContributionNo patient or public contribution.
{"title":"Compassion Fatigue Among Australian Oncology Nurses Caring for Adult Cancer Patients: Antecedents, Impact and Mediators","authors":"Janneka Banks, Violeta Lopez, Deependra Kaji Thapa, Ashlyn Sahay, Michelle Cleary","doi":"10.1111/jan.16733","DOIUrl":"https://doi.org/10.1111/jan.16733","url":null,"abstract":"AimsTo explore how Australian oncology nurses perceive and experience compassion fatigue when caring for adult cancer patients, how they mitigate compassion fatigue and identify potential interventions to address compassion fatigue.DesignA qualitative, descriptive study.MethodsTwenty Australian oncology nurses caring for adult cancer patients were interviewed between August and September 2023. Participants were recruited from a larger, quantitative study. Interviews were conducted virtually, transcribed verbatim and analysed using thematic analysis.ResultsThree themes and nine sub‐themes were identified. Participants viewed heavy workloads, low staffing and organisational support as contributing factors to compassion fatigue. They described compassion fatigue as a feeling of having nothing left to give, impacting their ability to self‐care, deliver quality patient care and maintain relationships. The pride participants felt in their cancer care work helped mitigate compassion fatigue. Self‐care strategies, workplace mentoring and support were identified as ways to mitigate compassion fatigue.ConclusionThe work of oncology nurses can contribute to compassion fatigue, which may impact nurses and patient care. Organisations would benefit from supporting staff to engage in self‐care activities, professional development and mentoring.Implications for ProfessionalFindings support a multi‐tiered approach to addressing compassion fatigue among oncology nurses. Organisations can prioritise adequate staffing levels, mentoring opportunities, focused well‐being interventions and provide avenues for meaningful recognition.Reporting MethodThis study adheres to the COREQ reporting guidelines.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"33 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142939941","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}
BackgroundSexuality is a fundamental aspect of health and wellbeing. The management of prostate cancer can result in erectile dysfunction and body feminisation, resulting in loss of masculinity and alterations of body image. Prostate cancer patients identify sexuality as an unmet need and report little or no communication with their healthcare providers on the topic.AimThis umbrella review aims to determine the barriers that may preclude nurses from discussing sexuality with prostate cancer patients.DesignAn umbrella review of systematic review studies was undertaken using the PRISMA guidelines.MethodFive databases were comprehensively searched, CINAHL, MEDLINE, PsycINFO, Cochrane and Prospero, from October 1, 2013 to December 1, 2023, using the defined criteria. A total of 11 systematic reviews were included in this review consisting of 10 with quantitative and 1 with quantitative/mixed methods approach.ResultsThis study identified common themes, which were categorised into four groups: (a) lack of training and education, (b) age and years of clinical experience of nurses, (c) personal values and attitudes and (d) organisational factors. These factors contribute to why nurses feel unprepared and admit to not having adequate knowledge or expertise to have this discussion.ConclusionThe findings of this study illustrate that nurses require specialised communication skills to manage sensitive discussion with patients. Education is crucial to facilitate and empower nurses to discuss sexuality with their patients. Developing a pathway to specialist referrals will encourage nurses to address this with their patients.No Patient or Public ContributionFor the preparation of this paper, no direct involvement of patients or public has been deemed applicable to this work. This is an umbrella review paper.
{"title":"Quality of Nursing Care: Addressing Sexuality as Part of Prostate Cancer Management, an Umbrella Review","authors":"Catherine Neenan, Anna V. Chatzi","doi":"10.1111/jan.16703","DOIUrl":"https://doi.org/10.1111/jan.16703","url":null,"abstract":"BackgroundSexuality is a fundamental aspect of health and wellbeing. The management of prostate cancer can result in erectile dysfunction and body feminisation, resulting in loss of masculinity and alterations of body image. Prostate cancer patients identify sexuality as an unmet need and report little or no communication with their healthcare providers on the topic.AimThis umbrella review aims to determine the barriers that may preclude nurses from discussing sexuality with prostate cancer patients.DesignAn umbrella review of systematic review studies was undertaken using the PRISMA guidelines.MethodFive databases were comprehensively searched, CINAHL, MEDLINE, PsycINFO, Cochrane and Prospero, from October 1, 2013 to December 1, 2023, using the defined criteria. A total of 11 systematic reviews were included in this review consisting of 10 with quantitative and 1 with quantitative/mixed methods approach.ResultsThis study identified common themes, which were categorised into four groups: (a) lack of training and education, (b) age and years of clinical experience of nurses, (c) personal values and attitudes and (d) organisational factors. These factors contribute to why nurses feel unprepared and admit to not having adequate knowledge or expertise to have this discussion.ConclusionThe findings of this study illustrate that nurses require specialised communication skills to manage sensitive discussion with patients. Education is crucial to facilitate and empower nurses to discuss sexuality with their patients. Developing a pathway to specialist referrals will encourage nurses to address this with their patients.No Patient or Public ContributionFor the preparation of this paper, no direct involvement of patients or public has been deemed applicable to this work. This is an umbrella review paper.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"1 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142939921","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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