Jianjian Wei, Dandan Dai, Yutong Sun, Wei Zheng, Mohan Gao, Yan Liu
Aim To investigate the level of humanistic care ability of oncology nurses, its association with empathy and emotional intelligence, and the mediative role of emotional intelligence on empathy and humanistic caring ability. Design This was a cross‐sectional study conducted in a cancer hospital in China. Methods We enrolled a total of 1189 oncology nurses from several cancer hospitals from December 2023 to January 2024. All participants completed three general questionnaires: the Caring Ability Inventory, the Jefferson Scale of Empathy‐Health Professionals and the Emotional Intelligence Scale. Results The overall scores for the three scales were 202.35 ± 23.89, 112.38 ± 18.85 and 137.49 ± 17.81, respectively. A positive correlation was detected between caring ability, empathy and emotional intelligence ( r = 0.741, p < 0.001; r = 0.577, p < 0.001). And emotional intelligence mediates the association between empathy and caring ability in oncology nurses (0.233, p < 0.001). The total and direct effect were also significant (0.825, p < 0.001; 0.592, p < 0.001). Conclusion The study findings indicated that oncology nurses exhibit a moderate level of caring ability. Emotional intelligence mediates the relationship between empathy and caring ability, at least in part. Therefore, an increase in the level of emotional intelligence in oncology nurses could improve their caring ability. Implications for the Profession and/or Patient Care When designing training to improve humanistic care, we recommend the integration of specific training relating to empathy and emotional intelligence into the training system. Impact Oncology patients experience multiple forms of distress and require high‐quality humanistic care. This study identified a moderate association between empathy and emotional intelligence. Our findings provide further recommendations for nurse leaders in medical institutions relating to how the humanistic care ability of oncology nurses can be improved by specific training in empathy and emotional intelligence. Reporting Method This study was reported using the STROBE Checklist for cross‐sectional studies. Patient or Public Contribution Nurse leaders organised this survey in their own hospital.
目的探讨肿瘤护士人文关怀能力水平及其与共情和情绪智力的关系，以及情绪智力对共情和人文关怀能力的中介作用。设计本研究是在中国一家肿瘤医院进行的横断面研究。方法从2023年12月至2024年1月，共招募了来自多家肿瘤医院的1189名肿瘤科护士。所有的参与者都完成了三份一般性问卷：关爱能力量表、杰弗逊共情-健康专业人员量表和情绪智力量表。结果3个量表的总分分别为202.35±23.89、112.38±18.85和137.49±17.81。关怀能力、共情与情绪智力呈正相关（r = 0.741, p < 0.001; r = 0.577, p < 0.001）。情绪智力在肿瘤护士共情与关怀能力之间起中介作用（0.233,p < 0.001）。总效应和直接效应也显著（0.825,p < 0.001; 0.592, p < 0.001）。结论肿瘤护士的护理能力处于中等水平。情商至少在一定程度上调解了同理心和关怀能力之间的关系。因此，提高肿瘤护士的情绪智力水平可以提高其护理能力。在设计培训以改善人文关怀时，我们建议将移情和情商相关的特定培训整合到培训系统中。肿瘤患者经历多种形式的痛苦，需要高质量的人文关怀。这项研究确定了同理心和情商之间的适度联系。我们的研究结果为医疗机构的护士领导提供了进一步的建议，即如何通过移情和情商的具体培训来提高肿瘤护士的人文关怀能力。报告方法：本研究采用STROBE检查表进行横断面研究。是次调查由所属医院的护士领导组织。
{"title":"Empathy and Humanistic Care Ability in Oncology Nurses: The Mediating Role of Emotional Intelligence","authors":"Jianjian Wei, Dandan Dai, Yutong Sun, Wei Zheng, Mohan Gao, Yan Liu","doi":"10.1111/jan.70463","DOIUrl":"https://doi.org/10.1111/jan.70463","url":null,"abstract":"Aim To investigate the level of humanistic care ability of oncology nurses, its association with empathy and emotional intelligence, and the mediative role of emotional intelligence on empathy and humanistic caring ability. Design This was a cross‐sectional study conducted in a cancer hospital in China. Methods We enrolled a total of 1189 oncology nurses from several cancer hospitals from December 2023 to January 2024. All participants completed three general questionnaires: the Caring Ability Inventory, the Jefferson Scale of Empathy‐Health Professionals and the Emotional Intelligence Scale. Results The overall scores for the three scales were 202.35 ± 23.89, 112.38 ± 18.85 and 137.49 ± 17.81, respectively. A positive correlation was detected between caring ability, empathy and emotional intelligence ( <jats:italic>r</jats:italic> = 0.741, <jats:italic>p</jats:italic> < 0.001; <jats:italic>r</jats:italic> = 0.577, <jats:italic>p</jats:italic> < 0.001). And emotional intelligence mediates the association between empathy and caring ability in oncology nurses (0.233, <jats:italic>p</jats:italic> < 0.001). The total and direct effect were also significant (0.825, <jats:italic>p</jats:italic> < 0.001; 0.592, <jats:italic>p</jats:italic> < 0.001). Conclusion The study findings indicated that oncology nurses exhibit a moderate level of caring ability. Emotional intelligence mediates the relationship between empathy and caring ability, at least in part. Therefore, an increase in the level of emotional intelligence in oncology nurses could improve their caring ability. Implications for the Profession and/or Patient Care When designing training to improve humanistic care, we recommend the integration of specific training relating to empathy and emotional intelligence into the training system. Impact Oncology patients experience multiple forms of distress and require high‐quality humanistic care. This study identified a moderate association between empathy and emotional intelligence. Our findings provide further recommendations for nurse leaders in medical institutions relating to how the humanistic care ability of oncology nurses can be improved by specific training in empathy and emotional intelligence. Reporting Method This study was reported using the STROBE Checklist for cross‐sectional studies. Patient or Public Contribution Nurse leaders organised this survey in their own hospital.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"1 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145771319","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":"Healing the Healers: Fifty Years of Global Challenges and Progress in Nurse Psychological Wellbeing","authors":"Jill Maben","doi":"10.1111/jan.70436","DOIUrl":"https://doi.org/10.1111/jan.70436","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"12 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145771321","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}
Centao Qin, Lu Zeng, Jinbo Zhang, Juan Zhang, Ming Tao, Jiamei Zhou
Background Delirium is a common complication following cardiac surgery and significantly affects patient prognosis and quality of life. Recently, the application of artificial intelligence (AI) has gained prominence in predicting and assessing the risk of postoperative delirium, showing considerable potential in clinical settings. Objective This scoping review summarises existing research on AI‐based prediction models for post‐cardiac surgery delirium and provides insights and recommendations for clinical practice and future research. Methods Following the PRISMA‐ScR (Preferred Reporting Items for Systematic Reviews and Meta‐Analyses extension for Scoping Reviews) guidelines, eight databases were searched: China National Knowledge Infrastructure, Wanfang Database, China Biomedical Literature Database, Virtual Information Platform, PubMed, Web of Science, Medline, and Embase. Studies meeting the inclusion criteria were screened, and data were extracted on surgery type, delirium assessment tools, predictive factors, and AI‐based prediction models. The search covered database inception through January 12, 2025. Two researchers independently conducted the literature review and data analysis. Results Ten studies from China, Canada, and Germany involving 11,702 participants were included. The reported incidence of postoperative delirium ranged from 5.56% to 34%. The most commonly used assessment tools were Confusion Assessment Method for the Intensive Care Unit, Diagnostic and Statistical Manual of Mental Disorders‐5, and Intensive Care Delirium Screening Checklist. Key predictive factors included age, cardiopulmonary bypass time, cerebrovascular disease, and pain scores. AI‐based prediction models were primarily developed using R (6/10, 60%) and Python (4/10, 40%). Model performance, as measured by the area under the curve, ranged from 0.544 to 0.92. Among these models, Random Forest (RF) was the most effective (5/10, 50%), followed by XGBoost (3/10, 30%) and Artificial Neural Networks (2/10, 20%). Conclusion AI‐based models show promise for predicting postoperative delirium in cardiac surgery patients. Future studies should prioritise integrating these models into clinical workflows, conducting rigorous multicenter external validation, and incorporating dynamic, time‐varying perioperative variables to enhance generalizability and clinical utility. Reporting Method This review followed the PRISMA‐ScR (Preferred Reporting Items for Systematic Reviews and Meta‐Analyses extension for Scoping Reviews) guidelines. Patient or Public Contribution This study did not include patient or public involvement in its design, conduct, or reporting.
{"title":"Artificial Intelligence‐Based Delirium Prediction Model for Post‐Cardiac Surgery Patients: A Scoping Review","authors":"Centao Qin, Lu Zeng, Jinbo Zhang, Juan Zhang, Ming Tao, Jiamei Zhou","doi":"10.1111/jan.70456","DOIUrl":"https://doi.org/10.1111/jan.70456","url":null,"abstract":"Background Delirium is a common complication following cardiac surgery and significantly affects patient prognosis and quality of life. Recently, the application of artificial intelligence (AI) has gained prominence in predicting and assessing the risk of postoperative delirium, showing considerable potential in clinical settings. Objective This scoping review summarises existing research on AI‐based prediction models for post‐cardiac surgery delirium and provides insights and recommendations for clinical practice and future research. Methods Following the PRISMA‐ScR (Preferred Reporting Items for Systematic Reviews and Meta‐Analyses extension for Scoping Reviews) guidelines, eight databases were searched: China National Knowledge Infrastructure, Wanfang Database, China Biomedical Literature Database, Virtual Information Platform, PubMed, Web of Science, Medline, and Embase. Studies meeting the inclusion criteria were screened, and data were extracted on surgery type, delirium assessment tools, predictive factors, and AI‐based prediction models. The search covered database inception through January 12, 2025. Two researchers independently conducted the literature review and data analysis. Results Ten studies from China, Canada, and Germany involving 11,702 participants were included. The reported incidence of postoperative delirium ranged from 5.56% to 34%. The most commonly used assessment tools were Confusion Assessment Method for the Intensive Care Unit, Diagnostic and Statistical Manual of Mental Disorders‐5, and Intensive Care Delirium Screening Checklist. Key predictive factors included age, cardiopulmonary bypass time, cerebrovascular disease, and pain scores. AI‐based prediction models were primarily developed using R (6/10, 60%) and Python (4/10, 40%). Model performance, as measured by the area under the curve, ranged from 0.544 to 0.92. Among these models, Random Forest (RF) was the most effective (5/10, 50%), followed by XGBoost (3/10, 30%) and Artificial Neural Networks (2/10, 20%). Conclusion AI‐based models show promise for predicting postoperative delirium in cardiac surgery patients. Future studies should prioritise integrating these models into clinical workflows, conducting rigorous multicenter external validation, and incorporating dynamic, time‐varying perioperative variables to enhance generalizability and clinical utility. Reporting Method This review followed the PRISMA‐ScR (Preferred Reporting Items for Systematic Reviews and Meta‐Analyses extension for Scoping Reviews) guidelines. Patient or Public Contribution This study did not include patient or public involvement in its design, conduct, or reporting.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"111 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145771318","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}
Shannon McNamara, Lisa Cranley, Kelley Kilpatrick, Monica Parry
Background Critical thinking has been identified as a key requirement for safe and competent practice for Nurse Practitioners. It has been suggested that it is the foundation for the development of clinical reasoning, diagnostic reasoning, and clinical judgement. Poorly developed critical thinking is linked to negative patient outcomes, diagnostic error, cognitive bias, and poor information processing. There is little literature that studies the teaching and learning activities that can be used in the development of critical thinking in Nurse Practitioners. The aim of this rapid review was to identify teaching and learning activities that promote critical thinking in Nurse Practitioners. Design and Method A rapid review was conducted to identify studies that examined different teaching and learning activities that promoted the development of critical thinking or any of its subthemes such as clinical reasoning, diagnostic reasoning or clinical judgement. Four databases were systematically searched: CINAHL, Medline, Embase and ERIC. The methodology used was guided by the Cochrane Rapid Review Methods Group. Eligible papers included peer‐reviewed publications that evaluated the efficacy or effectiveness of teaching or learning strategies used for the development or promotion of critical thinking or its components. The included populations were faculty teaching in a Nurse Practitioner programme, Nurse Practitioners, Nurse Practitioner students or graduate level nursing students. Results The search yielded 6421 article titles and abstracts. Of these, 12 were included in the final rapid review. Teaching and learning activities were divided into three themes: classroom, simulation, and written. Classroom activities included problem‐based learning, unfolding case scenarios, self‐explanation, and Socratic inquiry. Simulation was in the form of high fidelity using standardised patients, computer‐based programmes, escape rooms and virtual reality. Written activities included concept mapping, evolving case studies and illness scripts. Study participants noted that using a combination of teaching and learning activities had the greatest impact on their development of critical thinking. Conclusion There is limited knowledge on the effects of teaching and learning strategies on the development of critical thinking in nurse practitioners. This review offers a perspective on strategies that were most impactful for student nurse practitioners in their development of the different aspects of critical thinking. Simulation activities were the most researched and using it in combination with other activities was preferred by study participants. Patient or Public Contribution No patient or public contribution as this is a literature review.
{"title":"Teaching and Learning Activities That Promote Critical Thinking in Student Nurse Practitioners: A Rapid Review","authors":"Shannon McNamara, Lisa Cranley, Kelley Kilpatrick, Monica Parry","doi":"10.1111/jan.70443","DOIUrl":"https://doi.org/10.1111/jan.70443","url":null,"abstract":"Background Critical thinking has been identified as a key requirement for safe and competent practice for Nurse Practitioners. It has been suggested that it is the foundation for the development of clinical reasoning, diagnostic reasoning, and clinical judgement. Poorly developed critical thinking is linked to negative patient outcomes, diagnostic error, cognitive bias, and poor information processing. There is little literature that studies the teaching and learning activities that can be used in the development of critical thinking in Nurse Practitioners. The aim of this rapid review was to identify teaching and learning activities that promote critical thinking in Nurse Practitioners. Design and Method A rapid review was conducted to identify studies that examined different teaching and learning activities that promoted the development of critical thinking or any of its subthemes such as clinical reasoning, diagnostic reasoning or clinical judgement. Four databases were systematically searched: CINAHL, Medline, Embase and ERIC. The methodology used was guided by the Cochrane Rapid Review Methods Group. Eligible papers included peer‐reviewed publications that evaluated the efficacy or effectiveness of teaching or learning strategies used for the development or promotion of critical thinking or its components. The included populations were faculty teaching in a Nurse Practitioner programme, Nurse Practitioners, Nurse Practitioner students or graduate level nursing students. Results The search yielded 6421 article titles and abstracts. Of these, 12 were included in the final rapid review. Teaching and learning activities were divided into three themes: classroom, simulation, and written. Classroom activities included problem‐based learning, unfolding case scenarios, self‐explanation, and Socratic inquiry. Simulation was in the form of high fidelity using standardised patients, computer‐based programmes, escape rooms and virtual reality. Written activities included concept mapping, evolving case studies and illness scripts. Study participants noted that using a combination of teaching and learning activities had the greatest impact on their development of critical thinking. Conclusion There is limited knowledge on the effects of teaching and learning strategies on the development of critical thinking in nurse practitioners. This review offers a perspective on strategies that were most impactful for student nurse practitioners in their development of the different aspects of critical thinking. Simulation activities were the most researched and using it in combination with other activities was preferred by study participants. Patient or Public Contribution No patient or public contribution as this is a literature review.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"1 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145771320","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}
Ellen J. C. M. Dankers‐de Mari, Anneke J. A. H. van Vught, Patrick P. T. Jeurissen, Ronald Batenburg
Aims To explain how government policies affected decision‐making on Nurse Practitioner and Physician Assistant employment and training within Dutch healthcare organisations, and how organisational and sectoral circumstances were influential. Design An online, cross‐sectional survey study. Methods A literature‐ and interview‐based program theory was tested using surveys. Respondents from hospital care, (nursing) home care, primary care, and intellectual disability services were recruited using convenience sampling. Data analysis used descriptive statistics and inferential tests. Open‐ended responses were analysed using thematic synthesis techniques. Survey results were clustered to assess verification, falsification, or refinement of program theory elements. Results A total of 568 experts in hiring and training healthcare professionals participated. Respondents indicated that most government policies promoted employment and training. Organisational and sectoral circumstances caused significant variations in Nurse Practitioner and Physician Assistant deployment across healthcare sectors, shaping how decision‐makers interpreted and acted on government policies. Specific circumstances within primary care hampered deployment. Conclusion Government policies stimulated training and employment by: (1) removing practice restrictions (scope of practice expansion, legal acknowledgment), (2) facilitating cost‐effective training and deployment (training grants, billing options), (3) providing sectoral knowledge on deployment, training, and healthcare outcomes (funding research and a sectoral knowledge center), and (4) establishing sectoral agreements (on apprenticeships). Organisational and sectoral circumstances significantly influenced outcomes. Key circumstances included flanking policies, stakeholder support, labor market capacity, healthcare demand, organisational resources and aims, and type of decision‐makers (medical doctor or manager/director). Familiarity with the professions stimulated deployment. Impact and Implications The refined and verified program theory supports designing effective skill‐mix policies and facilitating Nurse Practitioner and Physician Assistant employment and training. Tailoring skill‐mix policies can optimise outcomes. This offers opportunities for governments, healthcare funders, organisations, and professionals to contribute to healthcare quality, cost efficiency, and patient satisfaction. Patient or Public Contribution Healthcare professionals were part of the study population.
{"title":"How Government Policies and Organisational and Sectoral Circumstances Influence Nurse Practitioner and Physician Assistant Employment and Training: A Realist Analysis Using Surveys","authors":"Ellen J. C. M. Dankers‐de Mari, Anneke J. A. H. van Vught, Patrick P. T. Jeurissen, Ronald Batenburg","doi":"10.1111/jan.70433","DOIUrl":"https://doi.org/10.1111/jan.70433","url":null,"abstract":"Aims To explain how government policies affected decision‐making on Nurse Practitioner and Physician Assistant employment and training within Dutch healthcare organisations, and how organisational and sectoral circumstances were influential. Design An online, cross‐sectional survey study. Methods A literature‐ and interview‐based program theory was tested using surveys. Respondents from hospital care, (nursing) home care, primary care, and intellectual disability services were recruited using convenience sampling. Data analysis used descriptive statistics and inferential tests. Open‐ended responses were analysed using thematic synthesis techniques. Survey results were clustered to assess verification, falsification, or refinement of program theory elements. Results A total of 568 experts in hiring and training healthcare professionals participated. Respondents indicated that most government policies promoted employment and training. Organisational and sectoral circumstances caused significant variations in Nurse Practitioner and Physician Assistant deployment across healthcare sectors, shaping how decision‐makers interpreted and acted on government policies. Specific circumstances within primary care hampered deployment. Conclusion Government policies stimulated training and employment by: (1) removing practice restrictions (scope of practice expansion, legal acknowledgment), (2) facilitating cost‐effective training and deployment (training grants, billing options), (3) providing sectoral knowledge on deployment, training, and healthcare outcomes (funding research and a sectoral knowledge center), and (4) establishing sectoral agreements (on apprenticeships). Organisational and sectoral circumstances significantly influenced outcomes. Key circumstances included flanking policies, stakeholder support, labor market capacity, healthcare demand, organisational resources and aims, and type of decision‐makers (medical doctor or manager/director). Familiarity with the professions stimulated deployment. Impact and Implications The refined and verified program theory supports designing effective skill‐mix policies and facilitating Nurse Practitioner and Physician Assistant employment and training. Tailoring skill‐mix policies can optimise outcomes. This offers opportunities for governments, healthcare funders, organisations, and professionals to contribute to healthcare quality, cost efficiency, and patient satisfaction. Patient or Public Contribution Healthcare professionals were part of the study population.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"32 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145759682","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: ‘Horizontal Violence or Workplace Bullying Among Intensive Care Unit Nurses: A Mixed Systematic Review’","authors":"Yongjie Tang","doi":"10.1111/jan.70450","DOIUrl":"https://doi.org/10.1111/jan.70450","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"27 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145753039","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":"Strengthening the Doctoral Pipeline: Building a Sustainable Academic Workforce in Nursing.","authors":"Yenna Salamonson,Debra Jackson,Christine Stirling,Brendan McCormack","doi":"10.1111/jan.70446","DOIUrl":"https://doi.org/10.1111/jan.70446","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"230 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145752675","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}
AIMTo examine the association between nurse-patient mutuality (i.e., a good quality of the relationship between the nurse and the patient) and nurse professional quality of life.DESIGNA cross-sectional, multi-centre study was conducted across four tertiary hospitals in Italy.METHODSData collection took place from November 2023 to June 2024, enrolling 517 nurses. Both medical and surgical departments, as well as inpatients and outpatients departments were included. Data were collected on nurses caring for patients with chronic illness. Mutuality was measured with the Nurse-Patient Mutuality in Chronic Illness scale, which includes three dimensions: Developing and Going Beyond, Being a Point of Reference, Deciding and Sharing Care; Professional Quality of Life was measured with the Professional Quality of Life version 5, which includes three dimensions: Compassion Satisfaction, Secondary Traumatic Stress, Burnout. A Bayesian path analysis was employed to evaluate the contribution of mutuality dimensions to the dimensions of professional quality of life.RESULTSNurses' sample consisted of 517 participants. The three dimensions of mutuality showed different associations with the three dimensions of professional quality of life. Specifically, Being a Point of Reference, along with Deciding and Sharing Care, was significantly associated with Compassion Satisfaction. The dimensions Developing and Going Beyond and Deciding and Sharing Care were significantly and negatively associated with Secondary Traumatic Stress. Additionally, Deciding and Sharing Care was significantly and negatively associated with Burnout.CONCLUSIONSAs all the dimensions of mutuality were significantly associated with different aspects of professional quality of life, future interventions to improve nurses' professional quality of life may also consider nurse-patient mutuality.IMPLICATIONS FOR THE PROFESSIONNurse-patient mutuality may be a novel area of research to enhance nurses' professional quality of life, with implications for clinical practice and organisational development.IMPACTNurse-patient mutuality is a key indicator of a high-quality relationship, enabling shared goals and shared decision-making. Nurses' professional quality of life is one of the most important factors that influence their intention to leave. Little is known about the association between nurse-patient mutuality and nurses' professional quality of life. Mutuality influences nurses' and patients' outcomes. Understanding mutuality could enhance the professional quality of life for nurses, improving their compassion satisfaction and reducing their burnout.REPORTING METHODWe adhered to STROBE guidelines.PATIENT OR PUBLIC CONTRIBUTIONPatients were not included in the sample. Health workers were involved in the study.
目的探讨护患互动性（即良好的护患关系）与护士职业生活质量之间的关系。DESIGNA横断面、多中心研究在意大利的四家三级医院进行。方法数据收集于2023年11月至2024年6月，共纳入517名护士。包括内科和外科，以及住院和门诊。收集护理慢性病患者的护士的数据。互惠性采用《慢性病护患互惠性量表》进行测量，包括三个维度：发展与超越、作为参考点、决定与分享护理；职业生活质量采用职业生活质量量表（Professional Quality of Life version 5）进行测量，包括同情满意度、二次创伤压力、职业倦怠三个维度。采用贝叶斯通径分析的方法，评价相互关系维度对职业生活质量维度的贡献。结果共纳入517名护士。相互性的三个维度与职业生活质量的三个维度表现出不同的关联。具体来说，作为一个参考点，以及决定和分享关怀，与同情满意度显著相关。发展和超越、决定和分享护理维度与继发性创伤应激显著负相关。此外，决定和分享关怀与倦怠显著负相关。结论护患相互性各维度均与职业生活质量的不同方面存在显著相关，未来护理人员提高职业生活质量的干预措施也可考虑护患相互性。对专业-护士-患者相互关系的影响可能是一个新的研究领域，以提高护士的职业生活质量，对临床实践和组织发展的影响。影响护士与患者的相互关系是高质量关系的关键指标，可以实现共同的目标和共同的决策。护士的职业生活质量是影响护士离职意向的重要因素之一。人们对护患相互关系与护士职业生活质量之间的关系知之甚少。相互关系影响护士和患者的预后。了解相互关系可以提高护士的职业生活质量，提高护士的同情满意度，减少护士的职业倦怠。报告方法：我们遵循STROBE指南。患者或公众贡献患者未包括在样本中。卫生工作者参与了这项研究。
{"title":"The Key Role of Nurse-Patient Mutuality in Shaping Professional Quality of Life Among Nurses: A Bayesian Path Analysis.","authors":"Silvia Cilluffo,Rosario Caruso,Barbara Bassola,Ercole Vellone,Gianluca Pucciarelli,Stefano Terzoni,Camilla Ripari,Maura Lusignani","doi":"10.1111/jan.70426","DOIUrl":"https://doi.org/10.1111/jan.70426","url":null,"abstract":"AIMTo examine the association between nurse-patient mutuality (i.e., a good quality of the relationship between the nurse and the patient) and nurse professional quality of life.DESIGNA cross-sectional, multi-centre study was conducted across four tertiary hospitals in Italy.METHODSData collection took place from November 2023 to June 2024, enrolling 517 nurses. Both medical and surgical departments, as well as inpatients and outpatients departments were included. Data were collected on nurses caring for patients with chronic illness. Mutuality was measured with the Nurse-Patient Mutuality in Chronic Illness scale, which includes three dimensions: Developing and Going Beyond, Being a Point of Reference, Deciding and Sharing Care; Professional Quality of Life was measured with the Professional Quality of Life version 5, which includes three dimensions: Compassion Satisfaction, Secondary Traumatic Stress, Burnout. A Bayesian path analysis was employed to evaluate the contribution of mutuality dimensions to the dimensions of professional quality of life.RESULTSNurses' sample consisted of 517 participants. The three dimensions of mutuality showed different associations with the three dimensions of professional quality of life. Specifically, Being a Point of Reference, along with Deciding and Sharing Care, was significantly associated with Compassion Satisfaction. The dimensions Developing and Going Beyond and Deciding and Sharing Care were significantly and negatively associated with Secondary Traumatic Stress. Additionally, Deciding and Sharing Care was significantly and negatively associated with Burnout.CONCLUSIONSAs all the dimensions of mutuality were significantly associated with different aspects of professional quality of life, future interventions to improve nurses' professional quality of life may also consider nurse-patient mutuality.IMPLICATIONS FOR THE PROFESSIONNurse-patient mutuality may be a novel area of research to enhance nurses' professional quality of life, with implications for clinical practice and organisational development.IMPACTNurse-patient mutuality is a key indicator of a high-quality relationship, enabling shared goals and shared decision-making. Nurses' professional quality of life is one of the most important factors that influence their intention to leave. Little is known about the association between nurse-patient mutuality and nurses' professional quality of life. Mutuality influences nurses' and patients' outcomes. Understanding mutuality could enhance the professional quality of life for nurses, improving their compassion satisfaction and reducing their burnout.REPORTING METHODWe adhered to STROBE guidelines.PATIENT OR PUBLIC CONTRIBUTIONPatients were not included in the sample. Health workers were involved in the study.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"43 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145752676","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}
George Ghareeb, Pearl Handal, Tamer Jafar, Daniel Kelly
{"title":"Less Pain, More Meaning and Comfort: The Need to Enhance Paediatric Palliative Care in the West Bank of Palestine","authors":"George Ghareeb, Pearl Handal, Tamer Jafar, Daniel Kelly","doi":"10.1111/jan.70440","DOIUrl":"https://doi.org/10.1111/jan.70440","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"15 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145730740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Yerbury, S. Sutherland, T. Venes, A. Nair, J. Ede
Objectives To pilot and evaluate the implementation of a structured Evidence‐Based Rounds (EBR) education model in critical care. Design A mixed data type design was used to evaluate Evidence‐Based Rounds in a critical care setting. Structured observational data were captured and open‐ended survey responses were submitted by attendees. Content analysis and descriptive statistics were used to analyse survey findings. Results Seventeen rounds were completed between March 2023 and January 2024 with a total of n = 83 clinical staff members. From these, n = 55 staff completed and submitted evaluation surveys. Rounds were most frequently attended by nurses of all bandings including senior clinical nurses, support workers and student nurses. Evidence‐Based Rounds were globally perceived as a positive and useful education strategy and staff were very willing to attend future sessions. Patient outcomes were not directly assessed and rounds specifically facilitated three outcomes: (1) helping staff apply evidence to practice, (2) building staff confidence in presenting clinical information and (3) supporting staff in identifying local improvements to patient care. Conclusion Evidence‐Based Rounds are an adaptable effective model of bedside education within critical care. In our setting, staff perceived that this model facilitated the application of evidence in clinical practice and positively influenced feelings of confidence. Importantly, this education strategy empowered nurses to explore and identify improvements locally to patient care. Whilst this model offers a practical education approach to address some of the key critical care workforce issues, such as an expanding curriculum and loss of senior staff, it could also be widely adopted to other clinical areas. Implications for the Profession Evidence‐Based Rounds are perceived by staff as a successful bedside education model that facilitates nurses to apply evidence in practice. It is feasible that this strategy is a potentially sustainable, low‐cost model for continuing professional development centred around routine clinical work. Patient and Public Contribution No patient or public contribution.
{"title":"A Descriptive Evaluation of Evidence‐Based Rounds in Critical Care Using Mixed Data Types","authors":"P. Yerbury, S. Sutherland, T. Venes, A. Nair, J. Ede","doi":"10.1111/jan.70420","DOIUrl":"https://doi.org/10.1111/jan.70420","url":null,"abstract":"Objectives To pilot and evaluate the implementation of a structured Evidence‐Based Rounds (EBR) education model in critical care. Design A mixed data type design was used to evaluate Evidence‐Based Rounds in a critical care setting. Structured observational data were captured and open‐ended survey responses were submitted by attendees. Content analysis and descriptive statistics were used to analyse survey findings. Results Seventeen rounds were completed between March 2023 and January 2024 with a total of <jats:italic>n</jats:italic> = 83 clinical staff members. From these, <jats:italic>n</jats:italic> = 55 staff completed and submitted evaluation surveys. Rounds were most frequently attended by nurses of all bandings including senior clinical nurses, support workers and student nurses. Evidence‐Based Rounds were globally perceived as a positive and useful education strategy and staff were very willing to attend future sessions. Patient outcomes were not directly assessed and rounds specifically facilitated three outcomes: (1) helping staff apply evidence to practice, (2) building staff confidence in presenting clinical information and (3) supporting staff in identifying local improvements to patient care. Conclusion Evidence‐Based Rounds are an adaptable effective model of bedside education within critical care. In our setting, staff perceived that this model facilitated the application of evidence in clinical practice and positively influenced feelings of confidence. Importantly, this education strategy empowered nurses to explore and identify improvements locally to patient care. Whilst this model offers a practical education approach to address some of the key critical care workforce issues, such as an expanding curriculum and loss of senior staff, it could also be widely adopted to other clinical areas. Implications for the Profession Evidence‐Based Rounds are perceived by staff as a successful bedside education model that facilitates nurses to apply evidence in practice. It is feasible that this strategy is a potentially sustainable, low‐cost model for continuing professional development centred around routine clinical work. Patient and Public Contribution No patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"12 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145730741","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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