AimsWe aimed to determine the working conditions and share the experiences of local earthquake‐affected nurses and volunteer nurses from other regions in the first days after the Kahramanmaraş earthquakes that took place in Türkiye on February 6, 2023.DesignA phenomenological approach was adopted in this inductive qualitative study.MethodsIn‐depth individual interviews were held between April and May 2023 with a total of 16 nurses who worked in the earthquake‐affected areas or were voluntarily assigned from other provinces. Thematic analysis was used to evaluate the data, and the study adhered to the COREQ checklist.ResultsSeven themes were generated from the data: earthquake scenes, organisation, nurses' actions, preparedness, volunteering, basic necessities, and the emotional spectrum. The organisation theme had three subthemes: uncertainty, communication and coordination, and excessive workload.ConclusionThe results of this study can be a guide in preventing and rapidly addressing the problems encountered in post‐disaster nursing care. To cope with the sudden increase in workload, atypical cases, and ethical dilemmas after a disaster, we recommend updating the current nursing curriculum, modifying existing hospital disaster plans, and conducting further studies to increase the physical and psychological resilience of nurses responding to disasters and emergencies.Implications for the ProfessionThe findings of this study may provide a basis for nurses to advocate for change and better disaster preparedness. Nurses can be better prepared by knowing the conditions in an earthquake zone. It may also encourage the development of post‐earthquake recovery programs for the psychosocial health of nurses.ImpactThe results of this study can be used to restructure earthquake preparedness programs, starting in undergraduate education, to prepare nurses for major earthquakes. In addition, it may guide policy‐makers and health care professionals, especially nurses, in optimally preparing for earthquakes and planning and implementing nationwide technology‐supported earthquake preparedness programs.Patient or Public ContributionNo patient or public contribution.
{"title":"Qualitative Investigation of Nurses' Working Conditions After a Major Earthquake in Türkiye","authors":"Ayşe Gül Parlak, Rabiye Güney, Gülnur Akkaya, Yasemin Karacan, Yeliz Akkuş, Esin Danç","doi":"10.1111/jan.16805","DOIUrl":"https://doi.org/10.1111/jan.16805","url":null,"abstract":"AimsWe aimed to determine the working conditions and share the experiences of local earthquake‐affected nurses and volunteer nurses from other regions in the first days after the Kahramanmaraş earthquakes that took place in Türkiye on February 6, 2023.DesignA phenomenological approach was adopted in this inductive qualitative study.MethodsIn‐depth individual interviews were held between April and May 2023 with a total of 16 nurses who worked in the earthquake‐affected areas or were voluntarily assigned from other provinces. Thematic analysis was used to evaluate the data, and the study adhered to the COREQ checklist.ResultsSeven themes were generated from the data: earthquake scenes, organisation, nurses' actions, preparedness, volunteering, basic necessities, and the emotional spectrum. The organisation theme had three subthemes: uncertainty, communication and coordination, and excessive workload.ConclusionThe results of this study can be a guide in preventing and rapidly addressing the problems encountered in post‐disaster nursing care. To cope with the sudden increase in workload, atypical cases, and ethical dilemmas after a disaster, we recommend updating the current nursing curriculum, modifying existing hospital disaster plans, and conducting further studies to increase the physical and psychological resilience of nurses responding to disasters and emergencies.Implications for the ProfessionThe findings of this study may provide a basis for nurses to advocate for change and better disaster preparedness. Nurses can be better prepared by knowing the conditions in an earthquake zone. It may also encourage the development of post‐earthquake recovery programs for the psychosocial health of nurses.ImpactThe results of this study can be used to restructure earthquake preparedness programs, starting in undergraduate education, to prepare nurses for major earthquakes. In addition, it may guide policy‐makers and health care professionals, especially nurses, in optimally preparing for earthquakes and planning and implementing nationwide technology‐supported earthquake preparedness programs.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"12 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143401653","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 collate the common caregiving experience of Young Onset Dementia informal caregivers.
{"title":"Young Onset Dementia Informal Caregiver Experience in Caregiving: A Systematic Review","authors":"Zong Han Lew, Adeline Su Lyn Ng, Wentao Zhou","doi":"10.1111/jan.16811","DOIUrl":"https://doi.org/10.1111/jan.16811","url":null,"abstract":"To collate the common caregiving experience of Young Onset Dementia informal caregivers.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"27 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143401649","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}
Insook Cho, Hyunchul Park, Byeong Sun Park, Dong-Geon Lee
Aims: To develop a method for computationally detecting fall events using clinical language models to complement existing self-reporting mechanisms.
Design: Retrospective observational study.
Methods: Text data were collected from the unstructured nursing notes of three hospitals' electronic health records and the Korean national patient safety reports, totalling 34,480 records covering the period from January 2015 to December 2019. Note-level labelling was conducted by two researchers with 95% agreement. Preprocessing data anonymisation and English translation were followed by semantic validation. Five language models based on pretrained Bidirectional Encoder Representations from Transformers (BERT) and Generative Pretrained Transformer (GPT)-4 with prompt programming were explored. Model performance was assessed using F measurements. Error analysis was conducted for the GPT-4 results.
Results: Fine-tuned BERT models with the English data set outperformed GPT-4, with Bio+Clinical BERT achieving the highest F1 score of 0.98. Fine-tuned Korean BERT with the Korean data set also reached an F1 score of 0.98, while GPT-4 achieved a competitive F1 score of 0.94. GPT-4 with prompt programming showed much higher F1 scores than GPT-4 with a standardised prompt for the English data set (0.85 vs. 0.39) and the Korean data set (0.94 vs. 0.03). The error analysis identified that the common misclassification patterns included fall history and homonyms, causing false positives and implicit expressions and missing contextual information, causing false negatives.
Conclusion: The clinical language model approach, if used alongside the existing self-reporting, promises to increase the chance of identifying the majority of factual falls without the need for additional chart reviews.
Impact: Inpatient falls are often underreported, with up to 91% of incidents missed in self-reports. Using language models, we identified a significant portion of these unreported falls, improving the accuracy of adverse event tracking while reducing the self-reporting burden on nurses.
Patient or public contribution: Not applicable.
目的：开发一种利用临床语言模型计算检测跌倒事件的方法，以补充现有的自我报告机制：设计：回顾性观察研究：从三家医院电子健康记录的非结构化护理记录和韩国国家患者安全报告中收集文本数据，共计 34480 条记录，时间跨度为 2015 年 1 月至 2019 年 12 月。笔记级标注由两名研究人员进行，95%的标注一致。预处理数据匿名化和英文翻译后进行语义验证。研究人员探讨了基于预训练的双向编码器表示变换器（BERT）和生成预训练变换器（GPT）-4 的五个语言模型，并进行了提示编程。使用 F 测量评估了模型性能。对 GPT-4 的结果进行了误差分析：结果：使用英语数据集的微调 BERT 模型的性能优于 GPT-4，其中 Bio+Clinical BERT 的 F1 得分最高，为 0.98。使用韩文数据集的微调韩文 BERT 的 F1 分数也达到了 0.98，而 GPT-4 的 F1 分数只有 0.94。对于英语数据集（0.85 vs. 0.39）和韩语数据集（0.94 vs. 0.03），使用提示编程的 GPT-4 比使用标准化提示的 GPT-4 显示出更高的 F1 分数。误差分析表明，常见的错误分类模式包括：跌倒史和同音词导致的假阳性，隐含表达和上下文信息缺失导致的假阴性：临床语言模型方法如果与现有的自我报告方法一起使用，有望增加识别大多数事实跌倒的机会，而无需额外的病历审查：影响：住院病人跌倒事件经常被漏报，自我报告中的漏报率高达 91%。通过使用语言模型，我们发现了这些未报告的跌倒事件中的很大一部分，提高了不良事件追踪的准确性，同时减轻了护士自我报告的负担：患者或公众贡献：不适用。
{"title":"Enhancing Adverse Event Reporting With Clinical Language Models: Inpatient Falls.","authors":"Insook Cho, Hyunchul Park, Byeong Sun Park, Dong-Geon Lee","doi":"10.1111/jan.16812","DOIUrl":"https://doi.org/10.1111/jan.16812","url":null,"abstract":"<p><strong>Aims: </strong>To develop a method for computationally detecting fall events using clinical language models to complement existing self-reporting mechanisms.</p><p><strong>Design: </strong>Retrospective observational study.</p><p><strong>Methods: </strong>Text data were collected from the unstructured nursing notes of three hospitals' electronic health records and the Korean national patient safety reports, totalling 34,480 records covering the period from January 2015 to December 2019. Note-level labelling was conducted by two researchers with 95% agreement. Preprocessing data anonymisation and English translation were followed by semantic validation. Five language models based on pretrained Bidirectional Encoder Representations from Transformers (BERT) and Generative Pretrained Transformer (GPT)-4 with prompt programming were explored. Model performance was assessed using F measurements. Error analysis was conducted for the GPT-4 results.</p><p><strong>Results: </strong>Fine-tuned BERT models with the English data set outperformed GPT-4, with Bio+Clinical BERT achieving the highest F1 score of 0.98. Fine-tuned Korean BERT with the Korean data set also reached an F1 score of 0.98, while GPT-4 achieved a competitive F1 score of 0.94. GPT-4 with prompt programming showed much higher F1 scores than GPT-4 with a standardised prompt for the English data set (0.85 vs. 0.39) and the Korean data set (0.94 vs. 0.03). The error analysis identified that the common misclassification patterns included fall history and homonyms, causing false positives and implicit expressions and missing contextual information, causing false negatives.</p><p><strong>Conclusion: </strong>The clinical language model approach, if used alongside the existing self-reporting, promises to increase the chance of identifying the majority of factual falls without the need for additional chart reviews.</p><p><strong>Impact: </strong>Inpatient falls are often underreported, with up to 91% of incidents missed in self-reports. Using language models, we identified a significant portion of these unreported falls, improving the accuracy of adverse event tracking while reducing the self-reporting burden on nurses.</p><p><strong>Patient or public contribution: </strong>Not applicable.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416282","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}
Mari Herttalampi, Claudia Bernhard-Oettel, Taru Feldt
To investigate how team psychological safety and organisational psychosocial safety climate associate with self-management and hindrance- and violation-related stress of conscience among nurses and other healthcare workers.
{"title":"Perceived Safety Conditions and Self-Management: How Do They Associate With Stress of Conscience Among Nurses and Other Healthcare Workers?","authors":"Mari Herttalampi, Claudia Bernhard-Oettel, Taru Feldt","doi":"10.1111/jan.16689","DOIUrl":"https://doi.org/10.1111/jan.16689","url":null,"abstract":"To investigate how team psychological safety and organisational psychosocial safety climate associate with self-management and hindrance- and violation-related stress of conscience among nurses and other healthcare workers.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"78 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143393385","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 evaluate the relationship between time spent in sedentary behaviour and physical activity and sarcopenia in older adults, and to analyse the effect of reallocating time between different intensities of activities on sarcopenia.
{"title":"Time Allocation to Physical Activity and Sedentary Behaviour and Its Impact on Sarcopenia Risk: A Systematic Review and Meta-Analysis","authors":"Shao-Yun Chien, Tsuei-Hung Wang, Ya-Ling Tzeng, Shu-Hua Lu, Ting-Shan Chang","doi":"10.1111/jan.16781","DOIUrl":"https://doi.org/10.1111/jan.16781","url":null,"abstract":"To evaluate the relationship between time spent in sedentary behaviour and physical activity and sarcopenia in older adults, and to analyse the effect of reallocating time between different intensities of activities on sarcopenia.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"30 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143393390","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 examine the role and impact of carer involvement in rehabilitation for community-dwelling individuals with dementia, focusing on cognitive stimulation therapy, cognitive rehabilitation, cognitive training, cognitive behavioural therapy, and exercise.
{"title":"Carer Involvement in Rehabilitation for People Living With Dementia: A Systematic Review","authors":"Cheng-Ya Lee, Yun-Hee Jeon, Karen Watson","doi":"10.1111/jan.16815","DOIUrl":"https://doi.org/10.1111/jan.16815","url":null,"abstract":"To examine the role and impact of carer involvement in rehabilitation for community-dwelling individuals with dementia, focusing on cognitive stimulation therapy, cognitive rehabilitation, cognitive training, cognitive behavioural therapy, and exercise.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"84 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143393388","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}
This study aimed to investigate empathy levels among nursing assistants (NAs) in long-term care facilities (LTCFs) and identify factors associated with empathy levels.
{"title":"The Empathy Level and Its Associated Factors Among Nursing Assistants in Long-Term Care Facilities","authors":"Hsiao-Ling Hu, Yu-Chen Chi, Yeu-Hui Chuang","doi":"10.1111/jan.16794","DOIUrl":"https://doi.org/10.1111/jan.16794","url":null,"abstract":"This study aimed to investigate empathy levels among nursing assistants (NAs) in long-term care facilities (LTCFs) and identify factors associated with empathy levels.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"55 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143393386","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}
Ching Shan Wan, Mika Musgrave-Takeda, Brigid M. Gillespie, Georgia Tobiano, Elizabeth Mcinnes
To investigate clinicians' views on barriers and facilitators to implementing pressure injury prevention guideline recommendations for nutrition assessment and treatment, and de-implementing inappropriate alternating pressure air mattress allocation.
{"title":"Barriers and Facilitators to Implementing Pressure Injury Guidelines for Nutrition Assessment and Alternating Pressure Air Mattress Allocation: A Qualitative Study","authors":"Ching Shan Wan, Mika Musgrave-Takeda, Brigid M. Gillespie, Georgia Tobiano, Elizabeth Mcinnes","doi":"10.1111/jan.16820","DOIUrl":"https://doi.org/10.1111/jan.16820","url":null,"abstract":"To investigate clinicians' views on barriers and facilitators to implementing pressure injury prevention guideline recommendations for nutrition assessment and treatment, and de-implementing inappropriate alternating pressure air mattress allocation.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"28 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143393387","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 provide a critical analysis of the allegation that introduction of workplace English-Only policies for nurses may be racist. To provide guidance to inform policy development in this field.
{"title":"English-Only Policies and Allegations of Racism in Nursing: Safety, Culture and Respect Prevail","authors":"Sharon Brownie, Linda Chalmers","doi":"10.1111/jan.16813","DOIUrl":"https://doi.org/10.1111/jan.16813","url":null,"abstract":"To provide a critical analysis of the allegation that introduction of workplace English-Only policies for nurses may be racist. To provide guidance to inform policy development in this field.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"8 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143401650","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}
AimsThis study aimed to determine the mediating roles of perceived control and resilience in the association between mutuality and quality of life (QoL) in caregivers of adults with heart failure.DesignA multi‐centre cross‐sectional study.MethodsWe recruited 268 patient‐caregiver dyads with heart failure using convenience sample enrolled from four hospitals in Henan Province, China from March to December 2023. Caregivers' mutuality, perceived control, resilience and QoL were assessed. A multiple‐mediation model was tested using the PROCESS macro in SPSS.ResultsCaregivers' mental QoL positively correlated with mutuality, perceived control, and resilience. Caregivers' physical QoL was correlated with mutuality. Conversely, perceived control and resilience showed no significant correlation with physical QoL. Moreover, the association between mutuality and mental QoL was mediated by perceived control and resilience, respectively, and together in series, accounting for 32.3%, 14.1% and 28.2% of the total effect, respectively.ConclusionPerceived control and resilience mediated the link between mutuality and mental QoL in caregivers of adults with heart failure. Interventions targeted at strengthening perceived control and resilience may improve caregivers' mental QoL. Additionally, the mental QoL may be improved by indirectly enhancing mutuality among caregivers of adults with heart failure.ImpactIt is important to develop multimodal intervention strategies that combine perceived control and resilience to amplify the positive impact of mutuality on the mental QoL of caregivers in individuals with heart failure.Reporting MethodThe STROBE guideline was adopted to report this study.Patient or Public ContributionNo patient or public contribution.
{"title":"Mutuality and Quality of Life in Family Caregivers of Adults With Heart Failure: Multiple Mediation of Perceived Control and Resilience","authors":"Cancan Chen, Xiaofei Sun, Yanting Zhang, Qiuge Zhao, Jie Kou, Hongmei Zhang","doi":"10.1111/jan.16801","DOIUrl":"https://doi.org/10.1111/jan.16801","url":null,"abstract":"AimsThis study aimed to determine the mediating roles of perceived control and resilience in the association between mutuality and quality of life (QoL) in caregivers of adults with heart failure.DesignA multi‐centre cross‐sectional study.MethodsWe recruited 268 patient‐caregiver dyads with heart failure using convenience sample enrolled from four hospitals in Henan Province, China from March to December 2023. Caregivers' mutuality, perceived control, resilience and QoL were assessed. A multiple‐mediation model was tested using the PROCESS macro in SPSS.ResultsCaregivers' mental QoL positively correlated with mutuality, perceived control, and resilience. Caregivers' physical QoL was correlated with mutuality. Conversely, perceived control and resilience showed no significant correlation with physical QoL. Moreover, the association between mutuality and mental QoL was mediated by perceived control and resilience, respectively, and together in series, accounting for 32.3%, 14.1% and 28.2% of the total effect, respectively.ConclusionPerceived control and resilience mediated the link between mutuality and mental QoL in caregivers of adults with heart failure. Interventions targeted at strengthening perceived control and resilience may improve caregivers' mental QoL. Additionally, the mental QoL may be improved by indirectly enhancing mutuality among caregivers of adults with heart failure.ImpactIt is important to develop multimodal intervention strategies that combine perceived control and resilience to amplify the positive impact of mutuality on the mental QoL of caregivers in individuals with heart failure.Reporting MethodThe STROBE guideline was adopted to report this study.Patient or Public ContributionNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"13 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143385478","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：