Pub Date : 2026-04-01Epub Date: 2025-06-10DOI: 10.1111/jan.70008
Sunnie Nield, Marie M Prothero, Katreena Merrill, Petr Ruda
Aim: To explore nurse practitioners' attitudes towards medical error perception, approach and cause using the Medical Error Attitude Scale and examine their experiences following a medical error and the support received.
Design: A cross-sectional, descriptive study using an electronic survey.
Methods: A convenience sample of nurse practitioners licensed in Utah was invited to participate. The survey included the Medical Error Attitude Scale, demographic items, questions regarding error reporting, experiences after an error and support received or desired.
Results: Nurse practitioners generally have positive attitudes towards medical errors. Higher scores were observed among individuals with doctoral-level education, female respondents and those employed in organisations with formal support programmes. While most nurse practitioners reported their medical errors, many indicated they did not receive institutional support afterwards. Peer support emerged as the most frequently desired form of assistance.
Conclusion: Nurse practitioners experience medical errors while providing care and require meaningful, accessible support. Despite favourable attitudes, many reported limited institutional support. Additional research is needed to understand their support needs following medical errors better.
Reporting method: We adhered to the STROBE guidelines for the reporting method.
Patient or public contribution: No patient or public contribution.
{"title":"Nurse Practitioners' Perspectives on Medical Errors and Caregiver Support.","authors":"Sunnie Nield, Marie M Prothero, Katreena Merrill, Petr Ruda","doi":"10.1111/jan.70008","DOIUrl":"10.1111/jan.70008","url":null,"abstract":"<p><strong>Aim: </strong>To explore nurse practitioners' attitudes towards medical error perception, approach and cause using the Medical Error Attitude Scale and examine their experiences following a medical error and the support received.</p><p><strong>Design: </strong>A cross-sectional, descriptive study using an electronic survey.</p><p><strong>Methods: </strong>A convenience sample of nurse practitioners licensed in Utah was invited to participate. The survey included the Medical Error Attitude Scale, demographic items, questions regarding error reporting, experiences after an error and support received or desired.</p><p><strong>Results: </strong>Nurse practitioners generally have positive attitudes towards medical errors. Higher scores were observed among individuals with doctoral-level education, female respondents and those employed in organisations with formal support programmes. While most nurse practitioners reported their medical errors, many indicated they did not receive institutional support afterwards. Peer support emerged as the most frequently desired form of assistance.</p><p><strong>Conclusion: </strong>Nurse practitioners experience medical errors while providing care and require meaningful, accessible support. Despite favourable attitudes, many reported limited institutional support. Additional research is needed to understand their support needs following medical errors better.</p><p><strong>Reporting method: </strong>We adhered to the STROBE guidelines for the reporting method.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":"3028-3036"},"PeriodicalIF":3.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259352","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}
Pub Date : 2026-04-01Epub Date: 2025-06-10DOI: 10.1111/jan.70001
Ezgi Aydin, Yeliz Karaçar
Aim: This study was conducted to examine the relationship between professional self-efficacy and readiness to encounter individuals who were exposed to partner abuse in nurses and the factors affecting them.
Design: A cross-sectional, descriptive quantitative design was employed.
Methods: This study was conducted with 325 nurses working in a public hospital between July and October 2023. Data were collected using the Nursing Profession Self-Efficacy Scale and the Readiness to Encounter Partner Abuse Patients Scale. Descriptive statistics, t-test, one-way ANOVA, Pearson correlation analysis, and multiple regression model were used in the analysis of thedata.
Results: It was determined that nurses' self-efficacy, knowledge and emotional readiness levels for encountering individuals who were subjected to partner abuse were low, their motivation ranged from medium to high, and that there was a positive and high correlation between self-efficacy and readiness levels. Nurses' experience of encountering individuals subjected to partner abuse, education on encountering partner abuse, and professional self-efficacy explained 46.2% of the total variance in nurses' readiness levels.
Conclusions: The results revealed that although nurses were moderately to highly motivated, they generally exhibited low self-efficacy, knowledge and emotional preparedness when encountering individuals who had experienced partner abuse. Professional self-efficacy, education and previous experience contributed significantly to nurses' preparedness. These results emphasise the need for targeted education and support to increase nurses' preparedness to effectively address partner abuse.
Implications: Enhancing the professional competency of nurses and obtaining training on partner abuse is essential for delivering good care and intervention to individuals being abused. The results of this study may shed light on policy reforms by strengthening nursing education curricula, in-service training programmes, and institutional protocols and standards for nurses' partner abuse assessment and management.
Reporting method: The results of this study were reported in accordance with STROBE guidelines.
Patient or public contribution: No patient or public contribution was received.
{"title":"Professional Self-Efficacy and Readiness to Encounter Individuals Exposed to Partner Abuse in Nurses: A Cross-Sectional Study.","authors":"Ezgi Aydin, Yeliz Karaçar","doi":"10.1111/jan.70001","DOIUrl":"10.1111/jan.70001","url":null,"abstract":"<p><strong>Aim: </strong>This study was conducted to examine the relationship between professional self-efficacy and readiness to encounter individuals who were exposed to partner abuse in nurses and the factors affecting them.</p><p><strong>Design: </strong>A cross-sectional, descriptive quantitative design was employed.</p><p><strong>Methods: </strong>This study was conducted with 325 nurses working in a public hospital between July and October 2023. Data were collected using the Nursing Profession Self-Efficacy Scale and the Readiness to Encounter Partner Abuse Patients Scale. Descriptive statistics, t-test, one-way ANOVA, Pearson correlation analysis, and multiple regression model were used in the analysis of thedata.</p><p><strong>Results: </strong>It was determined that nurses' self-efficacy, knowledge and emotional readiness levels for encountering individuals who were subjected to partner abuse were low, their motivation ranged from medium to high, and that there was a positive and high correlation between self-efficacy and readiness levels. Nurses' experience of encountering individuals subjected to partner abuse, education on encountering partner abuse, and professional self-efficacy explained 46.2% of the total variance in nurses' readiness levels.</p><p><strong>Conclusions: </strong>The results revealed that although nurses were moderately to highly motivated, they generally exhibited low self-efficacy, knowledge and emotional preparedness when encountering individuals who had experienced partner abuse. Professional self-efficacy, education and previous experience contributed significantly to nurses' preparedness. These results emphasise the need for targeted education and support to increase nurses' preparedness to effectively address partner abuse.</p><p><strong>Implications: </strong>Enhancing the professional competency of nurses and obtaining training on partner abuse is essential for delivering good care and intervention to individuals being abused. The results of this study may shed light on policy reforms by strengthening nursing education curricula, in-service training programmes, and institutional protocols and standards for nurses' partner abuse assessment and management.</p><p><strong>Reporting method: </strong>The results of this study were reported in accordance with STROBE guidelines.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution was received.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":"3007-3018"},"PeriodicalIF":3.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12994641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim To assess public support and predictors of favourable or unfavourable views towards expanding Advanced Practice Nurse (APN) roles in Germany. Design A quantitative, cross‐sectional survey using Germany as a national case study. Methods Data came from the Politikpanel Deutschland , an online survey conducted 15–28 July 2024. After exclusions, 6733 respondents were included. Data were weighted by age, gender, federal state, and voting intention. Descriptive statistics, subgroup comparisons, and multinomial logistic regression were applied to analyse attitudes towards APNs, with results reported as average marginal effects and predicted probabilities. Results Overall, 52.8% of respondents supported expanding APN roles, 25% opposed, and the remainder were undecided. Support was stronger among younger, male, and highly educated respondents, and those open to digital health technologies. Support was lower in East Germany and the city‐states Berlin and Bremen, while it was higher in the south‐west and north. Political ideology strongly predicted attitudes: supporters of right‐wing parties were more likely to oppose, whereas left‐leaning voters were more supportive. Conclusions Public support for expanding APN roles in Germany is moderate but uneven across demographic, regional, and political cohorts. Younger individuals and those favouring digital health technologies may drive future acceptance, while political resistance and regional disparities remain barriers. Impact This first, large‐scale survey of German public attitudes towards APNs suggests that policymakers should (i) link APN role expansion with digital health innovations, (ii) address regional differences through tailored communication, and (iii) ensure that patients, physicians, and healthcare professionals perceive APN integration as enhancing, not diminishing primary care quality. Strengthening legal and educational frameworks and fostering collaboration between physicians and nurses will not only be essential to integrate APNs into Germany's healthcare system and, thereby, mitigate physician shortages, but also to foster public acceptance of APNs. Patient or Public Contribution None. Reporting Method CROSS‐checklist.
{"title":"Public Attitudes Towards Expanding the Role of Advanced Practice Nurses in Germany: A Cross‐Sectional Survey Study","authors":"Sebastian Jäckle, Sabine Valenta","doi":"10.1111/jan.70594","DOIUrl":"https://doi.org/10.1111/jan.70594","url":null,"abstract":"Aim To assess public support and predictors of favourable or unfavourable views towards expanding Advanced Practice Nurse (APN) roles in Germany. Design A quantitative, cross‐sectional survey using Germany as a national case study. Methods Data came from the <jats:italic>Politikpanel Deutschland</jats:italic> , an online survey conducted 15–28 July 2024. After exclusions, 6733 respondents were included. Data were weighted by age, gender, federal state, and voting intention. Descriptive statistics, subgroup comparisons, and multinomial logistic regression were applied to analyse attitudes towards APNs, with results reported as average marginal effects and predicted probabilities. Results Overall, 52.8% of respondents supported expanding APN roles, 25% opposed, and the remainder were undecided. Support was stronger among younger, male, and highly educated respondents, and those open to digital health technologies. Support was lower in East Germany and the city‐states Berlin and Bremen, while it was higher in the south‐west and north. Political ideology strongly predicted attitudes: supporters of right‐wing parties were more likely to oppose, whereas left‐leaning voters were more supportive. Conclusions Public support for expanding APN roles in Germany is moderate but uneven across demographic, regional, and political cohorts. Younger individuals and those favouring digital health technologies may drive future acceptance, while political resistance and regional disparities remain barriers. Impact This first, large‐scale survey of German public attitudes towards APNs suggests that policymakers should (i) link APN role expansion with digital health innovations, (ii) address regional differences through tailored communication, and (iii) ensure that patients, physicians, and healthcare professionals perceive APN integration as enhancing, not diminishing primary care quality. Strengthening legal and educational frameworks and fostering collaboration between physicians and nurses will not only be essential to integrate APNs into Germany's healthcare system and, thereby, mitigate physician shortages, but also to foster public acceptance of APNs. Patient or Public Contribution None. Reporting Method CROSS‐checklist.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"58 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147507926","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}
Debra Jackson, Helen Aveyard, Joanne Brooke, Michelle Cleary, Jane Noyes, Graeme D. Smith, Phyllis Sharps, Adrianna Watson, Hu Yan, Doris Yu
{"title":"Fifty Years of Nursing Knowledge: A Conversation Between Generations","authors":"Debra Jackson, Helen Aveyard, Joanne Brooke, Michelle Cleary, Jane Noyes, Graeme D. Smith, Phyllis Sharps, Adrianna Watson, Hu Yan, Doris Yu","doi":"10.1111/jan.70598","DOIUrl":"https://doi.org/10.1111/jan.70598","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"19 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147507929","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}
Introduction Healthcare systems are undergoing major transformation driven by technological progress, growing patient involvement, workforce shortages, complex care needs, and rising costs. Against this backdrop, value‐based healthcare has gained traction, yet the notion of ‘value’ remains ambiguously defined. Aim To clarify the concept of ‘value’ in value‐based healthcare. Design We conducted a concept analysis using Walker & Avant's eight‐step method: (1) Select a concept; (2) Determine the aims; (3) Identify uses; (4) Define the concept's attributes; (5) Identify the model case(s); (6) Identify additional cases; (7) Identify antecedents and consequences; and (8) Define empirical referents. Data Sources: Scoping review methods following the Joanna Briggs Institute (JBI) recommendations were used to introduce rigour in locating, screening, and extracting data. We used a deductive thematic analysis for data analysis. Results We selected the concept of value in value‐based healthcare because it lacked conceptual clarity to support healthcare systems transformations. We propose that value arises when outcomes‐to‐costs ratios ( empirical referents ) are considered in processes ( uses ) addressing healthcare systems transformations, characterised by more informed and engaged patients and rising costs ( antecedents ). Model case included consideration for all components (health, non‐health outcomes, and direct, indirect, social costs) of the ratio, whereas additional cases showed that consideration for most, not all, or none of these components led to partial or no value creation. Value is used from individual to collective dimensions and at clinical, organisational and system levels (attributes) to improve patient experience, care team well‐being, health equity, and population health, and to reduce costs (consequences). Conclusion A shared understanding of ‘value’ can guide its design, measurement, and implementation to support successful transformations toward value‐based healthcare. Implications: Our conceptual proposition of ‘value’ within value‐based healthcare establishes a framework for a common understanding of ‘value’ that enables the successful transformation of health systems toward value‐based healthcare.
{"title":"Revisiting the Meaning of ‘Value’ in Value‐Based Healthcare: A Concept Analysis","authors":"Marie‐Eve Perron, Pierre‐Henri Roux‐Levy, Sabine Calleja, Marie‐Eve Poitras, Sylvie D. Lambert","doi":"10.1111/jan.70574","DOIUrl":"https://doi.org/10.1111/jan.70574","url":null,"abstract":"Introduction Healthcare systems are undergoing major transformation driven by technological progress, growing patient involvement, workforce shortages, complex care needs, and rising costs. Against this backdrop, value‐based healthcare has gained traction, yet the notion of ‘value’ remains ambiguously defined. Aim To clarify the concept of ‘value’ in value‐based healthcare. Design We conducted a concept analysis using Walker & Avant's eight‐step method: (1) Select a concept; (2) Determine the aims; (3) Identify uses; (4) Define the concept's attributes; (5) Identify the model case(s); (6) Identify additional cases; (7) Identify antecedents and consequences; and (8) Define empirical referents. Data Sources: Scoping review methods following the Joanna Briggs Institute (JBI) recommendations were used to introduce rigour in locating, screening, and extracting data. We used a deductive thematic analysis for data analysis. Results We selected the concept of value in value‐based healthcare because it lacked conceptual clarity to support healthcare systems transformations. We propose that value arises when outcomes‐to‐costs ratios ( <jats:italic>empirical referents</jats:italic> ) are considered in processes ( <jats:italic>uses</jats:italic> ) addressing healthcare systems transformations, characterised by more informed and engaged patients and rising costs ( <jats:italic>antecedents</jats:italic> ). <jats:italic>Model case</jats:italic> included consideration for all components (health, non‐health outcomes, and direct, indirect, social costs) of the ratio, whereas <jats:italic>additional cases</jats:italic> showed that consideration for most, not all, or none of these components led to partial or no value creation. Value is used from individual to collective dimensions and at clinical, organisational and system levels (attributes) to improve patient experience, care team well‐being, health equity, and population health, and to reduce costs (consequences). Conclusion A shared understanding of ‘value’ can guide its design, measurement, and implementation to support successful transformations toward value‐based healthcare. Implications: Our conceptual proposition of ‘value’ within value‐based healthcare establishes a framework for a common understanding of ‘value’ that enables the successful transformation of health systems toward value‐based healthcare.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"58 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147507885","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}
Sian Myfanwy Shaw, Sophie Bethan Shaw, Gillian Janes
Aim To synthesise evidence on wearable devices for continuous vital signs monitoring in adult hospital inpatients, focusing on clinical effectiveness, nursing perspectives, workflow impact, patient experience and resource implications. Design Scoping review. Review Methods Joanna Briggs Institute methodology reported using PRISMA‐ScR guidelines. Data Sources Six databases (CINAHL, MEDLINE, EMBASE, Scopus, Web of Science, Cochrane), Scite.ai, and hand searching for studies published between January 2015 and November 2025. Data were synthesised using reflexive thematic analysis. Results Sixty‐seven studies from 19 countries were included. Four integrative themes were identified. (1) Enhancing clinical safety through continuous monitoring: wearable devices consistently enable earlier recognition of physiological deterioration; however, downstream outcomes such as length of stay and transfers to intensive care units were mixed and context dependent. (2) Transforming nursing practice and workflow integration highlighted improved situational awareness and potential efficiency gains, alongside challenges related to alarm overload, parallel documentation and implementation workload. (3) <jats:italic>Patient experience of wearable monitoring</jats:italic> : most patients reported reassurance and perceived safety, though experiences reflected a tension between monitoring as care and monitoring as surveillance; discomfort, anxiety, and privacy considerations were infrequently examined. (4) <jats:italic>Economic and organisational consequences</jats:italic> : potential system value was suggested through workforce efficiencies, but economic benefits were largely inferred, with infrastructure and training costs often underreported. Conclusion Wearable continuous monitoring technologies show clear potential to support nursing observations enabling improved early detection of deterioration. Realising these benefits depends on effective integration into workflows, robust governance, and sustained nursing leadership rather than technological capability alone. Significant evidence gaps remain regarding long‐term outcomes, economic evaluation, and large‐scale implementation. Impact Wearable devices for continuous vital signs monitoring have the potential to transform inpatient surveillance by enabling earlier recognition of physiological deterioration and enhancing nurses' situational awareness. This scoping review synthesises international evidence demonstrating that, although wearable monitoring can improve patient safety and workflow efficiency, its impact depends on effective integration into nursing practice, governance structures, and organisational preparedness. Continuous monitoring also introduces new challenges including alert fatigue, data interpretation, and workflow redesigns, highlighting the vital role of nursing leadership in digital health implementation. The review also identifies critical evidence gaps, particularly concerning long‐term clinical o
目的综合可穿戴设备用于成人住院患者生命体征持续监测的证据，重点关注临床效果、护理观点、工作流程影响、患者体验和资源影响。设计范围审查。Joanna Briggs研究所的方法学采用PRISMA‐ScR指南。六大数据库（CINAHL， MEDLINE， EMBASE, Scopus, Web of Science, Cochrane）， scie。ai，并手动检索2015年1月至2025年11月之间发表的研究。使用反身性专题分析对数据进行综合。结果纳入了来自19个国家的67项研究。确定了四个综合主题。(1)通过持续监测提高临床安全性：可穿戴设备始终能够更早地识别生理恶化；然而，下游结果，如住院时间和转移到重症监护病房是混合的，并取决于具体情况。(2)转变护理实践和工作流程整合突出了改善的态势感知和潜在的效率提高，以及与警报过载、并行文档和实施工作量相关的挑战。(3)可穿戴式监护的患者体验：大多数患者报告安心和感知安全，尽管体验反映了监护与监护之间的紧张关系；不适、焦虑和隐私方面的考虑很少被检查。(4)经济和组织后果：潜在的系统价值是通过劳动力效率提出的，但经济效益在很大程度上是推断出来的，基础设施和培训成本往往被低估。结论可穿戴式连续监测技术在支持护理观察方面具有明显的潜力，可以提高病情恶化的早期发现。实现这些好处取决于有效地整合到工作流程中、健全的治理和持续的护理领导，而不仅仅是技术能力。在长期结果、经济评估和大规模实施方面，仍存在显著的证据差距。用于持续生命体征监测的可穿戴设备有可能通过早期识别生理恶化和增强护士的态势感知来改变住院患者监测。本综述综合了国际上的证据，表明尽管可穿戴式监测可以提高患者安全和工作流程效率，但其影响取决于与护理实践、治理结构和组织准备的有效整合。持续监测还带来了新的挑战，包括警报疲劳、数据解释和工作流程重新设计，突出了护理领导在数字健康实施中的重要作用。该审查还确定了关键的证据差距，特别是在长期临床结果、患者体验和成本效益方面，为未来的研究和政策提供了优先事项，以促进安全、道德和可持续的采用。患者或公众参与无。
{"title":"Wearable Electronic Monitoring of Vital Signs in Hospitalised Adults: A Nursing Focused Scoping Review of Clinical, Economic and Implementation Outcomes","authors":"Sian Myfanwy Shaw, Sophie Bethan Shaw, Gillian Janes","doi":"10.1111/jan.70583","DOIUrl":"https://doi.org/10.1111/jan.70583","url":null,"abstract":"Aim To synthesise evidence on wearable devices for continuous vital signs monitoring in adult hospital inpatients, focusing on clinical effectiveness, nursing perspectives, workflow impact, patient experience and resource implications. Design Scoping review. Review Methods Joanna Briggs Institute methodology reported using PRISMA‐ScR guidelines. Data Sources Six databases (CINAHL, MEDLINE, EMBASE, Scopus, Web of Science, Cochrane), Scite.ai, and hand searching for studies published between January 2015 and November 2025. Data were synthesised using reflexive thematic analysis. Results Sixty‐seven studies from 19 countries were included. Four integrative themes were identified. (1) Enhancing clinical safety through continuous monitoring: wearable devices consistently enable earlier recognition of physiological deterioration; however, downstream outcomes such as length of stay and transfers to intensive care units were mixed and context dependent. (2) Transforming nursing practice and workflow integration highlighted improved situational awareness and potential efficiency gains, alongside challenges related to alarm overload, parallel documentation and implementation workload. (3) <jats:italic>Patient experience of wearable monitoring</jats:italic> : most patients reported reassurance and perceived safety, though experiences reflected a tension between monitoring as care and monitoring as surveillance; discomfort, anxiety, and privacy considerations were infrequently examined. (4) <jats:italic>Economic and organisational consequences</jats:italic> : potential system value was suggested through workforce efficiencies, but economic benefits were largely inferred, with infrastructure and training costs often underreported. Conclusion Wearable continuous monitoring technologies show clear potential to support nursing observations enabling improved early detection of deterioration. Realising these benefits depends on effective integration into workflows, robust governance, and sustained nursing leadership rather than technological capability alone. Significant evidence gaps remain regarding long‐term outcomes, economic evaluation, and large‐scale implementation. Impact Wearable devices for continuous vital signs monitoring have the potential to transform inpatient surveillance by enabling earlier recognition of physiological deterioration and enhancing nurses' situational awareness. This scoping review synthesises international evidence demonstrating that, although wearable monitoring can improve patient safety and workflow efficiency, its impact depends on effective integration into nursing practice, governance structures, and organisational preparedness. Continuous monitoring also introduces new challenges including alert fatigue, data interpretation, and workflow redesigns, highlighting the vital role of nursing leadership in digital health implementation. The review also identifies critical evidence gaps, particularly concerning long‐term clinical o","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"1 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147507928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reflections and Projections: The Next 50 Years of Priorities in Nursing Education","authors":"Fiona Timmins","doi":"10.1111/jan.70591","DOIUrl":"https://doi.org/10.1111/jan.70591","url":null,"abstract":"<h2> Conflicts of Interest</h2>\u0000<p>The author declares no conflicts of interest.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"95 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147506772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim To examine the contexts and mechanisms that enable compassionate mentorship in healthcare, in order to generate evidence‐informed insights for fostering healthier, more sustainable work environments. Design A rapid realist review. Data Sources Systematic searches were conducted in Ovid MEDLINE (1946–December 2024), Embase (1974–December 2024) and CINAHL (1981–December 2024). Additional sources included Google Scholar searches, reference list scanning and grey literature (e.g., practice guidelines, policy briefs, professional reports). The review was conducted between August 2024 and July 2025. Review Methods Realist review methods were applied to answer the question: What works, for whom, under what circumstances and why? The review proceeded in four stages: defining scope and research questions with an expert panel; iterative searching and screening; data extraction and synthesis into context–mechanism–outcome configurations (CMOCs); and development of a programme theory. Results Twenty‐two documents were included, spanning nursing, medicine, allied health and interdisciplinary contexts. Six CMOCs were identified, encompassing the following themes: (1) relationship compatibility; (2) vulnerability and self‐exploration; (3) growth through untapped strengths; (4) anti‐oppression and equity; (5) mentors' pride and confidence; and (6) culture of mentorship. The resulting programme theory conceptualises compassionate mentorship as a dynamic, multi‐level process with cumulative impacts on individual well‐being, professional development and organisational culture. Conclusion Compassionate mentorship represents not only a relational practice but also a structural intervention for healthier workplaces. Programmes should prioritise compatibility, cultivate psychological safety, invest in mentee growth, embed equity, recognise mentor contributions and institutionalise mentorship culture. Impact These strategies offer actionable pathways to strengthen workforce resilience, retention and sustainability. Patient or Public Contribution One co‐author is a retired nurse, ethicist and person with lived experience in the healthcare system. This co‐author was integral to this project, serving on the scientific steering committee from project conceptualisation and funding application through study conduct and publication.
{"title":"Compassion in Practice: A Realist Review of Mentorship as a Catalyst for Healthy Workplaces","authors":"Marissa Bird, Laura Desveaux, Addy Lagunju, Kathleen Carlin, Balpreet Panesar, Carolyn Steele Gray","doi":"10.1111/jan.70578","DOIUrl":"https://doi.org/10.1111/jan.70578","url":null,"abstract":"Aim To examine the contexts and mechanisms that enable compassionate mentorship in healthcare, in order to generate evidence‐informed insights for fostering healthier, more sustainable work environments. Design A rapid realist review. Data Sources Systematic searches were conducted in Ovid MEDLINE (1946–December 2024), Embase (1974–December 2024) and CINAHL (1981–December 2024). Additional sources included Google Scholar searches, reference list scanning and grey literature (e.g., practice guidelines, policy briefs, professional reports). The review was conducted between August 2024 and July 2025. Review Methods Realist review methods were applied to answer the question: What works, for whom, under what circumstances and why? The review proceeded in four stages: defining scope and research questions with an expert panel; iterative searching and screening; data extraction and synthesis into context–mechanism–outcome configurations (CMOCs); and development of a programme theory. Results Twenty‐two documents were included, spanning nursing, medicine, allied health and interdisciplinary contexts. Six CMOCs were identified, encompassing the following themes: (1) relationship compatibility; (2) vulnerability and self‐exploration; (3) growth through untapped strengths; (4) anti‐oppression and equity; (5) mentors' pride and confidence; and (6) culture of mentorship. The resulting programme theory conceptualises compassionate mentorship as a dynamic, multi‐level process with cumulative impacts on individual well‐being, professional development and organisational culture. Conclusion Compassionate mentorship represents not only a relational practice but also a structural intervention for healthier workplaces. Programmes should prioritise compatibility, cultivate psychological safety, invest in mentee growth, embed equity, recognise mentor contributions and institutionalise mentorship culture. Impact These strategies offer actionable pathways to strengthen workforce resilience, retention and sustainability. Patient or Public Contribution One co‐author is a retired nurse, ethicist and person with lived experience in the healthcare system. This co‐author was integral to this project, serving on the scientific steering committee from project conceptualisation and funding application through study conduct and publication.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"59 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147506773","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 shed new light on the management practice and needs for support, mentoring and continuous education of nurse managers (head nurses and assistant head nurses) during and since the COVID-19 pandemic to identify the innovative strategies they put in place to mobilise teams and foster a healthy work environment.DESIGNA multi-centre exploratory descriptive study with a qualitative descriptive exploratory design was used.METHODS10 focus groups held between December 2021 and July 2022, five from a Canadian healthcare centre and five from a Swiss healthcare centre, were conducted with 35 nurse managers. The data were analysed using thematic analysis.RESULTSSix central themes emerged: (1) A difficult context to navigate: Continuous adaptation necessary to navigate through difficulties and a rapidly changing context, (2) Maintaining a visible presence and engaging in active listening with team members to promote commitment, motivation and mobilisation, (3) Frequent short meetings, instant and transparent communication, (4) Role legitimacy and recognition, along with continuous professional development, (5) Integration and cohesion among team members, and the quality of care and (6) Shared leadership: A key strategy to prioritise.CONCLUSIONThe present study offers unique insights into the innovative strategies nurse managers have put in place to ensure the optimal functioning of their care team, to foster a positive work climate, and to ensure the commitment, motivation and mobilisation of their teams. A shared leadership approach appears to be a key lever of action to optimally tackle the present and future needs and challenges of nurse managers.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREThis study highlights key managerial strategies that can be beneficial in all contexts or during future crises, ultimately helping healthcare organisations and nurse managers have a better understanding of their role and influence.REPORTING METHODConsolidated Criteria for Reporting Qualitative Research (COREQ).PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contribution.
{"title":"The Practice of Nurse Managers, Their Support Needs and the Importance of Shared Leadership: A Multicentre International Qualitative Research.","authors":"Johanne Déry,Maxime Paquet,Geneviève Lavigne,Sabrina Fournelle,Jolianne Bolduc,Héroldine Lucien,Nathalie Folch,Krystel Vasserot","doi":"10.1111/jan.70584","DOIUrl":"https://doi.org/10.1111/jan.70584","url":null,"abstract":"AIMTo shed new light on the management practice and needs for support, mentoring and continuous education of nurse managers (head nurses and assistant head nurses) during and since the COVID-19 pandemic to identify the innovative strategies they put in place to mobilise teams and foster a healthy work environment.DESIGNA multi-centre exploratory descriptive study with a qualitative descriptive exploratory design was used.METHODS10 focus groups held between December 2021 and July 2022, five from a Canadian healthcare centre and five from a Swiss healthcare centre, were conducted with 35 nurse managers. The data were analysed using thematic analysis.RESULTSSix central themes emerged: (1) A difficult context to navigate: Continuous adaptation necessary to navigate through difficulties and a rapidly changing context, (2) Maintaining a visible presence and engaging in active listening with team members to promote commitment, motivation and mobilisation, (3) Frequent short meetings, instant and transparent communication, (4) Role legitimacy and recognition, along with continuous professional development, (5) Integration and cohesion among team members, and the quality of care and (6) Shared leadership: A key strategy to prioritise.CONCLUSIONThe present study offers unique insights into the innovative strategies nurse managers have put in place to ensure the optimal functioning of their care team, to foster a positive work climate, and to ensure the commitment, motivation and mobilisation of their teams. A shared leadership approach appears to be a key lever of action to optimally tackle the present and future needs and challenges of nurse managers.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREThis study highlights key managerial strategies that can be beneficial in all contexts or during future crises, ultimately helping healthcare organisations and nurse managers have a better understanding of their role and influence.REPORTING METHODConsolidated Criteria for Reporting Qualitative Research (COREQ).PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"270 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147483765","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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