Journal of Advanced Nursing最新文献

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Letter to the Editor: Expanding the Discourse on Decent and Precarious Work in Nursing. 致编辑的信：扩大关于护理领域体面和不稳定工作的讨论。

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2024-11-18 DOI: 10.1111/jan.16630

Mohamed Ali Zoromba, Sameer A Alkubati, Heba Emad El-Gazar

引用次数: 0

Exploring the Current Applications and Effectiveness of ChatGPT in Nursing: An Integrative Review. 探索 ChatGPT 目前在护理领域的应用和效果：综合评述。

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2024-11-18 DOI: 10.1111/jan.16628

Yuan Luo, Yiqun Miao, Yuhan Zhao, Jiawei Li, Ying Wu

Aims: To systematically review the current application status of ChatGPT in nursing and explore its application effects.

Design: An integrative review.

Methods: Following inclusion and exclusion criteria, two researchers summarised the selected literature and conducted a quality appraisal, followed by narrative synthesis.

Data sources: PubMed, Web of Science and Scopus were searched from January 2022 to June 2024.

Results: A total of 31 papers met the inclusion criteria. Fifteen empirical studies were rated as grade 5, while five were rated as grade 4. The references of a minireview were not recently published and lacked ChatGPT-related articles, and a systematic review was of low quality. The review focused on three main topics: (1) The subsidiary role of ChatGPT in nursing; (2) Comparison of different models' effectiveness and (3) Existing challenges.

Conclusions: While adopting new technologies such as ChatGPT, it is important to maintain a balanced perspective on both its benefits and limitations. Nursing professionals must actively address these deficiencies and explore solutions to improve ChatGPT's utility in the field.

Implications to the profession and patient care: This review synthesised evidence on ChatGPT's application and highlighted existing challenges in nursing. Nursing researchers, educators and practitioners can further validate these findings to explore its potential in various aspects of nursing practice.

Impact: For researchers, ChatGPT can enhance language quality and summarise findings effectively, but adherence to research standards is crucial. For educators, ChatGPT can serve as an effective information source for students, though caution should be taken to avoid overreliance. For practitioners, ChatGPT can offer useful suggestions for clinical practice, but these should be critically evaluated and not followed blindly, as issues of inaccuracy must be addressed.

Reporting method: This review adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses.

Patient or public contribution: No patient or public contribution.

目的：系统回顾 ChatGPT 在护理中的应用现状，并探讨其应用效果：设计：综合综述：按照纳入和排除标准，由两名研究人员对所选文献进行总结，并进行质量评估，然后进行叙述性综合：数据来源：检索了 2022 年 1 月至 2024 年 6 月期间的 PubMed、Web of Science 和 Scopus：共有 31 篇论文符合纳入标准。其中 15 篇实证研究被评为 5 级，5 篇被评为 4 级。一篇小型综述的参考文献并非近期发表，且缺乏与 ChatGPT 相关的文章，一篇系统综述的质量较低。综述主要集中在三个主题上：(1) ChatGPT 在护理中的辅助作用；(2) 不同模式的有效性比较；(3) 现有挑战：在采用 ChatGPT 等新技术的同时，必须对其优点和局限性保持平衡的观点。护理专业人员必须积极应对这些不足并探索解决方案，以提高 ChatGPT 在该领域的实用性：本综述综合了有关 ChatGPT 应用的证据，并强调了护理领域现有的挑战。护理研究人员、教育工作者和从业人员可以进一步验证这些发现，探索其在护理实践各个方面的潜力：对研究人员而言，ChatGPT 可以提高语言质量，有效总结研究结果，但遵守研究标准至关重要。对教育者而言，ChatGPT 可作为学生的有效信息来源，但应注意避免过度依赖。对于从业人员来说，ChatGPT 可以为临床实践提供有用的建议，但应严格评估这些建议，不能盲目跟从，因为必须解决不准确的问题：本综述符合《系统综述和元分析首选报告项目》：无患者或公众贡献。

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引用次数: 0

Community Nursing: A Time and Motion Study of Community Nurses' Work and Workload. 社区护理：社区护士工作和工作量的时间与运动研究。

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2024-11-18 DOI: 10.1111/jan.16547

Nicole Blay, Christine Duffield, Pauline Murray-Parahi, Vari Drennan, Mick Rowles, Mariana S Sousa

Aim: To explore activities performed by community nurses in community health centre clinics and during home visits.

Design: Cross-sectional, observational using time and motion technique. Data collected during lockdown in 2020.

Methods: Community nurses' work in clinics and during home visits were observed and recorded. The purposefully designed data collection tool covered six categories (Administration, Communication, Direct care, Documentation, Indirect care and Other) and 35 activities relative to community nurses' work.

Results: Eight hundred and ten complete timings were obtained. Community nurses' time was most often (86.5%) spent on Direct care, Communication, Documentation and Other activities. Patient education occurred more often in the home.

Conclusions: The type, frequency and time taken to complete community nursing activities provides insight into the community nurse role. Addressing inefficient practices such as documentation and travel could serve to improve workload.

Reporting method: Adheres to EQUATOR guideline STROBE for cross-sectional studies.

Patient or public contribution: No patient or public contribution.

目的：探讨社区护士在社区卫生中心诊所和家访期间开展的活动：设计：横断面观察，采用时间和运动技术。在 2020 年封锁期间收集数据：观察并记录社区护士在诊所和家访时的工作情况。特意设计的数据收集工具涵盖六个类别（行政管理、沟通、直接护理、文件记录、间接护理和其他）和 35 项与社区护士工作相关的活动：结果：共获得 81 个完整的时间记录。社区护士的大部分时间（86.5%）用于直接护理、沟通、文件记录和其他活动。结论：社区护士工作的类型、频率和所花费的时间与病人的健康状况息息相关：完成社区护理活动的类型、频率和时间有助于深入了解社区护士的角色。报告方法：报告方法：符合横断面研究的 EQUATOR 准则 STROBE：无患者或公众贡献。

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引用次数: 0

A Tailored De-Implementation Strategy to Reduce Low-Value Home-Based Nursing Care: A Mixed-Methods Feasibility Study 减少低价值居家护理的定制去实施策略：混合方法可行性研究

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2024-11-14 DOI: 10.1111/jan.16615

Benjamin Wendt, Minke S. Nieuwboer, Hester Vermeulen, Getty Huisman-de Waal, Simone A. van Dulmen

To facilitate the delivery of appropriate care, the aim was to test if a tailored, multifaceted de-implementation strategy (RENEW) (1) would lead to less low-value nursing care and (2) was acceptable, implementable, cost effective and scalable in the home-based nursing care context.

为了促进提供适当的护理，我们的目的是测试一种量身定制的、多方面的去实施化策略（RENEW）（1）是否会减少低价值护理，（2）在家庭护理的背景下是否可以接受、可以实施、具有成本效益且可以推广。

引用次数: 0

Assessment of the Psychometric Properties of the Mask Usability Scale: A Measure of the Perceived Usability of N95 Respirators Among Healthcare Students and Staff 口罩可用性量表的心理测量特性评估：医疗保健专业学生和员工对 N95 呼吸器可用性的感知量表

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2024-11-13 DOI: 10.1111/jan.16590

Lorna Kwai Ping Suen, Wai Hang Kwok, Ignatius Tak Sun Yu, Sony Nai Yeung So, Kin Cheung, Paul Hong Lee, Lily Yuen Wah Ho, Ka Yan Ko, Sukki Ho, Simon Ching Lam

To test the reliability and construct validity of the Mask Usability Scale in healthcare students and staff.

在医学生和医护人员中测试面具可用性量表的可靠性和结构有效性。

引用次数: 0

Nurse Managers' Experiences in Organisational Adaptation During Public Health Emergencies: A Qualitative Study 护士长在公共卫生突发事件中的组织适应经验：定性研究

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2024-11-13 DOI: 10.1111/jan.16626

Xiyi Wang, Jiaqi Lian, Mengting Ji, Geraldine Lee, Yun Hu

To elucidate strategies for improving organisational adaptation during public health emergencies from the perspectives of nurse managers.

从护士管理者的角度阐明在公共卫生突发事件中改善组织适应性的策略。

引用次数: 0

Healthcare and Pharmacy Staffs' Experiences on Medication Management for Migrants—A Qualitative Exploratory Case Study in Primary Health Care 医护人员和药剂师对流动人口用药管理的经验--基层医疗机构的定性案例探索研究

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2024-11-12 DOI: 10.1111/jan.16624

Lisa Hultin, Ulrika Pöder, Mariann Hedström, Anna Ekman, Katarina Hjelm

To explore what healthcare staff and staff in pharmacies experiences, as challenges, and possibilities in handling and use medications by foreign-born persons or their relatives, and how necessary information is exchanged between different units in the healthcare chain to prevent medication errors.

探讨医护人员和药房工作人员在处理和使用外国出生者或其亲属的药物时遇到的挑战和可能性，以及如何在医疗链的不同单位之间交换必要信息，以防止用药错误。

引用次数: 0

Women's Acceptability of and Satisfaction With Self-Monitoring Blood Pressure During Pregnancy 妇女对孕期自我监测血压的接受度和满意度

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2024-11-12 DOI: 10.1111/jan.16609

Vidanka Vasilevski, Kathleen Murphy, Rebecca Giarrusso, Linda Sweet

The aim of this study was to evaluate the acceptability and satisfaction of pregnant women at risk of hypertensive disorders with self-monitoring their blood pressure.

本研究旨在评估高血压高危孕妇对自我监测血压的接受度和满意度。

引用次数: 0

Exploring the Variability in Triage Nursing Workload: Insights From a Multicentre Observational Study 探索分诊护理工作量的可变性：多中心观察研究的启示

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2024-11-12 DOI: 10.1111/jan.16627

Arian Zaboli, Francesco Brigo, Gloria Brigiari, Gianni Turcato

Although there has been a significant amount of research on nurse workloads in hospital environments, there has been a lack of comprehensive investigation of the workload of triage nurses. This study assesses the workload fluctuations of triage nurses in various emergency departments in the same region and examines how workload varies based on emergency department visit volumes and seasonal fluctuations.

尽管已有大量关于医院环境中护士工作量的研究，但对分诊护士的工作量却缺乏全面的调查。本研究评估了同一地区不同急诊科分诊护士的工作量波动情况，并研究了工作量如何根据急诊科就诊量和季节性波动而变化。

引用次数: 0

Climate Justice Strategies Implemented by Public Health Nurses and Their Community Partners 公共卫生护士及其社区合作伙伴实施的气候正义战略

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing

Pub Date : 2024-11-11 DOI: 10.1111/jan.16598

Jessica LeClair, Alex Dudek, Susan Zahner

AimTo describe nurses' and community‐based organization representatives' collaborative strategies for advancing climate justice with communities.DesignThis study used a descriptive, qualitative research design.MethodsData were gathered from August 2022 to February 2023 with nurses (n = 8) and their community partners (n = 5) in the United States. Community partners were representatives of community‐based organizations. Photovoice provided greater context for the thematic analysis of collaborative strategies discussed in semi‐structured interviews.ResultsNurse participants worked in academic or non‐profit settings. Nurse‐community partnerships addressed corporate pollution and promoted Indigenous sovereignty and multispecies justice. Themes included investigating disease and health events, identifying at‐risk populations and connecting them with resources, providing health teaching and counseling, organizing communities and coalitions, and advocating for policy development and enforcement. Self‐care supported resilience and well‐being in the long struggle for climate justice.ConclusionFindings from this study indicated that nurses and their community partners strategize to transition communities away from systems of extraction towards local and regenerative systems that support resilience. Nurses and their community partners recognized the importance of applying an expansive understanding of climate justice, including intersections of pollution and multispecies justice, to promoting planetary health.Implications for the professionFindings from this study support nurse‐community collaboration in policy work to advance planetary health. This study also supports nurses' collective action with their community partners to address the effects of white supremacy and colonization. Future research is needed to evaluate the outcomes of nurse‐community partnerships for planetary health.ImpactNurses have called for action on climate justice; however, evidence of effective nursing strategies that advance climate justice is sparse. This study is the first to describe the collaborative strategies nurses implement with community partners to support the transition from injustice to justice in communities most burdened by climate change and industrial pollution.

本研究采用描述性定性研究设计。方法从 2022 年 8 月至 2023 年 2 月收集了美国护士（n = 8）及其社区合作伙伴（n = 5）的数据。社区合作伙伴是社区组织的代表。在半结构式访谈中讨论的合作策略的专题分析中，摄影选择提供了更多的背景。护士与社区的合作解决了企业污染问题，促进了土著主权和多物种正义。主题包括调查疾病和健康事件、识别高危人群并将他们与资源联系起来、提供健康教育和咨询、组织社区和联盟，以及倡导政策制定和执行。本研究的结果表明，护士及其社区伙伴制定战略，使社区从榨取系统过渡到支持复原力的地方和再生系统。护士及其社区伙伴认识到，在促进地球健康的过程中，必须对气候正义（包括污染与多物种正义的交叉）进行广泛的理解。对职业的启示本研究的结果支持护士与社区在政策工作中开展合作，以促进地球健康。本研究还支持护士与其社区伙伴采取集体行动，消除白人至上主义和殖民化的影响。未来的研究需要对护士与社区合作促进地球健康的成果进行评估。影响护士们呼吁对气候正义采取行动；然而，促进气候正义的有效护理策略的证据却很少。本研究首次描述了护士与社区合作伙伴实施的合作策略，以支持受气候变化和工业污染影响最严重的社区从不公到公正的转变。

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