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Journal of Advanced Nursing最新文献

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Advance Care Planning in Oncology Nursing: An Interpretive Description Study
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-03-10 DOI: 10.1111/jan.16879
Heather M. Kilgour, Leah K. Lambert, A. Fuchsia Howard, Michael Mckenzie, Sally Thorne
To explore oncology nursing advance care planning practices and understand how to better support nurses in conducting advance care planning with patients and their families.
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引用次数: 0
Leveraging Artificial Intelligence to Inform Care Coordination by Identifying and Intervening in Patients' Unmet Social Needs: A Scoping Review
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-03-10 DOI: 10.1111/jan.16874
Victoria H. Davis, Andrew D. Pinto, Minal R. Patel
We reviewed how artificial intelligence has been applied to inform care coordination by identifying and/or intervening in patients' unmet social needs.
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引用次数: 0
Factors and Strategies Influencing Integrated Self-Management Support for People With Chronic Diseases and Common Mental Disorders: A Qualitative Study of Canadian Primary Care Nurses' Experience
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-03-10 DOI: 10.1111/jan.16892
Jérémie Beaudin, Maud-Christine Chouinard, Émilie Hudon, Catherine Hudon
To describe the factors influencing clinical integration of self-management support by primary care nurses for people with physical chronic diseases and common mental disorders, as well as strategies for improvement.
{"title":"Factors and Strategies Influencing Integrated Self-Management Support for People With Chronic Diseases and Common Mental Disorders: A Qualitative Study of Canadian Primary Care Nurses' Experience","authors":"Jérémie Beaudin, Maud-Christine Chouinard, Émilie Hudon, Catherine Hudon","doi":"10.1111/jan.16892","DOIUrl":"https://doi.org/10.1111/jan.16892","url":null,"abstract":"To describe the factors influencing clinical integration of self-management support by primary care nurses for people with physical chronic diseases and common mental disorders, as well as strategies for improvement.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"1 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143582558","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}
引用次数: 0
Examining Alcohol Screening Rates During Pregnancy and Documentation of Prenatal Alcohol Exposure in a Public Health District in Australia
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-03-10 DOI: 10.1111/jan.16832
Siyu Qian, Sarah Seddon
This study aimed to examine alcohol-screening rates during pregnancy and documentation of prenatal alcohol exposure in a public health district in Australia.
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引用次数: 0
Perspectives on Attenuating Tokophobia in Primigravida Women
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-03-10 DOI: 10.1111/jan.16893
Yang Liu, Hongxia Liu
<p>We read the study that investigates the relationship between the health profiles of primigravida pregnant women, catastrophic thinking, tokophobia, and childbirth preferences in a rural area with considerable interest (Ali et al. <span>2024</span>). It is evident from the research that the decisions of expectant mothers regarding their delivery methods are significantly influenced by the anxiety of childbirth and mental health. The study underscores the potential for catastrophic thinking, which entails the overestimation of negative outcomes, to result in increased apprehension and the development of tokophobia. This, in turn, influences their preferences for a specific mode of delivery, frequently leading them to elective caesarean sections despite the associated risks. The outcomes underline the need of addressing mental health issues and offering better educational materials for rural pregnant women. Instead of fear-driven decisions, such treatments could help to lower unnecessary anxiety and improve birthing outcomes by offering educated choices based on exact knowledge. As this study is really important, we would want to congratulate the authors for their significant scientific achievements. We also would want to offer the following perspective on how primigravida women might reduce their tokophobia.</p><p>Psychological, educational, and medical therapies should all be part of the strategy to combat tokophobia in first-time mothers. The first step in treating tokophobia is for medical staff to be alert to the symptoms, which include a high level of anxiety or fear related to giving birth. During regular visits, pregnant women should be checked for mental health issues in order to help identify those who are at risk and enable quick treatment of such people. Eliminating false beliefs about births and myths depends on extensive prenatal education. Giving women evidence-based knowledge about labour, pain management strategies, and the benefits and drawbacks of different delivery techniques would help them to make wise decisions. Moreover, when healthcare professionals and expectant mothers foster open communication, it establishes a secure environment for women to express their anxieties and concerns, subsequently resulting in tailored support. Psychological treatments such as cognitive-behavioural therapy (CBT) or relaxation strategies can help to reframe negative thoughts and reduce anxiety. Moreover, a pleasant and consoling delivery environment helps to reduce anxiety and build confidence. Working together among healthcare professionals greatly reduces tokophobia, therefore boosting the mental health of first-time mothers and the whole delivery process.</p><p>For family members, particularly those residing in rural areas, providing assistance to a primigravida woman in mitigating tokophobia requires the establishment of an encouraging and empathic environment. In rural contexts, where healthcare resources may be limited, the family as
人工智能有可能发挥重要作用,为妇女提供个性化支持,尤其是在缺乏面对面咨询的地区。人工智能驱动的应用程序有能力提供心理健康筛查、监督心理健康状况,并提供针对个人关切的循证信息。这些工具可以进一步促进妇女与远程医疗服务提供者之间的联系,使她们无需长途跋涉就能获得指导和安慰。此外,人工智能驱动的聊天机器人可以解决常见的恐惧、回答问题并提供心理支持,从而减少孤独感。通过将政府政策与人工智能技术相结合,农村地区可以受益于心理健康资源获取渠道的改善,这将有助于缓解托克恐惧症,为初产妇提供更积极的分娩体验。
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引用次数: 0
Associations Between Frailty, Family Functioning, and Quality of Life in Adolescents With Congenital Heart Disease: A Cross-Sectional Study
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-03-10 DOI: 10.1111/jan.16867
Chen-Yan Huang, Ching-I Chen, Hung-Tao Chung, Chun-Wei Lu, Ming-Tai Lin, Jou-Kou Wang, Chieh-Yu Liu, Chi-Wen Chen
To examine the relationship between frailty status, family functioning, and quality of life in adolescents with congenital heart disease (CHD).
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引用次数: 0
Video-Based Climate Change Program Boosts Eco-Cognizance, Emotional Response and Self-Efficacy in Rural Nursing Students: Randomised Controlled Trial
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-03-09 DOI: 10.1111/jan.16790
Rasha Salah Eweida, Maeve Anne O'Connell, Mohamed Zoromba, Marwa Fouad Mahmoud, Marwan Kamal Altheeb, Abeer Selim, Mohamed Hussein Ramadan Atta
The Munich Security Conference 2024 highlighted the complex connections between climate change and global security risks. Engaging students in fighting climate change is a stepping stone to achieving the Sustainable Development Goals.
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引用次数: 0
A Response to the Article ‘Exploring Implementation of Reasonable Adjustments in Hospitals for People With Intellectual Disability: Using a Realist Lens’
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-03-06 DOI: 10.1111/jan.16883
Natalie Ong, Janet Long, Annette Burgess

We were pleased to read the study by Moloney et al. (2024), Exploring Implementation of Reasonable Adjustments in Hospitals for People with Intellectual Disability: Using a Realist Lens (Moloney et al. 2024). The article addressed many issues faced by large organisations and has provided a framework to understand the complexity of the issues faced and signposts strategies for change. It is universally known that children and young people with intellectual disability have poorer health care experiences and outcomes due to communication difficulties between the child, parent and staff. In addition, hospitals are noisy and frightening environments and often staff are not aware of the need for planning and adjustments. Being able to include reasonable adjustments can lead to better and safer care for this population.

Notably, the study uses the CICI Framework (Context and Implementation of Complex Interventions) where the authors assert that for reasonable adjustments to be practised at a wider scale, interventions need to consider the context associated with the implementation of these adjustments in real world clinical settings. The authors recognise that complex problems require complex solutions and that taking an implementation science approach helps bridge the gap between research and practice by meeting the clinicians at the front line. Also, the notion of interventions at the individual level needs to be supported by complementary approaches that target the department and organisational levels. This considers that individual healthcare staff actions are still contingent on team practice, departmental policy and organisational culture. In other words, to better understand the complex nature of healthcare, a ‘complex adaptive systems framework’ view point is needed (Woodruff 2019). This framework helps us understand how teamwork, continuous quality improvement and system-based practice can address the complexity gap of theory and practice. Using this framework helps us better anticipate the dynamic interactions between a patient's biopsychosocial systems and complex layers of the health system (Woodruff 2019).

This truly resonates with us as we have also taken a complex adaptive systems approach in the adoption of reasonable adjustments at the Sydney Children's Hospitals Network. We have been able to demonstrate several successful projects and programmes based on a series of implementation approaches that address the whole of healthcare service; from upskilling clinicians and teams/departments (agents) to systems interactions with human factors (system) towards the provision of reasonable adjustments for safer and better care for children and adults with intellectual disability in hospital (outcomes).

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引用次数: 0
The Fundamentals of Care Framework: Application Within a Post-Graduate Nursing Programme Facilitated by a Pedagogical Project for Educators
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-03-06 DOI: 10.1111/jan.16881
Eva Jangland, Lena Nyholm, Helena Wengström-Nymark, Katarina Edfeldt, Camilla Fröjd, Åsa Muntlin
To describe how the Fundamentals of Care framework was applied within a postgraduate nursing programme facilitated by a pedagogical project for educators.
介绍如何在护理研究生课程中应用护理基础框架,该框架由一个面向教育工作者的教学项目促成。
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引用次数: 0
The Relationship Between Work Engagement and Safety Behaviour of Oncology Nurses: A Latent Profile Analysis
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-03-05 DOI: 10.1111/jan.16863
Fengyan Ma, Weining Wang, Man Liu, Helin Chen, Yajing Zhu, Yan Liu
This study aims to identify distinct profiles of work engagement among oncology nurses through Latent Profile Analysis and explore how these profiles influence nurse safety behaviour.
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引用次数: 0
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Journal of Advanced Nursing
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