Adrianna Lorraine Watson,Debra Jackson,Carmel Bond
{"title":"Matrescence and Missed Care in Nursing: Implications for Practice and Workforce Sustainability.","authors":"Adrianna Lorraine Watson,Debra Jackson,Carmel Bond","doi":"10.1111/jan.70576","DOIUrl":"https://doi.org/10.1111/jan.70576","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"127 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147383416","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 develop a grounded theory explaining the psychosocial processes older adults use when adapting to life in residential aged care.DESIGNAn evolved grounded theory methodology was used.METHODSSemi-structured interviews were conducted with 20 residents and three staff members across four residential aged care homes in Victoria, Australia, supplemented with ethnographic observations. Theoretical sampling continued until theoretical saturation was achieved.RESULTSThe theory of Adapting to a shrunken world comprises three categories: realising the need for care; facing a life in care; and living with loss. Adaptation is an active, ongoing process shaped by accumulating losses. Positive adaptation requires residents to recognise and accept care needs while ceding aspects of independence, autonomy and control. This theory extends transition-focused accounts of adaptation by showing that, while early phases of adjustment and acceptance are important, adaptation to life in residential aged care remains an active, ongoing, psychosocial process shaped by continual change and accumulating loss across residents' lives in care.CONCLUSIONAdaptation continues throughout residents' lives in care. Acceptance of care needs is critical, as perceived losses of independence and control can lead to resistance or resentment that inhibits adjustment.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREThis theory provides a framework for person-centred policies and practices that support positive adaptation. Healthcare professionals can recognise early signs of maladaptation and implement interventions that foster acceptance while maintaining resident autonomy.IMPACTThis study addresses gaps in understanding long-term adaptation to residential care, informing nursing practice, aged care policy and care models internationally.REPORTING METHODData were analysed using grounded theory methods. The COREQ checklist was applied to guide transparent reporting of study design, data collection and analysis.PATIENT OR PUBLIC CONTRIBUTIONThis study did not include patient or public involvement in its design, conduct or reporting.
{"title":"Adapting to a Shrunken World: A Grounded Theory of Resident Adaptation to Life in Residential Aged Care.","authors":"Jarrah FitzGerald,Yvonne D Wells,Jane Mills","doi":"10.1111/jan.70573","DOIUrl":"https://doi.org/10.1111/jan.70573","url":null,"abstract":"AIMTo develop a grounded theory explaining the psychosocial processes older adults use when adapting to life in residential aged care.DESIGNAn evolved grounded theory methodology was used.METHODSSemi-structured interviews were conducted with 20 residents and three staff members across four residential aged care homes in Victoria, Australia, supplemented with ethnographic observations. Theoretical sampling continued until theoretical saturation was achieved.RESULTSThe theory of Adapting to a shrunken world comprises three categories: realising the need for care; facing a life in care; and living with loss. Adaptation is an active, ongoing process shaped by accumulating losses. Positive adaptation requires residents to recognise and accept care needs while ceding aspects of independence, autonomy and control. This theory extends transition-focused accounts of adaptation by showing that, while early phases of adjustment and acceptance are important, adaptation to life in residential aged care remains an active, ongoing, psychosocial process shaped by continual change and accumulating loss across residents' lives in care.CONCLUSIONAdaptation continues throughout residents' lives in care. Acceptance of care needs is critical, as perceived losses of independence and control can lead to resistance or resentment that inhibits adjustment.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREThis theory provides a framework for person-centred policies and practices that support positive adaptation. Healthcare professionals can recognise early signs of maladaptation and implement interventions that foster acceptance while maintaining resident autonomy.IMPACTThis study addresses gaps in understanding long-term adaptation to residential care, informing nursing practice, aged care policy and care models internationally.REPORTING METHODData were analysed using grounded theory methods. The COREQ checklist was applied to guide transparent reporting of study design, data collection and analysis.PATIENT OR PUBLIC CONTRIBUTIONThis study did not include patient or public involvement in its design, conduct or reporting.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"53 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147383417","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}
Amanda Fox,Suzanne Williams,Natasha Jennings,Ella Marie Tomkins,Rosie Glynn,Corinne Dunningham,Kathleen Tori
AIMSTo provide a 10-year update on the best available evidence evaluating the impact of nurse practitioner services on cost, waiting times, patient satisfaction, representation rates, and length of stay in emergency and urgent care settings.DESIGNSystematic review.DATA SOURCESThe search was completed on January 28, 2025, in Embase (Elsevier), Medline (EBSCOhost), CINAHL (EBSCOhost), Cochrane Library (Wiley), Emcare (Ovid), Web of Science Core Collection (Clarivate) and Scopus (Elsevier). The data range (2014-2024) was used to limit the search.METHODSThe search was conducted with results imported into Covidence. In Covidence, two reviewers conducted screening, data extraction, and quality appraisal of articles, and findings were analysed using a narrative synthesis approach. Eligible studies examined nurse practitioner services in emergency or urgent care settings, reporting outcomes of cost, waiting times, patient satisfaction, representation rates, and length of stay.RESULTSTitle and abstract screening were performed on 2329 records. Of these, 236 full-text articles were reviewed, and 17 underwent critical appraisal and data extraction. Narrative analysis of outcome measures yielded mixed results, with both favourable and unfavourable findings reported regarding nurse practitioner services.CONCLUSIONSGlobal evaluation of nurse practitioner services in emergency care remains inconsistent. Nevertheless, emerging evidence supports their positive impact, particularly in improving patient outcomes. To effectively inform policy, workforce planning and clinical integration, there is a need for professional benchmarks that provide clear frameworks for the evaluation of patient-centred outcomes and operational impacts in emergency departments.IMPLICATIONSEvidence related to nurse practitioner services in emergency and urgent care clinics highlights the positive impact of nurse practitioner services on patient wait times and satisfaction; however, there is limited and variable evidence of impact on health care costs and outcomes.IMPACTThis paper recommends that evaluating emergency nurse practitioner services requires homogeneous research using consistent professional benchmarks and evaluation frameworks.REPORTING METHODThis systematic review follows the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines.PATIENT OR PUBLIC CONTRIBUTIONThis study did not include patient or public involvement in its design, conduct, or reporting.TRAIL REGISTRATIONPROSPERO 2025 CRD420250645148.
{"title":"Ten-Year Update of Nurse Practitioner Service Impact on Patient and Health Service Outcomes in Emergency Care Settings-A Systematic Review.","authors":"Amanda Fox,Suzanne Williams,Natasha Jennings,Ella Marie Tomkins,Rosie Glynn,Corinne Dunningham,Kathleen Tori","doi":"10.1111/jan.70569","DOIUrl":"https://doi.org/10.1111/jan.70569","url":null,"abstract":"AIMSTo provide a 10-year update on the best available evidence evaluating the impact of nurse practitioner services on cost, waiting times, patient satisfaction, representation rates, and length of stay in emergency and urgent care settings.DESIGNSystematic review.DATA SOURCESThe search was completed on January 28, 2025, in Embase (Elsevier), Medline (EBSCOhost), CINAHL (EBSCOhost), Cochrane Library (Wiley), Emcare (Ovid), Web of Science Core Collection (Clarivate) and Scopus (Elsevier). The data range (2014-2024) was used to limit the search.METHODSThe search was conducted with results imported into Covidence. In Covidence, two reviewers conducted screening, data extraction, and quality appraisal of articles, and findings were analysed using a narrative synthesis approach. Eligible studies examined nurse practitioner services in emergency or urgent care settings, reporting outcomes of cost, waiting times, patient satisfaction, representation rates, and length of stay.RESULTSTitle and abstract screening were performed on 2329 records. Of these, 236 full-text articles were reviewed, and 17 underwent critical appraisal and data extraction. Narrative analysis of outcome measures yielded mixed results, with both favourable and unfavourable findings reported regarding nurse practitioner services.CONCLUSIONSGlobal evaluation of nurse practitioner services in emergency care remains inconsistent. Nevertheless, emerging evidence supports their positive impact, particularly in improving patient outcomes. To effectively inform policy, workforce planning and clinical integration, there is a need for professional benchmarks that provide clear frameworks for the evaluation of patient-centred outcomes and operational impacts in emergency departments.IMPLICATIONSEvidence related to nurse practitioner services in emergency and urgent care clinics highlights the positive impact of nurse practitioner services on patient wait times and satisfaction; however, there is limited and variable evidence of impact on health care costs and outcomes.IMPACTThis paper recommends that evaluating emergency nurse practitioner services requires homogeneous research using consistent professional benchmarks and evaluation frameworks.REPORTING METHODThis systematic review follows the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines.PATIENT OR PUBLIC CONTRIBUTIONThis study did not include patient or public involvement in its design, conduct, or reporting.TRAIL REGISTRATIONPROSPERO 2025 CRD420250645148.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"77 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147383415","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}
Suzan Henderikx, Maud Heinen, Hester Vermeulen, Catharina Jacoba Van Oostveen
Explore the perspectives of Clinical Academic Nurses and stakeholders on strategies for positioning Clinical Academic Nurses in Dutch hospitals.
探讨临床学术护士和利益相关者对荷兰医院临床学术护士定位策略的观点。
{"title":"Strategies to Position the Clinical Academic Nurse in University, Teaching and General Hospitals","authors":"Suzan Henderikx, Maud Heinen, Hester Vermeulen, Catharina Jacoba Van Oostveen","doi":"10.1111/jan.70571","DOIUrl":"https://doi.org/10.1111/jan.70571","url":null,"abstract":"Explore the perspectives of Clinical Academic Nurses and stakeholders on strategies for positioning Clinical Academic Nurses in Dutch hospitals.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"15 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147368495","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 trajectories of nursing care during the critical and intensive phases after coronary artery bypass graft surgery, using standardised electronic nursing records.DESIGNRetrospective observational study.METHODSThe electronic nursing records of 122 patients who underwent coronary artery bypass graft from a tertiary hospital were collected between September 2021 and September 2023. Among the 287,360 extracted nursing statements, the 427 most frequent statements were mapped to SNOMED CT. Nursing data were categorised into pre- and postoperative phases, and a heatmap was used to visualise daily nursing care trends during the first 8 days post-surgery.RESULTSIn total, 287,360 nursing statements were extracted and semantically mapped, with 90.9% linked to pre-coordinated SNOMED CT concepts. The results showed that in the acute postoperative phase, clinical priorities included respiratory management and surgical drain care. As recovery progressed, priorities expanded to include pressure injury prevention, safety monitoring, and effective interdisciplinary communication.CONCLUSIONSThe analysis using standardised nursing records identified dynamic care patterns after coronary artery bypass graft surgery and supports the development of disease-specific, evidence-based nursing practice guidelines.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARESupport for evidence-based nursing care for patients undergoing coronary artery bypass graft surgery.IMPACTThis study addressed the limited development of nursing-focused clinical practice guidelines by demonstrating how real-world nursing data can be leveraged to develop disease-specific, evidence-based guidance. By mapping electronic nursing records to international standard terminology, the study advanced a methodological approach for systematically capturing and analysing nursing care trajectories over time. The findings reveal dynamic patterns of nursing interventions during postoperative care and provide empirical support for developing standardised, data-driven nursing guidelines, ultimately strengthening evidence-based practice in acute and critical care settings.REPORTING METHODStrengthening the Reporting of Observational Studies in Epidemiology guidelines.PATIENT OR PUBLIC CONTRIBUTIONThis study did not include patient or public involvement in its design, conduct, or reporting.
{"title":"Trajectories of Nursing Care During the Critical and Intensive Phases After Coronary Artery Bypass Graft Surgery: A Retrospective Observational Study.","authors":"Yewon Lee,Sumi Sung","doi":"10.1111/jan.70556","DOIUrl":"https://doi.org/10.1111/jan.70556","url":null,"abstract":"AIMTo examine the trajectories of nursing care during the critical and intensive phases after coronary artery bypass graft surgery, using standardised electronic nursing records.DESIGNRetrospective observational study.METHODSThe electronic nursing records of 122 patients who underwent coronary artery bypass graft from a tertiary hospital were collected between September 2021 and September 2023. Among the 287,360 extracted nursing statements, the 427 most frequent statements were mapped to SNOMED CT. Nursing data were categorised into pre- and postoperative phases, and a heatmap was used to visualise daily nursing care trends during the first 8 days post-surgery.RESULTSIn total, 287,360 nursing statements were extracted and semantically mapped, with 90.9% linked to pre-coordinated SNOMED CT concepts. The results showed that in the acute postoperative phase, clinical priorities included respiratory management and surgical drain care. As recovery progressed, priorities expanded to include pressure injury prevention, safety monitoring, and effective interdisciplinary communication.CONCLUSIONSThe analysis using standardised nursing records identified dynamic care patterns after coronary artery bypass graft surgery and supports the development of disease-specific, evidence-based nursing practice guidelines.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARESupport for evidence-based nursing care for patients undergoing coronary artery bypass graft surgery.IMPACTThis study addressed the limited development of nursing-focused clinical practice guidelines by demonstrating how real-world nursing data can be leveraged to develop disease-specific, evidence-based guidance. By mapping electronic nursing records to international standard terminology, the study advanced a methodological approach for systematically capturing and analysing nursing care trajectories over time. The findings reveal dynamic patterns of nursing interventions during postoperative care and provide empirical support for developing standardised, data-driven nursing guidelines, ultimately strengthening evidence-based practice in acute and critical care settings.REPORTING METHODStrengthening the Reporting of Observational Studies in Epidemiology guidelines.PATIENT OR PUBLIC CONTRIBUTIONThis study did not include patient or public involvement in its design, conduct, or reporting.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"4 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147371035","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}
Brendan McCormack,Christine Stirling,Yenna Salamonson,Debra Jackson
In this final editorial of our group of four, we take up the challenge of thinking about radical reform of doctoral education. We contend that without decisive action, nursing risks losing its capacity to shape the future of healthcare. Therefore we suggest there is a need for radical reform of doctoral education, focusing on three key areas.
{"title":"Doctoral Education: The Need for Radical Reform.","authors":"Brendan McCormack,Christine Stirling,Yenna Salamonson,Debra Jackson","doi":"10.1111/jan.70568","DOIUrl":"https://doi.org/10.1111/jan.70568","url":null,"abstract":"In this final editorial of our group of four, we take up the challenge of thinking about radical reform of doctoral education. We contend that without decisive action, nursing risks losing its capacity to shape the future of healthcare. Therefore we suggest there is a need for radical reform of doctoral education, focusing on three key areas.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"31 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147368362","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":"Humanising Child Death: The Creation and Subsequent Development of Children's Palliative Care as a Distinct Clinical, Educational and Research Speciality.","authors":"Jane Noyes","doi":"10.1111/jan.70572","DOIUrl":"https://doi.org/10.1111/jan.70572","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"6 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147368361","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 determinants of nurses' adoption of generative artificial intelligence outputs in clinical practice using a technology acceptance model and an integrated structural equation modelling framework.DESIGNCross-sectional online survey.METHODSRegistered nurses in mainland China completed an anonymous questionnaire assessing perceived performance benefits, perceived ease of use, perceived information quality, perceived source credibility, social influence, facilitating conditions, adoption intention and adoption behaviour. Structural equation modelling was used to evaluate the measurement model and estimate a primary mediation model in which perceived performance benefits and perceived ease of use predicted adoption intention, and adoption intention predicted adoption behaviour. An integrated model added information quality, source credibility, social influence and facilitating conditions as additional determinants. Sensitivity analyses were conducted using an ordinal estimator to assess robustness.RESULTSThe analytic sample comprised 330 nurses. In the primary model, higher perceived performance benefits and greater perceived ease of use were associated with stronger adoption intention, and stronger adoption intention was associated with higher self-reported adoption behaviour. The integrated model showed that perceived information quality contributed to adoption intention beyond core expectancy beliefs, while perceived source credibility showed a small direct association with adoption behaviour. Social influence demonstrated a modest association with adoption intention, whereas facilitating conditions showed weaker associations after accounting for other determinants. Model conclusions were consistent across estimation approaches.CONCLUSIONNurses' adoption of generative artificial intelligence outputs is shaped by perceived performance benefits, ease of use and perceived information quality, with adoption intention functioning as the proximal determinant of self-reported use. Implementation strategies should focus on demonstrable workflow gains, reducing interaction burden and strengthening governance and verification to support safe adoption.
{"title":"Effects of Performance and Effort Expectancy on AI-Generated Information Adoption Among Chinese Nursing Professionals: Survey-Based SEM Analysis.","authors":"Linping Chen,Ying Huang,Lei Sun,Jianjun Zhang,Meifang Xu,Yan Zuo","doi":"10.1111/jan.70566","DOIUrl":"https://doi.org/10.1111/jan.70566","url":null,"abstract":"AIMTo examine determinants of nurses' adoption of generative artificial intelligence outputs in clinical practice using a technology acceptance model and an integrated structural equation modelling framework.DESIGNCross-sectional online survey.METHODSRegistered nurses in mainland China completed an anonymous questionnaire assessing perceived performance benefits, perceived ease of use, perceived information quality, perceived source credibility, social influence, facilitating conditions, adoption intention and adoption behaviour. Structural equation modelling was used to evaluate the measurement model and estimate a primary mediation model in which perceived performance benefits and perceived ease of use predicted adoption intention, and adoption intention predicted adoption behaviour. An integrated model added information quality, source credibility, social influence and facilitating conditions as additional determinants. Sensitivity analyses were conducted using an ordinal estimator to assess robustness.RESULTSThe analytic sample comprised 330 nurses. In the primary model, higher perceived performance benefits and greater perceived ease of use were associated with stronger adoption intention, and stronger adoption intention was associated with higher self-reported adoption behaviour. The integrated model showed that perceived information quality contributed to adoption intention beyond core expectancy beliefs, while perceived source credibility showed a small direct association with adoption behaviour. Social influence demonstrated a modest association with adoption intention, whereas facilitating conditions showed weaker associations after accounting for other determinants. Model conclusions were consistent across estimation approaches.CONCLUSIONNurses' adoption of generative artificial intelligence outputs is shaped by perceived performance benefits, ease of use and perceived information quality, with adoption intention functioning as the proximal determinant of self-reported use. Implementation strategies should focus on demonstrable workflow gains, reducing interaction burden and strengthening governance and verification to support safe adoption.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"16 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147359068","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}
Seda Sarıköse,Tuba Sengul,Violeta Lopez,Holly Kirkland-Kyhn
AIMTo evaluate the effectiveness of simulation-based interprofessional education (IPSE) interventions on teamwork, communication and psychological safety outcomes among healthcare professionals and students.DESIGNA systematic review.DATA SOURCESSearches were conducted across PubMed, CINAHL, Scopus, Web of Science and Cochrane CENTRAL, supplemented by manual reference and citation tracking.REVIEW METHODSThe search strategy was developed with an academic librarian to ensure thoroughness and relevance. The review included randomised controlled trials (RCTs) and quasi-experimental studies published between 2010 and 2025. Eligible studies reported quantitative outcomes of IPSE interventions involving at least two healthcare professions. Risk of bias was assessed using RoB 2 for RCTs and ROBINS-I for quasi-experimental studies.RESULTSThirty studies (14 RCTs, 16 quasi-experimental) from 16 countries were included. Most studies reported positive effects on teamwork, including improved coordination, role clarity and adherence to structured protocols. Communication outcomes showed enhanced information exchange, clarity and structured behaviours, such as SBAR and closed-loop communication, although some studies noted inconsistent safety practices. Psychological safety outcomes demonstrated gains in self-confidence, self-efficacy, leadership and safety climate, with several studies also reporting reduced anxiety. However, findings on stress, workload and attitudinal change were mixed. Overall, RCTs were judged methodologically robust, and quasi-experimental studies were largely low risk with some moderate concerns.CONCLUSIONSimulation-based interprofessional training enhances teamwork, communication and psychological safety in fostering a healthy work environment, though effects vary by context and population.IMPACTThis review synthesises evidence from 30 trials, offering guidance for educators and policymakers on advancing interprofessional collaboration. Integrating IPSE into health curricula and clinical training can strengthen collaboration and contribute to safer patient care.PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contribution.REPORTING METHODSThe review adhered to PRISMA 2020 guidelines, and the protocol was registered in the PROSPERO international prospective register of systematic reviews (ID: CRD420251039410).
目的评价基于模拟的跨专业教育（IPSE）干预对医护人员和学生团队合作、沟通和心理安全结果的影响。设计系统评价。检索通过PubMed、CINAHL、Scopus、Web of Science和Cochrane CENTRAL进行，并辅以人工参考文献和引文跟踪。审查方法搜索策略是与学术图书管理员一起开发的，以确保彻彻性和相关性。该综述包括2010年至2025年间发表的随机对照试验（rct）和准实验研究。符合条件的研究报告了至少涉及两个医疗保健专业的IPSE干预的定量结果。rct采用rob2评估偏倚风险，准实验研究采用ROBINS-I评估偏倚风险。结果共纳入来自16个国家的30项研究（14项随机对照试验，16项准实验）。大多数研究报告了团队合作的积极影响，包括改善协调，角色清晰和遵守结构化协议。沟通结果显示信息交流、清晰度和结构化行为增强，如SBAR和闭环沟通，尽管一些研究指出安全实践不一致。心理安全结果表明，自信、自我效能、领导力和安全氛围都有所提高，几项研究也报告了焦虑程度的降低。然而，关于压力、工作量和态度变化的调查结果却喜忧参半。总的来说，随机对照试验在方法学上是可靠的，准实验研究在很大程度上是低风险的，有一些中度的担忧。结论基于模拟的跨专业培训可增强团队合作、沟通和心理安全，营造健康的工作环境，但效果因环境和人群而异。影响本综述综合了30项试验的证据，为教育工作者和政策制定者提供了促进跨专业合作的指导。将IPSE纳入卫生课程和临床培训可加强协作并有助于更安全的病人护理。病人或公众捐款：没有病人或公众捐款。报告方法：该综述遵循PRISMA 2020指南，该方案已在PROSPERO国际前瞻性系统评价注册（ID: CRD420251039410）中注册。
{"title":"Fostering Healthy Work Environments Through Interprofessional Simulation: Teamwork, Communication, Psychological Safety-Systematic Review of Randomised Controlled and Quasi-Experimental Studies.","authors":"Seda Sarıköse,Tuba Sengul,Violeta Lopez,Holly Kirkland-Kyhn","doi":"10.1111/jan.70564","DOIUrl":"https://doi.org/10.1111/jan.70564","url":null,"abstract":"AIMTo evaluate the effectiveness of simulation-based interprofessional education (IPSE) interventions on teamwork, communication and psychological safety outcomes among healthcare professionals and students.DESIGNA systematic review.DATA SOURCESSearches were conducted across PubMed, CINAHL, Scopus, Web of Science and Cochrane CENTRAL, supplemented by manual reference and citation tracking.REVIEW METHODSThe search strategy was developed with an academic librarian to ensure thoroughness and relevance. The review included randomised controlled trials (RCTs) and quasi-experimental studies published between 2010 and 2025. Eligible studies reported quantitative outcomes of IPSE interventions involving at least two healthcare professions. Risk of bias was assessed using RoB 2 for RCTs and ROBINS-I for quasi-experimental studies.RESULTSThirty studies (14 RCTs, 16 quasi-experimental) from 16 countries were included. Most studies reported positive effects on teamwork, including improved coordination, role clarity and adherence to structured protocols. Communication outcomes showed enhanced information exchange, clarity and structured behaviours, such as SBAR and closed-loop communication, although some studies noted inconsistent safety practices. Psychological safety outcomes demonstrated gains in self-confidence, self-efficacy, leadership and safety climate, with several studies also reporting reduced anxiety. However, findings on stress, workload and attitudinal change were mixed. Overall, RCTs were judged methodologically robust, and quasi-experimental studies were largely low risk with some moderate concerns.CONCLUSIONSimulation-based interprofessional training enhances teamwork, communication and psychological safety in fostering a healthy work environment, though effects vary by context and population.IMPACTThis review synthesises evidence from 30 trials, offering guidance for educators and policymakers on advancing interprofessional collaboration. Integrating IPSE into health curricula and clinical training can strengthen collaboration and contribute to safer patient care.PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contribution.REPORTING METHODSThe review adhered to PRISMA 2020 guidelines, and the protocol was registered in the PROSPERO international prospective register of systematic reviews (ID: CRD420251039410).","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"1 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147359069","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}
Alison M Mudge,Sarah Anderson,Aparna Arjunan,Marguerite Byrnes,Margaret Cahill,Alison Craswell,Joel Dulhunty,Amanda Fox,Nicole C Gavin,Peter Lawrenson,Karen Lee-Steere,Hui-Shan Lin,Andrew Teodorczuk,Elise Treleaven,Laura White,Chloe Yap
AIMTo describe the point prevalence of cognitive impairment in hospitalised adults and evaluate the association with care needs and perceived risks of complications.DESIGNMulti-site cross-sectional study on a single day in May 2023.METHODSTrained clinician auditors screened adult inpatients in acute medical, surgical, oncology, geriatric, mental health, convalescent, and rehabilitation wards for cognitive impairment using the 4AT in seven healthcare facilities and recorded need for support with basic activities of daily living, incontinence, and perceived risks of complications (falls, pressure injuries, and malnutrition). Data were summarised and compared across 4AT categories, and the strength of association between 4AT and each outcome was estimated using multivariable regression models.RESULTSData were available for 1145 inpatients on 68 wards (mean age 68 years [SD = 18], 583 [58.9%] female, 449 [39.2%] on acute medical units). Cognitive impairment (4AT of 1 or more) was identified in 482 (42.1%) participants. Participants with 4AT 1-3 had 2.0-3.6 times the odds of need for supervision or assistance with activities of daily living, while those with 4AT 4 or more had 2.9-5.3 times the odds of need for assistance.CONCLUSIONCognitive impairment is very common in adult inpatients and is associated with significantly higher physical care needs.IMPLICATIONS FOR THE PROFESSION AND PATIENT CAREHospital care models must support staff to address the higher care needs in people with cognitive impairment to protect a large patient group from hospital-acquired harm.PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contribution.REPORTING METHODThis study adheres to the STROBE reporting guidelines.
{"title":"Care Needs for Patients Screened Positive for Cognitive Impairment and Delirium: A Cross-Sectional Observational Study.","authors":"Alison M Mudge,Sarah Anderson,Aparna Arjunan,Marguerite Byrnes,Margaret Cahill,Alison Craswell,Joel Dulhunty,Amanda Fox,Nicole C Gavin,Peter Lawrenson,Karen Lee-Steere,Hui-Shan Lin,Andrew Teodorczuk,Elise Treleaven,Laura White,Chloe Yap","doi":"10.1111/jan.70530","DOIUrl":"https://doi.org/10.1111/jan.70530","url":null,"abstract":"AIMTo describe the point prevalence of cognitive impairment in hospitalised adults and evaluate the association with care needs and perceived risks of complications.DESIGNMulti-site cross-sectional study on a single day in May 2023.METHODSTrained clinician auditors screened adult inpatients in acute medical, surgical, oncology, geriatric, mental health, convalescent, and rehabilitation wards for cognitive impairment using the 4AT in seven healthcare facilities and recorded need for support with basic activities of daily living, incontinence, and perceived risks of complications (falls, pressure injuries, and malnutrition). Data were summarised and compared across 4AT categories, and the strength of association between 4AT and each outcome was estimated using multivariable regression models.RESULTSData were available for 1145 inpatients on 68 wards (mean age 68 years [SD = 18], 583 [58.9%] female, 449 [39.2%] on acute medical units). Cognitive impairment (4AT of 1 or more) was identified in 482 (42.1%) participants. Participants with 4AT 1-3 had 2.0-3.6 times the odds of need for supervision or assistance with activities of daily living, while those with 4AT 4 or more had 2.9-5.3 times the odds of need for assistance.CONCLUSIONCognitive impairment is very common in adult inpatients and is associated with significantly higher physical care needs.IMPLICATIONS FOR THE PROFESSION AND PATIENT CAREHospital care models must support staff to address the higher care needs in people with cognitive impairment to protect a large patient group from hospital-acquired harm.PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contribution.REPORTING METHODThis study adheres to the STROBE reporting guidelines.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"45 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147359070","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：