AIMTo advance the understanding of chronic illness self-management among Chinese immigrants in Western countries by synthesising evidence and through the lens of the Middle Range Theory of Self- and Family Management of Chronic Illness.DESIGNIntegrative review following Whittemore and Knafl.METHODSTwo reviewers used Covidence software to screen potential articles. After identifying the sample, reviewers extracted data into a matrix and appraised study quality using Critical Appraisal Skills Programme checklists. Reviewers used the constant comparative method to categorise data into categories: (1) facilitators/barriers, (2) processes and (3) outcomes. Findings were then synthesised and mapped to the theory domains.DATA SOURCESMEDLINE, CINAHL, Web of Science, Embase, PsycINFO and ProQuest Central (database inception-August 2025).RESULTSOf 3205 records screened, 20 studies met the inclusion criteria with acceptable quality. Personal characteristics/health status, resources/environment, Chinese-Western cross-cultural experiences, family and healthcare systems, and linguistic barriers shaped the processes of Focusing on Illness Needs (developing illness insights, taking ownership of health needs, and health promotion); Activating Resources (Western health care, traditional Chinese practices, community and family support, and blended spiritual resources); and Living with a Chronic Illness (processing emotions, adjusting, integrating, and meaning-making). These processes lead to outcomes including improved disease control, psychological/cognitive well-being, and healthcare utilisation and unintended negative consequences such as emotional burden and delayed care-seeking.CONCLUSIONWhile Chinese immigrants share certain aspects of self-management with Western populations, their approaches are shaped by culturally grounded, family-centred values, traditional health practices, and immigrant experiences, which underscore the need for culturally and contextually sensitive self-management support. The findings also expand the applicability of the guiding theory by identifying new cultural elements.IMPLICATIONS FOR THE PROFESSION AND PATIENT CARENurses can support self-management among Chinese immigrants by developing culturally and linguistically tailored interventions, engaging family members in health education and treatment planning, enhancing accessible digital, community and navigational resources, providing language assistance and strengthening staff training.REPORTING METHODWe used the PRISMA 2020 checklist for adherence to review protocols.PATIENT OR PUBLIC CONTRIBUTIONThis study did not include patient or public involvement in its design, conduct or reporting.
目的通过综合证据，从慢性疾病自我和家庭管理中程理论的视角，促进对西方中国移民慢性疾病自我管理的认识。设计Whittemore和Knafl之后的综合评价。方法两名审稿人使用covid - ence软件筛选潜在文章。在确定样本后，审稿人将数据提取到矩阵中，并使用关键评估技能计划清单评估研究质量。审稿人使用恒定比较方法将数据分类为：(1)促进因素/障碍，(2)过程和(3)结果。然后，研究结果被综合并映射到理论领域。数据来源medline， CINAHL, Web of Science, Embase， PsycINFO和ProQuest Central（数据库建立- 2025年8月）。结果在筛选的3205份文献中，有20项研究符合纳入标准，质量可接受。个体特征/健康状况、资源/环境、中西跨文化经历、家庭和医疗体系、语言障碍等因素影响了关注疾病需求（疾病洞察、健康需求所有权和健康促进）的过程；激活资源（西方医疗保健、中国传统做法、社区和家庭支持，以及混合精神资源）；以及患有慢性疾病的生活（处理情绪、调整、整合和创造意义）。这些过程导致的结果包括改善疾病控制、心理/认知健康、医疗保健利用和意想不到的负面后果，如情绪负担和延迟求医。结论：虽然中国移民在自我管理方面与西方人口有某些共同之处，但他们的方法受到文化基础、以家庭为中心的价值观、传统健康实践和移民经历的影响，这强调了对文化和背景敏感的自我管理支持的需求。研究结果还通过识别新的文化因素扩大了指导理论的适用性。对职业和患者的影响护士可以通过以下方式支持中国移民的自我管理：开发适合文化和语言的干预措施，让家庭成员参与健康教育和治疗计划，增强可访问的数字、社区和导航资源，提供语言援助和加强员工培训。报告方法我们使用PRISMA 2020检查表来遵守审查方案。患者或公众的贡献本研究的设计、实施或报告中没有患者或公众的参与。
{"title":"Self-Management of Chronic Illness Among Chinese Immigrants: An Integrative Review.","authors":"Junyi Lin,Daniel David,Xi Cao,Cherlie Magny-Normilus,Dena Schulman-Green","doi":"10.1111/jan.70510","DOIUrl":"https://doi.org/10.1111/jan.70510","url":null,"abstract":"AIMTo advance the understanding of chronic illness self-management among Chinese immigrants in Western countries by synthesising evidence and through the lens of the Middle Range Theory of Self- and Family Management of Chronic Illness.DESIGNIntegrative review following Whittemore and Knafl.METHODSTwo reviewers used Covidence software to screen potential articles. After identifying the sample, reviewers extracted data into a matrix and appraised study quality using Critical Appraisal Skills Programme checklists. Reviewers used the constant comparative method to categorise data into categories: (1) facilitators/barriers, (2) processes and (3) outcomes. Findings were then synthesised and mapped to the theory domains.DATA SOURCESMEDLINE, CINAHL, Web of Science, Embase, PsycINFO and ProQuest Central (database inception-August 2025).RESULTSOf 3205 records screened, 20 studies met the inclusion criteria with acceptable quality. Personal characteristics/health status, resources/environment, Chinese-Western cross-cultural experiences, family and healthcare systems, and linguistic barriers shaped the processes of Focusing on Illness Needs (developing illness insights, taking ownership of health needs, and health promotion); Activating Resources (Western health care, traditional Chinese practices, community and family support, and blended spiritual resources); and Living with a Chronic Illness (processing emotions, adjusting, integrating, and meaning-making). These processes lead to outcomes including improved disease control, psychological/cognitive well-being, and healthcare utilisation and unintended negative consequences such as emotional burden and delayed care-seeking.CONCLUSIONWhile Chinese immigrants share certain aspects of self-management with Western populations, their approaches are shaped by culturally grounded, family-centred values, traditional health practices, and immigrant experiences, which underscore the need for culturally and contextually sensitive self-management support. The findings also expand the applicability of the guiding theory by identifying new cultural elements.IMPLICATIONS FOR THE PROFESSION AND PATIENT CARENurses can support self-management among Chinese immigrants by developing culturally and linguistically tailored interventions, engaging family members in health education and treatment planning, enhancing accessible digital, community and navigational resources, providing language assistance and strengthening staff training.REPORTING METHODWe used the PRISMA 2020 checklist for adherence to review protocols.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":"7 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146070005","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}
Huotari Sini, Mikkonen Kristina, Jarva Erika, Suonnansalo Petra, Kaikkonen Assi, Lee Jay Jung Jae, Oikarinen Anne
To identify the experiences and perceptions of healthcare professionals on artificial intelligence in healthcare.
确定医疗保健专业人员对医疗保健中人工智能的经验和看法。
{"title":"Healthcare Professionals' Perceptions of Artificial Intelligence in Healthcare—A Systematic Review of Qualitative Studies","authors":"Huotari Sini, Mikkonen Kristina, Jarva Erika, Suonnansalo Petra, Kaikkonen Assi, Lee Jay Jung Jae, Oikarinen Anne","doi":"10.1111/jan.70500","DOIUrl":"https://doi.org/10.1111/jan.70500","url":null,"abstract":"To identify the experiences and perceptions of healthcare professionals on artificial intelligence in healthcare.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"41 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146048683","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}
Rie Kobayashi, Jennifer C Miller, Connie M Remsberg, Skye McKennon, Ross J Bindler, Dawn E DeWitt, Marian Wilson
Aims: The aim of this study was to understand student perspectives regarding an interprofessional education (IPE) innovation using a single standardised patient (SP) in a large-group setting for a pain management and substance use simulation.
Design: A qualitative descriptive design was used.
Method: Students representing eight health science programs from four universities were invited to participate in a simulation-based IPE program blending asynchronous and synchronous learning. DNP students were one of the largest professions represented (n = 92, 30%) along with students enrolled in Doctor of Pharmacy (n = 111) and Doctor of Medicine (n = 69) programs. Students were invited to complete a post-activity survey asking what parts of the IPE activity were most valued and what could be improved. Student responses were themed using a qualitative descriptive approach with inductive coding and constant comparison.
Results: Of 304 participating students, 155 (51%) responded to one or both open-ended questions. Respondents highly valued interprofessional team diversity. Responses highlighted the importance of: (1) using simulation with student teams to foster active learning, (2) student preparation using relevant curricular resources and (3) grounding interprofessional collaboration activities in student engagement and professional respect.
Conclusion: Findings confirmed that a cost-effective IPE activity using one SP within deliberately planned interprofessional activities can be engaging and meaningful. Students valued team-based collaboration across the disciplines of nursing, pharmacy and medicine.
Impact: Educators gathered evidence on the merits of a replicable, cost-effective IPE structure intended to expand team-based simulation learning opportunities. High-priority public health topics such as pain and substance use require multidisciplinary, integrative care to maximise health outcomes. To better prepare nurses and their health science collaborators, novel pedagogy in IPE may optimise student learning experiences.
Reporting method: We followed the Standards for Reporting Qualitative Research (SRQR).
Patient or public contribution: Health sciences faculty served as facilitators in the IPE sessions. Facilitators were provided 1 h of training and observed student team breakout rooms to ensure that students were engaged and understood the assigned task. They provided feedback to session leaders after the sessions.
{"title":"Student Perceptions of Interprofessional Education Innovation to Address Pain Management and Substance Use: A Qualitative Descriptive Analysis.","authors":"Rie Kobayashi, Jennifer C Miller, Connie M Remsberg, Skye McKennon, Ross J Bindler, Dawn E DeWitt, Marian Wilson","doi":"10.1111/jan.70406","DOIUrl":"https://doi.org/10.1111/jan.70406","url":null,"abstract":"<p><strong>Aims: </strong>The aim of this study was to understand student perspectives regarding an interprofessional education (IPE) innovation using a single standardised patient (SP) in a large-group setting for a pain management and substance use simulation.</p><p><strong>Design: </strong>A qualitative descriptive design was used.</p><p><strong>Method: </strong>Students representing eight health science programs from four universities were invited to participate in a simulation-based IPE program blending asynchronous and synchronous learning. DNP students were one of the largest professions represented (n = 92, 30%) along with students enrolled in Doctor of Pharmacy (n = 111) and Doctor of Medicine (n = 69) programs. Students were invited to complete a post-activity survey asking what parts of the IPE activity were most valued and what could be improved. Student responses were themed using a qualitative descriptive approach with inductive coding and constant comparison.</p><p><strong>Results: </strong>Of 304 participating students, 155 (51%) responded to one or both open-ended questions. Respondents highly valued interprofessional team diversity. Responses highlighted the importance of: (1) using simulation with student teams to foster active learning, (2) student preparation using relevant curricular resources and (3) grounding interprofessional collaboration activities in student engagement and professional respect.</p><p><strong>Conclusion: </strong>Findings confirmed that a cost-effective IPE activity using one SP within deliberately planned interprofessional activities can be engaging and meaningful. Students valued team-based collaboration across the disciplines of nursing, pharmacy and medicine.</p><p><strong>Impact: </strong>Educators gathered evidence on the merits of a replicable, cost-effective IPE structure intended to expand team-based simulation learning opportunities. High-priority public health topics such as pain and substance use require multidisciplinary, integrative care to maximise health outcomes. To better prepare nurses and their health science collaborators, novel pedagogy in IPE may optimise student learning experiences.</p><p><strong>Reporting method: </strong>We followed the Standards for Reporting Qualitative Research (SRQR).</p><p><strong>Patient or public contribution: </strong>Health sciences faculty served as facilitators in the IPE sessions. Facilitators were provided 1 h of training and observed student team breakout rooms to ensure that students were engaged and understood the assigned task. They provided feedback to session leaders after the sessions.</p>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146055223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To clarify the concept of anticipated stigma and examine its relevance to cannabis use disclosure in nursing using an evolutionary concept analysis approach.
澄清预期的耻辱的概念，并检查其与大麻使用披露在护理使用进化概念分析方法的相关性。
{"title":"Anticipated Stigma in Nursing: A Concept Analysis Informed by Cannabis Use Disclosure","authors":"Daniel D. King","doi":"10.1111/jan.70499","DOIUrl":"https://doi.org/10.1111/jan.70499","url":null,"abstract":"To clarify the concept of anticipated stigma and examine its relevance to cannabis use disclosure in nursing using an evolutionary concept analysis approach.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"60 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146048684","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}
Nertila Podgorica, Martin Červený, Helena de Rezende, Tiago Horta Reis da Silva, Dhurata Ivziku, Louise Mew, Małgorzata Nagórska, Francisco Sampaio, Chun Hua Shao, Luísa Teixeira-Santos, Sigalit Warshawski, Marie-Louise Luiking
To explore and map the landscape of doctoral nursing research across eight countries.
探索和绘制八个国家的博士护理研究景观。
{"title":"Recent Trends in Doctoral Theses in Nursing Across Eight Countries: A Scoping Review","authors":"Nertila Podgorica, Martin Červený, Helena de Rezende, Tiago Horta Reis da Silva, Dhurata Ivziku, Louise Mew, Małgorzata Nagórska, Francisco Sampaio, Chun Hua Shao, Luísa Teixeira-Santos, Sigalit Warshawski, Marie-Louise Luiking","doi":"10.1111/jan.70490","DOIUrl":"https://doi.org/10.1111/jan.70490","url":null,"abstract":"To explore and map the landscape of doctoral nursing research across eight countries.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"7 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146048685","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":"Letter to the Editor: What Kind of Support Do SMA Families Need?-Reflections Based on Caregiving Roles.","authors":"Haifei Shen","doi":"10.1111/jan.70496","DOIUrl":"https://doi.org/10.1111/jan.70496","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"88 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146021448","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":"Letter to the Editor: Nursing the Dementia Pathway: Turning the 75+ Health Assessment From Checklist to Care Loop.","authors":"Fang Wenyan,Qin Wang","doi":"10.1111/jan.70416","DOIUrl":"https://doi.org/10.1111/jan.70416","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"195 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146021450","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":"Care Without Judgement: Political Awareness in Nursing Beyond Divides.","authors":"Carmel Bond,Debra Jackson,Adrianna Watson","doi":"10.1111/jan.70498","DOIUrl":"https://doi.org/10.1111/jan.70498","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"41 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146033961","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}
Tendayi Bruce Dziruni,Alison M Hutchinson,Sandra Keppich-Arnold,Tracey Bucknall
BACKGROUNDPatient mental state deterioration presents significant challenges in acute hospital settings, affecting outcomes, increasing reliance on restrictive interventions, and placing additional strain on healthcare staff. Despite its prevalence, consensus on best practice remains limited. The De-escalation, Intervention, Early Response Team (DIvERT) is a pilot rapid response system introduced to improve early identification, enable timely interventions, reduce crisis incidents, and support ward staff in caring for patients with mental state deterioration.METHODSA realist evaluation approach was used to test, validate, and refine program theories explaining DIvERT's mechanisms. Data collection included a cross-sectional survey, semi-structured interviews, field observations, a medical record audit, and incident report analysis. Analysis was guided by the Context-Mechanism-Outcome framework to explain DIvERT's effective functioning in responding to patient deterioration.FINDINGSDIvERT facilitated early intervention through multidisciplinary collaboration, though organisational factors such as staffing constraints, workload pressures, and inconsistent assessment practices influenced effectiveness. Key mechanisms included structured escalation pathways, clinical skills, staff training, and interprofessional collaboration. Challenges included limited after-hours availability, reflecting the constraints of a pilot initiative, underreporting of incidents, and hierarchical decision-making. While causation cannot be directly established, trends indicate DIvERT was associated with fewer Code Grey responses, particularly during initial episodes of mental state deterioration.CONCLUSIONThis realist evaluation highlights the value of structured escalation pathways, multidisciplinary collaboration, organisational support, and tailored training in managing mental state deterioration. Preliminary trends suggest DIvERT may enable more proactive and timely early intervention, whereas traditional reactive hospital emergency response for aggression (Code Grey) was more often linked to repeat incidents. Workforce constraints and inconsistent assessment limited effective functioning, underscoring the need for strengthened training, integration into workflows, and improved after-hours coverage to support scalability and long-term success.IMPLICATIONS FOR PROFESSION AND/OR PATIENT CAREThis study demonstrates that a proactive rapid response model (DIvERT) can strengthen the recognition and management of mental state deterioration in acute hospital settings. By formalising escalation pathways, improving interdisciplinary collaboration, and tailoring training to staff needs, the model supports safer and more timely responses to patient deterioration. Embedding such approaches into organisational workflows has implications for patient safety, staff confidence, and system efficiency.IMPACTThe study addressed the challenge of inconsistent and reactive responses to patient
{"title":"A Realist Evaluation of a Rapid Response System for Mental State Deterioration in Acute Hospital Settings.","authors":"Tendayi Bruce Dziruni,Alison M Hutchinson,Sandra Keppich-Arnold,Tracey Bucknall","doi":"10.1111/jan.70492","DOIUrl":"https://doi.org/10.1111/jan.70492","url":null,"abstract":"BACKGROUNDPatient mental state deterioration presents significant challenges in acute hospital settings, affecting outcomes, increasing reliance on restrictive interventions, and placing additional strain on healthcare staff. Despite its prevalence, consensus on best practice remains limited. The De-escalation, Intervention, Early Response Team (DIvERT) is a pilot rapid response system introduced to improve early identification, enable timely interventions, reduce crisis incidents, and support ward staff in caring for patients with mental state deterioration.METHODSA realist evaluation approach was used to test, validate, and refine program theories explaining DIvERT's mechanisms. Data collection included a cross-sectional survey, semi-structured interviews, field observations, a medical record audit, and incident report analysis. Analysis was guided by the Context-Mechanism-Outcome framework to explain DIvERT's effective functioning in responding to patient deterioration.FINDINGSDIvERT facilitated early intervention through multidisciplinary collaboration, though organisational factors such as staffing constraints, workload pressures, and inconsistent assessment practices influenced effectiveness. Key mechanisms included structured escalation pathways, clinical skills, staff training, and interprofessional collaboration. Challenges included limited after-hours availability, reflecting the constraints of a pilot initiative, underreporting of incidents, and hierarchical decision-making. While causation cannot be directly established, trends indicate DIvERT was associated with fewer Code Grey responses, particularly during initial episodes of mental state deterioration.CONCLUSIONThis realist evaluation highlights the value of structured escalation pathways, multidisciplinary collaboration, organisational support, and tailored training in managing mental state deterioration. Preliminary trends suggest DIvERT may enable more proactive and timely early intervention, whereas traditional reactive hospital emergency response for aggression (Code Grey) was more often linked to repeat incidents. Workforce constraints and inconsistent assessment limited effective functioning, underscoring the need for strengthened training, integration into workflows, and improved after-hours coverage to support scalability and long-term success.IMPLICATIONS FOR PROFESSION AND/OR PATIENT CAREThis study demonstrates that a proactive rapid response model (DIvERT) can strengthen the recognition and management of mental state deterioration in acute hospital settings. By formalising escalation pathways, improving interdisciplinary collaboration, and tailoring training to staff needs, the model supports safer and more timely responses to patient deterioration. Embedding such approaches into organisational workflows has implications for patient safety, staff confidence, and system efficiency.IMPACTThe study addressed the challenge of inconsistent and reactive responses to patient ","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"66 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146014932","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 investigate international evidence on home visits and parenting interventions delivered by nurses and midwives and to identify core components, such as intervention content, programme characteristics, contextual factors and implementation elements shared by effective interventions.DESIGNScoping Review.DATA SOURCESNine academic databases and grey literature were searched between June and August 2024 for studies published between 2020 and 2024.METHODSScreening and data extraction were independently conducted by two reviewers using covidence. The intervention characteristics were described using the TIDieR framework, and the content was analysed thematically.RESULTSOf the 3217 screened studies, 23 met the inclusion criteria. The studies employed various designs, including RCTs, quasi-experimental, cohort, cross-sectional, register-based and single-case experimental studies. Interventions were typically guided by theories of human ecology, attachment and self-efficacy. Most used structured materials and were delivered via face-to-face home visits by trained nurses, starting during pregnancy and continuing for up to 2 years. Visits ranged from weekly to monthly, mainly to family homes. Interventions were often tailored to family needs and cultural contexts. Five core themes emerged: (1) parenting education, (2) maternal and infant health, (3) mental health and psychosocial support, (4) community connections and (5) cultural sensitivity.CONCLUSIONEffective interventions should be early, structured and tailored. Integrating parenting education, health, mental well-being and cultural sensitivity improves outcomes and scalable family care practices.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREFindings highlight the need for structured training and support for nurses and midwives. Integrating these interventions into routine services, with attention paid to equity and proportionate universalism, can enhance family outcomes.IMPACTThis review addressed the lack of clarity regarding what makes nurse- or midwife-led interventions effective. It identified key components that support child and family well-being and offers guidance for designing scalable, evidence-based interventions in maternal and child health services.REPORTING METHODThe EQUATOR guidelines for PRISMA were met.PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contributions.
{"title":"Core Components of Effective Home Visiting Programmes and Parenting Interventions Delivered by Nurses and Midwives-A Scoping Review.","authors":"Outi Savolainen,Hanna Rouvinen,Margaret M Barry","doi":"10.1111/jan.70494","DOIUrl":"https://doi.org/10.1111/jan.70494","url":null,"abstract":"AIMTo investigate international evidence on home visits and parenting interventions delivered by nurses and midwives and to identify core components, such as intervention content, programme characteristics, contextual factors and implementation elements shared by effective interventions.DESIGNScoping Review.DATA SOURCESNine academic databases and grey literature were searched between June and August 2024 for studies published between 2020 and 2024.METHODSScreening and data extraction were independently conducted by two reviewers using covidence. The intervention characteristics were described using the TIDieR framework, and the content was analysed thematically.RESULTSOf the 3217 screened studies, 23 met the inclusion criteria. The studies employed various designs, including RCTs, quasi-experimental, cohort, cross-sectional, register-based and single-case experimental studies. Interventions were typically guided by theories of human ecology, attachment and self-efficacy. Most used structured materials and were delivered via face-to-face home visits by trained nurses, starting during pregnancy and continuing for up to 2 years. Visits ranged from weekly to monthly, mainly to family homes. Interventions were often tailored to family needs and cultural contexts. Five core themes emerged: (1) parenting education, (2) maternal and infant health, (3) mental health and psychosocial support, (4) community connections and (5) cultural sensitivity.CONCLUSIONEffective interventions should be early, structured and tailored. Integrating parenting education, health, mental well-being and cultural sensitivity improves outcomes and scalable family care practices.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREFindings highlight the need for structured training and support for nurses and midwives. Integrating these interventions into routine services, with attention paid to equity and proportionate universalism, can enhance family outcomes.IMPACTThis review addressed the lack of clarity regarding what makes nurse- or midwife-led interventions effective. It identified key components that support child and family well-being and offers guidance for designing scalable, evidence-based interventions in maternal and child health services.REPORTING METHODThe EQUATOR guidelines for PRISMA were met.PATIENT OR PUBLIC CONTRIBUTIONNo patient or public contributions.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"85 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146014933","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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