Journal of Advanced Nursing最新文献

The journey to publication can be arduous, requiring considerable time, effort and resources. Researchers face numerous challenges, right from initially conceptualising a research idea, forming the research team, securing ethical approvals, recruiting participants, collecting data, analysing findings and making recommendations. Ultimately, these efforts culminate in preparing a manuscript that must meet the standards of reputable and rigorous academic journals to share study findings with the broader nursing and health community. Transparent and ethical reporting plays a crucial role not only in ensuring transparency but also in saving time for both authors and reviewers. Well-structured and complete manuscripts help streamline the review process by minimising the need for revisions related to organisation, clarity and missing information, enhancing transparency and hopefully reducing the time in peer review.

However, it has been noted that many qualitative manuscripts are rejected before peer review due to poor reporting associated with analytical deficiencies (Jackson and Bradbury-Jones 2020). In some cases, authors who have claimed to have conducted multistage thematic analyses have only performed basic clustering and coding, producing findings that lack depth and are methodologically compromised due to poor quality analyses (Jackson and Bradbury-Jones 2020). Rigorous analysis, combined with transparent reporting, is essential for meaningful interpretation and practical application of research findings, ultimately increasing the impact of qualitative research in addressing complex questions.

Receiving a desk rejection after investing so much time and effort can be disheartening, especially when the rejection results from analytical deficiency rather than a lack of originality or relevance. Beyond the frustration for researchers, it can feel like a failure to honour the stories and experiences of participants who contributed to the study. Proper and complete analysis of qualitative data is not only an ethical responsibility but also critical for ensuring that research findings can make a valuable contribution to knowledge. Some useful tools can assist researchers in conducting and reporting their research, and using these can help ensure that manuscripts have a higher chance of successfully getting into peer review.

In this editorial, we will discuss the importance of analytic integrity and the role of reporting guidelines in enhancing manuscript preparation.

Aim: To explore descriptions of normalcy among individuals who have lived with mechanical circulatory support for a long time.

Design: Reflexive thematic analysis was used for this qualitative research.

Methods: A parent study, utilising constructivist grounded theory, was conducted to explore the experiences of advance care planning among mechanical circulatory support individuals. Participants spontaneously shared their experiences of normalcy, which was outside the scope of the primary study. Thus, a secondary analysis using reflexive thematic analysis was performed to explore experiences of normalcy among individuals living with mechanical circulatory support for long-term use.

Results: Twelve transcripts were purposively sampled and analysed. Three major themes were derived from the data: acquiescence, adapting to the device and restructuring family roles.

Conclusion: Normalcy continued to evolve years after device implantation because individuals were not prepared to face ongoing psychosocial challenges. Clinicians and researchers must address the complex emotional and social needs related to changes in goal therapy and unanticipated transplant delays. This includes the development of support groups that are aligned with the various stages of the MCS trajectory.

Implications for the profession and/or patient care: Clinicians need to engage patients in conversations about disruptions to their perceived 'normal' lifestyle and how they plan to adapt to complex changes. Future support groups can be organised according to individuals' duration of implantation and goal therapy to reduce social withdrawal. Additionally, clinicians should assess bridge to transplant individuals' attitudes before connecting them with transplanted volunteers. Finally, clinicians can support resilience by recognising and discussing the ongoing work required to adapt to the complex changes throughout the mechanical circulatory support trajectory.

Impact: Perceptions of normalcy among mechanical circulatory support individuals are subject to ongoing change. Findings will inform clinicians of the social, emotional and familial challenges that require ongoing support and resources for long-term mechanical circulatory support individuals.

Reporting method: Reporting adhered to the COREQ checklist.

Patient contribution: Participants contributed to this study by sharing their experiences of normalcy after living with mechanical circulatory support for 2 years or more.

Aim: To explore healthcare workers' experiences of end of life care for people with an intellectual disability.

Design: A descriptive qualitative study.

Method: Semi-structured interviews were conducted with 28 healthcare workers who cared for older people with an intellectual disability at their end of life. Data were analysed using thematic analysis and reported according to the COREQ guidelines.

Results: Three major themes emerged: not joining up the dots, living the life desired in one's last days and dealing with death and beyond.

Conclusion: Gaps emerged in the care of the person with intellectual disability. Pain assessment and pain management were particular challenges. End of life care was not always effectively planned, and earlier intervention, including end of life conversations, were needed. More needs to be done in terms of education for healthcare workers, and especially those in the acute care setting and palliative care services who may be unfamiliar with the needs of this cohort.

Implications for the profession and/or patient care: There is little consensus or understanding about the palliative care needs of those with intellectual disability. There are often specific challenges around providing palliative care particularly in relation to healthcare staffs' knowledge and confidence in understanding palliative care needs of this group and indeed communicating and assessing particular needs. Staff require educational preparation and training in palliative care to address the particular needs of this cohort.

Impact: This study revealed that there are gaps emerging in the care of the person with intellectual disability at the end of life. Pain assessment and pain management are particular challenges that require urgent attention.

Patient or public contribution: There was no patient or publication contribution in this specific study, although IDS-TILDA has a client representative and advisory committee that advise on all aspects of project design and management.

Aim: This scoping review aims to explore the existing research on the impact of authentic leadership on nurses' innovative behaviours.

Data sources: The following databases were searched (from 2013 to 2023): PubMed, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Embase, Scopus, APA Psych Info, Educational Resources Information Centre, and ABI Inform.

Review methods: Search results were exported into Covidence software to assist with the selection and assessment of retrieved studies. Studies were included that specifically examined the relationship between authentic leadership and innovative behaviour among nurses working in healthcare settings.

Results: 12 papers remained for full-text review after title and abstract screening. Four studies that met the inclusion criteria were included in the final analysis. Using the Crowe Critical Appraisal Tool two reviewers independently evaluated these four studies. Findings revealed that authentic leadership affects nurses' innovation and creativity in various healthcare settings and cultural contexts. It also highlighted mediating factors such as increased engagement and knowledge sharing. Resilience and technological infrastructure were identified as additional factors that affect and support this relationship and influence the development and enaction of innovative behaviours.

Conclusions: Authentic leadership was found to contribute to innovative nursing behaviours that have important implications for the best practices in healthcare and outcomes.

Impact: Innovative behaviour among nurses is essential for rising to the challenges of complex healthcare environmental challenges, and the potential for authentic leadership to act as a catalyst for this is important. Future research needs to further explore the impact of authentic leadership on innovative behaviour and the contextual and cultural influences that effect this. More research is also needed on the exact nature of nurses' innovations and their potential use in healthcare.

Reporting method: The EQUATOR guidelines for PRISMA have been met.

Patient or public contribution: No patient or public contribution.