Aims To develop a grounded theory that explains how formal care service providers experience caring for and supporting persons with early‐onset dementia (EOD). Design A grounded theory approach. Methods Thirty formal care service providers of persons with EOD were recruited from community‐based dementia care facilities in northern and central Taiwan from August 2021 and February 2022 using purposive and theoretical sampling. Transcribed face‐to‐face, semi‐structured interview data were analysed with constant comparative analysis. A theoretical framework was constructed from the data to describe the experience of being a formal care service provider for persons with EOD. Results The core category of ‘client‐as‐partner care’ was the theoretical framework that explained the experience of formal care service providers and described how participants met the needs of persons with EOD. Five categories described the components of the process: (1) identifying clients' characteristics; (2) establishing a personal relationship; (3) enhancing self‐esteem; (4) maintaining dignity; and (5) the influence of family members and community members. The first four categories were interactive and key to delivering client‐as‐partner care; the fifth category could alter any key component and reduce or improve the quality of care. Reflections shared by participants offered a window into the outcomes of successful client‐as‐partner care: quality of life improved for clients and job satisfaction increased for providers. Conclusion The client‐as‐partner care model for persons with EOD required knowledge of the client's unique characteristics, a strong provider‐client relationship, offering strategies tailored to the client's abilities and interests, and fostering independence. Practice Implications Client‐as‐partner care provides a person‐centred approach that enhances support quality for persons with EOD and increases job satisfaction for formal care providers. Successful strategies can inform case management, strengthen support for this population and indirectly improve family caregivers' competencies. Patient or Public Contribution No patient or public contribution. Reporting Method COREQ (COnsolidated criteria for REporting Qualitative research).
{"title":"Client‐as‐Partner Care: A Grounded Theory Study of Formal Care Service Providers for Persons With Early‐Onset Dementia","authors":"Li‐Min Kuo, Hsiao‐Ping Wang, Li‐Kai Huang","doi":"10.1111/jan.70481","DOIUrl":"https://doi.org/10.1111/jan.70481","url":null,"abstract":"Aims To develop a grounded theory that explains how formal care service providers experience caring for and supporting persons with early‐onset dementia (EOD). Design A grounded theory approach. Methods Thirty formal care service providers of persons with EOD were recruited from community‐based dementia care facilities in northern and central Taiwan from August 2021 and February 2022 using purposive and theoretical sampling. Transcribed face‐to‐face, semi‐structured interview data were analysed with constant comparative analysis. A theoretical framework was constructed from the data to describe the experience of being a formal care service provider for persons with EOD. Results The core category of ‘client‐as‐partner care’ was the theoretical framework that explained the experience of formal care service providers and described how participants met the needs of persons with EOD. Five categories described the components of the process: (1) identifying clients' characteristics; (2) establishing a personal relationship; (3) enhancing self‐esteem; (4) maintaining dignity; and (5) the influence of family members and community members. The first four categories were interactive and key to delivering client‐as‐partner care; the fifth category could alter any key component and reduce or improve the quality of care. Reflections shared by participants offered a window into the outcomes of successful client‐as‐partner care: quality of life improved for clients and job satisfaction increased for providers. Conclusion The client‐as‐partner care model for persons with EOD required knowledge of the client's unique characteristics, a strong provider‐client relationship, offering strategies tailored to the client's abilities and interests, and fostering independence. Practice Implications Client‐as‐partner care provides a person‐centred approach that enhances support quality for persons with EOD and increases job satisfaction for formal care providers. Successful strategies can inform case management, strengthen support for this population and indirectly improve family caregivers' competencies. Patient or Public Contribution No patient or public contribution. Reporting Method COREQ (COnsolidated criteria for REporting Qualitative research).","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"146 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145955345","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: Bridging the Intention-Action Gap: Future Directions for Implementing Acceptable and Feasible Comfort Rounding.","authors":"Xinrui Wang,Hongyan Wang","doi":"10.1111/jan.70480","DOIUrl":"https://doi.org/10.1111/jan.70480","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"08 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145961237","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}
Yun Hu, Aozhou Weng, Xiyi Wang, Yanyan Liu, Xuehong Zhao, Qian Wang, Jing Shao, Ruizhi Cai, Yang Dai
Aim The study examines the associations between nursing competence, work environment, and health system resilience. It also analyzes how nursing competence and work environment relate to different patterns of health system resilience. Design A multiple center cross‐sectional study was conducted between December 2023 and January 2024 across 33 hospitals in eastern China, involving 2435 nurses. Methods Questionnaires measuring nursing competence, work environment resources, nurse disaster resilience, and organizational commitment to resilience were utilised, along with the collection of additional personal demographic data. Structural equation modelling and cluster analysis were performed to explore the underlying mechanisms within the overall model and across multiple groups. Multivariable regression was conducted to identify variables associated with resilience in different subgroups. Results Structural equation modelling demonstrated significant influences of nursing competence and work environment support on system resilience. Cluster analysis identified four resilience patterns: strong, marginal, low, and critical vulnerability. Strong resilience correlated with balanced individual‐organizational resources, while vulnerable systems relied heavily on environmental support. Conclusion Our findings support policymakers and managers in developing systematic strategies with distinct focal points—targeting nurse workforce investment and optimised work environment—to enhance health system resilience across varying levels of public health emergencies. Implications for the Profession This study validated the framework connecting individual and organizational resilience, offering evidence‐based insights for nurse training and resource allocation to enhance healthcare systems' adaptability during disasters. Impact The study addressed how nursing competence and work environment significantly influenced resilience during public health emergencies, identified four resilience patterns, and provided insights to guide policymakers and healthcare managers in developing targeted, effective strategies. Reporting Method Strengthening the Reporting of Observational studies in Epidemiology checklist. Patient or Public Contribution No patient or public contribution.
{"title":"Effects of Nursing Workforce and Work Environment on Health System Resilience in Public Health Emergencies: A Multicenter Cross‐Sectional Study","authors":"Yun Hu, Aozhou Weng, Xiyi Wang, Yanyan Liu, Xuehong Zhao, Qian Wang, Jing Shao, Ruizhi Cai, Yang Dai","doi":"10.1111/jan.70476","DOIUrl":"https://doi.org/10.1111/jan.70476","url":null,"abstract":"Aim The study examines the associations between nursing competence, work environment, and health system resilience. It also analyzes how nursing competence and work environment relate to different patterns of health system resilience. Design A multiple center cross‐sectional study was conducted between December 2023 and January 2024 across 33 hospitals in eastern China, involving 2435 nurses. Methods Questionnaires measuring nursing competence, work environment resources, nurse disaster resilience, and organizational commitment to resilience were utilised, along with the collection of additional personal demographic data. Structural equation modelling and cluster analysis were performed to explore the underlying mechanisms within the overall model and across multiple groups. Multivariable regression was conducted to identify variables associated with resilience in different subgroups. Results Structural equation modelling demonstrated significant influences of nursing competence and work environment support on system resilience. Cluster analysis identified four resilience patterns: strong, marginal, low, and critical vulnerability. Strong resilience correlated with balanced individual‐organizational resources, while vulnerable systems relied heavily on environmental support. Conclusion Our findings support policymakers and managers in developing systematic strategies with distinct focal points—targeting nurse workforce investment and optimised work environment—to enhance health system resilience across varying levels of public health emergencies. Implications for the Profession This study validated the framework connecting individual and organizational resilience, offering evidence‐based insights for nurse training and resource allocation to enhance healthcare systems' adaptability during disasters. Impact The study addressed how nursing competence and work environment significantly influenced resilience during public health emergencies, identified four resilience patterns, and provided insights to guide policymakers and healthcare managers in developing targeted, effective strategies. Reporting Method Strengthening the Reporting of Observational studies in Epidemiology checklist. Patient or Public Contribution No patient or public contribution.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"30 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145947410","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}
Aim The aim of this study was to integrate Social Exchange Theory and the Ability—Motivation—Opportunity (AMO) Theory to examine the influence of organisational innovation climate on nurses' innovative behaviour, considering the mediating role of knowledge sharing and the moderating effect of person‐organisation fit, thereby providing a multidimensional theoretical foundation for enhancing nurses' innovative behaviour. Design A cross‐sectional research design was adopted. Methods Participants included 380 nurses from two Grade‐A tertiary hospitals in Henan Province, China. Data were collected using the Organisational Innovation Climate Scale, Knowledge Sharing Scale, Nurses' Innovative Behaviour Scale and Person‐Organisation Fit Scale and analysed via descriptive statistics, correlation analysis, regression analysis and bootstrap testing for mediation and moderation effects. Results Organisational innovation climate was positively correlated with nurses' innovative behaviour and knowledge sharing partially mediated this relationship. Person‐organisation fit positively moderated both the direct relationship between organisational innovation climate and knowledge sharing and the indirect effect on innovative behaviour. Conclusion Under a supportive organisational innovation climate, nurses with high person‐organisation fit are more likely to engage in innovative behaviour through knowledge sharing. Impact Establishing an organisational innovation climate and improving person‐organisation fit can enhance nurses' work engagement and loyalty, advancing innovation and development in nursing. Implications for the Profession and/or Patient Care Nursing managers should cultivate an innovation‐friendly climate and facilitate knowledge sharing to inspire proactive problem‐solving and innovation among nurses, ultimately improving nursing practice and patient care. Reporting Method STROBE guidelines were followed. Patient or Public Contribution This study clarifies how organisational and individual factors jointly affect nurses' innovative behaviour, providing a theoretical foundation for improving nursing management, service quality and disciplinary innovation.
{"title":"The Relationship Between Organisational Innovation Climate and Nurses' Innovative Behaviour: Roles of Knowledge Sharing and Person‐Organisation Fit","authors":"Zhengang Liu, Genqiang Li, Ling Ma, Junqiang Zhao","doi":"10.1111/jan.70473","DOIUrl":"https://doi.org/10.1111/jan.70473","url":null,"abstract":"Aim The aim of this study was to integrate Social Exchange Theory and the Ability—Motivation—Opportunity (AMO) Theory to examine the influence of organisational innovation climate on nurses' innovative behaviour, considering the mediating role of knowledge sharing and the moderating effect of person‐organisation fit, thereby providing a multidimensional theoretical foundation for enhancing nurses' innovative behaviour. Design A cross‐sectional research design was adopted. Methods Participants included 380 nurses from two Grade‐A tertiary hospitals in Henan Province, China. Data were collected using the Organisational Innovation Climate Scale, Knowledge Sharing Scale, Nurses' Innovative Behaviour Scale and Person‐Organisation Fit Scale and analysed via descriptive statistics, correlation analysis, regression analysis and bootstrap testing for mediation and moderation effects. Results Organisational innovation climate was positively correlated with nurses' innovative behaviour and knowledge sharing partially mediated this relationship. Person‐organisation fit positively moderated both the direct relationship between organisational innovation climate and knowledge sharing and the indirect effect on innovative behaviour. Conclusion Under a supportive organisational innovation climate, nurses with high person‐organisation fit are more likely to engage in innovative behaviour through knowledge sharing. Impact Establishing an organisational innovation climate and improving person‐organisation fit can enhance nurses' work engagement and loyalty, advancing innovation and development in nursing. Implications for the Profession and/or Patient Care Nursing managers should cultivate an innovation‐friendly climate and facilitate knowledge sharing to inspire proactive problem‐solving and innovation among nurses, ultimately improving nursing practice and patient care. Reporting Method STROBE guidelines were followed. Patient or Public Contribution This study clarifies how organisational and individual factors jointly affect nurses' innovative behaviour, providing a theoretical foundation for improving nursing management, service quality and disciplinary innovation.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"170 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145947411","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":"Digital Transformation and the Reconstruction of Nursing Professional Identity: Moving Beyond the Intangible Professional Project","authors":"Gemma Stacey, Alice Sutton","doi":"10.1111/jan.70482","DOIUrl":"https://doi.org/10.1111/jan.70482","url":null,"abstract":"","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"29 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145947432","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}
Kimberly Oosterhouse,Confidence Alorse Atakro,Jackie Hoi Man Chan,Yuriko Matsuo,Youjuan Zhang,Fay Parris,Florence Mandebvu,Rabia Khalaila,Noemi Giannetta,Alessandro Stievano,Yeonsu Song,Ken Hok Man Ho
AIMTo describe the latest information on types of psychosocial interventions and their effectiveness on loneliness reduction among older adults in community and residential care settings, and the experience with these interventions.DESIGNUmbrella review.METHODSThe Joanna Briggs Institute methodology for umbrella reviews.DATA SOURCESCochrane Database of Systematic Reviews; Cumulative Index of Nursing and Allied Health Literature; Medline; Embase; Emcare; PsycINFO; ProQuest Dissertation & Thesis Global; Ovid Nursing Database; MedRxvi.RESULTSTwenty-two reviews were included. Seven major types of psychosocial intervention were identified: (1) social facilitation interventions, (2) psychological therapies, (3) health and social care provision, (4) animal-assisted interventions, (5) befriending interventions, (6) leisure and skill development, and (7) other interventions. Social facilitation interventions that provide synchronised interaction, psychological therapies, health and social care provision, and animal (-assisted) interventions demonstrated positive effects while leisure/skill development and befriending interventions warrant more rigorous evidence. Group settings, synchronised interaction and purpose-driven are identified as facilitators, whereas technological issues and safety issues are barriers to participation.CONCLUSIONSeven types of psychosocial interventions are currently available for loneliness among community-dwelling older adults, and a positive effect in reducing loneliness was demonstrated in some types. Facilitators and barriers to their participation were synthesised. Two future research directions are suggested: (1) reviews on meaning-centred interventions to provide a comprehensive understanding and (2) implementation studies employing community-based paraprofessionals to promote programme scalability and accessibility.IMPLICATIONS FOR THE PROFESSIONHealth and social care practitioners (e.g., nurses), researchers and policymakers are recommended to employ social facilitation interventions with synchronised interaction, psychological therapies, health and social care provision and animal-assisted interventions to address loneliness among community-dwelling older adults.IMPACTThis review provided empirical information on available effective interventions to address loneliness among community-dwelling older adults. It also provided information for nurses to implement psychosocial interventions in the community.REPORTING METHODThe Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct or reporting.TRIAL REGISTRATIONPROSPERO CRD 42023482852, registered 25/11/2023.
{"title":"Systematic Reviews of Psychosocial Interventions for Loneliness Among Older Adults in Community and Residential Care Settings: An Umbrella Review.","authors":"Kimberly Oosterhouse,Confidence Alorse Atakro,Jackie Hoi Man Chan,Yuriko Matsuo,Youjuan Zhang,Fay Parris,Florence Mandebvu,Rabia Khalaila,Noemi Giannetta,Alessandro Stievano,Yeonsu Song,Ken Hok Man Ho","doi":"10.1111/jan.70464","DOIUrl":"https://doi.org/10.1111/jan.70464","url":null,"abstract":"AIMTo describe the latest information on types of psychosocial interventions and their effectiveness on loneliness reduction among older adults in community and residential care settings, and the experience with these interventions.DESIGNUmbrella review.METHODSThe Joanna Briggs Institute methodology for umbrella reviews.DATA SOURCESCochrane Database of Systematic Reviews; Cumulative Index of Nursing and Allied Health Literature; Medline; Embase; Emcare; PsycINFO; ProQuest Dissertation & Thesis Global; Ovid Nursing Database; MedRxvi.RESULTSTwenty-two reviews were included. Seven major types of psychosocial intervention were identified: (1) social facilitation interventions, (2) psychological therapies, (3) health and social care provision, (4) animal-assisted interventions, (5) befriending interventions, (6) leisure and skill development, and (7) other interventions. Social facilitation interventions that provide synchronised interaction, psychological therapies, health and social care provision, and animal (-assisted) interventions demonstrated positive effects while leisure/skill development and befriending interventions warrant more rigorous evidence. Group settings, synchronised interaction and purpose-driven are identified as facilitators, whereas technological issues and safety issues are barriers to participation.CONCLUSIONSeven types of psychosocial interventions are currently available for loneliness among community-dwelling older adults, and a positive effect in reducing loneliness was demonstrated in some types. Facilitators and barriers to their participation were synthesised. Two future research directions are suggested: (1) reviews on meaning-centred interventions to provide a comprehensive understanding and (2) implementation studies employing community-based paraprofessionals to promote programme scalability and accessibility.IMPLICATIONS FOR THE PROFESSIONHealth and social care practitioners (e.g., nurses), researchers and policymakers are recommended to employ social facilitation interventions with synchronised interaction, psychological therapies, health and social care provision and animal-assisted interventions to address loneliness among community-dwelling older adults.IMPACTThis review provided empirical information on available effective interventions to address loneliness among community-dwelling older adults. It also provided information for nurses to implement psychosocial interventions in the community.REPORTING METHODThe Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct or reporting.TRIAL REGISTRATIONPROSPERO CRD 42023482852, registered 25/11/2023.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"29 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145937607","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}
Aim This study aims to explore the research trends, thematic developments and future directions in doctoral education in nursing through a comprehensive bibliometric analysis. Design Descriptive and bibliometric analyses were employed. Methods This study was based on 668 studies on doctoral nursing education retrieved from the Web of Science database. The data analysis and graphical presentation were conducted using the Bibliometrix Package in R software. Analytical techniques included keyword co‐occurrence, trend topic and thematic mapping analyses. Results Between 1971 and 2024, 668 studies on doctoral education in nursing were authored by 2132 researchers and published in 144 sources, including peer‐reviewed journals and conference proceedings. The field exhibited an annual growth rate of 7.49%. A limited increase (2.42%) was noted between 1971 and 2000, while a marked rise (18.11%) occurred in 2001–2024. The Journal of Professional Nursing published the highest number of documents, while the United States was the leading country in terms of both the number of documents and citations. Highly cited works addressed doctoral types in nursing, challenges of doctoral education in nursing, factors affecting success, global perspectives and standardisation efforts. Informatics and mentoring were the most trending topics. The most frequently used author keywords were nurse education, nursing, doctoral education, nursing research, DNP and PhD. Conclusion Doctoral education in nursing is an active and developing field of study. It is seen that more research and especially international researcher cooperation are needed for the development of the field. Different country studies should be encouraged to ensure cultural diversity and inclusiveness in the field. Impact This study identifies key research gaps and emerging themes. Its findings provide a foundation for future research and can guide curriculum development, international collaboration and policy decisions in doctoral nursing education. It is also the first comprehensive bibliometric analysis conducted in this field. Patient or Public Contribution No patient or public involvement.
目的通过文献计量分析，探讨护理学博士教育的研究趋势、专题发展及未来发展方向。设计采用描述性和文献计量学分析。方法选取Web of Science数据库中检索的668篇护理博士教育相关研究。使用R软件中的Bibliometrix Package进行数据分析和图形展示。分析方法包括关键词共现、趋势话题和专题映射分析。结果1971年至2024年间，2132名研究人员撰写了668篇关于护理学博士教育的研究，并在144个来源发表，包括同行评审期刊和会议记录。该领域年增长率为7.49%。在1971年至2000年期间，出现了有限的增长（2.42%），而在2001年至2024年期间出现了显著的增长（18.11%）。《专业护理杂志》发表的文献数量最多，而美国在文献数量和引用次数方面都是领先的国家。高引用的作品涉及护理博士类型，护理博士教育的挑战，影响成功的因素，全球视角和标准化努力。信息学和指导是最热门的话题。使用频率最高的作者关键词为护士教育、护理学、博士教育、护理研究、DNP和PhD。结论护理学博士教育是一个积极发展的研究领域。可见，该领域的发展需要更多的研究，特别是国际研究人员的合作。应鼓励进行不同国家的研究，以确保该领域的文化多样性和包容性。本研究确定了主要的研究差距和新兴主题。其研究结果为今后的研究提供了基础，并可以指导护理博士教育的课程开发、国际合作和政策决策。这也是第一次在这一领域进行全面的文献计量分析。无患者或公众参与。
{"title":"Doctoral Nursing Education From Past to Future: A Bibliometric Analysis of Global Research Trends (1971–2024)","authors":"Betul Ozturk Tekir, Filiz Kantek, Tangul Aytur Ozen","doi":"10.1111/jan.70472","DOIUrl":"https://doi.org/10.1111/jan.70472","url":null,"abstract":"Aim This study aims to explore the research trends, thematic developments and future directions in doctoral education in nursing through a comprehensive bibliometric analysis. Design Descriptive and bibliometric analyses were employed. Methods This study was based on 668 studies on doctoral nursing education retrieved from the Web of Science database. The data analysis and graphical presentation were conducted using the Bibliometrix Package in R software. Analytical techniques included keyword co‐occurrence, trend topic and thematic mapping analyses. Results Between 1971 and 2024, 668 studies on doctoral education in nursing were authored by 2132 researchers and published in 144 sources, including peer‐reviewed journals and conference proceedings. The field exhibited an annual growth rate of 7.49%. A limited increase (2.42%) was noted between 1971 and 2000, while a marked rise (18.11%) occurred in 2001–2024. The Journal of Professional Nursing published the highest number of documents, while the United States was the leading country in terms of both the number of documents and citations. Highly cited works addressed doctoral types in nursing, challenges of doctoral education in nursing, factors affecting success, global perspectives and standardisation efforts. Informatics and mentoring were the most trending topics. The most frequently used author keywords were nurse education, nursing, doctoral education, nursing research, DNP and PhD. Conclusion Doctoral education in nursing is an active and developing field of study. It is seen that more research and especially international researcher cooperation are needed for the development of the field. Different country studies should be encouraged to ensure cultural diversity and inclusiveness in the field. Impact This study identifies key research gaps and emerging themes. Its findings provide a foundation for future research and can guide curriculum development, international collaboration and policy decisions in doctoral nursing education. It is also the first comprehensive bibliometric analysis conducted in this field. Patient or Public Contribution No patient or public involvement.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"125 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145920532","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}
Aim To examine the American Cancer Society's HPV vaccination guidelines through a nursing policy analysis framework, assessing justice and equity outcomes in cancer prevention policy implementation. Background Human papillomavirus vaccination remains critical for cancer prevention, yet persistent health disparities undermine equity goals despite evidence‐based policy recommendations. Limited research has systematically applied nursing conceptual frameworks to analyse vaccination policy through an explicit equity lens. Design Policy Analysis Using the Russell and Fawcett Conceptual Model for Nursing and Health Policy, Focusing on Level 4 Outcomes Addressing Justice, Social Changes and Market Interventions. Methods Systematic analysis of policy sources (public, organisational, professional), components (personnel, services, expenditures) and outcomes across quality, cost and access dimensions. Data sources included primary policy documents, implementation reports and peer‐reviewed literature from 2015 to 2024. Thematic analysis examined policy effectiveness through distributive and procedural justice lenses. Results Critical policy fragmentation creates systematic equity barriers, with only five jurisdictions (Virginia, District of Columbia, Rhode Island, Puerto Rico, Hawaii) achieving > 70% vaccination coverage through school‐entry mandates and 46 states and territories demonstrating substantially lower rates. Rural adolescents experience 15%–20% lower vaccination rates, while Black adolescents show 10 percentage points lower coverage than white adolescents despite federal Vaccines for Children (VFC) program investment of $4.2 billion annually. Provider training gaps and cultural competency limitations disproportionately affect communities of colour. Healthcare system transformation remains concentrated in well‐resourced organisations, creating two‐tiered implementation that reinforces existing disparities. Conclusion Achieving cancer prevention equity requires coordinated interventions across multiple policy levels, enhanced provider training emphasising cultural competency, community‐based service expansion and equity‐focused resource allocation. Federal leadership establishing minimum vaccination requirements linked to education funding, respecting state constitutional authority, sustainable funding models and nursing leadership represent essential actions for advancing health equity. Impact Demonstrates nursing frameworks' utility for rigorous health policy analysis while providing evidence‐based recommendations for strengthening vaccination policy to achieve cancer prevention equity across diverse populations. Patient or Public Contribution This study did not include patient or public involvement in its design, conduct or reporting.
{"title":"Achieving Cancer Prevention Equity: A Policy Analysis of American Cancer Society HPV Vaccination Guidelines","authors":"Grace K. Kyei, Evans K. Kyei, Rockson Ansong","doi":"10.1111/jan.70477","DOIUrl":"https://doi.org/10.1111/jan.70477","url":null,"abstract":"Aim To examine the American Cancer Society's HPV vaccination guidelines through a nursing policy analysis framework, assessing justice and equity outcomes in cancer prevention policy implementation. Background Human papillomavirus vaccination remains critical for cancer prevention, yet persistent health disparities undermine equity goals despite evidence‐based policy recommendations. Limited research has systematically applied nursing conceptual frameworks to analyse vaccination policy through an explicit equity lens. Design Policy Analysis Using the Russell and Fawcett Conceptual Model for Nursing and Health Policy, Focusing on Level 4 Outcomes Addressing Justice, Social Changes and Market Interventions. Methods Systematic analysis of policy sources (public, organisational, professional), components (personnel, services, expenditures) and outcomes across quality, cost and access dimensions. Data sources included primary policy documents, implementation reports and peer‐reviewed literature from 2015 to 2024. Thematic analysis examined policy effectiveness through distributive and procedural justice lenses. Results Critical policy fragmentation creates systematic equity barriers, with only five jurisdictions (Virginia, District of Columbia, Rhode Island, Puerto Rico, Hawaii) achieving > 70% vaccination coverage through school‐entry mandates and 46 states and territories demonstrating substantially lower rates. Rural adolescents experience 15%–20% lower vaccination rates, while Black adolescents show 10 percentage points lower coverage than white adolescents despite federal Vaccines for Children (VFC) program investment of $4.2 billion annually. Provider training gaps and cultural competency limitations disproportionately affect communities of colour. Healthcare system transformation remains concentrated in well‐resourced organisations, creating two‐tiered implementation that reinforces existing disparities. Conclusion Achieving cancer prevention equity requires coordinated interventions across multiple policy levels, enhanced provider training emphasising cultural competency, community‐based service expansion and equity‐focused resource allocation. Federal leadership establishing minimum vaccination requirements linked to education funding, respecting state constitutional authority, sustainable funding models and nursing leadership represent essential actions for advancing health equity. Impact Demonstrates nursing frameworks' utility for rigorous health policy analysis while providing evidence‐based recommendations for strengthening vaccination policy to achieve cancer prevention equity across diverse populations. Patient or Public Contribution This study did not include patient or public involvement in its design, conduct or reporting.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"3 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145920285","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}
Michael T Lawless,Matthew Tieu,Rebecca K Golley,Alison L Kitson
AIMSTo review how life-course theories, models and frameworks define and classify life stages and transitions; how they characterise trajectories of care needs and care provision; and to consider how these insights might inform future developments of care-focused life-course frameworks.DESIGNNarrative review using a theory synthesis approach.METHODSThe review synthesised 56 theories, models and frameworks, drawn from 90 articles published up to 2024, using a three-stage process: extraction and summarisation of conceptual content; comparison to identify convergence and divergence; and interpretive synthesis to generate an overarching account of how frameworks conceptualise life-course development, care transitions and care trajectories.RESULTSEarlier life-course perspectives emphasise normative, age-graded stages, while more recent approaches highlight transitional junctures, relational contexts and structural influences on care trajectories. Life stages were defined variably, encompassing developmental phases, chronological age bands, major life transitions, historical and cultural perspectives and diverse lived experiences. Trajectories of care needs and provision were shaped by social networks, socioeconomic conditions, timing of transitions, transgenerational relationships and interdependencies, and intersectionality. Findings suggest that care needs and care provision fluctuate across time and are best understood as interrelated, dynamic processes influenced by life-course biographies, as well as broader social, economic and policy environments at individual (micro), relational (meso) and structural (macro) levels.CONCLUSIONLife-course frameworks are shifting from age-based models towards personalised, context-sensitive perspectives that better capture the complexity and diversity of care trajectories.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARECare planning should incorporate not only developmental stage but also individual, relational and structural factors influencing care needs, care provision and care trajectories over time.IMPACTApplying a personalised, multilevel life-course perspective may improve assessment accuracy, coordination of resources and equity in care delivery.NO PATIENT OR PUBLIC CONTRIBUTIONThis narrative review did not involve patients or the public.
{"title":"Defining Life Stages and Mapping Care Trajectories: A Narrative Review of Life-Course Theories, Models and Frameworks.","authors":"Michael T Lawless,Matthew Tieu,Rebecca K Golley,Alison L Kitson","doi":"10.1111/jan.70471","DOIUrl":"https://doi.org/10.1111/jan.70471","url":null,"abstract":"AIMSTo review how life-course theories, models and frameworks define and classify life stages and transitions; how they characterise trajectories of care needs and care provision; and to consider how these insights might inform future developments of care-focused life-course frameworks.DESIGNNarrative review using a theory synthesis approach.METHODSThe review synthesised 56 theories, models and frameworks, drawn from 90 articles published up to 2024, using a three-stage process: extraction and summarisation of conceptual content; comparison to identify convergence and divergence; and interpretive synthesis to generate an overarching account of how frameworks conceptualise life-course development, care transitions and care trajectories.RESULTSEarlier life-course perspectives emphasise normative, age-graded stages, while more recent approaches highlight transitional junctures, relational contexts and structural influences on care trajectories. Life stages were defined variably, encompassing developmental phases, chronological age bands, major life transitions, historical and cultural perspectives and diverse lived experiences. Trajectories of care needs and provision were shaped by social networks, socioeconomic conditions, timing of transitions, transgenerational relationships and interdependencies, and intersectionality. Findings suggest that care needs and care provision fluctuate across time and are best understood as interrelated, dynamic processes influenced by life-course biographies, as well as broader social, economic and policy environments at individual (micro), relational (meso) and structural (macro) levels.CONCLUSIONLife-course frameworks are shifting from age-based models towards personalised, context-sensitive perspectives that better capture the complexity and diversity of care trajectories.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARECare planning should incorporate not only developmental stage but also individual, relational and structural factors influencing care needs, care provision and care trajectories over time.IMPACTApplying a personalised, multilevel life-course perspective may improve assessment accuracy, coordination of resources and equity in care delivery.NO PATIENT OR PUBLIC CONTRIBUTIONThis narrative review did not involve patients or the public.","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"9 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145937605","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}
AIMSTo adapt an instrument to measure patient safety culture, as rated by home care workers, and examine its psychometric properties.DESIGNA multicentre cross-sectional psychometric study.METHODSWe adapted the Nursing Home Survey SOPS to measure safety culture in home care. The questionnaire was translated to French following the Translation, Review, Adjudication, Pretest and Documentation (TRAPD) approach. Experts in home care evaluated the content validity of the adapted and translated instrument. To pre-test the questionnaire, we conducted cognitive interviews. We invited home care workers from two home care agencies in the French-speaking region of Switzerland to participate in the cross-sectional study from November to December 2024. We performed confirmatory factor analysis using the R package 'lavaan' and assessed convergent, discriminant and known-groups validity.RESULTSEight experts assessed the content validity of the adapted and translated instrument. Responses from 672 home care workers were analysed. Except for compliance with procedures, all dimensions showed acceptable or good internal consistency. Regarding construct validity, first-order and second-order level confirmatory factor analysis showed acceptable model fit. Safety culture correlated with overall patient safety rating and psychosocial safety climate. Regarding known-groups validity, participants who do not work directly with clients most of the time, and those willing to recommend the organisation rated the safety culture higher.CONCLUSIONThe psychometric evaluation indicated that the adapted instrument can be used as a valid and targeted tool to assess patient safety climate/culture in Swiss French-speaking home care agencies.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREThe existence of an adapted and validated instrument for use in home care enables managers to monitor safety culture and develop interventions to improve it and consequently ensure patient safety.IMPACTTo the best of our knowledge, there was no instrument specifically targeting the measurement of patient safety culture in the home care setting. The adapted instrument for home care showed to be a valid tool to provide information about safety culture in this setting. The availability of an instrument to measure safety culture in the home care setting can promote its monitoring, raise awareness of safety culture among staff, help managers prioritise key aspects for culture change, and thus improve patient safety. A wider adoption of the same instrument could also facilitate comparative analyses.REPORTING METHODWe used the COSMIN guidelines for the psychometric evaluation of the instrument and the STROBE reporting guidelines for the cross-sectional study.PATIENT OR PUBLIC CONTRIBUTIONThis study did not include patient or public involvement in its design, conduct or reporting.
{"title":"Adaptation and Psychometric Evaluation of a Patient Safety Culture Instrument for Home Care-A Multicentre Cross-Sectional Study.","authors":"Tania Martins,Julie Bucher Andary,David Bellagamba,Michael Simon,Franziska Zúñiga","doi":"10.1111/jan.70479","DOIUrl":"https://doi.org/10.1111/jan.70479","url":null,"abstract":"AIMSTo adapt an instrument to measure patient safety culture, as rated by home care workers, and examine its psychometric properties.DESIGNA multicentre cross-sectional psychometric study.METHODSWe adapted the Nursing Home Survey SOPS to measure safety culture in home care. The questionnaire was translated to French following the Translation, Review, Adjudication, Pretest and Documentation (TRAPD) approach. Experts in home care evaluated the content validity of the adapted and translated instrument. To pre-test the questionnaire, we conducted cognitive interviews. We invited home care workers from two home care agencies in the French-speaking region of Switzerland to participate in the cross-sectional study from November to December 2024. We performed confirmatory factor analysis using the R package 'lavaan' and assessed convergent, discriminant and known-groups validity.RESULTSEight experts assessed the content validity of the adapted and translated instrument. Responses from 672 home care workers were analysed. Except for compliance with procedures, all dimensions showed acceptable or good internal consistency. Regarding construct validity, first-order and second-order level confirmatory factor analysis showed acceptable model fit. Safety culture correlated with overall patient safety rating and psychosocial safety climate. Regarding known-groups validity, participants who do not work directly with clients most of the time, and those willing to recommend the organisation rated the safety culture higher.CONCLUSIONThe psychometric evaluation indicated that the adapted instrument can be used as a valid and targeted tool to assess patient safety climate/culture in Swiss French-speaking home care agencies.IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CAREThe existence of an adapted and validated instrument for use in home care enables managers to monitor safety culture and develop interventions to improve it and consequently ensure patient safety.IMPACTTo the best of our knowledge, there was no instrument specifically targeting the measurement of patient safety culture in the home care setting. The adapted instrument for home care showed to be a valid tool to provide information about safety culture in this setting. The availability of an instrument to measure safety culture in the home care setting can promote its monitoring, raise awareness of safety culture among staff, help managers prioritise key aspects for culture change, and thus improve patient safety. A wider adoption of the same instrument could also facilitate comparative analyses.REPORTING METHODWe used the COSMIN guidelines for the psychometric evaluation of the instrument and the STROBE reporting guidelines for the cross-sectional study.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":"182 1","pages":""},"PeriodicalIF":3.8,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145937606","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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