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Post‐Event Strategies for Workplace Violence Affecting Hospital Staff: A Scoping Review 影响医院工作人员的工作场所暴力事件后策略:范围审查
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-12-24 DOI: 10.1111/jan.70460
Dana Sammut, Nutmeg Hallett, Liz Lees‐Deutsch
Aims To map the evidence on post‐incident strategies for workplace violence in global hospital settings, define current literature gaps and provide direction for future research. Design Scoping review guided by Joanna Briggs Institute methodology. Methods A narrative synthesis, framed by the Haddon Matrix, categorised post‐violence strategies by focus on staff (victims), aggressors (vectors), or the physical/social environment. Data Sources Six databases (MEDLINE, Embase, Web of Science, CINAHL, PsycINFO, Health Management Information Consortium) and Google Scholar were searched in January 2024. Results Twenty‐seven articles were included. Post‐violence strategies addressed: (1) staff support through debriefs and psychological, clinical and procedural assistance; (2) behaviour management, individualised plans, alerts and accountability measures for aggressors; and (3) system‐level responses via incident investigations, feedback processes and integrated monitoring. These strategies were typically embedded within larger multicomponent workplace violence programmes, with limited disaggregation of their specific effects. Conclusion The evidence base for tertiary prevention of workplace violence remains sparse. Most articles in this review equated success with violence reduction, reflecting a traditional (Safety‐I) focus on risk mitigation, with limited attention to broader outcomes such as staff perceptions of safety or job‐related affect. This underscores the need for a clearer focus on the mechanisms by which such interventions are expected to create change, providing an opportunity to refine theory and practice. Implications for the Profession and/or Patient Care The post‐violence period offers a key juncture for mitigating incidents' ripple effects. As frontline staff are often the primary ‘recipients’ of interventions, future research and service improvement initiatives should focus more closely on outcomes relevant to staff experiences. Impact Incorporating a Safety‐II perspective, which emphasises resilience and adaptive performance, could enable hospitals to strengthen ongoing operational capabilities in the aftermath of violence and help to redress the conditions that facilitate its recurrence. Reporting Method PRISMA‐ScR. Patient or Public Contribution None.
目的绘制全球医院环境中工作场所暴力事件后策略的证据,定义当前的文献空白,并为未来的研究提供方向。设计范围审查由乔安娜布里格斯研究所的方法指导。方法以Haddon矩阵为框架,通过对工作人员(受害者)、攻击者(载体)或物理/社会环境的关注,对暴力后策略进行叙事综合。检索时间为2024年1月,检索了MEDLINE、Embase、Web of Science、CINAHL、PsycINFO、Health Management Information Consortium等6个数据库和谷歌Scholar。结果共纳入27篇文章。解决暴力后战略:(1)通过汇报和心理、临床和程序援助为工作人员提供支持;(2)对施暴者进行行为管理、个性化计划、预警和问责措施;(3)通过事件调查、反馈过程和综合监测来实现系统级响应。这些战略通常被纳入更大的多组成部分的工作场所暴力规划,对其具体影响的分类有限。结论三级预防工作场所暴力的证据基础仍然缺乏。本综述中的大多数文章将成功等同于减少暴力,反映了传统的(安全- I)侧重于降低风险,而对更广泛的结果(如员工对安全或工作相关影响的看法)关注有限。这突出表明,需要更明确地关注预期这种干预能够产生变化的机制,从而为完善理论和实践提供机会。对职业和/或患者护理的影响暴力后时期是减轻事件连锁反应的关键时刻。由于一线员工往往是干预措施的主要“接受者”,未来的研究和服务改进举措应更密切地关注与员工经验相关的结果。纳入强调复原力和适应性绩效的安全II视角,可使医院在暴力事件发生后加强持续的业务能力,并有助于纠正导致暴力事件再次发生的条件。报告方法PRISMA‐ScR。患者或公众贡献无。
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引用次数: 0
Rural COVID ‐19 Vaccine Decision‐Making: A Qualitative Meta‐Synthesis 农村COVID - 19疫苗决策:一项定性综合
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-12-23 DOI: 10.1111/jan.70451
Arthur Zacharjasz, Allison B. Anbari
Aims This qualitative meta‐synthesis (QMS) aimed to develop a theoretical framework to contextualise the COVID‐19 vaccine decision‐making processes among rural U.S. individuals, describing complex cognitive, social, and structural influences. Design Qualitative meta‐synthesis utilising thematic synthesis and diagramming methods. Data Sources Searches conducted across PubMed, Scopus, CINAHL, and grey literature databases between January 2020 and September 2024 identified relevant qualitative and mixed‐methods studies. Review Methods Studies were screened against inclusion criteria: qualitative or mixed‐methods design, U.S. rural adult populations, COVID‐19 vaccine focus, and publication after January 2020. Twenty‐one studies were selected, data extracted, coded, and analysed thematically to create a conceptual model. Quality appraisal was performed using the Critical Appraisal Skills Programme checklist. Results Analysis yielded seven interrelated themes—Information, Beliefs, Trust, Feelings, Institutional, Community, and Culture—with 24 subthemes, highlighting dynamic interactions influencing vaccine decisions. Central factors included communication quality, media influence, institutional trust, social relationships, and cultural values. Decisions were temporal, iterative, and sensitive to evolving information and trust dynamics. Rural‐specific barriers such as limited health literacy, systemic inequities, geographic isolation, and misinformation significantly shaped vaccine decisions. Conclusion This qualitative meta‐synthesis provides a nuanced, rural‐contextualised theoretical framework emphasising the interplay between information, trust, and social determinants in COVID‐19 vaccine decision‐making. Vaccine decisions among rural populations are embedded in complex sociocultural and structural contexts, evolving temporally with shifting trust and information landscapes. Impact The developed framework offers actionable insights to inform tailored public health interventions and policy strategies targeting vaccine hesitancy. Enhancing health literacy, leveraging trusted local communicators, ensuring transparency, and addressing structural inequities can effectively improve vaccine uptake and promote equitable health outcomes in rural communities. Patient or Public Contribution The synthesis incorporates perspectives directly from rural community members, reflecting their lived experiences and contextual realities in vaccine decision‐making processes.
本定性综合研究(QMS)旨在建立一个理论框架,将美国农村个体的COVID - 19疫苗决策过程背景化,描述复杂的认知、社会和结构影响。设计定性元综合利用主题综合和图表方法。在2020年1月至2024年9月期间,对PubMed、Scopus、CINAHL和灰色文献数据库进行了检索,确定了相关的定性和混合方法研究。根据纳入标准筛选研究:定性或混合方法设计、美国农村成人人群、COVID - 19疫苗重点以及2020年1月之后的发表。我们选择了21项研究,对数据进行提取、编码和主题分析,以创建一个概念模型。使用关键评估技能计划检查表进行质量评估。结果分析产生了7个相互关联的主题——信息、信念、信任、情感、制度、社区和文化——以及24个子主题,突出了影响疫苗决策的动态相互作用。核心因素包括传播质量、媒体影响力、机构信任、社会关系和文化价值观。决策是暂时的,迭代的,并且对不断变化的信息和信任动态敏感。农村特有的障碍,如卫生知识有限、系统性不平等、地理隔离和错误信息,严重影响了疫苗决策。这一定性综合研究提供了一个细致的、农村背景化的理论框架,强调了COVID - 19疫苗决策中信息、信任和社会决定因素之间的相互作用。农村人口的疫苗决策植根于复杂的社会文化和结构背景中,随着信任和信息格局的变化而时而演变。已制定的框架提供了可操作的见解,为针对疫苗犹豫的量身定制的公共卫生干预措施和政策战略提供信息。加强卫生知识普及、利用值得信赖的地方传播者、确保透明度和解决结构性不平等问题,可有效提高农村社区的疫苗接种率,促进公平的卫生结果。该综合报告直接纳入了农村社区成员的观点,反映了他们在疫苗决策过程中的生活经历和背景现实。
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引用次数: 0
Nursing's Relationship to Feminism: What Is Nursing's Response to the Global Backlash Against Women's Rights and Access to Abortion? 护理与女权主义的关系:护理对全球反对妇女权利和堕胎权的反应是什么?
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-12-22 DOI: 10.1111/jan.70439
Helen T. Allan
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引用次数: 0
Clinical Reflections of Doctoral Education in Nursing: A Qualitative Study on the Perspectives of Doctoral Students and Graduates 护理学博士教育的临床反思:基于博士生和研究生视角的质性研究
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-12-21 DOI: 10.1111/jan.70432
Yağmur Sezer Efe, Nuray Caner, Yeliz Sürme, Selin Söyünmez
This study aims to examine the reflections of doctoral education in nursing on clinical practice, focusing on the perspectives of doctoral students and graduates.
本研究旨在探讨护理学博士教育对临床实践的反思,主要从博士生和研究生的角度出发。
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引用次数: 0
Nurses' Experiences of Providing Bereavement Care: A Systematic Review and Synthesis of Qualitative Research 护士提供丧亲护理的经验:系统回顾与质性研究的综合
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-12-21 DOI: 10.1111/jan.70442
Mengyuan Qiao, Yingyang Li, Pan Liu, Yanhua Liu, Niuniu Sun
To identify and synthesise the available evidence of nurses' perceptions and experiences of providing bereavement care.
识别和综合护士对提供丧亲护理的看法和经验的现有证据。
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引用次数: 0
Evaluating Nurses' Perspectives on the Acceptability and Practicality of Comfort Rounding for Personalised Nutritional and Mobility Care in Surgical Wards: A Mixed‐Methods Feasibility Study 评估护士对外科病房个性化营养和活动护理舒适度的可接受性和实用性的看法:一项混合方法可行性研究
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-12-21 DOI: 10.1111/jan.70462
Femke Becking‐Verhaar, Fanny Pelzer, Harm Van Noort, Cariline Roosen, Yvonne Van Eijk‐Hustings, Marian De Van Der Schueren, Hester Vermeulen, Getty Huisman‐De Waal
Aim To evaluate nurses' perspectives on factors influencing the acceptability and practicality of comfort rounding, focussing on personalised nutritional and mobility care. Design Mixed‐methods feasibility study. Methods Focus group interviews with nurses were conducted before, during and at the end of the implementation period (2022–2023). A questionnaire assessed acceptability and practicality among nurses at the end of the implementation. Data were analysed using directed content analyses and descriptive statistics. Results Comfort rounding's acceptability and practicality were influenced by nurses' attitudes, knowledge and skills, patient characteristics and the nurse–patient relationship. Barriers included workload, time pressure, team culture and the extensive, rigid design of comfort rounding. Questionnaire responses demonstrated nurses perceived added value of comfort rounding and frequently engaged patients in activities related to nutrition and mobility. However, it was not performed as originally intended. Conclusion Nurses considered personalised nutritional and mobility care important and frequently provided it during ‘usual care’. However, nurses were critical of comfort rounding's acceptability and practicality and did not perform it as intended. Implications for the Profession and/or Patient Care Comfort rounding's concept does not align well with current nursing practice. Greater tailoring to nurses' preferences or alternative approaches to structuring personalised nutritional and mobility care are recommended. Impact <jats:italic>What problem did the study address:</jats:italic> Hospitalised patients often receive suboptimal nutritional care and are largely inactive. The challenge is to integrate personalised nutritional and mobility care effectively into standard nursing practice to enhance patient safety and well‐being. Comfort rounding could improve patient safety and satisfaction; however, there is no research evaluating the feasibility of comfort rounding in relation to personalised nutritional and mobility care. <jats:italic>What were the main findings:</jats:italic> Comfort rounding was generally perceived as valuable and aligned with existing care routines, but its rigid structure was often considered impractical. Comfort rounding was not performed as originally intended due to the influence of individual, social and organisational factors. Flexibility in execution emerged as a critical factor for successful integration. <jats:italic>Where and on whom will the research have an impact?:</jats:italic> Comfort rounding can enhance attention to nutrition, mobility and patient participation when adapted to local contexts and delivered with flexibility. Policymakers and nurse leaders should avoid rigid protocols and instead support tailored implementation strategies alongside the practical delivery of locally tailored interventions. Reporting Method Consolidated criteria for reporting qualitative research and Checklist for Rep
目的评价护士对舒适围合可接受性和实用性的影响因素的看法,重点是个性化营养和活动护理。设计混合方法可行性研究。方法在实施期(2022-2023年)之前、实施期间和结束时对护士进行焦点小组访谈。在实施结束时,对护士的可接受性和实用性进行问卷调查。数据分析采用直接内容分析和描述性统计。结果护士态度、知识技能、患者特点、护患关系等因素均影响舒适度围护的可接受性和实用性。障碍包括工作量、时间压力、团队文化和广泛而严格的舒适宿舍设计。问卷调查结果表明,护士认为舒适围舍的附加价值,并经常让患者参与与营养和流动性相关的活动。然而,它并没有按照最初的计划进行。结论护士认为个性化的营养和活动护理很重要,并经常在“常规护理”中提供。然而,护士对舒适围合的可接受性和实用性持批评态度,并没有按预期执行。对专业和/或病人护理的影响舒适舍入的概念与目前的护理实践并不一致。建议根据护士的偏好进行更大的定制,或采用其他方法来构建个性化的营养和活动护理。影响该研究解决了什么问题:住院患者通常接受的营养护理不够理想,而且大部分不活跃。我们面临的挑战是将个性化的营养和活动护理有效地纳入标准护理实践,以提高患者的安全和健康。舒适围舍可以提高患者的安全性和满意度;然而,目前还没有研究评估舒适性围合在个性化营养和活动护理方面的可行性。主要发现是:人们普遍认为舒适围合是有价值的,与现有的护理程序一致,但其僵化的结构往往被认为是不切实际的。由于个人、社会和组织因素的影响,舒适度四舍五入没有按原计划进行。执行的灵活性成为成功集成的关键因素。这项研究将对谁和在哪里产生影响?当适应当地情况并灵活交付时,舒适的舍身可以增强对营养,流动性和患者参与的关注。政策制定者和护士领导应避免死板的协议,而应支持有针对性的实施战略,同时切实提供适合当地的干预措施。报告方法定性研究报告的统一标准和报告调查研究的核对表。护士参与了研究的所有阶段,通过焦点小组访谈和完成问卷来帮助开发和评估舒适环境。试验注册巴拿马研究管理系统,编号112832
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引用次数: 0
Influence of Social Determinants of Health on Adherence to Lifestyle Modifications in Individuals With Prediabetes: A Mixed Methods Study 社会健康决定因素对糖尿病前期患者坚持改变生活方式的影响:一项混合方法研究
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-12-21 DOI: 10.1111/jan.70461
Ana Carvalho-Azevedo, Manuela Abbate, Sergio Fresneda, María Arias-Fernández, Aina Huguet-Torres, Cristina Moreno-Mulet, Aina M. Yañez, Miquel Bennasar-Veny
To explore the relationship between social determinants of health and adherence to lifestyle recommendations, and how these determinants can help explain contextual and interpersonal factors contributing to adherence among individuals with prediabetes.
探讨健康的社会决定因素与坚持生活方式建议之间的关系,以及这些决定因素如何帮助解释有助于糖尿病前期患者坚持生活方式的环境和人际因素。
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引用次数: 0
Correction to “Community Nurses' Experiences Assessing Early‐Stage Pressure Injuries in People With Dark Skin Tones: A Qualitative Descriptive Analysis” 更正“社区护士评估深色肤色人群早期压力损伤的经验:定性描述性分析”
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-12-18 DOI: 10.1111/jan.70252
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引用次数: 0
Empathy and Humanistic Care Ability in Oncology Nurses: The Mediating Role of Emotional Intelligence 肿瘤护士共情与人文关怀能力:情绪智力的中介作用
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-12-18 DOI: 10.1111/jan.70463
Jianjian Wei, Dandan Dai, Yutong Sun, Wei Zheng, Mohan Gao, Yan Liu
Aim To investigate the level of humanistic care ability of oncology nurses, its association with empathy and emotional intelligence, and the mediative role of emotional intelligence on empathy and humanistic caring ability. Design This was a cross‐sectional study conducted in a cancer hospital in China. Methods We enrolled a total of 1189 oncology nurses from several cancer hospitals from December 2023 to January 2024. All participants completed three general questionnaires: the Caring Ability Inventory, the Jefferson Scale of Empathy‐Health Professionals and the Emotional Intelligence Scale. Results The overall scores for the three scales were 202.35 ± 23.89, 112.38 ± 18.85 and 137.49 ± 17.81, respectively. A positive correlation was detected between caring ability, empathy and emotional intelligence ( r = 0.741, p < 0.001; r = 0.577, p < 0.001). And emotional intelligence mediates the association between empathy and caring ability in oncology nurses (0.233, p < 0.001). The total and direct effect were also significant (0.825, p < 0.001; 0.592, p < 0.001). Conclusion The study findings indicated that oncology nurses exhibit a moderate level of caring ability. Emotional intelligence mediates the relationship between empathy and caring ability, at least in part. Therefore, an increase in the level of emotional intelligence in oncology nurses could improve their caring ability. Implications for the Profession and/or Patient Care When designing training to improve humanistic care, we recommend the integration of specific training relating to empathy and emotional intelligence into the training system. Impact Oncology patients experience multiple forms of distress and require high‐quality humanistic care. This study identified a moderate association between empathy and emotional intelligence. Our findings provide further recommendations for nurse leaders in medical institutions relating to how the humanistic care ability of oncology nurses can be improved by specific training in empathy and emotional intelligence. Reporting Method This study was reported using the STROBE Checklist for cross‐sectional studies. Patient or Public Contribution Nurse leaders organised this survey in their own hospital.
目的探讨肿瘤护士人文关怀能力水平及其与共情和情绪智力的关系,以及情绪智力对共情和人文关怀能力的中介作用。设计本研究是在中国一家肿瘤医院进行的横断面研究。方法从2023年12月至2024年1月,共招募了来自多家肿瘤医院的1189名肿瘤科护士。所有的参与者都完成了三份一般性问卷:关爱能力量表、杰弗逊共情-健康专业人员量表和情绪智力量表。结果3个量表的总分分别为202.35±23.89、112.38±18.85和137.49±17.81。关怀能力、共情与情绪智力呈正相关(r = 0.741, p < 0.001; r = 0.577, p < 0.001)。情绪智力在肿瘤护士共情与关怀能力之间起中介作用(0.233,p < 0.001)。总效应和直接效应也显著(0.825,p < 0.001; 0.592, p < 0.001)。结论肿瘤护士的护理能力处于中等水平。情商至少在一定程度上调解了同理心和关怀能力之间的关系。因此,提高肿瘤护士的情绪智力水平可以提高其护理能力。在设计培训以改善人文关怀时,我们建议将移情和情商相关的特定培训整合到培训系统中。肿瘤患者经历多种形式的痛苦,需要高质量的人文关怀。这项研究确定了同理心和情商之间的适度联系。我们的研究结果为医疗机构的护士领导提供了进一步的建议,即如何通过移情和情商的具体培训来提高肿瘤护士的人文关怀能力。报告方法:本研究采用STROBE检查表进行横断面研究。是次调查由所属医院的护士领导组织。
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引用次数: 0
Healing the Healers: Fifty Years of Global Challenges and Progress in Nurse Psychological Wellbeing 治疗治疗师:护士心理健康的五十年全球挑战和进步
IF 3.8 3区 医学 Q1 NURSING Pub Date : 2025-12-18 DOI: 10.1111/jan.70436
Jill Maben
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引用次数: 0
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Journal of Advanced Nursing
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