Journal Of Advanced Nursing[JOURNAL]
Sun
200 papers
Celebrating Five Decades of Paediatric Nursing Progress: Achievements, Persistent Challenges and Future Directions.
Abuhammad S
J Adv Nurs · 2026 Jan · PMID 41537402 · Publisher ↗
Paediatric nursing has evolved from a limited subset of general nursing to a dynamic specialty grounded in evidence-based practice, family-centred care and technological integration over the past 50 years. The establishm...
Paediatric nursing has evolved from a limited subset of general nursing to a dynamic specialty grounded in evidence-based practice, family-centred care and technological integration over the past 50 years. The establishment of family-centred care, advances in neonatal intensive care, expanded roles for paediatric nurse practitioners, innovations in chronic disease management and the integration of telehealth and digital solutions were major milestones at that time. Health inequities, rising mental health disorders among youth, paediatric nursing workforce shortages, climate-related health threats and ethical complexities linked to technological advances have emerged during this period. The main aim of this commentary was to reflect on historical achievements, critically examine current barriers to optimal paediatric health outcomes, and propose strategic actions to address systemic gaps. All children worldwide could achieve their full potential by strengthening health equity, integrating mental health services, investing in workforce development, expanding digital health access, enhancing climate and ethical preparedness and promoting paediatric nurse leadership; the next era of paediatric nursing can ensure this. Paediatric nurses remain uniquely positioned as compassionate caregivers, innovators and advocates in the evolving healthcare landscape.
Adaptive Resilience: Moving Away From Individual, Deficit Focus and Toward Collective Adaptive Strengths Focus.
Szanton SL
J Adv Nurs · 2026 Jul · PMID 41532521 · Publisher ↗
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Protecting Nurses During Pregnancy: Cross-Sectional Study of Workplace Exposures and Modifications.
Woodson LL, Dolan HR, Farland LV … +1 more , Rainbow JG
J Adv Nurs · 2026 Jan · PMID 41531202 · Publisher ↗
AIMS: This study examined associations between pregnancy-related fear and stress, occupational exposures, and workplace modifications among pregnant registered nurses in the United States engaged in direct patient care....
AIMS: This study examined associations between pregnancy-related fear and stress, occupational exposures, and workplace modifications among pregnant registered nurses in the United States engaged in direct patient care. METHODS: A cross-sectional design was used with data collected via an online survey between November 2021 and April 2022. Participants (n = 358) were recruited through social media and listservs. Log-binomial regression models, adjusted for age and parity, estimated prevalence ratios and confidence intervals for associations between occupational exposures and workplace modifications with prevalence of pregnancy-related stress at work and fear of pregnancy or infant complications. Stress, a non-specific physical/psychosocial response to demands, and fear, an emotional response to perceived threat, functioned as distinct constructs. RESULTS: Emotional and physical environmental hazards were associated with increased prevalence of stress. Emotional and environmental hazards, as well as physical movement, administering antineoplastic medications, infectious disease transmission and scans, were associated with increased prevalence of fear. Each additional occupational exposure increased prevalence of stress by 4% and fear by 12%. Nurses also mitigated risks by implementing workplace modifications. Stress was associated with changing work schedules, while fear was statistically significantly associated with taking extra infection precautions and seeking assistance for CPR. CONCLUSIONS: Findings highlight the need for interventions that address modifiable occupational hazards and improve access to modifications that reduce stress and fear among pregnant nurses. IMPLICATIONS FOR THE PROFESSION: Strengthening workplace protections could reduce occupational stress, improve nurse retention and enhance patient care quality. IMPACT: Pregnant nurses face significant occupational hazards, yet limited research has examined their psychosocial effects and mitigation strategies. This study identified key exposures associated with increased stress and fear and showed that workplace modifications varied by stress/fear levels and pregnancy trimester, informing policies to better protect pregnant nurses. REPORTING METHOD: Authors adhered to the STROBE checklist for cross-sectional studies. PATIENT OR PUBLIC CONTRIBUTIONS: This study did not include patient or public involvement in its design, conduct or reporting.
Letter to the Editor: Bridging the Intention-Action Gap: Future Directions for Implementing Acceptable and Feasible Comfort Rounding.
Wang X, Wang H
J Adv Nurs · 2026 Jan · PMID 41531163 · Publisher ↗
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Client-as-Partner Care: A Grounded Theory Study of Formal Care Service Providers for Persons With Early-Onset Dementia.
Kuo LM, Wang HP, Huang LK
J Adv Nurs · 2026 Jan · PMID 41527180 · Publisher ↗
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...
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).
Effects of Nursing Workforce and Work Environment on Health System Resilience in Public Health Emergencies: A Multicenter Cross-Sectional Study.
Hu Y, Weng A, Wang X … +6 more , Liu Y, Zhao X, Wang Q, Shao J, Cai R, Dai Y
J Adv Nurs · 2026 Jan · PMID 41520237 · Publisher ↗
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 sys...
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.
Digital Transformation and the Reconstruction of Nursing Professional Identity: Moving Beyond the Intangible Professional Project.
Stacey G, Sutton A
J Adv Nurs · 2026 Jan · PMID 41518588 · Publisher ↗
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The Relationship Between Organisational Innovation Climate and Nurses' Innovative Behaviour: Roles of Knowledge Sharing and Person-Organisation Fit.
Liu Z, Li G, Ma L … +1 more , Zhao J
J Adv Nurs · 2026 Jan · PMID 41518353 · Publisher ↗
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, consid...
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.
Defining Life Stages and Mapping Care Trajectories: A Narrative Review of Life-Course Theories, Models and Frameworks.
Lawless MT, Tieu M, Golley RK … +1 more , Kitson AL
J Adv Nurs · 2026 Jan · PMID 41517947 · Publisher ↗
AIMS: To 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 mig...
AIMS: To 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. DESIGN: Narrative review using a theory synthesis approach. METHODS: The 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. RESULTS: Earlier 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. CONCLUSION: Life-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 CARE: Care planning should incorporate not only developmental stage but also individual, relational and structural factors influencing care needs, care provision and care trajectories over time. IMPACT: Applying a personalised, multilevel life-course perspective may improve assessment accuracy, coordination of resources and equity in care delivery. NO PATIENT OR PUBLIC CONTRIBUTION: This narrative review did not involve patients or the public.
Systematic Reviews of Psychosocial Interventions for Loneliness Among Older Adults in Community and Residential Care Settings: An Umbrella Review.
Oosterhouse K, Atakro CA, Chan JHM … +9 more , Matsuo Y, Zhang Y, Parris F, Mandebvu F, Khalaila R, Giannetta N, Stievano A, Song Y, Ho KHM
J Adv Nurs · 2026 Jan · PMID 41517834 · Publisher ↗
AIM: To 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...
AIM: To 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. DESIGN: Umbrella review. METHODS: The Joanna Briggs Institute methodology for umbrella reviews. DATA SOURCES: Cochrane Database of Systematic Reviews; Cumulative Index of Nursing and Allied Health Literature; Medline; Embase; Emcare; PsycINFO; ProQuest Dissertation & Thesis Global; Ovid Nursing Database; MedRxvi. RESULTS: Twenty-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. CONCLUSION: Seven 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 PROFESSION: Health 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. IMPACT: This 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 METHOD: The 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 REGISTRATION: PROSPERO CRD 42023482852, registered 25/11/2023.
Adaptation and Psychometric Evaluation of a Patient Safety Culture Instrument for Home Care-A Multicentre Cross-Sectional Study.
Martins T, Bucher Andary J, Bellagamba D … +2 more , Simon M, Zúñiga F
J Adv Nurs · 2026 Jan · PMID 41517833 · Publisher ↗
AIMS: To adapt an instrument to measure patient safety culture, as rated by home care workers, and examine its psychometric properties. DESIGN: A multicentre cross-sectional psychometric study. METHODS: We adapted the Nu...
AIMS: To adapt an instrument to measure patient safety culture, as rated by home care workers, and examine its psychometric properties. DESIGN: A multicentre cross-sectional psychometric study. METHODS: We 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. RESULTS: Eight 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. CONCLUSION: The 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 CARE: The 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. IMPACT: To 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 METHOD: We used the COSMIN guidelines for the psychometric evaluation of the instrument and the STROBE reporting guidelines for the cross-sectional study. PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct or reporting.
Achieving Cancer Prevention Equity: A Policy Analysis of American Cancer Society HPV Vaccination Guidelines.
Kyei GK, Kyei EK, Ansong R
J Adv Nurs · 2026 Jan · PMID 41510830 · Publisher ↗
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 pa...
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.
Doctoral Nursing Education From Past to Future: A Bibliometric Analysis of Global Research Trends (1971-2024).
Ozturk Tekir B, Kantek F, Aytur Ozen T
J Adv Nurs · 2026 May · PMID 41510808 · Publisher ↗
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 analys...
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.
Interventions Addressing Compassion Fatigue Among Nurses: A Scoping Review.
Pavithrakshmi KM, Chukkali S, Krishnamurthy V
J Adv Nurs · 2026 Jan · PMID 41504708 · Publisher ↗
AIM: To identify and synthesise intervention programs designed to address compassion fatigue among nurses, with a focus on their types and core characteristics. DESIGN: A scoping review. METHODS: This review was conducte...
AIM: To identify and synthesise intervention programs designed to address compassion fatigue among nurses, with a focus on their types and core characteristics. DESIGN: A scoping review. METHODS: This review was conducted according to the scoping review guidelines proposed by Arksey and O'Malley and met the requirements of PRISMA-ScR guidelines. DATA SOURCES: Literature published between January 2015 and March 2025 was thoroughly searched in Scopus, PubMed, Cochrane Library, APA PsycNet, Science Direct, and ProQuest. Major search terms included 'compassion fatigue', 'secondary traumatic stress', 'burnout', 'nurses' and 'intervention'. RESULTS: Fourteen studies met the inclusion criteria. Interventions were categorised as: (1) Enhancement of Organisation and Social Support, (2) Development of Individual Psychological Capacities, (3) Systemic-level Interventions, these results align with the framework of the job demands resources theory. CONCLUSION: This review highlights diversity in the focus. While some emphasised on strengthening the job resources and building the personal individual-based resources, few others focused on system level interventions to address compassion fatigue in nurses. The findings also emphasise the importance and need for customised and accessible support strategies at both individual and organisational levels. Nurse well-being and resilience interventions promote balanced job settings and quality health care support. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This review provides a foundation for designing comprehensive, empirically supported strategies to address compassion fatigue in nursing. Future research should focus on integrating individual and systemic support to build a healthy work environment. IMPACT: This review helps to understand the core characteristics and types of existing interventions addressing compassion fatigue among nurses, and highlights the need to focus on both individual as well as organisational needs and outcomes, thereby enhancing the well-being of nurses and creating healthy work environments. REPORTING METHOD: PRISMA-ScR was used in this scoping review. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
A Call to Action: Advancing Global Nursing Education Through Equity, Courage and Commitment.
Lewis LM
J Adv Nurs · 2026 Jul · PMID 41500958 · Publisher ↗
Abstract loading — click title to view on PubMed.
Care of Older Adults as Nursing's Defining Ground: Leading the Transformation Toward Prevention-Focused and Autonomy-Promoting Healthcare Systems.
Hernández-Padilla JM
J Adv Nurs · 2026 Jul · PMID 41492899 · Full text
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Nursing Perspectives on Factors That Influence Provision of Patient-Centered Care for Autistic Patients in a Large Urban Hospital System: A Qualitative Study.
Watson-Grace A, Patel A, Paradkar P … +5 more , Oatney L, Monroe TB, Chipps E, Tate JA, Failla MD
J Adv Nurs · 2026 Jun · PMID 41492897 · Full text
AIM: To characterise nurses' perspectives on factors that influence their ability to provide patient-centered nursing care for autistic patients in a large urban hospital setting. DESIGN: Qualitative exploratory study. M...
AIM: To characterise nurses' perspectives on factors that influence their ability to provide patient-centered nursing care for autistic patients in a large urban hospital setting. DESIGN: Qualitative exploratory study. METHODS: We conducted semi-structured interviews via Zoom with nurses from a large urban hospital serving primarily adult patients. We analysed interviews using codebook/template analysis. Two researchers coded each interview and resolved discrepancies through discussion. RESULTS: Twelve nurses (3 males) with 2-20 years of professional experience across research, management, and patient care roles were interviewed. Three primary themes were generated: (1) barriers to patient-centered care, including lack of formal autism education, factors related to the hospital setting, and specific nurse characteristics, such as inflexible adherence to care routines; (2) facilitators of patient-centered care, including experiential autism knowledge, caregiver involvement, and specific nurse characteristics, such as showing respect for all patients; and (3) missed opportunities for patient-centered care, including underuse of behavioural care teams, inadequate time for planning and preparation, and reliance upon restraints and security personnel for behaviour management. CONCLUSION: Nurses identified several areas where consistent implementation of existing processes could improve care. A key finding was the need to explore more patient-centered alternatives to the use of restraints and security personnel in response to aggressive or self-injurious behaviour. Overall, our results support the need for competency training to facilitate increased nursing comfort and ability to provide patient-centered care for autistic patients. IMPLICATIONS FOR THE PROFESSION: This work suggests nurses gain much of their autism-related knowledge through patient care experiences. Despite providing the majority of hands-on care, nurses receive little to no formal training about caring for the growing autistic population. IMPACT: This work has identified targeted areas to improve education and processes in caring for autistic patients. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
Loneliness as an Emerging Global Public Health Priority: Nursing Perspectives.
Smith GD
J Adv Nurs · 2026 Jul · PMID 41487081 · Publisher ↗
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Evolution of Nursing Education, Research and Practice: Insights to Foster Nurse Solidarity and Address Future Challenges.
Li WHC
J Adv Nurs · 2026 Jul · PMID 41482984 · Full text
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A Concept Analysis of Expertise Associated With Practicing Clinical Nurses in Hospital Settings.
Hecht JD, Heitkemper EM, Danesh V … +2 more , Clark AP, Yoder LH
J Adv Nurs · 2026 Jan · PMID 41482979 · Publisher ↗
AIM: Analyse the concept of expertise among practicing clinical nurses in hospital settings. BACKGROUND: The generational loss of expert clinical nurses was exacerbated globally by the novel coronavirus. This ongoing los...
AIM: Analyse the concept of expertise among practicing clinical nurses in hospital settings. BACKGROUND: The generational loss of expert clinical nurses was exacerbated globally by the novel coronavirus. This ongoing loss combined with the increased complexity of hospitalised patients has prompted an urgent need to understand expertise among clinical nurses who practice in hospital settings. METHODS: Walker and Avant's concept analysis method was used. PubMed, Medline, CINAHL and Access Medicine were searched (1982-2025) for research studies and literature reviews published in English that addressed clinical nursing expertise in hospitals. RESULTS: Expertise is the knowledge and skills that are enculturated from immersion in a domain. Common attributes include obtaining salient information from different sources, interpreting patient situations rapidly and holistically, and performing actions that are individualised, immediate and appear instinctive. Common antecedents include deliberate accumulation of relevant experience and contextual connections within the hospital. Facilitating improved outcomes and facilitating improved outcomes are common consequences. CONCLUSION: The attributes, antecedents and consequences of clinical nursing expertise are complementary and cross specialties. Experts' apparently instinctive actions are not intuitive but rather related to relevant past experiences, pattern recognition and skilled know-how. The requirements to develop expertise have evolved with the increased volume of available knowledge. IMPLICATIONS FOR THE PROFESSION: Expertise requires cultivating relevant experiences through active engagement with patients and creating contextual connections with others regarding hospital systems and processes. Experts should be formally included when developing processes and guidelines. Low-fidelity proxy measures like years of experience should be replaced with psychometrically validated instruments to measure expertise. IMPACT: This concept analysis addresses the ambiguity of clinical nursing expertise by synthesising over 40 years of literature and provides insights for clinical nurses and researchers regarding the importance of context and the growing complexity of care delivery. PATIENT OR PUBLIC CONTRIBUTION: No patient or public involvement.
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