Journal Of Advanced Nursing[JOURNAL]
Sun
200 papers
Workplace Incivility and Nurses' Job Satisfaction and Leaving Intentions in Taiwan: A Cross-Sectional Study.
Bai D, Tseng YH, Cheng WJ … +1 more , Pien LC
J Adv Nurs · 2026 May · PMID 42177764 · Publisher ↗
BACKGROUND: Workplace incivility is a pervasive challenge in healthcare. Few studies drew on theoretical concepts to simultaneously examine organisational correlates of incivility and its associations with nurses' work o...
BACKGROUND: Workplace incivility is a pervasive challenge in healthcare. Few studies drew on theoretical concepts to simultaneously examine organisational correlates of incivility and its associations with nurses' work outcomes. AIM: This study examined workplace incivility among nurses, focusing on job control, psychological job demands and workplace justice as workplace characteristics, and assessing its association with job satisfaction and intentions to leave. METHODS: A cross-sectional survey was conducted among 528 full-time nurses at a medical centre in Taiwan. Validated questionnaires assessed workplace incivility (the Workplace Incivility Scale), workplace characteristics, job satisfaction and intentions to leave. Multivariable linear regression examined associations of workplace characteristics with incivility, and associations of incivility with job satisfaction and intentions to leave, adjusting for demographic and workplace factors. RESULTS: High workplace incivility was reported by 41.1% of nurses. In adjusted analyses, lower job control and lower workplace justice were associated with higher incivility scores. After adjustment for demographic and workplace factors, workplace incivility was negatively associated with job satisfaction and positively associated with leaving intentions. Among workplace characteristics, psychological job demands showed strong associations with both job satisfaction and leaving intentions. CONCLUSIONS: Workplace incivility reflects underlying organisational conditions and is associated with lower job satisfaction and greater leaving intentions. Addressing job demands, autonomy and fairness may reduce incivility and sustain the nursing workforce. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Workplace incivility is associated with lower job satisfaction and greater leaving intentions, and may co-occur with lower job control and perceived organisational justice, highlighting the need for organisational strategies that foster fairness and supportive work environments to enhance nurse retention. REPORTING METHOD: The authors adhered to the STROBE guidelines. PATIENT OR PUBLIC CONTRIBUTION: No patient or public involvement.
An Ecological and Processual Understanding of Family Resilience in Dementia: A Qualitative Meta-Synthesis.
Yang Y, Song JA
J Adv Nurs · 2026 May · PMID 42161374 · Publisher ↗
AIM: To explore how family resilience emerges and unfolds in dementia. DESIGN: Qualitative meta-synthesis using thematic synthesis. DATA SOURCES: PubMed, CINAHL, Web of Science, PsycINFO were searched from inception thro...
AIM: To explore how family resilience emerges and unfolds in dementia. DESIGN: Qualitative meta-synthesis using thematic synthesis. DATA SOURCES: PubMed, CINAHL, Web of Science, PsycINFO were searched from inception through August 26, 2025. METHODS: Studies examining family-level resilience, adaptation or coping in home-based dementia care using qualitative methods were included. Two researchers independently screened and assessed quality. Thematic synthesis was applied to 18 studies selected through systematic prioritization until theoretical sufficiency. RESULTS: Of 2437 records, 18 studies were analysed yielding 68 codes and 28 descriptive themes. Thematic synthesis revealed family resilience manifests three characteristics: ecological multidimensionality, iterative and cyclical progression and integrative manifestation. An ecological-processual interpretive framework was developed showing family resilience unfolds along two intersecting axes (ecological: intrapersonal, interpersonal, societal; processual: five iterative stages). Six analytical themes emerged integratively: multilevel adaptive resources and motivation; individual active adaptation; redefining dyadic relationships through dementia-personhood separation; family collaboration and structural reconstruction; social support construction and transcendent meaning expansion. CONCLUSION: Family resilience unfolds as a dynamic process continuously reconstructed across ecological levels rather than a static outcome. Iterative and cyclical understanding is essential. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Practice requires longitudinal, process-oriented support for entire families including persons with dementia. Policy should establish family-unit assessment systems identifying changing patterns and respecting autonomy. IMPACT: This study addressed how family resilience dynamically unfolds in dementia, which remained unclear despite research shifting from burden to resilience focus. An ecological-processual interpretive framework was developed integrating six themes across multiple ecological levels. Mental health nurses, dementia care practitioners, and policymakers will benefit from this framework when developing family-centered dementia care systems. REPORTING METHOD: This review adhered to ENTREQ guidelines. PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct or reporting. TRIAL REGISTRATION: Protocol registration PROSPERO: CRD42023485589.
Cognitive Dissonance in Nursing: A Mixed Systematic Review of Its Impact and Coping Strategies.
Zeng J, Hughes M, Sun X … +1 more , de Vries J
J Adv Nurs · 2026 May · PMID 42124358 · Publisher ↗
AIM: This mixed-method systematic review synthesised quantitative and qualitative empirical evidence on how cognitive dissonance triggered by care experiences and circumstances affects nurses' well-being, professional be...
AIM: This mixed-method systematic review synthesised quantitative and qualitative empirical evidence on how cognitive dissonance triggered by care experiences and circumstances affects nurses' well-being, professional behaviour, patient care and on the coping strategies nurses use to manage these experiences. DESIGN: Following Joanna Briggs Institute guidance, a convergent integrated synthesis approach combined qualitative and quantitative findings. DATA SOURCES: Sixteen studies were included following a comprehensive search across five databases in August 2024. RESULTS: Sixteen studies were included: 12 qualitative, two quantitative and two mixed-methods. Four key themes were identified: (i) dissonance is triggered by conflicting demands, (ii) dissonance discomfort may generate lasting distress, (iii) dissonance influences nursing practice and quality of care and (iv) dissonance reduction efforts varied. Overall, the evidence base was limited in scope and predominantly qualitative, with included studies generally showing moderate to high methodological quality. CONCLUSION: Cognitive dissonance is a common but under-recognised challenge in nursing. It arises when actions conflict with professional standards or when nurses are prevented from providing necessary care. If unresolved, it harms nurses' psychological well-being, causing stress, emotional strain and reduced job satisfaction. It may also reduce the quality of care in nursing practice. There is a need for validated measurement tools, longitudinal research exploring long-term impacts and targeted interventions to support nurses. IMPACT: This review is the first to systematically synthesise qualitative and quantitative evidence on cognitive dissonance in nursing. It addresses an important gap by bringing together findings on how dissonance arises in clinical settings, how nurses experience and manage it and its effects on practice and patient care. It also contributes to our understanding of coping strategies nurses use to cope with cognitive dissonance. The findings will support future research, education and interventions aimed at improving care quality and nurse well-being. PATIENT OR PUBLIC CONTRIBUTION: No patient or public involvement.
Gender Justice in the Triple Planetary Crisis: A Scoping Review.
Richards C, Peters M, Charalambous J … +5 more , Singh-Peterson L, Osborn L, Ward A, LeClair J, Levett-Jones T
J Adv Nurs · 2026 May · PMID 42106897 · Publisher ↗
AIM: To identify and report how gender justice is conceptualised and discussed in contemporary health literature in relation to the Triple Planetary Crisis of climate change, pollution and biodiversity loss, with a parti...
AIM: To identify and report how gender justice is conceptualised and discussed in contemporary health literature in relation to the Triple Planetary Crisis of climate change, pollution and biodiversity loss, with a particular focus on the experiences of women and gender-diverse populations, and the representation of nurses and other healthcare professionals dominated by women. DESIGN: Scoping review. DATA SOURCES: Searches were conducted across MEDLINE (Ovid), Scopus, CINHAL, Embase and ProQuest, focusing on studies published from January 1 2000-23 September 2024. REVIEW METHODS: The review was conducted in accordance with the JBI methodology for scoping reviews and reported against the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. Data were extracted according to a pre-specified extraction framework, developed a priori, encompassing components of gender justice and intersectionality. RESULTS: A total of 39 studies were included: 17 (43.6%) qualitative, 17 (43.6%) quantitative and 5 (12.8%) mixed methods. The focus of the studies included gendered experiences of climate change (30.8%), decision-making and governance (20.5%), health and wellbeing (17.9%), women's economic participation (15.4%), cultural and spiritual connections to land (7.7%), and intersectionality and human rights (7.7%). Gender-diverse populations, nurses and other healthcare professions dominated by women were not represented in the literature. CONCLUSION: The literature reported that women experienced differentiated exposure to the Triple Planetary Crisis. The underrepresentation of gender diverse people and nurses in recent studies remains a significant barrier to advancing understanding of gender justice. Integrating gender justice into health systems is increasingly important to prevent women from being disproportionately impacted by the Triple Planetary Crisis. IMPACT: More attention to inclusion of frontline healthcare professionals, including nurses, in governance, policy discussions and leadership roles could strengthen the response to systemic environmental threats. PATIENT OR PUBLIC CONTRIBUTION: No patient or public involvement.
The Influence of Oral Health Related Knowledge, Attitudes and Practices on Oral Health Risk-Related Behaviours of People in Custodial Settings: An Integrative Review.
Barak I, Smith BW, George A … +4 more , Bosworth R, Maneze D, Inderwisch K, Salamonson Y
J Adv Nurs · 2026 May · PMID 42106588 · Publisher ↗
AIM: To explore the influence of oral health-related knowledge, attitudes and practices on oral health risk-related behaviours of people in custodial settings. DESIGN: Integrative review. DATA SOURCES: Scopus, ProQuest C...
AIM: To explore the influence of oral health-related knowledge, attitudes and practices on oral health risk-related behaviours of people in custodial settings. DESIGN: Integrative review. DATA SOURCES: Scopus, ProQuest Central, Web of Science, Medline, CINAHL, Academic Search Complete, PsycINFO and Education Research Complete were searched in March 2024 and December 2025. METHODS: Studies reporting on any individuals in custodial settings, at least one oral health-related knowledge, attitude or practice and at least one oral health risk-related behaviour (either smoking, alcohol, illicit substances or sugar consumption). Data related to custodial population's oral health knowledge, attitudes, or practices and oral health risk-related behaviour were extracted, synthesised narratively and reported thematically. RESULTS: Findings from the 26 studies reveal that people in custodial settings had a general lack of oral health knowledge, and oral health risk-related behaviours were prevalent. The most common risk-related behaviours reported were tobacco use and free sugar consumption. Oral health knowledge, attitudes and practices of this population were influenced by custodial healthcare systems and attitudes of dental professionals. CONCLUSION: This review highlights the influence custodial healthcare and dental professionals have on the knowledge, attitudes, practices and risk-related behaviours of people in custodial settings. Oral health targeted interventions and strategies are required to improve oral health-related knowledge and attitudes thereby encouraging oral health practices among people in custodial settings. IMPLICATIONS FOR THE PROFESSION: This review will inform targeted oral health promotion programs that can improve oral health outcomes and experiences of this population. IMPACT: People in custodial settings experience a disproportionate burden of oral diseases. This review underscores the need for proactive interventions and systemic reform to improve correctional healthcare experiences globally. REPORTING METHOD: Preferred Reporting Items for Systematic Reviews and Meta-Analysis, Extension for Scoping Reviews (PRISMA-ScR) 2018. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: Synthesises evidence on influencing factors contributing to poor oral health among people in custodial settings. Highlights impact of healthcare staff and custodial healthcare systems on population health. Highlights the necessity of oral health promotion programs to improve oral health knowledge and to promote oral health protective behaviours.
Simulation-Based Education to Support Nurses' Critical Thinking in Delirium Recognition: A Scoping Review.
El Hussein MT, Sheehan DS, Hirst S
J Adv Nurs · 2026 May · PMID 42104637 · Publisher ↗
AIM: To map how simulation-based education supports the development of critical thinking skills required for nurses to recognize delirium in clinical practice. DESIGN: A scoping review guided by the Joanna Briggs Institu...
AIM: To map how simulation-based education supports the development of critical thinking skills required for nurses to recognize delirium in clinical practice. DESIGN: A scoping review guided by the Joanna Briggs Institute methodology and the framework developed by Arksey and O'Malley, refined by Levac and colleagues. METHODS: Two reviewers independently screened and extracted data to identify studies evaluating simulation-based education designed to strengthen nurses' delirium recognition and associated critical thinking processes. A narrative approach was used to chart and synthesize findings across varied simulation modalities and clinical contexts. DATA SOURCES: The search was conducted on 4 September 2025, using MEDLINE, CINAHL and PsycINFO. No timeframe was applied to the search. RESULTS: Fourteen studies met inclusion criteria. Simulation-based education consistently enhanced skills aligned with critical thinking, including observational accuracy, recognition of fluctuating cognitive cues, clinical reasoning, reflective awareness, empathy and communication within interprofessional teams. Structured debriefing played a central role in helping nurses analyse decision-making processes and integrate experiential learning into clinical judgement. Several studies reported changes in practice, including more consistent use of delirium identification tools and improved clarity of clinical documentation. CONCLUSION: Simulation-based education strengthens interconnected domains of critical thinking that underpin nurses' capacity to recognize delirium early and respond effectively to its fluctuating presentation. These findings highlight the educational value of immersive, theory-informed simulation for developing the clinical judgement required in cognitively complex patient situations. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Integrating structured simulation into nursing education and professional development may enhance timely delirium recognition, foster more effective interprofessional communication and support safer, higher-quality care for hospitalized adults. IMPACT: Simulation-based education offers a practical and scalable strategy for improving delirium recognition across care settings. By supporting nurses in noticing subtle cognitive changes, interpreting clinical patterns and communicating concerns with clarity and confidence, simulation contributes to stronger workforce preparedness and patient safety. REPORTING METHOD: This review adhered to PRISMA-ScR reporting guidance. PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct or reporting.
Mentors' Experiences of Nursing Students' Peer Learning in Clinical Practice: A Systematic Review of Qualitative Studies.
Kulojärvi S, Palander S, Haapa T … +4 more , Jarva E, Araújo AAC, Mikkonen K, Juntunen J
J Adv Nurs · 2026 May · PMID 42095388 · Publisher ↗
AIM: To synthesise the best available evidence on mentors' experiences in mentoring nursing students during peer learning clinical practice. DESIGN: A systematic review of qualitative studies. METHODS: Qualitative or mix...
AIM: To synthesise the best available evidence on mentors' experiences in mentoring nursing students during peer learning clinical practice. DESIGN: A systematic review of qualitative studies. METHODS: Qualitative or mixed-methods (with a qualitative component) studies that met the inclusion criteria based on the phenomenon of interest were included. The selected studies were critically appraised using the standardised JBI Critical Appraisal Checklist. Findings from qualitative research were extracted and synthesised by using the JBI meta-aggregation approach. DATA SOURCES: A comprehensive search was conducted in September 2024 across six databases: Scopus, CINAHL, Ovid MEDLINE, Web of Science, ProQuest (Education collection) and MEDIC. RESULTS: A total of 542 studies were screened, and 17 met the inclusion criteria. Three synthesised findings were identified: (1) Importance of pedagogical support for peer learning, (2) Mentors' support needs for mentoring in a peer learning model and (3) Characteristics of a favourable peer learning environment in clinical practice. CONCLUSION: Mentors perceive peer learning as beneficial for nursing students' learning. The transition from the traditional mentoring model to the peer learning model requires distinct pedagogical approaches and competences from mentors, which can be enhanced by strengthening mentors' peer-learning competence. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: It is essential to support mentors' competence in mentoring through peer learning by providing mentoring education. Learning models based on collaborative learning are beneficial for improving performance in clinical placements because they enable more nursing students to learn simultaneously in clinical practice. IMPACT: This systematic review provides synthesised evidence of mentors' experiences in mentoring nursing students during peer learning in clinical practice. Mentors' role is to provide pedagogical support for nursing students in clinical practice conducted with peer learning. Before implementing peer learning in clinical practice, it is essential to consider the conditions for peer learning across various clinical settings and to provide support for mentors as they mentor nursing students through peer learning. These findings can support healthcare administrators, educators, mentoring education providers and mentors of peer learning in clinical practice. REPORTING METHOD: This review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct or reporting. PROTOCOL REGISTRATION: The protocol is registered in The Open Science Framework (OSF): 10.17605/OSF.IO/5F9HP.
Shared Decision-Making and Trajectories of Self-Management Confidence in Nurse-Led Chronic Condition Care: A Longitudinal Evaluation.
Ominyi J, Nwedu A, Agom D … +1 more , Ngon A
J Adv Nurs · 2026 May · PMID 42095371 · Publisher ↗
AIM: To examine whether shared decision-making at baseline is associated with trajectories of self-management confidence over 12 months among individuals living with chronic conditions attending nurse-led clinics. DESIGN...
AIM: To examine whether shared decision-making at baseline is associated with trajectories of self-management confidence over 12 months among individuals living with chronic conditions attending nurse-led clinics. DESIGN: A longitudinal design. METHODS: Individuals with at least one clinician confirmed chronic condition were recruited from six nurse-led primary care clinics between March and September 2022. Data collection took place between March 2022 and September 2023, with baseline, 6 and 12-month assessments completed within routine follow-up contacts. Self-management confidence was measured using the Self-Efficacy for Managing Chronic Disease Scale, and perceived shared decision-making was assessed using the nine-item Shared Decision-Making Questionnaire (SDM-Q-9). Linear mixed-effects modelling examined changes in confidence over time and associations with baseline shared decision-making, adjusting for age, gender, education and number of chronic conditions. RESULTS: Of 157 eligible individuals approached, 151 consented to participate (96.2%), and 146 were retained at 12 months (96.7%). Mean self-management confidence increased from 40.2 at baseline to 44.5 at 12 months. In adjusted models, confidence was significantly higher at 6 months (β = 2.63, 95% CI: 1.54-3.72, p < 0.001) and 12 months (β = 4.21, 95% CI: 2.93-5.49, p < 0.001) compared with baseline. Higher baseline shared decision-making was positively associated with repeated confidence scores across follow-up (β = 0.10, 95% CI: 0.04-0.16, p = 0.002). The association was stronger among participants aged under 60 years. CONCLUSIONS: Within established nurse-led chronic condition care, perceived shared decision-making was statistically associated with subsequent trajectories of self-management confidence over 12 months. Confidence demonstrated gradual change rather than stability within routine practice. IMPLICATIONS: Strengthening the visibility and consistency of collaborative dialogue within nurse-led consultations may support self-management confidence. Structured conversational approaches that help nurses enact shared decision-making more explicitly warrant further evaluation in primary care. PATIENT OR PUBLIC CONTRIBUTION: No patients were involved in study design.
Mapping the Drivers of Engagement in Mentorship in Nursing Clinical Practicums: A Network Analysis.
Padrosa E, Núñez-Doyle A, Ayuso-Margañon R … +6 more , Rifà-Ros R, Sanclemente-Dalmau M, Alcover C, Martín-Arribas A, Graells-Sans A, Rodríguez-Monforte M
J Adv Nurs · 2026 May · PMID 42087569 · Publisher ↗
AIM: To map factors influencing nurses' engagement in clinical mentorship in nursing education and explore their interactions using network analysis. DESIGN: Observational cross-sectional study employing an online survey...
AIM: To map factors influencing nurses' engagement in clinical mentorship in nursing education and explore their interactions using network analysis. DESIGN: Observational cross-sectional study employing an online survey from July 2024 to May 2025. METHODS: A total of 261 clinical mentors from healthcare institutions in Catalonia, Spain, completed the survey. Key variables included engagement in clinical mentorship (implication, motivation, satisfaction, compromise), perceived obstacles, ward manager support, emotional intelligence, emotional wellbeing, working and employment conditions. Data were analysed using regularized partial correlation network analyses. Centrality indices were calculated to determine the most influential variables within the network structure. RESULTS: Motivation, ward manager support, and emotional intelligence emerged as the most central, interconnected drivers of engagement. Motivation showed positive associations with commitment and implication in the mentoring role and a negative association with perceived obstacles. Ward manager support was linked to emotional wellbeing and peer support, reflecting the importance of psychosocial resources. Emotional intelligence appeared to support motivation, work control, and satisfaction with the mentoring role. In contrast, professional experience and employment conditions showed limited influence within the network. CONCLUSION: This study provides a comprehensive understanding of how multiple factors interact to shape nurses' engagement in clinical mentorship. Motivation, ward manager support, and emotional intelligence represent key leverage points for strengthening mentorship practices. IMPLICATIONS FOR THE PROFESSION: Sustainable, high-quality clinical practicums require supportive work environments that recognize and foster mentors' intrinsic motivation, leadership support, and emotional skills. IMPACT: Clinical mentors are essential to student learning, and so is their engagement in the mentoring role. This study is the first to apply network analysis to this process, revealing that motivation, emotional intelligence, and ward manager support are central to engagement, while professional experience and employment conditions are less relevant. These findings can guide institutional strategies to promote supportive and nurturing clinical learning environments. REPORTING METHOD: The manuscript is based on the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct, or reporting.
Advancing Nurse Mentors' Development Through a Mentoring Intervention: A Mixed Methods Study.
Kallerhult Hermansson S, Hilli Y, Norström F … +2 more , Solbakken R, Bölenius K
J Adv Nurs · 2026 May · PMID 42087548 · Publisher ↗
BACKGROUND: Mentoring in nursing is crucial for supporting newly qualified nurses, enhancing retention and promoting professional development. Despite its significance, limited research has explored nurse mentors' perspe...
BACKGROUND: Mentoring in nursing is crucial for supporting newly qualified nurses, enhancing retention and promoting professional development. Despite its significance, limited research has explored nurse mentors' perspectives and their own development through mentoring. AIM: To explore how a structured mentoring intervention influences nurse mentors' clinical teaching behaviour, self-efficacy and experiences of their professional role development. DESIGN: A convergent mixed-methods study was conducted during a mentorship intervention across healthcare units in hospitals and municipalities in northern Sweden and Norway. METHODS: Forty-one experienced registered nurses participated as nurse mentors. Quantitative data were collected via validated instruments on clinical teaching behaviour and self-efficacy before and twice after the intervention. Qualitative data were collected through post-intervention focus group interviews. Quantitative data were analysed using Wilcoxon signed rank test; qualitative data were analysed using qualitative content analysis. Findings were triangulated to identify convergence and divergence. RESULTS: Nurse mentors reported personal and professional growth, especially in relationship-building, mentoring skills and role clarity. Results showed consistently high ratings in clinical teaching behaviour and self-efficacy, with an increase in clinical teaching behaviour scores post-intervention. CONCLUSIONS: Structured mentoring interventions support nurse mentors' development, improving clinical teaching practices and reinforcing their professional identity-key factors in nurse retention. IMPLICATIONS FOR THE PROFESSION: The findings highlight the need for sustained nurse mentor support and tailored mentorship frameworks to ensure effective, long-term mentoring in nursing. IMPACT: What problem did the study address? Mentoring is essential for supporting newly qualified nurses, improving retention and fostering their professional development. Most mentorship research focuses on mentees, with limited insight into nurse mentors' perspectives and development. What were the main findings? Nurse mentors experienced development in several areas throughout the intervention, particularly in building relationships, fostering meaningful mentoring skills and refining their role as nurse mentors. Where and on whom will the research have an impact? This study can inform policy and practice by contributing knowledge on the development of sustainable mentoring frameworks. These frameworks support the formation of collaborative and stable work groups in clinical settings, enhancing nurse retention, professional development and the overall quality of patient care. REPORTING METHOD: This study adhered to the Good Reporting of A Mixed Methods Study (GRAMMS) guidelines, by O'cathain et al. as recommended by the EQUATOR network. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
Prison Abolition: An Evolutionary Concept Analysis With Implications for Nursing.
Birnley K, Hassouneh D
J Adv Nurs · 2026 May · PMID 42083466 · Publisher ↗
AIMS: To clarify the concept of prison abolition in the context of United States mass incarceration and to discuss its implications for nursing ethics, knowledge production, and practice. DESIGN: A critical literature re...
AIMS: To clarify the concept of prison abolition in the context of United States mass incarceration and to discuss its implications for nursing ethics, knowledge production, and practice. DESIGN: A critical literature review using Rodger's evolutionary concept analysis. METHODS: We coded and thematically analysed sources to identify associated terms, attributes, antecedents, and consequences of the concept of prison abolition. DATA SOURCES: We searched six databases and a book catalogue between May 2024 and April 2025 to yield a sample of 30 interdisciplinary academic texts. No date limits were set. RESULTS: We identified nine attributes: Counterhegemonic, Recognizing Carceral Harm and Failure, New Public Discourse, Incremental, Culture of Care, Equitable Justice, Elimination Not Reform, Evolving, and Grassroots with consistent interdisciplinary and temporal characterization. There is a relative absence of this concept in nursing literature even though it addresses health concerns. CONCLUSION: Prison abolition aligns with the American Nursing Association's Nursing Code of Ethics and could inform and guide nurses toward improvements in health equity. IMPLICATIONS FOR THE PROFESSION: Nursing in the United States has not engaged with abolition as much as other disciplines, but our Code of Ethics compels us to. Prison abolition is concerned with health equity, and marginalized populations could benefit if we incorporate the concept into our practice, scholarship, and advocacy. IMPACT: This review addressed a potential lack of understanding or awareness of the concept of prison abolition within nursing discourse. The main finding is that this concept aligns with U.S. nursing ethics. This research may impact nurses looking to incorporate a theory and practice to improve approaches to health equity. REPORTING METHOD: We were unable to find an EQUATOR reporting method for concept analyses. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
'Becoming a Nurse': A Lifelong Journey Beyond the Transition to Professional Practice-An Analytical Discursive Paper.
Park SAS, Eckert M, Sharp R … +2 more , Duchscher J, Peters MDJ
J Adv Nurs · 2026 May · PMID 42068126 · Publisher ↗
AIM: To reconceptualise becoming a nurse as a lifelong developmental journey that extends beyond the traditional focus on new graduate transition, and to inform policies and practices supporting recruitment, retention an...
AIM: To reconceptualise becoming a nurse as a lifelong developmental journey that extends beyond the traditional focus on new graduate transition, and to inform policies and practices supporting recruitment, retention and career sustainability. BACKGROUND: The global nursing shortage persists, exacerbated by high attrition rates among new graduates and an aging workforce. While existing literature predominantly examines the transition from student to professional practice, we propose that 'becoming a nurse' begins earlier and extends beyond clinical roles into retirement. DESIGN: An analytical discursive paper. DATA SOURCES: Key theoretical frameworks (Schlossberg's Transition Model, Kennedy's Integrated Transition Model, Benner's Novice-to-Expert framework and Duchscher's Stages of Transition Model) were integrated with empirical literature (1974-2025) on nursing career trajectories, clinical expertise development and professional identity across the lifespan, with emphasis on contemporary evidence from 2015 to 2025. RESULTS: Becoming a nurse is reconceptualised as a continuous, lifelong transition encompassing four interrelated phases: (1) early career interest, where nursing aspirations emerge during childhood and adolescence; (2) non-traditional entry, involving second-career entrants who undergo profound identity reconstruction as novices; (3) middle-career transition, characterised by sustained development from competence through proficiency toward expertise and clinical wisdom; and (4) late-career transition, where professional identity and contribution continue beyond retirement. Each phase presents distinct developmental demands requiring tailored educational, organisational and workforce responses. Together, these phases form a Lifespan Transition Framework that advances the field by proposing transition as a recursive developmental mechanism, where adaptive capacities built at each phase become foundational resources for subsequent phases, rather than separate, time-limited events. CONCLUSION: Understanding becoming a nurse as a lifelong transition provides a unifying conceptual foundation for more coherent, stage-sensitive workforce strategies. This perspective shifts policy and practice beyond short-term graduate retention toward lifespan-oriented workforce systems that strengthen recruitment, sustain expertise and preserve professional wisdom across the whole nursing career lifespan.
Determinant Factors of Self-Care Deficit in People With Chronic Wounds: A Scoping Review.
Dantas JS, Gomes YLM, Ramos ACMF … +2 more , Vasconcelos SC, Freire MEM
J Adv Nurs · 2026 Apr · PMID 42059679 · Publisher ↗
AIMS: To identify and synthesise the scientific evidence on determinants of self-care deficits in people with chronic wounds. DESIGN: Scoping review based on the Joanna Briggs Institute guidelines. METHODS: This scoping...
AIMS: To identify and synthesise the scientific evidence on determinants of self-care deficits in people with chronic wounds. DESIGN: Scoping review based on the Joanna Briggs Institute guidelines. METHODS: This scoping review was conducted by a review team responsible for study screening, data extraction and synthesis. The categorisation of findings was grounded in Orem's Self-Care Deficit Theory and operationalised using the COM-B model and the Theoretical Domains Framework. DATA SOURCES: A comprehensive search, without date or language restrictions, was conducted in Web of Science, MEDLINE (PubMed), Cochrane Library, Scopus (Elsevier), SciELO, Ovid and EMBASE (Elsevier), from November 2023 to April 2024. RESULTS: Of the 3076 records identified, 22 studies were included. Most were cross-sectional studies, with sample sizes ranging from seven to 1085 participants and a mean age of 61.45 years, predominantly involving people with venous leg ulcers and diabetic foot ulcers. Findings were synthesised into four categories: clinical, socioeconomic, behavioural and health system-related factors, indicating that multiple interrelated determinants influence engagement in self-care and contribute to persistent self-care deficits. CONCLUSION: The findings demonstrate the vulnerability of people living with chronic wounds, arising from the complex interaction of clinical, psychosocial, socioeconomic and health service-related factors that determine self-care deficits. These deficits compromise wound healing, prolong treatment and negatively affect quality of life, underscoring the need for person-centred approaches to care. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This study reinforces the need for integrated and sustainable models of care grounded in person-centred practice, aimed at strengthening self-care capacities, enhancing clinical practice and informing more equitable health policies. IMPACT: This review highlights the multifactorial nature of self-care deficits in people with chronic wounds. Nursing plays a key role in identifying barriers and strengthening capacities through Orem's supportive-educative system. Person-centred interventions improve adherence and continuity of care. REPORTING METHOD: This review follows the PRISMA guidelines for reporting. PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct, or reporting.
Gender Differences in Cardiac Rehabilitation Information Needs, Barriers and Participation Decisions Among Patients With Coronary Heart Disease: Fairlie Decomposition Analysis.
Shi L, Yang R, Li X … +7 more , Chen M, Song Y, Cao C, Sun Q, Zhou Q, Liu Y, Zhang J
J Adv Nurs · 2026 Apr · PMID 42059676 · Publisher ↗
AIM: Cardiac rehabilitation (CR) is an effective intervention for improving outcomes in patients with coronary heart disease (CHD). However, the actual participation rate is unsatisfactory and exhibits significant gender...
AIM: Cardiac rehabilitation (CR) is an effective intervention for improving outcomes in patients with coronary heart disease (CHD). However, the actual participation rate is unsatisfactory and exhibits significant gender disparities. This study aimed to investigate gender-specific determinants of the decision to participate in CR among patients with CHD, together with underlying causes. DESIGN: Cross-sectional study. METHODS: A cross-sectional survey of 264 patients with CHD from 3 Chinese tertiary hospitals between February 2024 and February 2025. Data were collected using questionnaires based on the Information Need in Cardiac Rehabilitation scale, the Chinese version of Cardiac Rehabilitation Barriers Scale, the Family APGAR index questionnaire, and the International Physical Activity Questionnaire-Short Form. RESULTS: There were 158 men aged 66 (SD = 13.3) and 106 women aged 66 (SD = 11.0). 55.1% of men CHD patients decided to participate in CR, significantly higher than in women patients (34.0%; χ = 11.351, p = 0.001). Logistic regression analysis for men indicated that the facilitators of the decision to participate in CR were the level of family functioning and ≥ 2 comorbidities. The barriers included emergency/safety information needs and functional status. For women, the facilitators were retirement, family functioning level, being overweight/obesity, ≥ 2 comorbidities, and work/vocational/social factors. The barriers included medication information needs, logistical factors, and functional status. Fairlie decomposition revealed gender differences primarily driven by work/vocational/social factors (contribution: 71.19%), functional status (50.50%), and retirement (-39.16%) (all p < 0.05). IMPACT: This study highlights the necessity of gender-specific interventions during the decision-making phase for CR. Healthcare professionals should tailor CR strategies to address women's social role barriers and men's emergency risk concerns, while enhancing family functioning and targeting support for functional status and work-related factors. REPORTING METHOD: STROBE checklist, cross-sectional. PATIENT OR PUBLIC CONTRIBUTION: Three tertiary hospitals assisted in participant recruitment.
Nurses' Experiences of Pain Management for Patients With Diagnosed Mental Health Conditions: A Systematic Review.
Alejandro AL, Middlewick Y, Ang SGM … +2 more , Saunders R, Ngune I
J Adv Nurs · 2026 Apr · PMID 42053393 · Publisher ↗
AIM: To synthesise the available evidence related to nurses' pain assessment and management practices for patients with diagnosed mental health conditions. DESIGN: Mixed-methods systematic review. DATA SOURCES: Medline,...
AIM: To synthesise the available evidence related to nurses' pain assessment and management practices for patients with diagnosed mental health conditions. DESIGN: Mixed-methods systematic review. DATA SOURCES: Medline, CINAHL, PsycINFO, SPORTDiscus and Psychology and Behavioural Sciences Collection. METHODS: Databases search was conducted in March 2024 and updated in June 2025. Methodological quality was assessed using the Mixed Methods Appraisal Tool. Data synthesis followed the Joanna Briggs Institute (JBI) Manual for Evidence Synthesis. RESULTS: Of the 1318 eligible studies identified, 12 met the inclusion criteria. The included studies were methodologically robust overall but frequently neglected nonresponse bias and were predominantly conducted in high-income countries, potentially limiting generalisability. The synthesis revealed diverse experiences among nurses in assessing and managing pain in patients with diagnosed mental health conditions. Six key themes emerged: Inadequate and Inconsistent Pain Assessments, Seeing is Believing, To Trust or Not to Trust the Patient, A Balancing Act, Diagnostic Overshadowing and Organisational Restraint and Support. CONCLUSIONS: This review highlights the ongoing challenges nurses encounter in assessing and managing pain and the need for enhanced education and institutional support to strengthen nurses' capacity for effective pain assessment and management in patients with diagnosed mental health conditions. Stigma, both structural and interpersonal, continues to shape clinical decision-making, often leading to under-assessment and inadequate treatment of pain. Integrating clinical judgement with validated pain assessment tools will help ensure nurses provide evidence-based pain management for this often-marginalised group. IMPLICATIONS FOR PATIENT CARE: Enhancing nursing competence in pain assessment and management for patients with diagnosed mental health conditions leads to more accurate and timely pain relief, significantly improving physical and psychological wellbeing. Effective pain control for this vulnerable group can reduce hospital length of stay and minimise complications, ultimately contributing to better health outcomes and quality of life. PATIENT CONTRIBUTION: No patient contribution. IMPACT: What problem did the study address?: Pain is a complex sensation affecting people with diagnosed mental health conditions. They are likely to receive inadequate pain assessment and management due to mental health conditions preventing them from accurately self-reporting their pain and advocating for timely treatment. This review explored the pain assessment and management practices among nurses for patients with diagnosed mental health conditions. What were the main findings?: Significant barriers were identified, including inconsistent use of pain assessment tools, limited knowledge and confidence among nurses, power imbalances in the nurse-patient relationship, diagnostic overshadowing where physical symptoms are presumed to be related to mental illness, and organisational constraints such as staffing shortages, lack of education and restrictive hospital policies. Strategies to mitigate these barriers are essential to improving pain outcomes and promoting person-centred care for this vulnerable population. Where and on whom will the research have an impact?: This review highlights the need for more robust approaches to the assessment and management of pain experienced by patients with diagnosed mental health conditions. It underscores the importance of integrating pain assessment, mental health and substance use education into nursing curricula and post-registration nursing practice. The findings highlight the need to update clinical guidelines and organisational policies, ensuring that nurses receive the necessary training, resources and support to provide effective pain management for patients with mental health conditions to enhance the quality of care and promote more equitable health outcomes for individuals with mental health conditions. REPORTING METHOD: Joanna Briggs Institute (JBI) Manual for Evidence Synthesis and Preferred Reporting Items for Systematic and Meta-analysis (PRISMA) reporting guideline for systematic reviews. PATIENT OR PUBLIC CONTRIBUTION: None.
Nurses' Lived Experiences of Generative Artificial Intelligence-Enabled Shift Handover Innovation: A Descriptive Phenomenological Study.
Shankar R, Lim A, Xu Q
J Adv Nurs · 2026 Apr · PMID 42027174 · Publisher ↗
AIM: To explore nurses' lived experiences of a generative artificial intelligence-enabled shift handover innovation. DESIGN: A descriptive phenomenological study guided by Husserl's philosophical framework and operationa...
AIM: To explore nurses' lived experiences of a generative artificial intelligence-enabled shift handover innovation. DESIGN: A descriptive phenomenological study guided by Husserl's philosophical framework and operationalized through Colaizzi's seven-step analytical method. METHODS: Purposive sampling was used to recruit 18 registered nurses at an Integrated General Hospital in Singapore. Semi-structured individual interviews (n = 12) served as the primary data source, followed by two confirmatory focus group discussions (n = 6 per group) incorporating six previously interviewed participants alongside six additional participants to validate and refine emerging themes. Data were collected between January and June 2025 and analysed using Colaizzi's seven-step phenomenological method. RESULTS: Five interconnected themes emerged: (1) the burden of fragmented documentation; (2) navigating technological change with cautious optimism; (3) anchoring innovation in familiar clinical frameworks; (4) anticipating barriers to seamless integration; and (5) envisioning enhanced patient safety and professional practice. CONCLUSION: Participants experienced a tension between documentation demands and direct patient care. Their conditional acceptance of AI assistance, contingent upon accuracy, clinical oversight, and workflow integration, reflects a sophisticated professional stance rather than resistance. The findings illuminate the essence of navigating the intersection of traditional practice and technological innovation. IMPACT: This study offers insights into nurses' lived experiences of AI-enabled handover innovation. The findings can inform user-centred implementation strategies that align technological innovation with nursing values and workflow realities. REPORTING METHOD: This study adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. PATIENT OR PUBLIC CONTRIBUTION: Nursing staff contributed to the refinement of interview guides through pilot testing and provided feedback on preliminary findings through member checking procedures.
Decolonising Care: A Justice Oriented Approach in Nursing.
Calvin M
J Adv Nurs · 2026 Jul · PMID 42017765 · Publisher ↗
Abstract loading — click title to view on PubMed.
Evolving Nursing Decision-Making-From Theories to Smart Care Decisions.
Salanterä S
J Adv Nurs · 2026 Jul · PMID 42017513 · Publisher ↗
Abstract loading — click title to view on PubMed.
Correction to "Exploring Mother-Daughter Perceptions of Weight, Shape and Physical Activity in a Refugee Camp".
J Adv Nurs · 2026 Apr · PMID 42012327 · Publisher ↗
Abstract loading — click title to view on PubMed.
Assessing Quality of Action Research Using the Quality Assessment Action Research Checklist (QuARC): A Hybrid Systematic Narrative Review.
Casey M, Coghlan D, Carroll Á … +2 more , Buckley T, Stokes D
J Adv Nurs · 2026 Apr · PMID 42003855 · Publisher ↗
AIM: To evaluate the quality of action research studies using the Quality Assessment Action Research Checklist (QuARC) and to assess its utility as a tool for quality appraisal. DESIGN: A hybrid systematic narrative revi...
AIM: To evaluate the quality of action research studies using the Quality Assessment Action Research Checklist (QuARC) and to assess its utility as a tool for quality appraisal. DESIGN: A hybrid systematic narrative review following Turnbull et al.'s six-stage methodology and reported in accordance with PRISMA 2020 guidance. DATA SOURCES: Scopus was searched for author self-identified action research studies published between January 2020 and March 2024. REVIEW METHODS: Two reviewers independently selected studies meeting inclusion criteria: health science action research papers addressing any or all of QuARC's four quality factors. A scoring system was used to capture each of QuARC's 17 quality items, which was scored as 0 (absent), 0.5 (partial) or 1 (comprehensive). Narrative synthesis was undertaken across the four QuARC domains. RESULTS: Thirty-two studies met the inclusion criteria. Reporting frequencies across QuARC were: Context (92.5%, mean = 3.7/4), Quality of Relationships (55% mean = 2.2/4), Quality of Action Research Process (62.5% mean = 2.5/4), and Quality of Outcomes (62.5% mean = 3.1/5). Reporting gaps were most evident in reflexive co-analysis, relational evaluation and explicit theoretical contribution. CONCLUSION: Global reporting of rigour and quality in action research remains inconsistent. QuARC functioned both as an appraisal instrument and as an analytic lens, revealing systematic patterns in how action research privileges practical change over theoretical articulation and reflexive relational work. Further refinement and validation are recommended to strengthen its reliability as an appraisal tool. IMPLICATIONS: Findings highlighted a critical need to establish a standardised, validated approach to assess quality in action research. Adoption of QuARC can enhance consistency, clarity and comparability across studies, strengthening the evidence base for action research methodologies. IMPACT: This first systematic synthesis of QuARC's application provides an evidence base for its further development. This lays foundations for international standards in quality appraisal, strengthening the credibility, reproducibility and influence of action research.
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