Journal Of Advanced Nursing[JOURNAL]
Sun
200 papers
Guiding Through Darkness: How Nurses and Interdisciplinary Teams Foster Healing and Resilience After a Catastrophic Fire.
Li WHC, Xu X, Smith GD
J Adv Nurs · 2026 Feb · PMID 41705597 · Publisher ↗
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Network Analysis of Self-Efficacy and Professional Resilience in Emergency Nurses: A Multi-Center Cross-Sectional Study.
Wang C, Peng Y, Huang L … +3 more , Zhu S, Zeng H, Mao S
J Adv Nurs · 2026 Feb · PMID 41705563 · Publisher ↗
OBJECTIVE: This study aimed to investigate the network structural characteristics of self-efficacy and professional resilience among emergency nurses, identify core nodes within the network, and elucidate the key interac...
OBJECTIVE: This study aimed to investigate the network structural characteristics of self-efficacy and professional resilience among emergency nurses, identify core nodes within the network, and elucidate the key interactive mechanisms between these constructs. DESIGN: Descriptive cross-sectional study. METHODS: A multi-center cross-sectional study was conducted from January to February 2025, involving 612 emergency nurses from 20 hospitals in Sichuan, China. Data were collected using a self-administered demographic questionnaire, the General Self-Efficacy Scale, and the Chinese Emergency Nurse Professional Resilience Tool. An adjacent network integrating professional resilience and self-efficacy was developed. Key covariates-including title, position, tenure in the hospital or emergency department, education, and exposure to workplace violence-were included as control variables. Network precision and stability were evaluated using the correlation stability coefficient and confidence intervals for edge weights. To further test the robustness of the network model, sensitivity analyses were performed by adding each significant covariate to the original model. The Network Comparison Test was then used to compare the covariate-adjusted and unadjusted networks, assessing differences in network structure, overall strength, and edge weights. RESULTS: The analysis identified S9 as the central node in the network. The overall network showed satisfactory stability and precision. The Network Comparison Test showed no significant differences in network structure or global strength between the adjusted and unadjusted models, indicating that the network was stable and robust to covariate adjustment. CONCLUSION: This network analysis revealed the interaction mechanisms between self-efficacy and professional resilience among emergency nurses through contemporaneous network modelling and identified S9 as the core node, suggesting that this coping strategy plays a key role in regulating psychological resources. The overall network demonstrated good stability and precision, with no statistically significant differences between the adjusted and unadjusted models according to the Network Comparison Test. These findings indicate that the network structure was robust to covariate adjustment and provide a reference for developing and optimising intervention strategies to enhance professional resilience among emergency nurses. IMPLICATIONS: For Emergency Nurses and the Management of Emergency Nursing Practice: What problem does this study address? This study addresses the gap in understanding how self-efficacy and occupational resilience interact in emergency nurses under high-stress conditions. KEY FINDINGS: A contemporaneous network analysis revealed a central node linking self-efficacy and resilience, highlighting key pathways in their mutual influence. IMPACT: The findings offer practical guidance for emergency nursing management, supporting the development of targeted strategies to strengthen nurses' resilience, enhance professional competence, and improve the quality of emergency care. REPORTING METHOD: This study is reported using the STROBE guidelines. PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Involvement: This study did not include patient or public involvement in its design, conduct, or reporting.
Views and Experiences of People With Dementia, Informal Caregivers and Professionals on Eating and Drinking Difficulties: A Qualitative Systematic Review.
Cai M, Gong X, Yang Y … +2 more , He H, Wu X
J Adv Nurs · 2026 Feb · PMID 41705559 · Publisher ↗
AIM: This study aims to explore the views and experiences of people with dementia, informal caregivers and professionals regarding eating and drinking difficulties. DESIGN: A qualitative systematic review was conducted....
AIM: This study aims to explore the views and experiences of people with dementia, informal caregivers and professionals regarding eating and drinking difficulties. DESIGN: A qualitative systematic review was conducted. METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines were used to conduct this systematic review. The quality of the included studies was assessed using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research, and the data were thematically synthesised using Thomas and Harden's three-stage method. DATA SOURCES: Six electronic databases (PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL and PsycINFO) were searched from their respective inception dates to August 2025 to identify relevant studies. RESULTS: Thematic analysis of the 16 included studies identified four key themes: (1) Physiological and psychological changes in people with dementia and caregivers; (2) factors influencing eating and drinking in people with dementia; (3) needs and recommendations for people with dementia, informal caregivers and professionals; (4) selection of eating methods for end-stage people with dementia. CONCLUSIONS: Eating and drinking difficulties affect the well-being of both patients and caregivers. A good dining environment improves mealtime pleasure but demands caregivers' time and energy. All parties emphasised the importance of effective communication. In end-stage dementia, professional assistance is crucial for enteral nutrition decisions. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Collaboration among patients, caregivers and professionals is vital for creating tailored nutritional plans and improving mealtime environments, thereby enhancing nutritional intake. In advanced dementia, providers must provide balanced information on comfort feeding versus enteral nutrition to aid decision-making. IMPACT: What problems were addressed in this study? This study addressed the lack of a consolidated, tri-perspective understanding of eating and drinking difficulties in dementia care settings. What are the main findings? Four key themes were identified: physiological and psychological changes, influencing factors, stakeholder needs and end-of-life decision-making. Where and on whom will the research have an impact? This will impact care practices for people with dementia and inform the training and support of informal caregivers and healthcare professionals.
Spanish Translation, Cultural Adaptation and Validation of the Person-Centred Practice Inventory-Care (PCPI-C): Enhancing Collaborative Care and Patient Involvement.
Choperena A, Carvajal-Valcárcel A, Vázquez-Calatayud M … +7 more , Gamero-Salinas J, Errasti-Ibarrondo B, La Rosa-Salas V, McCormack B, Tyagi V, Benitez E, Lizarbe-Chocarro M
J Adv Nurs · 2026 Feb · PMID 41696984 · Publisher ↗
AIM(S): To translate, culturally adapt and validate the first Spanish version of the Person-centred Practice Inventory-Care (PCPI-C) instrument. DESIGN: Cross-cultural adaptation and psychometric validation. METHODS: Two...
AIM(S): To translate, culturally adapt and validate the first Spanish version of the Person-centred Practice Inventory-Care (PCPI-C) instrument. DESIGN: Cross-cultural adaptation and psychometric validation. METHODS: Two-phase research design: (1) the PCPI-C's translation and cultural adaptation from English to Spanish following the 'Translation and Cultural Adaptation of Patient-Reported Outcomes Measures-Principles Guide of Good Practice' tool; and (2) a cross-sectional quantitative survey to assess the Spanish version's psychometric properties. RESULTS: A sample of 200 patients participated to obtain the PCPI-C's Spanish version. No significant issues arose during the translation process or the consulting sessions. No item exhibited an inadequate value following adjustment via the weighted kappa index (-scale-level content validity average of 0.95 for clarity and 0.97 for relevance). Psychometric evaluation revealed acceptable internal consistency (Cronbach's alpha from 0.67 to 0.84) and strong construct validity. Exploratory and confirmatory factor analyses supported a five-dimensional structure consistent with the domain Person-Centred Processes. Fit indices improved after model refinements, achieving CFI = 0.92, SRMR = 0.05 and RMSEA = 0.07. This study's observed psychometric properties confirm that the PCPI-C's Spanish version retains the original instrument's theoretical integrity, while showing strong reliability and validity in the new context. CONCLUSION: The PCPI-C's Spanish translation was psychometrically valid when tested with Spanish patients, thus providing a culturally appropriate, psychometrically sound tool to evaluate Spanish-speaking patients' perception of person-centred care. IMPACT: This study provides a validated instrument that allows for the assessment of person-centred practice in Spanish-speaking clinical environments. It enables healthcare professionals to measure patients' perceptions, track the implementation of person-centred principles and supports international comparative studies, contributing to the development of more ethical and responsive models of care. PATIENT OR PUBLIC CONTRIBUTION: Patients participated in cognitive consultations and completed the survey for psychometric testing, ensuring that the translated items were understandable, culturally appropriate and reflective of their experiences of person-centred care.
Ethical Sensitivity as Mediator Between Conflict and Decision-Making: A Cross-Sectional Study of ICU Nurses.
He Q, Huang C, Feng J … +5 more , Shi A, Feng Z, Wang L, Qiu X, Tao Y
J Adv Nurs · 2026 Feb · PMID 41696975 · Publisher ↗
AIMS: To examine the relationship between ethical conflicts and ethical decision-making ability, ethical sensitivity and demographic factors as mediator/moderator roles. DESIGN: A cross-sectional survey was conducted fro...
AIMS: To examine the relationship between ethical conflicts and ethical decision-making ability, ethical sensitivity and demographic factors as mediator/moderator roles. DESIGN: A cross-sectional survey was conducted from June to December 2024. METHODS: This study involved 503 intensive care unit nurses from eight tertiary hospitals across Zhejiang, Guangdong and Guangxi provinces. Participants completed validated instruments including the Ethical Conflict Nursing Questionnaire-Critical Care Version, the Chinese Moral Sensitivity Questionnaire-Revised version and the Chinese Version of Judgement About Nursing Decision. SPSS 27.0 was used for descriptive statistics and Pearson correlation analysis, while PROCESS macro handled mediation and moderation analysis. RESULTS: The relationship between ethical conflict and decision-making ability was significantly mediated by both moral responsibility/strength and burden, with the latter demonstrating a stronger indirect effect. Furthermore, exploratory moderated mediation analysis showed that this mediation model varied significantly across different levels of work experience and types of intensive care unit. Given the exploratory nature of these findings, they require verification in future confirmatory studies. CONCLUSIONS: The association between ethical conflict and decision-making ability was mediated by ethical sensitivity. This pathway was moderated by work environment and qualifications, indicating the need for tailored interventions. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Developing nurses' ethical sensitivity is a key strategy for managers aiming to improve ethical decision-making when nurses face ethical conflicts. IMPACT: This study addressed ambiguous findings regarding the relationship between ethical conflict and nurses' decision-making ability. For nurse managers, fostering ethical sensitivity among staff represents a key strategy for mitigating the ethical conflicts that are negatively associated with decision-making ability. REPORTING METHOD: The strengthening the reporting of observational studies in epidemiology statement (STROBE) was followed. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution. TRIAL REGISTRATION: Chinese Clinical Trial Registry (ChiCTR): MR-33-24-032956.
Nursing in Prison: The Development, Complexity and Future.
Brooke J
J Adv Nurs · 2026 Jul · PMID 41696963 · Publisher ↗
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Beyond Competence: Why Reflective Practise Should Underpin Nursing's Next 50 Years.
Stacey G
J Adv Nurs · 2026 Jul · PMID 41696939 · Publisher ↗
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Advancing Emergency Nursing Care Through International Collaboration and Behaviour Change Theory.
Considine J, Chuajedton P, Suthipong C … +6 more , Dhuvakham W, Wiangosot S, van Gulik N, Pintatham K, Shaban RZ, Curtis K
J Adv Nurs · 2026 Feb · PMID 41693233 · Publisher ↗
AIM: In this paper, the development of an evidence-informed, data-driven strategy for implementation of the HIRAID emergency nursing framework in Thailand is reported. HIRAID stands for History including Infection risk,...
AIM: In this paper, the development of an evidence-informed, data-driven strategy for implementation of the HIRAID emergency nursing framework in Thailand is reported. HIRAID stands for History including Infection risk, Red flags, Assessment, Interventions, Diagnostics, reassessment and communication. DESIGN: This exploratory descriptive study was underpinned by the Knowledge-to-Action framework. METHODS: The study was conducted in Chiangrai Prachanukroh Hospital (CRH) in Northern Thailand. The identified problem was no standardised approach to patient assessment and management. Adaptation of knowledge to local context occurred by feasibility assessments and experience-based co-design. Surveys designed and analysed using the Behaviour Change Wheel and Theoretical Domains Framework were used to understand the barriers to knowledge use. Selecting, tailoring and implementing the intervention was guided by the Behaviour Change Wheel. FINDINGS: Practice environment and behavioural diagnostics surveys were completed by 49 nurses (response rate 100%) who identified 19 enablers and 33 barriers to HIRAID implementation at CRH. Enablers and barriers were mapped to seven intervention functions (education, modelling, persuasion, enablement, training, environment restructuring, incentivisation) and 19 behaviour change techniques most likely to be effective. The study methods and results culminated in an evidence-informed, data-driven HIRAID Thailand Implementation Strategy. CONCLUSION: In-depth understanding of context-specific enablers and barriers, active engagement of end-users was critical to maximising likelihood of successful implementation. Development of an evidence-informed implementation strategy for a limited resource setting was achievable with robust application of theory, key stakeholder and end-user engagement and multi-agency collaboration. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Implementation of clinical interventions in emergency care settings is challenging, even in well-resourced settings. For end-users, knowledge that an intervention would improve patient care was a powerful enabler coupled with meaningful organisational support is critical to sustained implementation in complex nursing environments. IMPACT: This study addresses the lack of standardised approach to patient assessment and management in the emergency department in a resource-limited setting. Application of robust theory is possible in middle-resource settings, and this study identified 19 behaviour change techniques that were distilled to develop a sustainable, context specific implementation strategy. Development of an evidence-informed implementation strategy for a limited resource setting with robust application of theory is possible with key stakeholder and end-user engagement and multi-agency collaboration. REPORTING METHOD: There is no EQUATOR guideline available for this study. PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct or reporting.
Leadership of Nurses' Interprofessional Collaboration: A Mixed-Methods Systematic Review.
Kamppila H, Czabanowska K, Kämäräinen P … +2 more , Younas A, Kvist T
J Adv Nurs · 2026 Feb · PMID 41693216 · Publisher ↗
AIM: To identify and synthesise qualitative and quantitative evidence of nurse managers' qualities, practices and styles related to leading nurses' interprofessional collaboration. DESIGN: Mixed-methods systematic review...
AIM: To identify and synthesise qualitative and quantitative evidence of nurse managers' qualities, practices and styles related to leading nurses' interprofessional collaboration. DESIGN: Mixed-methods systematic review. METHODS: Two authors independently selected studies based on predefined inclusion criteria, assessed quality and extracted data. A thematic synthesis with a convergent qualitative design was used. DATA SOURCES: CINAHL, PubMed and Scopus were searched from January 1, 2010, to September 7, 2025. Citations of relevant articles were screened. RESULTS: A total of 32 articles were included. The analysis revealed two leadership core qualities, five core practices, and three core styles of nurse managers that promote nurses' interprofessional collaboration. Core qualities were proficiency and mindset. Core practices comprised empowering, communicating and informing, commitment to interprofessional collaboration, creating possibilities, and establishing an enhancing atmosphere. Core styles included authentic, transformational, and transactional leadership styles. CONCLUSION: The results reflect the situational nature of nursing leadership related to interprofessional collaboration. Successful leadership requires managers to adopt primarily a transformational leadership style, yet more traditional leadership is required occasionally. Results indicate that nursing leadership is foremost a process that evolves within its context. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Greater clarity on how leadership influences nurses' interprofessional collaboration supports leaders, organisations, and educational institutions in developing and sustaining effective leadership. IMPACT: This review demonstrates that the quality of nursing leadership is a central factor for successful interprofessional collaboration. REPORTING METHOD: The PRISMA guidelines for Systematic Reviews and Meta-Analysis were used. PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct or reporting.
Models of Care and Interventions to Improve Person-Centred Care for Older People in Long-Term Care Facilities: A Mixed Methods Systematic Review.
Udkunta K, Efstathiou N, Guo P
J Adv Nurs · 2026 Feb · PMID 41692992 · Publisher ↗
AIMS: To critically appraise and synthesise the evidence about the effects and experiences of care models and interventions to improve person-centred care for older people in long-term care facilities. DESIGN: A mixed me...
AIMS: To critically appraise and synthesise the evidence about the effects and experiences of care models and interventions to improve person-centred care for older people in long-term care facilities. DESIGN: A mixed methods systematic review, following the Joanna Briggs Institute guidance and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. DATA SOURCES: MEDLINE, PubMed, CINAHL, PsycINFO, Embase, Web of Science, Cochrane Library, and Thaijo were searched to identify relevant primary research published in English and Thai from January 2000 to February 2024. REVIEW METHODS: All relevant primary research with quantitative, qualitative, and mixed methods design was included. A convergent synthesis approach was used to synthesise and integrate findings. RESULTS: 4070 records were identified, of which 30 studies were retained: 12 quantitative, nine qualitative, and nine mixed methods studies. The evidence revealed five themes: (1) personalised preference, social engagement, and well-being; (2) autonomy and dignity; (3) a home-like environment; (4) family involvement and satisfaction; and (5) organisational and staff support. CONCLUSION: This review indicated that person-centred care models and interventions could improve residents' quality of life, autonomy, and promote individual care provision, create an environment based on individual needs, and involve families in care, although challenges such as staff shortages and lack of managerial support may hinder successful implementation. Future work is required to evaluate and identify effective strategies to strengthen organisational support, including leadership development, staff retention, and resource allocation, and evaluate how organisational culture influences the adoption and success of person-centred care practices. IMPACT: The review provides valuable insights and a comprehensive understanding of the care models and interventions specifically designed to improve person-centred care and enhance the quality of life for older people in long-term care facilities. PATIENT OR PUBLIC CONTRIBUTION: Not applicable. TRIAL REGISTRATION: The protocol was registered with the PROSPERO (CRD42024509504).
Caring as a Generative Principle: Reconfiguring the Metaparadigm and Operative Mechanisms in Nursing Theory.
Muñoz Devesa A, Rico Becerra JI
J Adv Nurs · 2026 Feb · PMID 41692959 · Publisher ↗
AIM(S): To develop a comparative meta-theory of nine caring theories by explicating their assumptions, operative mechanisms and consequences for nursing. DESIGN: Qualitative meta-theoretical document analysis. METHODS: C...
AIM(S): To develop a comparative meta-theory of nine caring theories by explicating their assumptions, operative mechanisms and consequences for nursing. DESIGN: Qualitative meta-theoretical document analysis. METHODS: Canonical texts were analysed using an intra-source strategy. Paginated statements were extracted and coded across assumptions, metaparadigm anchors (person, health, environment, nursing and care) and mechanisms linking caring intention to clinical action. Synthesis produced a typology and meta-theoretical propositions. RESULTS: Caring functioned as a generative principle that reorganised person, health, environment and nursing and care into distinct practice architectures. Six mechanism-based subfamilies were identified: transpersonal caritas; phenomenological and embodied clinical wisdom; ethical and relational caring; cultural and contextual caring; systemic and organisational caring; and operationalisable caring. Ten propositions linked assumptions to mechanisms and expected effects. CONCLUSION: The caring school is best understood as an ordered set of non-equivalent caring mechanisms rather than a single doctrine, supporting translation to practice design, education and congruent evaluation. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Mechanism-based comparison can reduce conceptual ambiguity and improve alignment between caring interventions and intended outcomes. IMPACT: This study addresses the under-specification of how caring theories work. It provides a comparative typology and propositions that make mechanisms explicit, informing nursing education, theory development and caring-based practice in diverse settings. REPORTING METHOD: No EQUATOR reporting checklist is available for meta-theoretical discursive analyses; the manuscript follows Journal of Advanced Nursing guidance for discursive papers. PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct, or reporting.
Thriving in Nursing Work: The Association Between Self-Reports and Biomarkers of Stress, Inflammation and Neuroplasticity.
Arnetz JE, Arble E, Iseler J … +6 more , Pena M, Evola N, Vanschagen J, Beck JS, Counts SE, Arnetz BB
J Adv Nurs · 2026 Feb · PMID 41672960 · Publisher ↗
AIM: To examine whether self-reported thriving at work is associated with biomarkers of stress, inflammation, neuroplasticity and neurodegeneration in nurses. DESIGN: A cross-sectional study. METHODS: An online questionn...
AIM: To examine whether self-reported thriving at work is associated with biomarkers of stress, inflammation, neuroplasticity and neurodegeneration in nurses. DESIGN: A cross-sectional study. METHODS: An online questionnaire measuring thriving at work was administered to nurses in a teaching hospital in Michigan, U.S. over 5 weeks in 2024. A subsample of 100 questionnaire respondents provided blood samples for biomarker analysis. Multiple regression was used to identify self-reported and biomarker predictors of nurse thriving. Cluster analysis was used to distinguish between nurses with high and low levels of thriving based on a combination of self-report and biomarker data. RESULTS: Higher self-reports of individual and work-related resources predicted higher thriving. Cortisol, a stress hormone, was significantly and inversely associated with thriving. No blood-based biomarkers of inflammation or neuroplasticity predicted thriving. Neurofilament light chain, a marker of neurodegeneration, was not a direct predictor but modified the effects of interpersonal and work resources on thriving. CONCLUSION: Biological markers do play a role in nurses' thriving at work and may contribute important complementary information to that provided by nurse self-reports. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Nurses thrive in a work situation characterised by positive reports of individual, interpersonal and work resources and lower levels of stress. Efforts to enhance thriving could positively impact nurses' well-being and conditions for providing high-quality patient care. IMPACT: This study addressed the question of whether self-reported thriving at work among nurses is reflected in biomarkers of stress, inflammation, and neurocognitive health. A profile of high self-reported work-related resources and low cortisol distinguished higher levels of nurses' thriving from lower levels. Organisational efforts to enhance nurses' thriving can positively impact nurses' health, their work environment, and patient care. REPORTING METHOD: We followed the STROBE checklist in reporting this study. PATIENT OR PUBLIC CONTRIBUTION: No Patient or public contribution.
Evaluating Digital Health Innovation: The Case for Person-Centred Care Metrics Alongside Efficiency.
Stacey G, Bond C
J Adv Nurs · 2026 Feb · PMID 41672958 · Publisher ↗
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Leading With Heart: The Enduring Foundation of Nursing Leadership in an Era of Transformation.
Klopper HC
J Adv Nurs · 2026 Jul · PMID 41660722 · Publisher ↗
As healthcare accelerates into an era defined by artificial intelligence, precision medicine, and advanced technologies, nursing leadership faces a critical inflection point. This article argues that the most essential l...
As healthcare accelerates into an era defined by artificial intelligence, precision medicine, and advanced technologies, nursing leadership faces a critical inflection point. This article argues that the most essential leadership capability for nursing now and in the decade ahead is heart-centred leadership: the intentional integration of compassion, ethical integrity, relational awareness and strategic competence. Far from being sentimental, heart-centred leadership is positioned as a practical and evidence-based response to escalating burnout, moral distress, and the erosion of nursing's professional identity-challenges intensified by the COVID-19 pandemic and ongoing workforce shortages. Drawing on nursing theory and contemporary leadership research, the article demonstrates how leadership grounded in psychological safety, moral resilience and authentic human connection strengthens patient outcomes, supports workforce sustainability and enables learning in complex healthcare systems. It highlights how heart-centred leaders approach error, technology adoption and performance measurement in ways that protect the nurse-patient relationship while maintaining organisational accountability. Attention is also given to the role of women leaders, equity and social justice and the necessity of leader wellbeing as a foundation for compassionate cultures. The article concludes that as healthcare becomes increasingly technologically sophisticated, nursing leadership must become more intentionally human-centred. Leading with heart ensures that innovation serves healing rather than eclipsing it, safeguarding nursing's core purpose of alleviating suffering and promoting human flourishing.
Absolute Versus Relative Skin Temperature as Early Warning Indicator for Pressure Injury: A Systematic Review and Meta-Analysis.
Xu K, Cao H, Ran L … +7 more , Cun W, Li Y, Zhang X, Dong G, Liu S, Wang C, Jiang Y
J Adv Nurs · 2026 Feb · PMID 41660719 · Publisher ↗
AIMS: Skin temperature, including absolute temperature (at bony prominence areas under long-term compression) and relative temperature (the difference between bony prominence and adjacent control area), may serve as earl...
AIMS: Skin temperature, including absolute temperature (at bony prominence areas under long-term compression) and relative temperature (the difference between bony prominence and adjacent control area), may serve as early warning indicators for PI. However, the optimal indicator remains unclear. This meta-analysis therefore synthesises evidence on their association with PI risk to identify the best indicator and evaluate its early-warning accuracy. DESIGN: Systematic review and meta-analysis. METHODS: We included prospective cohort studies of adult patients investigating longitudinal associations between skin temperature and subsequent PI development. We pooled standardised mean difference (SMD) and odds ratios, complemented by summary receiver operating characteristic (SROC) curve analysis. The overall quality of evidence was evaluated using the GRADE method. DATA SOURCES: We researched PubMed, Embase, CINAHL, Cochrane Library (CENTRAL), Wanfang and CNKI databases from inception to September 25, 2024. RESULTS: After screening 1354 titles and abstracts, ten studies comprising 1742 participants were included in the final synthesis. No significant difference in absolute temperature (combined SMD) was found between the PI and non-PI groups (seven studies included). In addition, decreased relative temperature (< -0.1°C) was associated with a 16-fold increased likelihood of PI (95% CI 6.38-40.19, I = 79.4%) (three studies included), with the SROC curve analysis showing an AUC of 0.776. According to GRADE, the evidentiary certainty was very low for AT and low for RT. CONCLUSIONS: Relative temperature is significantly related to the risk of PI, supporting its role as a promising early warning indicator. Future studies should establish a standardised measurement protocol to facilitate its clinical application. IMPLICATIONS FOR THE PROFESSION: Monitoring skin temperature changes holds promise as a non-invasive tool for early warning of PI risk. However, the amount and quality of available evidence limit our confidence in these findings, underscoring the need for further research before a definitive conclusion can be drawn. REPORTING METHOD: This study followed PRISMA guidelines. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution. TRIAL REGISTRATION: PROSPERO CRD42024550099.
'Something Was Missing': A Qualitative Study of Parents' Expectations in Weight-Related Health Care for Children.
Koivumäki T, Kaunonen M, Anglé S … +1 more , Jallinoja P
J Adv Nurs · 2026 Feb · PMID 41660711 · Publisher ↗
AIM: To explore how parents perceive health care encounters related to their child's higher weight and to interpret these experiences within the broader societal context shaped by cultural norms and representations. DESI...
AIM: To explore how parents perceive health care encounters related to their child's higher weight and to interpret these experiences within the broader societal context shaped by cultural norms and representations. DESIGN: A qualitative design was employed using semi-structured interviews to capture parents' experiences. The study was informed by a conceptual framework that views weight as both a personal and socially constructed phenomenon. METHODS: Eighteen parents from Finland were interviewed between May 2022 and June 2023. The data were analysed using reflexive thematic analysis to identify key themes in parents' experiences and perceptions. RESULTS: Three main themes were identified. The relational dimension highlighted the importance of individualised care, where health care professionals take time to get to know the family and recognise each member as an individual. The emotional dimension emphasised the need to protect the child, strengthen parental self-efficacy and provide sensitive, skilled support that fosters a sense of safety. The practical dimension focused on the need for active and targeted care, including structured weight-related routines, multidisciplinary collaboration and services that respond to the everyday realities of families. CONCLUSION: The study highlights the need for health care encounters that are individualised, emotionally safe and sensitive to the diverse realities of families. Moving beyond weight-centric approaches, care should offer a range of supportive options that reflect parents' varied expectations, concerns and needs. IMPACT: This study responds to the need for a deeper understanding of how parents experience health care encounters related to their children's higher weight. The findings highlight the importance of designing care interactions that provide professionals with adequate time, expertise and training to deliver individualised, stigma-sensitive care. REPORTING METHOD: COREQ. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
A Scoping Review of Available Scales and Tools Used to Measure Obstetric Violence.
Ding S, Wen J, Tian Q … +3 more , Hu N, Wang Q, Zhang Y
J Adv Nurs · 2026 Feb · PMID 41660708 · Publisher ↗
AIM: To identify and describe instruments used to assess obstetric violence and evaluate their methodological quality and psychometric properties. DESIGN: A scoping review. DATA SOURCES: Ten databases [Medline (via PubMe...
AIM: To identify and describe instruments used to assess obstetric violence and evaluate their methodological quality and psychometric properties. DESIGN: A scoping review. DATA SOURCES: Ten databases [Medline (via PubMed), Web of Science, the Cochrane Library, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), SinoMed, Wanfang Database, China National Knowledge Infrastructure (CNKI), VIP Database and China Medical Journal Full-text Database] were searched from inception to June 2025. METHODS: Studies focusing on the development or validation of obstetric violence measurement tools were eligible for this review. Methodological quality and psychometric properties were evaluated using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist and criteria. RESULTS: A total of 19 studies encompassing 25 obstetric violence measurement tools were included. These studies were conducted in 15 countries between 2018 and 2025. The tools targeted postnatal and pregnant women, healthcare providers, students and other populations. Most studies reported data on content validity, structural validity and internal consistency. Limited information was available on cross-cultural validity/measurement invariance, reliability, measurement error, criterion validity, hypotheses testing for construct validity and responsiveness. CONCLUSION: This review identified multiple obstetric violence instruments used across diverse populations and settings. Whilst the methodological quality and measurement properties of the included tools were sub-optimal, they nevertheless provide a foundation for the timely assessment of obstetric violence and subsequent research. IMPLICATIONS FOR THE PROFESSION: Future research should prioritise the establishment of a unified definition of obstetric violence, alongside the development, adaptation and rigorous validation of measurement instruments to enhance their reliability and validity. IMPACT: This review underscores the need for maternity care professionals and educators to critically evaluate existing tools for measuring obstetric violence, given their current methodological limitations. REPORTING METHOD: The PRISMA Extension for Scoping Reviews (PRISMA-ScR) checklist. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
Nursing's Legacy From the AIDS Pandemic: 1985-2026.
Hayter M
J Adv Nurs · 2026 Jul · PMID 41660705 · Publisher ↗
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Digital Health Technology Applications in Home Care for Children With Complex Medical Conditions: A Scoping Review.
Shi M, Hu X, Zhu X
J Adv Nurs · 2026 Feb · PMID 41660701 · Publisher ↗
AIM: To synthesise the evidence on digital health technologies in home care for children with medical complexity in order to inform improvements in care practices. DESIGN: Scoping review. DATA SOURCES: The search was con...
AIM: To synthesise the evidence on digital health technologies in home care for children with medical complexity in order to inform improvements in care practices. DESIGN: Scoping review. DATA SOURCES: The search was conducted in August 2025, covering five databases. METHODS: Two reviewers independently retrieved full-text studies and conducted the initial screening of titles and abstracts, followed by full-text analysis and data extraction. RESULTS: A total of 30 articles were included in this review. Articles were published between 2015 and 2025. The digital health technologies identified were categorised into six primary types and these technologies were found to serve five core functions. CONCLUSION: Digital health technologies show broad potential in home care for children with medical complexity, optimising care and empowering families. Future work should evaluate long-term effectiveness, integrate systems, and prioritise personalised, culturally adaptive designs. IMPACT: This study addresses the challenge of managing home-based care for children with medical complexity. It identifies six types of digital health technologies and their five core functions, providing a framework to guide healthcare professionals, organisations, policymakers, and developers in creating more effective, integrated support systems for these children and their families. REPORTING METHOD: This study adhered to the PRISMA-ScR guideline. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: The findings can guide the strategic implementation and development of digital health tools to enhance care coordination, support family caregivers, and improve the quality and experience of home-based care for children with complex medical needs.
Medication Reconciliation in Outpatient Psychiatry: An Indicator of Communication With Primary Care? A Quantitative Descriptive Study.
Acoulon G, Vincent C, Brenek S … +3 more , Duhem S, Bachellez C, Bubrovszky M
J Adv Nurs · 2026 Feb · PMID 41652314 · Publisher ↗
AIMS: To quantify medication discrepancies between an outpatient psychiatric service and general practitioners in northern France, and investigate general practitioner identification in psychiatric records. DESIGN: Quant...
AIMS: To quantify medication discrepancies between an outpatient psychiatric service and general practitioners in northern France, and investigate general practitioner identification in psychiatric records. DESIGN: Quantitative, exploratory, retrospective, descriptive, monocentric study. METHOD: Study conducted in 2022 on 112 patients, comparing medication lists between the medical and psychological center and general practitioners through medication reconciliation. RESULTS: Among the 33 patients (29.5%) with complete data allowing medication reconciliation, 84.8% had at least one discrepancy between medication regimens known to the outpatient psychiatric service versus those known to general practitioners. Discrepancies affected both psychiatric (85.7%) and nonpsychiatric medications (78.6%). 18.8% of the 112 patients did not have an identified general practitioner in the outpatient psychiatric records. CONCLUSION: Medication reconciliation in outpatient psychiatry can improve treatment safety and create an opportunity for communication between care providers. IMPLICATIONS: This study highlights opportunities for advanced practice nurses to improve medication safety and interprofessional communication in outpatient psychiatric care through medication reconciliation, which appears to be a reliable indicator for quantitatively assessing communication while actively creating opportunities for dialogue between outpatient psychiatric care facilities and primary care structures. The implementation of these practices could be supported by the advanced practice nurses recently introduced in France, by raising awareness among healthcare professionals, by contributing to the therapeutic education of patients and by supporting the use of digital health tools. REPORTING METHOD: Compliance with EQUATOR RECORDS guidelines, extended from STROBE statements. PATIENT OR PUBLIC INPUT: This study did not include patient or public participation in its design, conduct, or reporting.
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