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Top Trending Papers in Nursing

To celebrate International Nurses Day, we’d like to share top trending papers in Nursing. You can read more on Researcher. Head over to trending papers on the app to browse more.


Journal of Clinical Nursing

Nurses' perceptions of their role with respect to promoting physical activity in adult patients: a systematic review

Marlies HellCromwijk, Silke F. Metzelthin, Lisette Schoonhoven, Carolien Verstraten, Kroeze Willemieke, Janneke M. Man van Ginkel

Aims and objectives

To identify the nurses' perceptions of their role with respect to promoting physical activity in adult patients and factors related to this role perceptions.


Ageing and chronic diseases are often accompanied by a decrease in physical activity. Nurses are in an excellent position to promote physical activity, because of their close and frequent interactions with patients. However, they often fail to actively stimulate patients to physical activity due to a lack of time, competing priorities and their focus on acute problems. Unclear was how nurses view their professional role in the promotion of physical activity.


Systematic literature review.


PubMed, COCHRANE and CINAHL EBSCO were searched for papers published from 2006 to September 2019. Two reviewers independently assessed the methodological quality, using MMAT criteria. Thematic synthesis was used to analyse the data. The PRISMA statement was followed for reporting.


Overall, 10 quantitative, eight qualitative and one mixed methods study were included in the review. Analyses of these studies resulted in six themes: (1) active and professional role; (2) the recognised importance; (3) fear of patient falling; (4) patient's present health and need; (5) interdisciplinary context and responsibility; and (6) nurses' knowledge.


Nurses perceive they have an active role in the promotion of physical activity and consider it as important and part of their professional role. Clear guidance increased education and stronger awareness of guidelines might enable nurses to translate their perceived role into daily practice. This will enhance professional fulfilment as well as patients' physical activity.

Relevance to clinical practice

The findings guide the development of interventions that aim to improve nursing care with respect to the promotion of physical activity and help managers and educators to provide appropriate resources and education.




International Journal of Nursing Practice

Therapeutic communication within the nurse–patient relationship: A concept analysis

Wantong Xue, Catrina Heffernan


To explore the concept of therapeutic communication within the nurse–patient relationship, using concept analysis.


Therapeutic communication is a term that is often used in the nursing and related sciences literature, and yet it is still an ambiguous concept. Concept clarification is required to support other healthcare professionals' understanding and to guide theory development and practice.


A concept analysis methodology was used, as proposed by Walker and Avant.

Review Methods

The framework by Walker and Avant was adopted. The attributes, antecedents, consequences and uses of the concept were identified.


The attributes were information exchange, mutual respect, engagement and managing health issues of concern to the patient. The antecedents were those related to the nurse and those related to the patient. The consequences included patient satisfaction, quicker recovery time, highquality health care outcomes and positive nurse–patient relationship outcomes.


A theoretical definition of the concept was developed. The attributes, antecedents and consequences identified in this paper can be used in nursing education, research and managerial and organizational planning.



Journal of Clinical Nursing

Approaches for establishing and sustaining clinical academic partnerships: A discursive review

DianaLyn Baptiste, Madeleine Whalen, Miki Goodwin

Aims and objectives

To discuss the need for a formalised structure that bridges the clinical and academic realms with concrete recommendations for programme development.


In the rapidly changing landscape of health care, nurses are challenged with the responsibility to engage in evidencebased practice, quality improvement and research projects. Clinical and academic partnerships play a vital role in fostering collaboration, mentorship and resources.


Discursive paper.


Searching international literature published between 2010–2020 in PubMed, CINAHL and Google Scholar, we explored the benefits, barriers and facilitators of clinical academic partnerships from the available evidence and professional perspectives from both sides of a clinical/academic collaboration.


Evidencebased literature supports the establishment of partnerships schools of nursing and clinical institutions to improve patient outcomes and experiences and provide additional resources for improved research and practice capacity between both entities. Barriers to establishing clinical academic partnerships included lack of time, lack of formal collaborations and knowledge deficits. Facilitators included visible leadership endorsement, mentoring and modelling a culture of inquiry.


The establishment of formalised clinical academic partnerships can be used to develop continuing education programmes, promote engagement in nursing inquiry, fill in knowledge gaps in practice and improve available resources and patient outcomes. There is a great need for capacity building in hospitals, superficially, those with a mission to address the researchpractice gap, promote nursing excellence and improve patient outcomes.

Relevance to clinical practice

Nurse leaders play an instrumental role in establishing sustainable clinical academic partnerships that create shared resources, resulting in mutual benefit, and influences a muchneeded shift in organisational culture and infrastructure.



Research in Social and Administrative Pharmacy

Development of a scale to determine student self-efficacy in performing key pharmacists' patient care skills

Shweta R. Shah, Edward C. Portillo, Casey E. Gallimore, Andrea L. Porter, Beth A. Martin


The Pharmacists' Patient Care Process (PPCP) was developed to describe a consistent process in which pharmacists in any setting provide patient care. Faculty at a midwestern university developed and refined an assessment tool which provides an indirect approach to measure student confidence in performing skills essential to the PPCP. The objective of this paper is to conduct a stepwise factor analysis to refine the PPCP survey.


Assessing appropriateness of survey response data led to an exploratory factor analysis (EFA) on student confidence data to refine the survey instrument and examine the underlying constructs that influence student responses. Post EFA, the results were presented to the research team that collaboratively reached consensus on inclusion or exclusion of items.


EFA factor loadings identified a 4-factor solution suggesting elimination of 30 items from the original 53 item survey. Team discussions led to eliminating 29 items, combining two items and generation of 5 new items in order to retain important concepts. The outcome was a well-conceptualized and refined 29 item-survey model assessing 4 constructs.


To potentially improve patient outcomes, it is imperative to utilize comprehensive yet concise survey instruments, like the PPCP Skills Self-Efficacy Survey, to prepare students to translate PPCP skills to practice.


Critical Care Explorations

System of Psychological Support Based on Positive Suggestions to the Critically Ill Using ICU Doulas

Lioudmila V. Karnatovskaia, Jason M. Schultz, Alexander S. Niven, Amanda J. Steele, Brittany A. Baker, Kemuel L. Philbrick, Kathryn T. del Valle, Kimberly R. Johnson, Ognjen Gajic, Katalin Varga

Background: Surviving critical illness often creates a lasting psychological impact, including depression, anxiety, and post-traumatic stress. Memories of frightening and delusional experiences are the largest potentially modifiable risk factor, but currently, there is no proven intervention to improve these inciting factors. Psychological support based on positive suggestion is a psychotherapeutic approach that can be provided even to patients in altered cognitive states and is therefore a viable psychotherapy intervention throughout the ICU stay. Traditional ICU care team members have limited time and training to provide such psychological support to patients. Doulas are trained supportive companions who have been effectively used to provide patient advocacy and emotional support in other clinical settings and may address this need. Our aim was to train and implement a psychological support based on positive suggestion program for the critically ill using doulas, and measure acceptance of this intervention through stakeholder feedback. Methods: Doula training included three objectives: an introduction to ICU practice structure and policies; education about fundamental aspects of critical care conditions and procedures; and didactic and hands-on learning experiences in effective use of psychological support based on positive suggestion in the critically ill. Doulas were evaluated at the end of their training and during subsequent clinical activities using competency-based assessments as well as through survey-based questions and interviews with key stakeholders. Results: The ICU doulas performed psychological support based on positive suggestion on 43 critically ill patients in the ICU setting. Stakeholder feedback from nurses, patients, and patient families was positive. The majority (28/32) of surveyed bedside ICU nurses reported that the doulas' involvement was helpful for both patients and nurses alike. All interviewed family members offered positive comments about the ICU doula presence and of the 40 patients who recalled the intervention 37 found it comforting. Conclusions: Our program successfully trained two doulas to work effectively in the ICU setting performing patient-centered psychological support based on positive suggestion interventions. Their training improved their skill sets and was reported as beneficial by patients, families, and critical care nursing. This training program offers a proof of concept that could be applied in other medical centers, bringing doulas more commonly into the ICU practice to help humanize the experience for patients, families, and medical teams.



Photo by Matthew Waring on Unsplash



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