Evidence map›Paper›PMID 40988429›Full record

SynthesisJournal of advanced nursing2026

Mapping Nursing Roles in Long-Term Care: A Systematic Review With Network Analysis.

Kyong Hee Park, Hye-Ryoung Kim

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Kyong Hee ParkShinhan University Graduate School, Uijeongbu-si, Republic of Korea.ORCID https://orcid.org/0009-0008-9413-032X
Hye-Ryoung KimCollege of Nursing, ShinHan University, Dongducheon-si, Republic of Korea.ORCID https://orcid.org/0000-0002-7348-3061

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo synthesise evidence on nurses' roles in long-term care settings and map their interactions.

designSystematic review with network analysis.

methodsThematic synthesis was used to identify nurses' roles, and network analysis mapped their interactions across domains. DATA SOURCES: Six databases-Cumulative Index to Nursing and Allied Health Literature, PubMed, Embase, Cochrane Library, Research Information Sharing Service and Database of Periodical Information Academic-were searched for peer-reviewed articles from 2014 to 2024. The Mixed Methods Appraisal Tool assessed study quality.

resultsFifteen studies were included. Nurses' roles spanned six domains: collaboration, education, leadership, resident-centred care, quality improvement and resource management. Network analysis revealed collaboration and leadership as the most central, each with a degree centrality of five, acting as bridges across domains. Three thematic clusters emerged: collaboration and resource management focused on operational teamwork; leadership and quality improvement centred on systemic care enhancements; and education and resident-centered care emphasised training and resident-focused care. A technological competence gap was identified, alongside barriers like staffing shortages and role ambiguity.

conclusionsNurses' interconnected roles are critical for resident-centered care; however, they require systemic support to address barriers and technological gaps. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Enhanced interprofessional training, leadership development and digital skill integration can improve care quality and nurse well-being in long-term care settings. IMPACT: This study addressed the complexity of nurses' roles in long-term care and their structural interactions, finding collaboration and leadership as pivotal with three role clusters and a technological gap, impacting long-term care nurses, educators and policymakers to inform workforce strategies. REPORTING

methodThis study adhered to the PRISMA 2020 guidelines and was preregistered in PROSPERO (CRD42024588422). PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct or reporting.

trial registrationPROSPERO: CRD42024588422.

Indexed as

Long-Term CareNurse's RoleAdultAgedFemaleHumansLeadershipMaleMiddle AgedPatient-Centered Carecollaborationleadershiplong‐term carenetwork analysisnursing rolessystematic review

Identifiers

PMID40988429
PMCPMC13176728

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.