{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T09:30:37Z","timestamp":1793957437042,"version":"4.8.0"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Delivering nursing care to patients' fundamental needs in neurological settings is challenging due to complex needs such as long\u2010term care, physical disability and cognitive or communicative impairment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine how registered nurses and nurse assistants perceive their capability, opportunity and motivation to deliver fundamental nursing care and use this insight to inform implementation strategies based on the Fundamentals of Care framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The questionnaire, grounded in the Capability\u2013Opportunity\u2013Motivation (COM\u2010B) model and the Fundamentals of Care framework, was distributed to all nursing staff (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009404) in four neurological departments at a university hospital in Denmark. Level of agreement was calculated as the proportion of responses in the top two Likert categories (\u2018to some extent agree\u2019 and \u2018completely agree\u2019) and categorised as low (&lt;\u200960%), medium (60%\u201385%) or high (&gt;\u200985%). Quantitative results were analysed descriptively and inferentially; open\u2010text answers were examined using deductive content analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The response rate was 63%. Agreement was high for capability (90.6%), motivation (89.2%) and addressing physical needs (85.2%), while opportunity (75.3%) and relational care (69.1%) were lower. The relational domain scored notably high for\n                      <jats:italic>taking time to listen<\/jats:italic>\n                      (95.8%) and low for\n                      <jats:italic>evaluating the nurse\u2013patient relationship<\/jats:italic>\n                      (43.5%). Nurse assistants showed significantly higher agreement in the physical care domain than registered nurses. Variation across departments highlighted higher agreement in spinal cord injury and neurology compared to anaesthesia, pain, respiratory and traumatic brain injury units.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nursing staff show strong internal drive and perceived competence\u2014particularly in physical care\u2014but face structural barriers in relational nursing and continuity. Implementation strategies should leverage high motivation, strengthen leadership engagement, ensure resource allocation and systematically integrate relational care into practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Danish Data Protection Agency (P20231246)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70322","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T04:51:45Z","timestamp":1761713505000},"page":"6284-6296","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Perceived Capability, Opportunity and Motivation to Deliver Fundamental Nursing Care: A Cross\u2010Sectional Survey in Neurological Settings"],"prefix":"10.1111","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0009-3302","authenticated-orcid":false,"given":"Mia Ingerslev","family":"Loft","sequence":"first","affiliation":[{"name":"Department of Neurology Copenhagen University Hospital Rigshospitalet  Copenhagen Denmark"},{"name":"Department of Clinical Medicine University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6644-3229","authenticated-orcid":false,"given":"Charlotte Fredborg","family":"Brinck","sequence":"additional","affiliation":[{"name":"Department of Neurology Copenhagen University Hospital Rigshospitalet  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sidsel Goor","family":"Pedersen","sequence":"additional","affiliation":[{"name":"Department of Neurology Copenhagen University Hospital Rigshospitalet  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9308-6306","authenticated-orcid":false,"given":"Lone Lundbak","family":"Mathiesen","sequence":"additional","affiliation":[{"name":"Department of Neurology Copenhagen University Hospital Rigshospitalet  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7782-7217","authenticated-orcid":false,"given":"Maria","family":"Bruds\u00f8","sequence":"additional","affiliation":[{"name":"Department of Neurology Copenhagen University Hospital Rigshospitalet  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pernille Fris","family":"R\u00f8nne","sequence":"additional","affiliation":[{"name":"Multidisciplinary Pain Centre, Department of Anaesthesiology, Pain, and Respiratory Support Copenhagen University Hospital Rigshospitalet  Copenhagen 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