{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T04:13:05Z","timestamp":1788322385334,"version":"build-2803163510"},"reference-count":46,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T00:00:00Z","timestamp":1753142400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T00:00:00Z","timestamp":1753142400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100030680","name":"Fu Jen Catholic University Hospital","doi-asserted-by":"publisher","award":["PL\u2010202208032\u2010M"],"award-info":[{"award-number":["PL\u2010202208032\u2010M"]}],"id":[{"id":"10.13039\/100030680","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore how adults with congenital heart disease (ACHD) experience and express grit in the workplace.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative study using Husserl's descriptive phenomenology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between March 2022 and June 2023, semi\u2010structured interviews were administered to 18 ACHD recruited from two medical centre outpatient departments. The collected data underwent analysis utilising Colaizzi's 7\u2010step analysis method, coupled with Lincoln and Guba's framework, to ensure credibility and trustworthiness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The analysis revealed five prominent themes derived from the data: (a) career choices amid constraints; (b) adjustments to one's work environment for reasons of fatigue; (c) crises in the workplace arising from exceeding one's physical limits; (d) supportive networks for better health and job stability; (e) resilience at work for balance and fulfilment in life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Grit significantly influences life satisfaction and job performance among adults with congenital heart disease, highlighting its profound impact on their experiences. Patients exhibit perseverance in job pursuits, adapt work methods to manage physical fatigue, confront challenges during work crises, value family and societal support and aim for self\u2010satisfaction. These findings highlight the impact of grit and mental health on ACHD's lives and work, providing insights for better psychological support and interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession<\/jats:title>\n                    <jats:p>This study clarifies the need for healthcare professionals to incorporate workplace grit training and assessment into ACHD care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Recognising grit as a key factor in ACHD patients' lives informs holistic care, workplace inclusivity and policies that enhance their long\u2010term well\u2010being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>This study was performed in accordance with the COREQ guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public involvement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70051","type":"journal-article","created":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T11:55:02Z","timestamp":1753185302000},"page":"866-878","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Grit in the Workplace Experienced by Taiwanese Adults With Congenital Heart Disease: A Phenomenological Study"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7962-2424","authenticated-orcid":false,"given":"Yu\u2010Shiu","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Nursing MacKay Medical University  New Taipei City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6872-4764","authenticated-orcid":false,"given":"Chun\u2010Wei","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology National Taiwan University, Children's Hospital  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6760-8107","authenticated-orcid":false,"given":"Hung\u2010Tao","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Chang Gung Children's Hospital  Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3043-3873","authenticated-orcid":false,"given":"Jou\u2010Kou","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology National Taiwan University, Children's Hospital  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2793-3313","authenticated-orcid":false,"given":"Ying\u2010Mei","family":"Shu","sequence":"additional","affiliation":[{"name":"Department of Nursing Chang Gung University of Science and, Technology  Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0306-1207","authenticated-orcid":false,"given":"Chi\u2010Wen","family":"Chen","sequence":"additional","affiliation":[{"name":"College of Nursing National Yang Ming Chiao Tung University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,22]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0277267"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1474515120963314"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics15040481"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010021\u201010633\u2010y"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10880\u2010020\u201009731\u20107"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.745846"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1757975916635505"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/jaha.124.038200"},{"key":"e_1_2_13_10_1","first-page":"48","volume-title":"Existential\u2010Phenomenological Alternative for Psychology","author":"Colaizzi P. 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