{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T16:08:43Z","timestamp":1790784523394,"version":"4.1.0"},"reference-count":66,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"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 Clinical Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim(s)<\/jats:title>\n                    <jats:p>To summarize, appraise and synthesis available research studies that employ qualitative, quantitative and mixed methods approaches to gain knowledge on factors and experiences that influence uptake and completion of pulmonary rehabilitation (PR) in patients with copd.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Mixed method systematic review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Joanna Briggs Institute convergent integrated approach. Mixed Method Assessment Tool used for critical appraisal. Quantitative data were transformed into qualitized data and integrated with qualitative data using reflexive thematic analysis by Braun &amp; Clarke. Registered in PROSPERO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>Embase, PubMed, Epistemonikos, Cochrane and Cinahl. Main search: 4th March 2024, updated medio January 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Included 28 studies (21 quantitative, 6 qualitative, 1 mixed methods). Four identified themes: patient characteristics and considerations, nurse\u2010related factors, organizational determinants and individual variables, both in uptake and completion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Highlights facilitators and barriers in several levels influencing PR uptake and completion for copd patients. Patient characteristics, the disease itself and individual variables hinder PR participation. Skilled nurses and healthcare professionals (HCPs) play a crucial role in facilitating and communicating the benefits of PR. Findings suggest action statements to help nurses\/HCP overcome barriers to increase participation in PR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Profession<\/jats:title>\n                    <jats:p>Nurses should use their expertise to guide patients and reduce barriers. The study provides insight on how PR should be planned and tailored. Future research should investigate the impact of these measures to increase participation in PR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>PRISMA (2020) checklist from EQUATOR network.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>None.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>The study was registered with PROSPERO. Identification number: CRD42025620484<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70543","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T15:45:37Z","timestamp":1790783137000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Facilitators and Barriers to Uptake and Complete Pulmonary Rehabilitation for Patients With\n                    <scp>COPD<\/scp>\n                    : A Mixed Method Systematic Review"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5278-7423","authenticated-orcid":false,"given":"Thea Rebecca","family":"Eigestad","sequence":"first","affiliation":[{"name":"Kristiansand Municipality  Kristiansand Norway"},{"name":"Faculty of Health and Social Sciences Western Norway University of Applied Sciences  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5265-8312","authenticated-orcid":false,"given":"Kurt","family":"Hatl\u00f8y","sequence":"additional","affiliation":[{"name":"Faculty of Health and Social Sciences Western Norway University of Applied Sciences  Bergen Norway"},{"name":"Pulmonary Medicine Unit Hospital of Southern Norway  Kristiansand Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9754-3647","authenticated-orcid":false,"given":"Heidi","family":"\u00d8ksnes Markussen","sequence":"additional","affiliation":[{"name":"Faculty of Health and Social Sciences Western Norway University of Applied Sciences  Bergen Norway"},{"name":"Department of Thoracic Medicine Haukeland University Hospital  Bergen Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.12968\/ijtr.2017.24.9.385"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/crj.13376"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arbres.2016.06.010"},{"key":"e_1_2_14_5_1","doi-asserted-by":"crossref","DOI":"10.46658\/JBIMES-24-01","volume-title":"JBI Manual for Evidence Synthesis \u2013 2024 Edition","author":"Aromataris E.","year":"2024"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2021.10.021"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns2010.08.24.50.47.c7939"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns2010.08.24.51.47.c7943"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202307\u2010601OC"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201804\u2010253WS"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1742395321999441"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjresp\u20102014\u2010000051"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.12987"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.2340\/16501977\u20100512"},{"key":"e_1_2_14_15_1","doi-asserted-by":"crossref","DOI":"10.53841\/bpsqmip.2022.1.33.46","volume-title":"Thematic Analysis\u2014A Practical Guide","author":"Braun V.","year":"2022"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201910\u2010800OC"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2014.04.010"},{"issue":"1522","key":"e_1_2_14_18_1","first-page":"30","article-title":"Patient Characteristics and Predictors of Completion of a Pulmonary Rehabilitation Programme in Auckland, New Zealand","volume":"133","author":"Candy S.","year":"2020","journal-title":"New Zealand Medical Journal"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/8019557"},{"key":"e_1_2_14_20_1","volume-title":"Cochrane\u2010Campell Handbook for Qualitative Evidence Synthesis. Version 1. Chapter\u00a014. Integrating Qualitative and Quantitative Review Evidence. Cochrane Training","author":"Cochrane Training","year":"2025"},{"key":"e_1_2_14_21_1","volume-title":"Designing and Conducting Mixed Methods Research","author":"Creswell J. W.","year":"2018"},{"key":"e_1_2_14_22_1","volume-title":"Research Design: Qualitative, Quantitative and Mixed Methods Approaches","author":"Creswell J. W.","year":"2023"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.3109\/15412555.2014.922066"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2011.11.005"},{"key":"e_1_2_14_25_1","volume-title":"(Version EndNote X9) [64 Bit]","author":"EndNote Inc","year":"2013"},{"key":"e_1_2_14_26_1","volume-title":"Enhancing the QUAlity and Transparency of Health Research","author":"Equator Network","year":"2025"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(24)00757\u20108"},{"key":"e_1_2_14_28_1","volume-title":"GOLD 2025 Report","author":"GOLD Inc","year":"2024"},{"key":"e_1_2_14_29_1","volume-title":"GOLD 2026 Report","author":"GOLD Inc","year":"2026"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440\u20101800.2011.00573.x"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638280903464471"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2014.23.15.832"},{"key":"e_1_2_14_33_1","volume-title":"The Mixed Methods Appraisal Tool (MMAT) Version 2018 for Information Professionals and Researchers","author":"Hong Q. N.","year":"2018"},{"key":"e_1_2_14_34_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.07852"},{"key":"e_1_2_14_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1836\u20109553(11)70040\u20106"},{"key":"e_1_2_14_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0000000000000735"},{"key":"e_1_2_14_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2009.05.010"},{"key":"e_1_2_14_38_1","volume-title":"JBI Manual for Evidence Synthesis","author":"Lizarondo L.","year":"2024"},{"key":"e_1_2_14_39_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl\u20102016\u2010208460"},{"key":"e_1_2_14_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/CPM.0000000000000222"},{"key":"e_1_2_14_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215517708821"},{"key":"e_1_2_14_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/crj.13068"},{"key":"e_1_2_14_43_1","doi-asserted-by":"publisher","DOI":"10.1177\/14799731221147059"},{"key":"e_1_2_14_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(24)00367\u20102"},{"key":"e_1_2_14_45_1","unstructured":"National Institute for Health and Care Excellence.2019.\u201cChronic Obstructive Pulmonary Disease in Over 16s: Diagnosis and Management (NICE Guideline No. NG115).\u201dhttps:\/\/www.nice.org.uk\/guidance\/ng115."},{"key":"e_1_2_14_46_1","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0000000000000194"},{"key":"e_1_2_14_47_1","doi-asserted-by":"publisher","DOI":"10.1080\/15412555.2017.1379070"},{"key":"e_1_2_14_48_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010012\u20102177\u20103"},{"key":"e_1_2_14_49_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643\u2010016\u20100384\u20104"},{"key":"e_1_2_14_50_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003583"},{"key":"e_1_2_14_51_1","volume-title":"Nursing Research: Generating and Assessing Evidence for Nursing Practice","author":"Polit D. F.","year":"2021"},{"key":"e_1_2_14_52_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.11656"},{"key":"e_1_2_14_53_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202306\u20101066ST"},{"key":"e_1_2_14_54_1","doi-asserted-by":"publisher","DOI":"10.1177\/1479972318767206"},{"key":"e_1_2_14_55_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD002990.pub4"},{"key":"e_1_2_14_56_1","doi-asserted-by":"publisher","DOI":"10.3109\/15412555.2012.705365"},{"key":"e_1_2_14_57_1","doi-asserted-by":"publisher","DOI":"10.1080\/17482631.2019.1647401"},{"key":"e_1_2_14_58_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S380832"},{"key":"e_1_2_14_59_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.202203\u2010237OC"},{"key":"e_1_2_14_60_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201309\u20101634ST"},{"key":"e_1_2_14_61_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBISRIR\u2010D\u201019\u201000169"},{"key":"e_1_2_14_62_1","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S273336"},{"key":"e_1_2_14_63_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.13807"},{"key":"e_1_2_14_64_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.02151\u20102015"},{"key":"e_1_2_14_65_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2021.02.007"},{"key":"e_1_2_14_66_1","unstructured":"WHO.2025.\u201cGlobal Health Estimates: Life Expectancy and Leading Causes of Death and Disability. The Global Health Observatory. Explore a World of Health Data.\u201dhttps:\/\/www.who.int\/data\/gho\/data\/themes\/mortality\u2010and\u2010global\u2010health\u2010estimates."},{"key":"e_1_2_14_67_1","doi-asserted-by":"publisher","DOI":"10.1183\/23120541.00984\u20102023"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.70543","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocn.70543","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.70543","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T15:45:47Z","timestamp":1790783147000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.70543"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,30]]},"references-count":66,"alternative-id":["10.1111\/jocn.70543"],"URL":"https:\/\/doi.org\/10.1111\/jocn.70543","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,30]]},"assertion":[{"value":"2025-09-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jocn.70543"}}