{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T15:53:08Z","timestamp":1791129188783,"version":"4.1.0"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100012226","name":"Fundamental Research Funds for the Central Universities","doi-asserted-by":"publisher","award":["3332024098"],"award-info":[{"award-number":["3332024098"]}],"id":[{"id":"10.13039\/501100012226","id-type":"DOI","asserted-by":"publisher"}]}],"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<\/jats:title>\n                    <jats:p>To comprehensively identify, conceptualize and map the barriers and facilitators influencing the implementation of nurse\u2010led diabetic plantar pressure assessment and management (NL\u2010DPPAM) from a multicentre, multi\u2010stakeholder perspective and to construct a priority action framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite its critical role in preventing diabetic foot ulcers (DFUs), NL\u2010DPPAM faces a significant evidence\u2010practice gap due to complex barriers and a lack of stakeholder\u2010integrated prioritization frameworks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An exploratory sequential mixed\u2010methods study utilizing multicentre group concept mapping across China engaged 219 key stakeholders. Factors generated via literature, records and brainstorming (QUAL) were sorted and rated for \u2018Importance\u2019 and \u2018Feasibility\u2019 (QUAN). Concept maps were generated using multidimensional scaling and hierarchical cluster analysis. Priority areas were identified using CFIR\u2010based theoretical mapping and Go\u2010Zone plots (INTEGRATION).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The conceptual framework comprises 76 factors across 17 clusters and five CFIR domains, revealing a widespread importance\u2010feasibility gap. Three domains (Implementation Process, Individuals, Inner Setting) and seven clusters (e.g., Planning, Capability, Communications) entered the high\u2010importance\/high\u2010feasibility \u2018Priority Action Zone\u2019. Specifically, 29 factors were prioritized, highlighting critical gaps such as lacking DPPAM operational methods, patient safety prevention plans and standardized outcome evaluation tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This first\u2010of\u2010its\u2010kind multi\u2010stakeholder, data\u2010driven framework systematically delineates the multidimensional determinants of NL\u2010DPPAM implementation. Policymakers should focus on developing strategies targeting areas with both high importance and high feasibility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70567","type":"journal-article","created":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T15:31:45Z","timestamp":1791127905000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Stakeholder Perspectives on Barriers and Facilitators to Implementing Nurse\u2010Led Diabetic Plantar Pressure Assessment and Management: A Multicentre Group Concept Mapping Study"],"prefix":"10.1111","author":[{"given":"Jiayin","family":"Luo","sequence":"first","affiliation":[{"name":"Department of Outpatient Beijing Hospital, National Center for Gerontology, National Clinical Research Center for Gerontology, the Key Laboratory of Geriatrics of NHC, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences  Beijing P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5760-6187","authenticated-orcid":false,"given":"Sihan","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing Beijing University of Chinese Medicine  Beijing P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaojiu","family":"Qi","sequence":"additional","affiliation":[{"name":"Department of Nursing Beijing Hospital, National Center for Gerontology, National Clinical Research Center for Gerontology, the Key Laboratory of Geriatrics of NHC, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences  Beijing P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6933-8160","authenticated-orcid":false,"given":"Ke","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Emergency Beijing Hospital, National Center for Gerontology, National Clinical Research Center for Gerontology, the Key Laboratory of Geriatrics of NHC, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences  Beijing P.R. China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0006-2573","authenticated-orcid":false,"given":"Xiaoyan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Beijing Hospital, National Center for Gerontology, National Clinical Research Center for Gerontology, the Key Laboratory of Geriatrics of NHC, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences  Beijing P.R. 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