Content of review 1, reviewed on December 31, 2024

Thank you for the opportunity to review this manuscript. Incorporating the following considerations is expected to enhance the comprehensibility of the concept analysis findings.
-The study reports on the concept analysis of ‘nurse worry’ in the context of clinical deterioration, following the steps of Rodgers’ evolutionary concept analysis. Figure 2 highlights the schematic representation of the concept analysis findings, including the antecedents, attributes, and consequences. The authors distinguish these components using numbering and arrows to indicate directional relationships. However, this approach diverges from traditional concept analysis schematics, which might make it challenging to interpret. Therefore, by excluding the numbering and focusing on the antecedents, attributes, and consequences, presenting the findings as a spectrum may facilitate a more straightforward understanding of the concept analysis results.
- In the discussion, highlighting the similarities and distinctions between the concept of nurse worry and its surrogate terms, as well as comparing the concept analysis findings of surrogate terms, would further emphasize the originality of the nurse worry concept.
- Study results and discussion should be aligned with the three research objectives for consistency.
-The statement in the discussion, "Aesthetic knowing is built on nursing experience, and this concept analysis has shown that clinical experience is an important antecedent of nursing worry," appears inconsistent with the concept analysis findings. It is essential to present the antecedents identified in this study consistently throughout the main results section and in Figure 2.
-The antecedents of nurse worry may encompass not only individual factors, such as nurses’ competencies—including knowledge, skills, and attitudes—educational and training experiences, and prior experiences, but also patient-related factors, workplace characteristics, team dynamics, and organizational factors. The authors need to explore existing validated theoretical frameworks closely related to nurse worry. Utilizing such frameworks could better highlight the relationships among the attributes, antecedents, and consequences identified in the concept analysis findings.
-Based on the concept analysis findings, it would be beneficial to include more specific policy recommendations tailored for nurse educators, administrators, and policymakers.

Source

    © 2024 the Reviewer.

Content of review 2, reviewed on February 04, 2025

The authors have revised most parts appropriately in response to the reviewers' comments. However, Figure 2 still does not appear to effectively represent the results of the concept analysis of nurse worry. I recommend reconsidering the modification of the figure 2 so that Antecedents, Concept Attributes, and Consequences are aligned in a linear sequence. According to the description in the manuscript, the key components are Antecedents (supportive contexts of care: nursing support, organizational support), Concept Attributes (assessing, sensing, recognizing, and processing), and Consequences (assured practice and proactive care, apprehensive practice and reactive care). It may be beneficial to distinguish the consequences into two separate directional categories. Additionally, ensuring consistency between the terminology used in the manuscript and Figure 2 would enhance clarity and comprehension.

Source

    © 2025 the Reviewer.

Content of review 3, reviewed on February 12, 2025

Thank you for the opportunity to review this manuscript. The authors should incorporate "Antecedents (supportive contexts of care)" into Figure 2.

Source

    © 2025 the Reviewer.

Content of review 4, reviewed on March 06, 2025

The authors have modified the manuscript well according to the comments.

Source

    © 2025 the Reviewer.

References

    Amy-Louise, B., Deb, M., Tracy, F., Justine, C., Ling, C. W., Danielle, L. L. 2025. When Nurses Worry: A Concept Analysis of Intuition in Clinical Deterioration. Journal of Advanced Nursing.