Global Qualitative Nursing Research最新文献

At least 10% of fathers experience depressive symptoms during the postpartum period, yet they are often overlooked and under-supported. It is critical to understand paternal postpartum depression as it has been linked to serious consequences, such as increased suicide risk among fathers. Further, paternal postpartum depression influences the entire family unit as it has been associated with maternal mental health issues and negative father-infant interactions. Through a qualitative descriptive design, we aimed to (1) identify the factors that fathers report as contributors to their postpartum depression symptoms, and (2) examine the reported postpartum depression symptoms among fathers and the associated impacts on their lives. Using thematic analysis, we analyzed 63 anonymous Reddit posts by fathers about their paternal postpartum depression experiences. Contributors included: (1) altered role adjustment, (2) resource-demand imbalance, (3) challenging maternal and infant circumstances, and (4) disparate yet concurrent realities. Symptoms included: (1) cognitive-emotional, (2) somatic, and (3) masked. Impacts included: (1) fractured social connections, (2) diminished career satisfaction and performance, and (3) positive outcomes on the other side. Fathers experienced various contributors, symptoms, and impacts of paternal postpartum depression. There is a critical need to increase awareness of and support for paternal postpartum depression to increase overall postpartum family well-being.

Existential loneliness is a profound sense of loneliness that arises when confronting existential questions, often intensified by the awareness of mortality. For older migrants, this experience may be deepened by feelings of exclusion and a disrupted sense of belonging. While existential loneliness has been explored in general older populations, little is known about how it is perceived and addressed by healthcare support staff working with older migrants. This study explores healthcare support staff's perceptions of existential loneliness among older migrants and the conditions necessary to address their needs. Using focus group methodology, analysis of data generated the overarching theme of "Navigating the unseen," capturing the complexity of recognizing and responding to existential loneliness. Three subthemes illustrate how HSSs perceive and respond to experiences of EL among older migrants. The first two-(a) "Feelings of exclusion contribute to the experience of EL" and (b) "The ongoing quest for belonging"-highlight how participants perceived older migrants' experiences of EL. The third subtheme, "Aspects influencing HSSs' engagement with older migrants experiencing EL," captures factors that shape HSSs' capacity to support this population. This study highlights the complex challenges staff face in addressing existential loneliness in this population. To meet these needs, staff require time, training, and managerial support. Building trustful relationships, fostering cultural and religious inclusivity, and integrating psychosocial care are essential to support older migrants in finding meaning and belonging in later life.

In recent decades, there has been growing interest in research on dignity in care for persons with dementia living in high-income countries. In contrast, such research remains limited in low- and middle-income countries. This study aimed to explore healthcare professionals' perceptions of the critical qualities inherent in dignity-preserving care for persons with dementia living in old age homes in Nepal. Using a hermeneutical approach, we conducted qualitative in-depth interviews with eleven healthcare professionals. Our analysis revealed that participants' understanding of dignity-preserving care was rooted in their ontological and cultural belief of 'Acknowledging the equal worth of each human being'. Grounded in this foundational belief, critical elements of dignity-preserving care practices focused on 'sheltering the self-esteem and promoting a meaningful everyday life of persons with dementia'. These practices involved 'being respectful and protecting the self-identity of each person'; 'recognising the need for being a person who people listen to'; 'showing regard for each person's efforts and contributions in life'; 'safeguarding the person's sense of belonging', and; 'facilitating personally valued activities', and were considered as critical qualities of dignity-preserving care. The study provides valuable insights for improving care strategies and informing policy developments for dignity-preserving care for persons with dementia.

Black and South Asian nurse faculty transitioning from clinical practice to academia face persistent barriers, including racialized exclusion, institutional neglect, and unclear tenure and promotion expectations. Despite the importance of mentorship, many report insufficient formal support, turning instead to external networks and self-advocacy to navigate academic life. This autoethnographic study explores the mentoring experiences of Black and South Asian nurse faculty in U.S. higher education, from transition through the promotion and tenure process. Inductive thematic analysis of reflective journal narratives, interpreted through the lens of Social Cognitive Career Theory, led to the development of themes spanning a nine-stage mentorship cycle. Findings highlight the lack of structured mentorship and unclear tenure expectations as primary challenges. Additional themes included mistrust in assigned mentors, emotional and psychological burdens, and the impact of racial identity on career progression. Participants frequently turned to peer networks and professional organizations to fill mentorship gaps and, over time, assumed mentorship roles themselves. This study underscores the need for culturally responsive, equity-centered mentorship programs and transparent advancement pathways. Institutions must commit to inclusive leadership development and sustained support to ensure the success and retention of Black and South Asian faculty in nursing academia.

Healthcare demands continue to increase across the globe, Advanced Practice Nurses (APNs) including Nurse Practitioners (NPs) are recognised as a valuable workforce that can increase access and improve the quality of care. However, NPs are underrepresented in Finland. This study explored Finnish NPs' practice patterns and identified the common visit types to NP clinics in primary care. This descriptive qualitative study is part of a multiple-method and action research project that aims to develop and evaluate advanced practice nursing models in primary care within a wellbeing services county of Western Finland. Responses to open-ended questions and interview data from 16 NPs working in primary care were analysed using inductive content analysis. The findings highlight key aspects of NPs' work, including the types of patients they care for-those with both acute and long-term health needs-and the core elements of their practice, such as conducting health assessments, providing counselling and coaching, engaging in collaborative care, and prescribing medications. The analysis also revealed persistent ambiguity surrounding certain aspects of NP practice. Overall, the findings indicate that NPs in Finland utilise a wide range of knowledge and skills to care for patients presenting with acute and long-term health problems.

Breast cancer is a significant cause of cancer death in young women in the United States. Inherited pathogenic variants, like BRCA1 and BRCA2, contribute to an increased lifetime breast cancer risk in this population. For women with a known pathogenic variant but without a previous cancer diagnosis, also known as "previvors," the bilateral risk-reducing mastectomy (BRRM) most effectively reduces breast cancer risk. However, this surgery often causes physical change to the body. While existing research has examined the effect of BRRM and body image among previvors across the lifespan, the effect of prophylactic breast removal to decrease lifetime breast cancer risk in young previvors less than 40 years of age is less understood. A descriptive phenomenological approach, along with participant-submitted images, from a sample of 13 young previvors from the Midwestern United States, aged 29 to 39, explored the lived experience of BRRM and body image in the first 12 months following surgery. Narrative data served as the primary source, augmented by participant-submitted visual data. Essential themes were intuited to include BRRM to promote health, the importance of adaptation and acceptance to a changed body, and unexpected challenges following surgery; body image was found to be largely positive after healing occurred.

This systematic review investigates the barriers experienced by nurses with prescriptive authority and their required supports to strengthen and sustain nurse prescribing. Empirical qualitative studies indexed in Embase, MEDLINE, CINAHL, and ProQuest from inception through 31 December 2023 were screened, yielding 27 eligible articles. Data were synthesized with Thomas and Harden's three-stage inductive approach which included: line-by-line coding, construction of descriptive themes, and generation of analytical themes. Two overarching analytical themes were constructed - "The Undervaluing of Nurse Prescribers" and "The Need for a Supportive System". Each encompassed several subthemes that expose pervasive misconceptions about, and systemic undervaluation of, nurse prescribers' expertise. The review underscores the imperative for comprehensive organizational and policy support to strengthen nurse prescribers' autonomy, confidence, and effectiveness. Because most of the included studies originated from high-income Western countries, future research is needed to examine nurse prescribing in low- and middle-income settings.

Black women remain markedly underrepresented in academic nursing-particularly in tenure-track and leadership roles-and their contributions are often overshadowed by persistent inequities in advancement, recognition, and compensation, compounded by the emotional and cultural labor required to navigate predominantly White institutions. Guided by Critical Race Theory and intersectionality, this narrative inquiry explored how 32 Black women faculty and academic leaders experience systemic underrepresentation and construct professional identity. Data were subjected to reflexive thematic analysis, yielding six interlocking themes: the burdens of representation; navigating undervaluation in academia; confronting stereotypes, exclusion, and racialized labor; institutional isolation and structural neglect; emotional exhaustion and the cost of survival; and identity negotiation and resilience as survival work. Participants described countering structural inequities through internal resistance, mentoring, and advocacy. These findings reveal that professional identity construction among Black women in academic nursing is inseparable from entrenched racism and sexism and underscore the urgent need for equity-centered leadership and mentorship to disrupt exclusion and support Black faculty.

The Thai ostomate self-help group is an informal association of people living with ostomy who come together with the goal of improving their quality of life and living conditions. This study aims to qualitatively explore the experiences of individuals with colostomy and their participation in a self-help group in Thailand. In-depth interviews were conducted with 30 individuals living with a permanent ostomy who had undergone ostomy surgery for colorectal cancer. Through engaging with the group, participants found ways to live for themselves and others. Information and support were shared in the form of positive stories that empowered participants to live a more normal life and participate in everyday activities. Moreover, group members found a sense of meaning and appreciation in devoting themselves to helping other members. These results enhance the understanding of the benefits of self-help groups in Thailand, and in turn raise question about the provision of psychosocial services for people living with ostomy in the Thai health care system.

Displaced by the Russian invasion, Ukrainian women face complex challenges in adapting to new environments. This study explores their experiences living in homestay arrangements in Canada, drawing on Conceptual Metaphor Theory and Critical Metaphor Analysis to examine how they express displacement, adaptation, and integration. Eighteen women participated through photo-elicitation interviews, metaphor-building activities using AI-generated images, and focus group discussions. The participants created metaphors to represent their hosting experiences, which were analyzed using Charteris-Black's framework for Critical Metaphor Analysis alongside thematic narrative analysis. Metaphors such as "The Cardboard House," "Ferris Wheel of Photos," and "Warm Safe House" captured their resilience, vulnerability, and evolving sense of belonging. These metaphors informed three central themes: the search for stability, safety, and peace; the process of adaptation and expressions of gratitude; and the emotional dislocation tied to homeland connections. The findings highlight the emotional complexity of homestay experiences and the need for culturally sensitive, structured hosting models. For nursing, this underscores the value of trauma- and culturally-informed care to support displaced women's psychosocial well-being.