Global Qualitative Nursing Research最新文献

Safe medication administration is a critical responsibility of registered nurses and is an essential skill developed during nursing education. Student confidence and preparation regarding medication administration are essential aspects of professional skill building. The Confidence and Preparation Survey (CPS) was used previously among homogeneous nursing student samples. The existing dominant discourse, shaped by ideologies and systems, can unfortunately lead to limited perspectives; therefore, the purpose of this study was to evaluate and refine the CPS for feasibility, clarity, and validity among nursing students primarily from groups that have been historically marginalized. A secondary purpose considered the conditions that affect perceived confidence and preparedness. Cognitive interviews were undertaken with baccalaureate nursing students (n = 11) attending an urban college of nursing in the Northeastern region of the United States. Data were analyzed using rapid qualitative techniques and the framework matrix method. The CPS was readily understood and interpreted by this sample. Student perspectives of conditions that influence their understanding and interpretation of the CPS are described under three themes: (1) prior outside of school healthcare experiences influence understanding, (2) school experiences support survey comprehension, and (3) concerns over insufficient training within school. Findings also include a revised CPS instrument ready for further testing.

When a parent is diagnosed with a progressive, fatal neurodegenerative disease, such as amyotrophic lateral sclerosis (ALS), it can have major effects on the family's health. Parenthood itself may also be affected, potentially fueling an urgent need for support from healthcare. Research focusing on this group of parents is nevertheless limited. The aim of this study was to illuminate the meaning of parenthood when a parent has ALS, from the perspective of ill parents and co-parents. An interpretive qualitative study was conducted, using data gathered from interviewing 26 parents (13 ill parents and 13 co-parents) with children living at home in Sweden. Applying a phenomenological hermeneutical analysis, structural analyses depicted the burdensome, complex impact that ALS can have on parenthood, redefining its meaning while forcing parents to face the difficult challenges it brings. The interpreted whole revealed how navigating this transformed parenthood meant a profound struggle, as the parents strived to balance their own emotional pain from grief and worry with remaining stable and supportive for their children. To promote the health of families affected by ALS, more proactive, tailored support is needed within ALS nursing, along with early integration of a palliative approach and attention to the parental perspective.

Communication difficulties experienced by people with aphasia (PWA) cause disconnects between meaningful conversations and care received. The purpose of this study was to identify concepts PWA define as (1) the most critical facilitators to transitional care and communicative access success, and (2) transitional care and communicative barriers. A qualitative descriptive study design was utilized. Semi-structured interviews were conducted with six PWA and two communication partners and analyzed using directed content analysis, guided by the theory of Human Scale Development. Findings revealed that barriers and facilitators centered on three Needs: (1) Participation: Participation in life events was directly related to public understanding of aphasia; (2) Protection: Healthcare services failed to provide necessary care, and participants relied on themselves to gain access to healthcare; and (3) Understanding: Healthcare conversations were described as one-sided, with successful healthcare interactions being mediated by empathic responses. Results identified how successful navigation of stroke care for PWA are complex and multifaceted processes. Findings affirm the importance of effective communication in healthcare. Participants call to action the need for healthcare professionals to be better educated on accessible communicative strategies.

Older Black women (OBW) aged 50 years and older are disproportionately affected by HIV, a condition that remains highly stigmatized. This qualitative descriptive study uses secondary data of previously collected data to explore the effects of HIV-related stigma on a sample of 19 OBW living with HIV. Convenience sampling was used to recruit participants in Florida, USA. In-depth interviews were conducted. Through conventional content analysis, seven themes were constructed: (a) the need for HIV to be a secret, (b) concerns about discrimination, (c) anticipated stigma, (d) behavioral responses to anticipated stigma, (e) ignorance and fear as sources of stigma, (f) emotional responses to experienced stigma, and (g) suggestions for future interventions. HIV-related stigma continues to be a major obstacle that OBW living with HIV must confront. The study's findings can inform clinical practice and health professional education and encourage greater use of mental health resources among OBW living with HIV.

The COVID-19 pandemic highlighted the need to improve ICU capacity and working conditions in Norwegian hospitals and recruit and retain nurses. The aim of this study is to explore what motivates nurses to continue working in the ICU using a constructivist approach, asserting that knowledge is created through the interaction between the researcher, the participants, and the context. Eight individual semi-structured interviews with intensive care nurses were audio-recorded and transcribed verbatim. The data were analysed using thematic analysis. We identified one main overarching theme, "an interpersonal and professionally focussed work environment," highlighting how a supportive and professional atmosphere boosts intensive care nurses' job satisfaction and motivation, and three subthemes. The sub-themes were named: "unity and well-being," underscoring the need for professional and interpersonal support, "close and professional leadership," emphasising the importance of having an attentive, accessible, and unifying leader, and "professional engagement and mastery," focussing on the significance of training, continuous skill development, and task distribution based on competence and experience. This study adds new knowledge about environmental factors that contribute to the understanding of why intensive care nurses remain in their profession and their motivation to continue working in the ICU despite the high workload.

'Equity-focused care' has gained attention in recent years. With widespread use, concepts take on different meanings creating confusion for service providers. This study examines what people experiencing homelessness with life-limiting illnesses value in equity-focused care, and how service providers-who identify their work as equity-focused-describe their roles within a care system that relies on, yet often undervalues, this kind of work. We conducted 11 interviews with service providers and seven with people experiencing homelessness with a life-limiting illness and who received care from a community-based palliative care team in Western Canada. Interviews were transcribed and analyzed via thematic analysis. We constructed three themes: Adapting to Individual Needs; Service Provider Orientation to Practice; and Being Present with People. Themes aligned with two spheres of influence from the Education Training Research's Health Equity Framework: Relationships and Networks and Systems of Power. Findings highlighted that service providers deliver equity-focused care by developing strong relational care networks challenging existing power structures -making this model incongruent with existing individually-focused biomedical care models. Findings transform the theoretical concept, 'equity-focused care', into tangible knowledge that highlights areas for policy change to support equity-focused care.

The aim of this study was to explore the experience of parents who completed online screening tools about their child's health, development, and well-being, and parents' experiences with the public health nurse's handling of this information during a well-child visit for children aged 0 to 7 years. Twenty well-child visits were observed, and 16 parents were interviewed individually or in pairs using a semi-structured interview guide. The parents' experiences were explored using reflexive thematic analyses of verbatim transcripts and field notes. Five main themes were developed; Experiencing Ease of Use and Confusion, Evoking Novel Insights, Evoking Insecurity and Vulnerability, Evoking New Expectations and lastly, Navigating Expectations, consisting of two sub themes; Harnessing Potentials and Neglecting Potentials. These findings indicate that online screening tools might provide important benefits, provided that parental insecurity and vulnerability are addressed by information and dialogue.

Loneliness and lack of purpose have a negative impact on well-being for young adults with developmental disabilities (DD) and older adults. Young adults with DD often lack meaningful relationships. While some aspects of well-being remain stable as a person ages, a sense of purpose may decline as life roles diminish. The purpose of this research was to discover ways enhance well-being in adults with DD and older adults through intergenerational interaction. A participatory action research approach was used with qualitative methods that included semi-structured interviews with four young adults with DD and five older adults. Participant observation and field notes were employed to enhance the rigor of the study. A community garden was the environment for intergenerational activities. Through thematic analysis of the data, five themes of well-being were constructed: engagement, positive relationships, accomplishment, meaning and purpose, and positive emotion with elements specific to adults with DD and older adults. The study revealed ways to enlist the wisdom and knowledge of older adults to enhance the well-being of young adults with DD and consequently enhance the well-being of the older adult as well. Implications of this study include employing social capital to improve well-being through synergistic relationships.

Ukrainian women migrants who moved to Canada to escape the 2022 escalation of the Russian-Ukrainian conflict face challenges to their integration into Canadian society due to their socio-economic vulnerability. As a result, some Ukrainian women find themselves in precarious situations, turning to sex work to make ends meet. Current literature primarily explores how sex work impacts a woman's physical well-being but is lacking in providing a comprehensive understanding of the holistic effects of this profession on one's well-being. This article details a protocol for a qualitative study that aims to explore the multi-faceted lived experiences of Ukrainian women migrants engaging in sex work in Canada. The proposed study consists of two phases to capture the nuances of the studied phenomenon. Phase 1 employs a critical interpretative phenomenological approach to explore the experiences of study participants through individual semi-structured interviews. Phase 2 involves document analysis of relevant job advertisements on social media platforms to explore strategies used to lure Ukrainian women migrants into sex work in Canada. This protocol outlines the study design to provide a comprehensive understanding of the research context. Ultimately, the study findings will aid in developing initiatives and policies to support this population and those with similar lived experiences.

The purpose of this study was to describe the nursing praxis of nurses and midwives on intercultural care in Poland with refugees from Ukraine. A qualitative descriptive study was conducted by an international, inter-professional research team, co-led by nurse scientists in the USA and Poland. In-depth interviews were completed in 2023 with 15 Polish nurses and midwives who cared for refugees from Ukraine. Nursing praxis was identified in four themes: Mobilizing resources, Clarifying health services, (In)visibility of trauma, and Discerning cultural nuances. Nurses were at the forefront of professional and volunteer efforts to assist refugees. Nursing praxis focused on building trust and creating a "sense of security" among refugees. There was a systemic lack of trauma-informed care and language access for nurses, hindering intercultural care. The study suggests nurses advocate for institutional support of qualified interpreters on health care teams where language differences persist. Nursing education should include intercultural care for war-affected refugees who are likely to experience long term psychological trauma. Ukrainian leaders could partner with investigators on research and program development for sustainable solutions in refugee communities.