Pub Date : 2022-01-29eCollection Date: 2022-01-01DOI: 10.1177/23333936211073616
Anne Kasén, Terese Bondas
Accumulation of suffering in later life due to severe psychiatric illness has received surprisingly little interest in nursing research. Suffering in daily living seems to be more demanding for men, a phenomenon still debated in the literature. This phenomenological-hermeneutic study aims at describing and interpreting the perspectives of adult men and their experiences of suffering in daily living with severe psychiatric illness, diagnosed as schizophrenia. Data were collected in dialogical conversations with four men aged between 20 and 40 years, living alone in northern Norway. The themes created from the structural understanding illuminate the participants' suffering as simultaneously struggling against the grasp of the illness and for reshaping the future. The theoretical interpretation unfolds the multidimensionality of their suffering and the need for confirmation of the suffering and reconciliation with the losses from illness, thus making reorientation to the future possible.
{"title":"\"Suffering as a Lifelong Companion: A Phenomenological-Hermeneutic Study of Men Living With Severe Psychiatric Illness\"Lidelse som livslang følgesvenn: En fenomenologisk-hermeneutisk studie av menn som lever med alvorlig psykiatrisk sykdom.","authors":"Anne Kasén, Terese Bondas","doi":"10.1177/23333936211073616","DOIUrl":"https://doi.org/10.1177/23333936211073616","url":null,"abstract":"<p><p>Accumulation of suffering in later life due to severe psychiatric illness has received surprisingly little interest in nursing research. Suffering in daily living seems to be more demanding for men, a phenomenon still debated in the literature. This phenomenological-hermeneutic study aims at describing and interpreting the perspectives of adult men and their experiences of suffering in daily living with severe psychiatric illness, diagnosed as schizophrenia. Data were collected in dialogical conversations with four men aged between 20 and 40 years, living alone in northern Norway. The themes created from the structural understanding illuminate the participants' suffering as simultaneously struggling against the grasp of the illness and for reshaping the future. The theoretical interpretation unfolds the multidimensionality of their suffering and the need for confirmation of the suffering and reconciliation with the losses from illness, thus making reorientation to the future possible.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8801648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39883065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-20eCollection Date: 2022-01-01DOI: 10.1177/23333936211073613
Mitti Blakoe, Selina Kikkenborg Berg, Ida Elisabeth Højskov, Pernille Palm, Camilla Bernild
Social support is known to be essential to cope with the physical and psychological aftermath following coronary heart disease treatment. Consequently, patients experiencing loneliness may be placed in a vulnerable situation. The aim of this study was to provide insight into the nuances and complexity of loneliness and its impact on health behaviour in the early rehabilitation period following treatment. The study used a hermeneutic philosophical approach. Patients classified as lonely were interviewed in either a focus group (n = 7) or in an individual interview (n = 10). We analysed the empirical material using inductive content analysis. The analysis illuminated various dimensions of patients' perceived loneliness; 'Loneliness as an emotional pain', 'A changed, but unmet need for social support' and 'Striving for symmetry in relationships'. Loneliness negatively influenced patients' ability to adapt to the critical event and manage health behaviour changes. Insight into the mechanisms that aggravate loneliness may inform future social support interventions. Social støtte er beskrevet som essentiel i forbindelse med håndteringen af de fysiske og psykiske følger af iskæmisk hjertesygdom. Derfor kan patienter som oplever ensomhed være i en særlig sårbar situation. Formålet med dette kvalitative studie var at opnå en nuanceret indsigt i patients oplevelse af ensomhed, samt hvordan ensomhed influerer på sundhedsadfærd i den tidlige rehabiliteringsperiode efter behandlingen for iskæmisk hjertesygdom. I studiet havde vi en hermeneutisk filosofisk tilgang. Patienter klassificeret som ensomme blev interviewet enten individuelt (n = 10) eller i fokusgruppe (n = 7). Vi analyserede det empiriske materiale med induktiv indholdsanalyse. Analysen tydeliggjorde forskellige dimensioner af patienternes oplevede ensomhed: "Ensomhed som en emotionel smerte", "Et ændret, men ikke imødekommet behov for social støtte", Stræben efter symmetri i relationer". Ensomhed havde en negativ indflydelse på patienternes mulighed for at håndtere den kritiske hændelse og på sundhedsadfærd. En øget indsigt i de mekanismer som forværrer ensomhed, har relevans ved udarbejdelsen af fremtidige sociale støtteinterventioner.
众所周知,社会支持对于应对冠心病治疗后的生理和心理后果至关重要。因此,经历孤独的患者可能会被置于一个脆弱的境地。本研究的目的是深入了解孤独感的细微差别和复杂性及其对治疗后早期康复期健康行为的影响。这项研究采用了解释学的哲学方法。对被归类为孤独的患者进行了焦点小组访谈(n = 7)或个人访谈(n = 10)。运用归纳内容分析法对实证材料进行分析。分析揭示了患者感知孤独的各个维度;“孤独是一种情感上的痛苦”,“对社会支持的需求发生了变化,但尚未得到满足”,以及“努力在关系中保持对称”。孤独对患者适应关键事件和管理健康行为变化的能力产生负面影响。深入了解加剧孤独感的机制可能会为未来的社会支持干预提供信息。社交媒体为社交媒体提供了一些必要的服务,以帮助人们更好地理解社交媒体对社交媒体的影响,以及社交媒体对社交媒体的影响。对于一些患者来说,如果他们被vær r所包围,那么vær r就会出现这种情况。本研究通过对其他患者的诊断、诊断、诊断、诊断、诊断、治疗后的康复期进行回顾性分析,对患者的预后进行了评价。我的研究表明,即使是在解释过程中,我也会有风险。对10例个体(n = 10)和7例群体(n = 7)进行了患者分类访谈,并采用经验主义材料进行了综合分析。分析类型对患者的技能维度进行了分析:“沉浸在情感上”,“沉浸在情感上”,“沉浸在情感上”,“沉浸在情感上”,“沉浸在情感上”,“沉浸在情感上”,“沉浸在情感上”,“沉浸在情感上”,“沉浸在情感上”。Ensomhed havde en negativ indflydelse pa patienternes mulighed在handtere窝kritiske hændelse og pa sundhedsadfærd。En ø ø对mekanismer的一些见解为æ ø ø rrer所着迷,其中涉及到的是对社会的干预。
{"title":"Who Cares? Perception of Loneliness in Patients Treated for Coronary Heart DiseaseHvem bekymrer sig? Oplevelsen af ensomhed hos patienter med iskæmisk hjertesygdom.","authors":"Mitti Blakoe, Selina Kikkenborg Berg, Ida Elisabeth Højskov, Pernille Palm, Camilla Bernild","doi":"10.1177/23333936211073613","DOIUrl":"https://doi.org/10.1177/23333936211073613","url":null,"abstract":"<p><p>Social support is known to be essential to cope with the physical and psychological aftermath following coronary heart disease treatment. Consequently, patients experiencing loneliness may be placed in a vulnerable situation. The aim of this study was to provide insight into the nuances and complexity of loneliness and its impact on health behaviour in the early rehabilitation period following treatment. The study used a hermeneutic philosophical approach. Patients classified as lonely were interviewed in either a focus group (<i>n</i> = 7) or in an individual interview (<i>n</i> = 10). We analysed the empirical material using inductive content analysis. The analysis illuminated various dimensions of patients' perceived loneliness; 'Loneliness as an emotional pain', 'A changed, but unmet need for social support' and 'Striving for symmetry in relationships'. Loneliness negatively influenced patients' ability to adapt to the critical event and manage health behaviour changes. Insight into the mechanisms that aggravate loneliness may inform future social support interventions. Social støtte er beskrevet som essentiel i forbindelse med håndteringen af de fysiske og psykiske følger af iskæmisk hjertesygdom. Derfor kan patienter som oplever ensomhed være i en særlig sårbar situation. Formålet med dette kvalitative studie var at opnå en nuanceret indsigt i patients oplevelse af ensomhed, samt hvordan ensomhed influerer på sundhedsadfærd i den tidlige rehabiliteringsperiode efter behandlingen for iskæmisk hjertesygdom. I studiet havde vi en hermeneutisk filosofisk tilgang. Patienter klassificeret som ensomme blev interviewet enten individuelt (n = 10) eller i fokusgruppe (n = 7). Vi analyserede det empiriske materiale med induktiv indholdsanalyse. Analysen tydeliggjorde forskellige dimensioner af patienternes oplevede ensomhed: \"Ensomhed som en emotionel smerte\", \"Et ændret, men ikke imødekommet behov for social støtte\", Stræben efter symmetri i relationer\". Ensomhed havde en negativ indflydelse på patienternes mulighed for at håndtere den kritiske hændelse og på sundhedsadfærd. En øget indsigt i de mekanismer som forværrer ensomhed, har relevans ved udarbejdelsen af fremtidige sociale støtteinterventioner.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0f/9f/10.1177_23333936211073613.PMC8785347.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39963977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-18eCollection Date: 2022-01-01DOI: 10.1177/23333936211073116
Kechi Iheduru-Anderson, Florence O Okoro, Shawana S Moore
Severe under-representation of Black women academic nurse leaders persists in United States higher education, and a major research gap still exists regarding experiences of these leaders, and facilitators of and barriers to their success. Our objective was to examine how race and gender influence how Black women academic nurse leaders' function in their leadership positions, how they are perceived by their peers, and how their perception of race, gender, class, and power influences diversity, equity, and inclusion initiatives in the workplace. Critical race theory was used as a guiding theory, and the study design involved narrative inquiry followed by thematic analysis. Four overarching themes with four sub-themes were revealed: (a) Paying a personal price for authenticity, (b) Being the only one is hard even when you are in charge, (c) The illusion of diversity and inclusion while trying to survive, and (d) Focusing on building and sustaining diversity, equity, and inclusion. Implications for nursing education including instituting training for faculty in anti-racist pedagogy and requiring nursing programs to meet inclusivity metrics for approval and accreditation.
{"title":"Diversity and Inclusion or Tokens? A Qualitative Study of Black Women Academic Nurse Leaders in the United States.","authors":"Kechi Iheduru-Anderson, Florence O Okoro, Shawana S Moore","doi":"10.1177/23333936211073116","DOIUrl":"https://doi.org/10.1177/23333936211073116","url":null,"abstract":"<p><p>Severe under-representation of Black women academic nurse leaders persists in United States higher education, and a major research gap still exists regarding experiences of these leaders, and facilitators of and barriers to their success. Our objective was to examine how race and gender influence how Black women academic nurse leaders' function in their leadership positions, how they are perceived by their peers, and how their perception of race, gender, class, and power influences diversity, equity, and inclusion initiatives in the workplace. Critical race theory was used as a guiding theory, and the study design involved narrative inquiry followed by thematic analysis. Four overarching themes with four sub-themes were revealed: (a) Paying a personal price for authenticity, (b) Being the only one is hard even when you are in charge, (c) The illusion of diversity and inclusion while trying to survive, and (d) Focusing on building and sustaining diversity, equity, and inclusion. Implications for nursing education including instituting training for faculty in anti-racist pedagogy and requiring nursing programs to meet inclusivity metrics for approval and accreditation.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/00/04/10.1177_23333936211073116.PMC8793380.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39873528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-17eCollection Date: 2022-01-01DOI: 10.1177/23333936211035750
Derby Munoz-Rojas, Cristobal Ching-Alvarez, Kwynn M Gonzalez-Pons
Dating violence has negative consequences on the well-being of college students. Thus, it is imperative that providers of student-oriented services can detect and respond to dating violence. Although many universities worldwide have implemented dating violence screenings protocols, they are not yet common practice in Costa Rica. As a result, there is inadequate recognition of this problem, so it remains unaddressed. Therefore, this qualitative descriptive study explored the perceptions of professionals working in student-oriented services in Costa Rica about dating violence warning signs exhibited by college students. 29 providers from four public universities were interviewed, and three main areas were identified from a content analysis: the process that providers follow to identify dating violence, the visible signs that victims display, and the self-protective strategies that victims employ to hide their abuse. These findings are important for researchers and practitioners wanting to improve dating violence screening instruments for the Central American context. Resumen La violencia en el noviazgo tiene consecuencias negativas en el bienestar de los estudiantes universitarios. Por lo tanto, es determinante que los proveedores de servicios orientados a los estudiantes universitarios puedan detectar y responder a la violencia en el noviazgo. Aunque muchas universidades en todo el mundo han implementado protocolos de detección de violencia en el noviazgo, aunque aún no es una práctica común en Costa Rica. Como resultado, el reconocimiento de este problema es insuficiente y sigue sin abordarse. Por lo tanto, este estudio descriptivo cualitativo exploró las percepciones de los profesionales que trabajan en servicios orientados a los estudiantes universitarios en Costa Rica sobre las señales de alerta de violencia en el noviazgo manifestadas exhibidas por los estudiantes universitarios. Se entrevistó a 29 proveedores de cuatro universidades públicas. A partir de un análisis de contenido se identificaron tres temas principales: el proceso que los proveedores siguen para identificar la violencia en el noviazgo, los signos visibles que muestran las víctimas y las estrategias de autoprotección que las víctimas emplean para ocultar su abuso. Estos hallazgos son importantes para los investigadores y profesionales que desean mejorar los mecanismos de detección temprana de la violencia en el noviazgo para el contexto universitario.
约会暴力对大学生的健康有负面影响。因此,以学生为导向的服务提供者必须能够发现并应对约会暴力。虽然世界上许多大学都实施了约会暴力筛查协议,但在哥斯达黎加还不普遍。结果,人们对这一问题认识不足,因此仍未得到解决。因此,本定性描述性研究探讨了哥斯达黎加学生服务专业人员对大学生约会暴力警告标志的看法。采访了来自四所公立大学的29名服务提供者,并从内容分析中确定了三个主要领域:服务提供者识别约会暴力的过程,受害者表现出的明显迹象,以及受害者用来隐藏其虐待的自我保护策略。这些发现对于想要改进中美洲约会暴力筛查工具的研究人员和从业人员很重要。我的简历:我的简历上写着暴力,我的简历上写着暴力,我的简历上写着暴力,我的简历上写着暴力。穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷穷在哥斯达黎加,有许多大学在世界上执行detección国家暴力协议,有aún国家暴力协议和práctica común国家暴力协议。结果表明,在边界上,对边界问题的认识不足。秘鲁,estestestudio descriptivo质性exploró哥斯达黎加,despercepciones de los professionales que trababajan, servicios orientados, los students universitarios;哥斯达黎加,desociciones de violencia, el noviazgo manifestadas exhibidas, desoestestestestutitivo universitarios。参见entrevistó a 29 provedores de cuatro unisidades públicas。1 .当事各方应遵守以下原则:1 .程序应遵守下列原则:1 .程序应遵守下列原则:1 .程序应遵守下列原则:1 .程序应遵守下列原则:1 .程序应遵守下列原则:1 .程序应遵守下列原则:1 .程序应遵守下列原则:1 .策略应遵守下列原则:1 . autoprotección应遵守下列原则:1 .雇员应遵守下列原则:1 .暴力应遵守下列原则。Estos hallazgos对重要的调查人员和专业人员进行了调查,并研究了detección暴力事件的时间机制和大学背景下的新情况。
{"title":"Red Flags of Dating Violence Among College Students: From the Perspective of Campus Service Providers in Costa Rica Señales de alerta de la violencia en el noviazgo entre estudiantes universitarios: Desde la perspectiva de los proveedores de servicios estudiantiles en Costa Rica.","authors":"Derby Munoz-Rojas, Cristobal Ching-Alvarez, Kwynn M Gonzalez-Pons","doi":"10.1177/23333936211035750","DOIUrl":"https://doi.org/10.1177/23333936211035750","url":null,"abstract":"<p><p>Dating violence has negative consequences on the well-being of college students. Thus, it is imperative that providers of student-oriented services can detect and respond to dating violence. Although many universities worldwide have implemented dating violence screenings protocols, they are not yet common practice in Costa Rica. As a result, there is inadequate recognition of this problem, so it remains unaddressed. Therefore, this qualitative descriptive study explored the perceptions of professionals working in student-oriented services in Costa Rica about dating violence warning signs exhibited by college students. 29 providers from four public universities were interviewed, and three main areas were identified from a content analysis: the process that providers follow to identify dating violence, the visible signs that victims display, and the self-protective strategies that victims employ to hide their abuse. These findings are important for researchers and practitioners wanting to improve dating violence screening instruments for the Central American context. Resumen La violencia en el noviazgo tiene consecuencias negativas en el bienestar de los estudiantes universitarios. Por lo tanto, es determinante que los proveedores de servicios orientados a los estudiantes universitarios puedan detectar y responder a la violencia en el noviazgo. Aunque muchas universidades en todo el mundo han implementado protocolos de detección de violencia en el noviazgo, aunque aún no es una práctica común en Costa Rica. Como resultado, el reconocimiento de este problema es insuficiente y sigue sin abordarse. Por lo tanto, este estudio descriptivo cualitativo exploró las percepciones de los profesionales que trabajan en servicios orientados a los estudiantes universitarios en Costa Rica sobre las señales de alerta de violencia en el noviazgo manifestadas exhibidas por los estudiantes universitarios. Se entrevistó a 29 proveedores de cuatro universidades públicas. A partir de un análisis de contenido se identificaron tres temas principales: el proceso que los proveedores siguen para identificar la violencia en el noviazgo, los signos visibles que muestran las víctimas y las estrategias de autoprotección que las víctimas emplean para ocultar su abuso. Estos hallazgos son importantes para los investigadores y profesionales que desean mejorar los mecanismos de detección temprana de la violencia en el noviazgo para el contexto universitario.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/46/fd/10.1177_23333936211035750.PMC8793443.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39873085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-10eCollection Date: 2022-01-01DOI: 10.1177/23333936211042616
Diana Arabiat, Lisa Whitehead, Samia Gaballah, Nazi Nejat, Ebtehal Galal, Eman Abu Sabah, Nazek Smadi, Inas Saadeh, Randa Khlaif
The prevalence of self-prescribed complementary medicine (CM) use is an area of concern across the Middle East. We conducted a descriptive qualitative study to describe women's use of CM during their childbearing years in Egypt, Jordan, Saudi Arabia and Iran. The study conducted using face to face audio-recorded interviews with 70 participants. Our findings showed that women used several herbal plants to ease pain and discomfort during menstruation and/or during pregnancy and in postpartum care. Acupuncture, meditation, and massage were less likely to be used by women. The impact of CM was often described in relation to perceived usefulness and safety of herbs. Cultural beliefs and roles of women contributed to the use of herbs among women. Given the high use of herbal medicine, there is a need for discussion about the potential of adverse effects of some plants or their metabolites following self-medication during the childbearing years.
{"title":"The Use of Complementary Medicine During Childbearing Years: A Multi-Country Study of Women From the Middle East اس<b>تفاده از</b> <b>طب</b> <b>مکمل در</b> <b>دوران</b> <b>باروری:</b> <b>یک</b> <b>مطالعه</b> <b>چند کشوری درزنان خاور میا</b>نه<b>استخدام</b> الطب التكميلي خلال سنوات الإنجاب: دراسة متعددة البلدان لنساء من الشرق الأوسط.","authors":"Diana Arabiat, Lisa Whitehead, Samia Gaballah, Nazi Nejat, Ebtehal Galal, Eman Abu Sabah, Nazek Smadi, Inas Saadeh, Randa Khlaif","doi":"10.1177/23333936211042616","DOIUrl":"https://doi.org/10.1177/23333936211042616","url":null,"abstract":"<p><p>The prevalence of self-prescribed complementary medicine (CM) use is an area of concern across the Middle East. We conducted a descriptive qualitative study to describe women's use of CM during their childbearing years in Egypt, Jordan, Saudi Arabia and Iran. The study conducted using face to face audio-recorded interviews with 70 participants. Our findings showed that women used several herbal plants to ease pain and discomfort during menstruation and/or during pregnancy and in postpartum care. Acupuncture, meditation, and massage were less likely to be used by women. The impact of CM was often described in relation to perceived usefulness and safety of herbs. Cultural beliefs and roles of women contributed to the use of herbs among women. Given the high use of herbal medicine, there is a need for discussion about the potential of adverse effects of some plants or their metabolites following self-medication during the childbearing years.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/55/7b/10.1177_23333936211042616.PMC8753066.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39826148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-05eCollection Date: 2021-01-01DOI: 10.1177/23333936211060036
Hilde Munkeby, Aud Moe, Grete Bratberg, Siri A Devik
In long-term care, ethical challenges are becoming increasingly apparent as the number of older patients with complex care needs increases, in parallel with growing demands for more cost-efficient care. Scarce resources, cross-pressure and value conflicts are associated with missed care, moral stress and nurses wanting to leave the profession. Through five focus group interviews, this study aimed to explore how nurses working in nursing homes and homecare services perceive, experience and manage ethical challenges in everyday work. Content analysis revealed three main themes: striving to do good; failing and being let down and getting rid of frustrations and learning from experiences. The nurses' morality was mainly expressed through emotions that arose in specific situations. Dedicated spaces for ethical reflection and leaders who recognize that organizational conditions affect the individual nurse-patient relationship are required. Facilitating ethical reflection is an important leadership responsibility, which may also require leaders to actually participate.
{"title":"'Ethics Between the Lines' - Nurses' Experiences of Ethical Challenges in Long-Term Care.","authors":"Hilde Munkeby, Aud Moe, Grete Bratberg, Siri A Devik","doi":"10.1177/23333936211060036","DOIUrl":"https://doi.org/10.1177/23333936211060036","url":null,"abstract":"<p><p>In long-term care, ethical challenges are becoming increasingly apparent as the number of older patients with complex care needs increases, in parallel with growing demands for more cost-efficient care. Scarce resources, cross-pressure and value conflicts are associated with missed care, moral stress and nurses wanting to leave the profession. Through five focus group interviews, this study aimed to explore how nurses working in nursing homes and homecare services perceive, experience and manage ethical challenges in everyday work. Content analysis revealed three main themes: striving to do good; failing and being let down and getting rid of frustrations and learning from experiences. The nurses' morality was mainly expressed through emotions that arose in specific situations. Dedicated spaces for ethical reflection and leaders who recognize that organizational conditions affect the individual nurse-patient relationship are required. Facilitating ethical reflection is an important leadership responsibility, which may also require leaders to actually participate.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8738871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39801958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1177/23333936221128241
Margareta Karlsson, Christina Karlsson, Anne Kasén
Constantly facing human suffering and impending death can generate anxiety and insecurity in nursing personnel in end-of-life care. The aim of the study is to reveal nursing personnel's inner driving force in end-of-life care. A phenomenological hermeneutical method was used to search for meaning in the narrative data collected in this study. The structural analysis resulted in four themes: The appeal in the patient's vulnerability, The appeal in the patient's joy, Facing one's own existence in vulnerability, and Being at home with colleagues. Both vulnerability and joy motivated nursing personnel in caring. The care was often emotionally engaging and oscillated between grief and joy, which required a great deal from the nursing personnel both as professionals and fellow human beings. At the same time the emotionally engaging constituted an inner driving force, which gave them courage to do the best for the patients at the end of life.
{"title":"The Caring Mission - Nursing Personnel's Inner Driving Force in End-of-Life Care.","authors":"Margareta Karlsson, Christina Karlsson, Anne Kasén","doi":"10.1177/23333936221128241","DOIUrl":"https://doi.org/10.1177/23333936221128241","url":null,"abstract":"<p><p>Constantly facing human suffering and impending death can generate anxiety and insecurity in nursing personnel in end-of-life care. The aim of the study is to reveal nursing personnel's inner driving force in end-of-life care. A phenomenological hermeneutical method was used to search for meaning in the narrative data collected in this study. The structural analysis resulted in four themes: <i>The appeal in the patient's vulnerability, The appeal in the patient's joy, Facing one's own existence in vulnerability</i>, and <i>Being at home with colleagues</i>. Both vulnerability and joy motivated nursing personnel in caring. The care was often emotionally engaging and oscillated between grief and joy, which required a great deal from the nursing personnel both as professionals and fellow human beings. At the same time the emotionally engaging constituted an inner driving force, which gave them courage to do the best for the patients at the end of life.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9630898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9209493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1177/23333936221094862
A. Conolly, R. Abrams, E. Rowland, Ruth Harris, K. Couper, D. Kelly, B. Kent, J. Maben
It has long been known that nursing work is challenging and has the potential for negative impacts. During the COVID-19 pandemic most nurses’ working landscapes altered dramatically and many faced unprecedented challenges. Resilience is a contested term that has been used with increasing prevalence in healthcare with health professionals encouraging a “tool-box” of stress management techniques and resilience-building skills. Drawing on narrative interview data (n = 27) from the Impact of Covid on Nurses (ICON) qualitative study we examine how nurses conceptualized resilience during COVID-19 and the impacts this had on their mental wellbeing. We argue here that it is paramount that nurses are not blamed for experiencing workplace stress when perceived not to be resilient “enough,” particularly when expressing what may be deemed to be normal and appropriate reactions given the extreme circumstances and context of the COVID-19 pandemic.
{"title":"“What Is the Matter With Me?” or a “Badge of Honor”: Nurses’ Constructions of Resilience During Covid-19","authors":"A. Conolly, R. Abrams, E. Rowland, Ruth Harris, K. Couper, D. Kelly, B. Kent, J. Maben","doi":"10.1177/23333936221094862","DOIUrl":"https://doi.org/10.1177/23333936221094862","url":null,"abstract":"It has long been known that nursing work is challenging and has the potential for negative impacts. During the COVID-19 pandemic most nurses’ working landscapes altered dramatically and many faced unprecedented challenges. Resilience is a contested term that has been used with increasing prevalence in healthcare with health professionals encouraging a “tool-box” of stress management techniques and resilience-building skills. Drawing on narrative interview data (n = 27) from the Impact of Covid on Nurses (ICON) qualitative study we examine how nurses conceptualized resilience during COVID-19 and the impacts this had on their mental wellbeing. We argue here that it is paramount that nurses are not blamed for experiencing workplace stress when perceived not to be resilient “enough,” particularly when expressing what may be deemed to be normal and appropriate reactions given the extreme circumstances and context of the COVID-19 pandemic.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42065942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1177/23333936221138077
Hanan Hamdan Alshehri, Axel Wolf, Joakim Öhlén, Sepideh Olausson
There is a growing need to integrate palliative care into intensive care units and to develop appropriate knowledge translation strategies. However, multiple challenges persist in attempts to achieve this objective. In this study, we aimed to explore intensive care professionals' perspectives on providing palliative and end-of-life care within an intensive care context. We used an interpretive description approach and interviewed 36 intensive care professionals at four hospitals in Saudi Arabia. Our findings reflect a discourse about end-of-life care driven by a do-not-resuscitate classification and challenges associated with family involvement in care goals. We provide key insights of importance for the development of strategies for the integration and knowledge translation of palliative care into intensive care contexts.
{"title":"Healthcare Professionals' Perspective on Palliative Care in Intensive Care Settings: An Interpretive Descriptive Study.","authors":"Hanan Hamdan Alshehri, Axel Wolf, Joakim Öhlén, Sepideh Olausson","doi":"10.1177/23333936221138077","DOIUrl":"https://doi.org/10.1177/23333936221138077","url":null,"abstract":"<p><p>There is a growing need to integrate palliative care into intensive care units and to develop appropriate knowledge translation strategies. However, multiple challenges persist in attempts to achieve this objective. In this study, we aimed to explore intensive care professionals' perspectives on providing palliative and end-of-life care within an intensive care context. We used an interpretive description approach and interviewed 36 intensive care professionals at four hospitals in Saudi Arabia. Our findings reflect a discourse about end-of-life care driven by a do-not-resuscitate classification and challenges associated with family involvement in care goals. We provide key insights of importance for the development of strategies for the integration and knowledge translation of palliative care into intensive care contexts.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9729985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10325547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.1177/23333936221097116
Anne Marit Føreland, Helene Engesland, L. Kristoffersen, L. Fegran
Traditional care immediately after very preterm birth separates the mother and child by the transfer of the infant to the neonatal intensive care unit. A nonseparation approach is currently being considered, allowing early skin-to-skin contact in the delivery room/postoperative care unit. This study aimed to explore mothers’ experiences of early skin-to-skin contact and traditional care. A qualitative study using individual semi-structured interviews with five mothers from each of the two groups was conducted. Content analysis revealed that both groups’ experiences were characterized by (i) mothers’ need to be affirmed of their infants’ vitality, (ii) bonding challenges, and (iii) benefits of skin-to-skin contact. We suggest that early skin-to-skin contact after very preterm births is crucial for the bonding process and mothers’ feelings of safety and well-being. When early skin-to-skin contact is infeasible, our findings reveal the significance of photos, information, and the father’s presence at the time of postpartum separation.
{"title":"Postpartum Experiences of Early Skin-to-Skin Contact and the Traditional Separation Approach After a Very Preterm Birth: A Qualitative Study Among Mothers","authors":"Anne Marit Føreland, Helene Engesland, L. Kristoffersen, L. Fegran","doi":"10.1177/23333936221097116","DOIUrl":"https://doi.org/10.1177/23333936221097116","url":null,"abstract":"Traditional care immediately after very preterm birth separates the mother and child by the transfer of the infant to the neonatal intensive care unit. A nonseparation approach is currently being considered, allowing early skin-to-skin contact in the delivery room/postoperative care unit. This study aimed to explore mothers’ experiences of early skin-to-skin contact and traditional care. A qualitative study using individual semi-structured interviews with five mothers from each of the two groups was conducted. Content analysis revealed that both groups’ experiences were characterized by (i) mothers’ need to be affirmed of their infants’ vitality, (ii) bonding challenges, and (iii) benefits of skin-to-skin contact. We suggest that early skin-to-skin contact after very preterm births is crucial for the bonding process and mothers’ feelings of safety and well-being. When early skin-to-skin contact is infeasible, our findings reveal the significance of photos, information, and the father’s presence at the time of postpartum separation.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45935051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}