Nursing Inquiry最新文献

Mass casualty incident simulations shape disaster nursing preparedness. In a mixed-methods analysis, quantitative analysis of 380 student nurses demonstrated significant increases in confidence across all measured domains (p < 0.001). Qualitative hermeneutic analysis of 251 student nurse reflections and 487 volunteer patient actor narratives revealed that readiness and composure, alongside compassionate, respectful, and attentive care, were central to trust-building in disaster response. Together, these findings disrupt the prevailing emphasis on technical mastery in simulation, highlighting that relational competence is not an incidental outcome but a fundamental dimension of preparedness. Policy and practice implications are clear. Disaster nursing curricula should mandate structured opportunities for trust-building, reflection, and ethical dialogue, positioning simulation not only as technical rehearsal but also as the origin of germinating relational courage and humanization in care. The use of volunteer patient actors (cost-effective and accessible) offers a scalable strategy to democratize simulation globally, particularly in resource-limited settings. Educational leaders and policymakers are called to prioritize funding, design, and accreditation standards that integrate relational and ethical competencies alongside technical skill, reframing disaster readiness as an inherently human, ethical, and political practice.

Perioperative nursing is essential to safe surgical systems, yet remains marginal in nursing education and policy, contributing to workforce shortages and inconsistent entry pathways. This study examined how entry to perioperative nursing is represented in Australian policy and experienced by nurses entering the specialty. It focused on how policy, education and organisational conditions shape access, learning and support. An explanatory concurrent mixed methods design, underpinned by a critical realist framework, integrated policy analysis and survey data from 226 perioperative nurses. Findings revealed that relational and structural constraints shaped support, opportunity and recognition in entry to perioperative nursing. Policy analysis showed entry is treated as a local organisational matter rather than a structured specialty transition. Factor analysis identified two constructs: Legitimate Learners and Useful Bodies. Thematic analysis highlighted barriers limiting specialty exposure, access and post-entry support. Across data sources, power asymmetry emerged as a shared mechanism producing ontological insecurity. Structural reform is needed to position perioperative nursing as a supported specialty transition rather than a staffing solution.

Prisons are debilitating and disorienting spaces. Temporal realities themselves are altered from those of the outside world. This paper builds upon a study of prison staff work with aging incarcerated persons in Canadian federal penitentiaries, wherein the prison environment itself contributes to accelerated aging and slow death. Simultaneously, temporal experiences in prison both slow and become cyclic, rhythmic. These multiple temporalities flow independent of the "outside" world, which, from the perspective of incarcerated persons, accelerates. To reconcile these multiple, conflicting simultaneous temporalities, we turn to science fiction, specifically the works of Philip K. Dick, to build a conceptual world where such paradoxical temporalities coexist. A bricolage approach is adopted to interrogate these temporalities, and their effects on incarcerated persons, including debilitation and institutionalization, and the production of persons often incapable of transitioning back to the "real" world outside of prison. Proposals for both nursing practice and future research possibilities are provided.

Cardiovascular disease remains the leading cause of mortality for women globally and presents a considerable health burden despite decades of awareness campaigns. Messaging in these campaigns includes a significant focus on individual lifestyle behaviour modification for the prevention of cardiovascular disease, with health promotion campaigns and clinical organizations stating that 80%-90% of cardiovascular disease is preventable. Public messaging campaigns on prevention strategies have historically lacked differentiation for gender. As a result, they can overlook the complex factors that may hinder women from achieving the suggested lifestyle modifications, including the long-promoted trio of diet, exercise and tobacco. The non-coherence between the logics guiding cardiovascular disease prevention messaging and the competing logics of everyday life for women deserves attention. In this paper, we explore the assumptions evident in common cardiovascular disease prevention narratives and propose that nurses are well-positioned to advocate for gender-transformative health promotion.

Pregnancy during the COVID-19 pandemic presented unique challenges for all women; however, the experiences of Black women were particularly affected by intersecting processes and systems such as race, class, gender, socioeconomic status, and healthcare access. The objective of this study was to explore the perinatal experiences of Black women amidst the COVID-19 pandemic. This was a qualitative study. Inclusion criteria were self-identification as a Black woman aged 18-49; experienced at least one pregnancy from March 2020 to May 2023; received at least one dose of COVID-19 vaccine during the perinatal period; and residence in Greater Philadelphia. Interviews (n = 22) were conducted by trained researchers and were audio-recorded and transcribed verbatim, and analyzed inductively. Participants were incentivized for their time. The average age of the participants was 33.5 (±6.2) years. Of 28 pregnancies, 22 resulted in live births, two ended in miscarriages, two in abortions, and two participants were pregnant during data collection. Three main themes were identified: (1) emotional impact of COVID-19; (2) experiences of COVID-19 illness during pregnancy and postpartum; and (3) impact of COVID-19 mitigation measures on perinatal experiences. The perinatal experiences of Black women during the COVID-19 pandemic revealed critical gaps in our maternal healthcare system. Hence, culturally sensitive and targeted crisis preparedness and readiness strategies, such as community-led response teams, for minority groups during health crises like the COVID-19 pandemic, are warranted.

This article explores the hospital care provided by the Hospitaller Order of Saint John of God in sixteenth- and seventeenth-century Spain, with particular emphasis on its conception of end-of-life care. Rooted in a context deeply shaped by Christian spirituality, the Order developed a holistic model grounded in charity, justice, and profound respect for the dignity of the sick. Through a critical analysis of normative and doctrinal sources, the study reconstructs caregiving practices surrounding dying and post-mortem care, highlighting their institutionalization and the Order's hopeful understanding of death as a transition to eternal life. These practices were codified in detailed regulations concerning the accompaniment of the dying, the administration of sacraments, care for the deceased body, and the offering of suffrages. Employing a hermeneutic lens, the article interprets these practices within their original theological and cultural horizon, consciously avoiding the imposition of contemporary frameworks. Simultaneously, it argues that this historical legacy of ethical and spiritual care can enrich current reflections on death, nursing practice, and the role of institutions in safeguarding human dignity at the end of life.