Nursing & Health Sciences最新文献

Operating room nurses involved in DBD organ retrieval surgery face profound ethical dilemmas, emotional distress, and professional challenges in a practice area that remains comparatively under-examined. This study focused on donation after brain death (DBD) and explored operating room nurses' experiences during DBD organ retrieval surgery. This study aimed to explore the lived experiences of Korean operating room nurses involved in these procedures, with a focus on the meanings and impacts derived from their participation. Using a descriptive phenomenological approach, in-depth individual interviews were conducted with 10 nurses from two university hospitals in South Korea. Data were analyzed through Colaizzi's method, and four central themes emerged: confronting a sudden surge of disorientation; experiencing emotional detachment when confronted by stark reality; reflection on a dignified death; developing professionalism and ethics through inner growth. The findings underscore the need for nursing-focused education and support systems to sustain perioperative nurses' moral resilience and well-being.

This study aimed to explore perfectionistic self-presentation among ICU nurses in South Korea and investigate factors affecting perfectionistic self-presentation, focusing on authentic pride, hubristic pride, and the impostor phenomenon. In this secondary analysis, data from 239 participants who met the eligibility criteria of the parent study conducted in July 2022 were used. Authentic and hubristic pride, the impostor phenomenon, and perfectionistic self-presentation were assessed using the Korean versions of the Test of Self-Conscious Affect, the Clance Impostor Phenomenon Scale, and the Perfectionistic Self-Presentation and Psychological Distress Scale, respectively. A multiple linear regression analysis revealed that the impostor phenomenon was the most significant factor affecting perfectionistic self-presentation, followed by hubristic pride and education level. ICU nurses in South Korea exhibit a comparatively high level of perfectionistic self-presentation. Tendencies toward perfectionistic self-presentation among ICU nurses may strengthen as their levels of hubristic pride and impostor phenomenon severity increase. Nursing management should recognize the relationships among pride, the impostor phenomenon, and perfectionistic self-presentation, and formulate counseling and training strategies to reduce impostor phenomenon levels.

This scoping review synthesizes the literature exploring nurses' and midwives' perceptions of medication errors in infants and children, with a focus on factors contributing to errors and barriers to reporting them. The Joanna Briggs Institute guidelines for conducting scoping reviews were followed. Seven databases were searched for studies published in English. Two independent reviewers completed the screening; a third reviewer resolved disagreements. Data were categorized and synthesized into a narrative summary. A total of 1307 records were initially identified, and 34 studies were included. Only two studies included midwives as participants, neither of which reported midwives' data separately from nurses. Factors contributing to medication errors included insufficient resources and interruptions, with nurses' workload cited most often. Barriers to reporting errors included negative feelings and nurses' fear of losing their practicing license. Nurses perceive that medication errors occur in their workplace and hospitals likely have different protocols for reporting and managing medication errors. There is a need for further research in diverse economic settings and an investigation into midwives' perceptions to enhance error reporting and management strategies. This review emphasizes the crucial role nurses and midwives play in preventing and reporting pediatric medication errors. The findings also suggest administrators should address workload pressures, resource shortages, and cultural barriers. A significant amount of attention is needed on midwives' perspectives; integrating them into medication safety initiatives and policy development, which would strengthen medication safety practices.

The aim of this article is to explore the perspectives and experiences of ethnically diverse older patients and family carers when undergoing a surgical procedure. Exploratory qualitative research design. Semi-structured interviews with six patient-carer dyads and three individuals, totaling 15 participants. Data were analyzed using dyadic analysis. Three themes were identified: age-based considerations, culturally based considerations, and dyad relationship dynamics. Family carers frequently acted as translators, advocates, and emotional support while navigating the complexities of healthcare systems. Cultural and linguistic concordance between staff and dyads was crucial to building trust and ensuring effective communication. Gaps in interpreter services and culturally responsive care posed significant challenges. A multi-faceted approach to optimize care is needed. Combining clinician-led assessments with patient-led discussions fosters collaborative decision-making. Cultural and linguistic concordance between clinicians and patients, or effectively using family carers and in-person professional interpreters when concordance is not feasible, is crucial for culturally responsive care. Overall, the integration of patient- and family-centered care within culturally responsive care is proposed as a critical strategy toward equitable health outcomes.