Nursing Reports最新文献

{"title":"Perspectives of Refugees from Ukraine on Cultural Identity and Health Care Experiences During U.S. Resettlement.","authors":"Marianne R Choufani, Kim L Larson, Marina Y Prannik","doi":"10.3390/nursrep15070263","DOIUrl":"10.3390/nursrep15070263","url":null,"abstract":"<p><p><b>Background:</b> More than three years have elapsed since the onset of the full-scale invasion of Ukraine by the Russian Federation, displacing millions of Ukrainians. While preserving cultural identity in the host country is important for gaining resilience among refugees, we found no studies about how cultural identity influences health care experiences during resettlement. <b>Objective</b>: This study explores how cultural identity shapes health care experiences among Ukrainian refugees during resettlement in the United States. <b>Methods</b>: We conducted an interpretive description study using focus groups to elicit the perspectives of Ukrainian refugees who resettled in North Carolina after 24 February 2022. Twelve Ukrainian women participated in one of four focus groups. Thematic content analysis was employed for case comparison, and themes were inductively derived. <b>Results</b>: Two themes were identified: troubled health care partnerships and imprecise notions of preventive practices. Troubled partnerships represented a lack of trust between refugees and U.S. clinicians and the health care system. Imprecise notions of preventive practices represented mistaken beliefs about prevention. <b>Conclusions</b>: This study adds to the science on refugee health in two ways. First, newly arrived refugees often maintain strong ties to their homeland, which shapes their health care decisions and reinforces their cultural identity. Second, despite being well educated, some refugees held misconceptions about preventive health care, highlighting the need for clinicians to provide clear guidance on primary and secondary prevention practices. Findings may help guide clinicians in delivering culturally sensitive care to refugee populations.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 7","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12299864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709357","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}

{"title":"Time Intervals in the Pathway to Diagnosis of Patients with Cancer.","authors":"Joseba Rabanales-Sotos, Ángel López-González, Blanca Sánchez-Galindo, Gema Blázquez-Abellán, Juan Manuel Téllez-Lapeira, Jesús López-Torres-Hidalgo","doi":"10.3390/nursrep15070261","DOIUrl":"10.3390/nursrep15070261","url":null,"abstract":"<p><p><b>Background:</b> Around one-quarter of all people in the developed world die of cancer, with primary care being the main setting in which the disease is first suspected because the majority of patients consult a general practitioner (GP) when they present with symptoms. Diagnostic delay may thus be attributable to the patient, the GP, or the healthcare system. While some findings suggest that as much as half of the total delay consists of patient delay, more research is nonetheless needed into how GPs can facilitate access to diagnostic evaluation when patients experience symptoms. <b>Methods:</b> A retrospective observational study will be conducted to evaluate a cohort of patients diagnosed with cancer, with data being obtained from both primary and specialised care settings. Different time intervals will be analysed, dating from onset of first symptoms to diagnosis or initiation of treatment, and will be classified as: patient interval; primary-care interval; healthcare-system interval; diagnostic interval; treatment interval; and total interval. Study variables will include patient characteristics (socio-demographic, risk factors, morbidity, etc.), tumour characteristics (tumour stage, symptom onset, alarm symptoms, etc.), and healthcare characteristics (place of initial consultation, referral to specialised care, etc.). <b>Discussion:</b> The study will describe diagnostic delays in patients with cancer in primary care, considering the time elapsed between symptom onset and initial consultation, request for tests and/or patient referral, first evaluation in the hospital setting, and date of diagnostic confirmation and treatment initiation. Additionally, the study will make it possible to identify the patient-, healthcare-, and disease-related variables that intervene in the duration of such delays.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 7","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12300189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709393","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}

{"title":"Geriatric Assessment as an Important Tool for Post-Hip Surgery Prognosis in Seniors.","authors":"Anca Iuliana Pîslaru, Irina Sîrbu, Sabinne-Marie Albișteanu, Ramona Ștefăniu, Ana-Maria Turcu, Gabriela Grigoraș, Iulia-Daniela Lungu, Roxana Maria Pînzaru, Ioana Dana Alexa, Adina Carmen Ilie","doi":"10.3390/nursrep15070262","DOIUrl":"10.3390/nursrep15070262","url":null,"abstract":"<p><p>Hip fractures in elderly patients pose significant clinical challenges, confronting us with high morbidity and mortality rates. A comprehensive geriatric assessment plays an important role in determining prognosis as well as the indication for surgery. <b>Aim</b>: In this study, we aim to (1) assess frailty-based functional status in seniors with hip fractures, (2) evaluate geriatric assessment's predictive value for postoperative recovery, and (3) analyze 1-year postoperative survival. <b>Material and Methods</b>: This prospective study included 60 senior patients admitted for hip fracture in the Orthopedics Department. Patients were examined using geriatric assessment instruments Mini Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Mini Nutritional Assessment (MNA), and Frailty Groningen Indicator (GFI). We recorded the sex, marital status, number of comorbidities, and number of recommended drugs. <b>Results</b>: In total, 65% of patients were frail pre-surgery; the proportion increased post-surgery to 86.7%; (<i>p</i> = 0.005). Age greater than 80 years and unmarried marital status were associated with higher frailty risk (<i>p</i> = 0.04; <i>p</i> = 0.03). Preoperatively, important predictors of frailty were mild-moderate cognitive impairment (<i>p</i> = 0.017), mild-moderate depression (<i>p</i> = 0.01), and malnutrition (<i>p</i> = 0.04). Postoperatively, only mild-moderate cognitive impairment (<i>p</i> = 0.04) and mild-moderate depression (<i>p</i> = 0.01) proved to be important predictors of frailty. According to the ROC curve, good predictors of postoperative frailty were shown to be preoperative frailty and the degree of polypharmacy and comorbidity. Of all parameters predictive of postoperative frailty, only the number of medications reached statistical significance (<i>p</i> < 0.038). The study identified a 1-year all-cause mortality rate of 42.6% in elderly patients who underwent hip fracture surgery, with a significant association between mortality and preoperative MMSE, GDS, and MNA scores. <b>Conclusions</b>: Complex geriatric assessment of senior patients with hip fracture can stratify postoperative risk and predict 1-year mortality and postoperative functional recovery. Key predictors include cognitive status, depression, malnutrition, and comorbidities. Multidisciplinary care and standardized evaluation are essential for improving outcomes.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 7","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12299817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709337","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}

{"title":"Barriers to the Utilization of Research and Implementation of Evidence-Based Practice Among Nurses in Sabah, Malaysia: A Cross-Sectional Study.","authors":"Nadirah Sulaiman, Peter Seah Keng Tok, Juhanah Gimbo, Ammar Rafidah Saptu, Phylis Bridget Philip, Yau Kim Yain, Lilyiana Pengui, Drina Dalie, Norfairuziana Tinggal","doi":"10.3390/nursrep15070258","DOIUrl":"10.3390/nursrep15070258","url":null,"abstract":"<p><p>B<b>ackground/Objectives:</b> Evidence-based practice (EBP) has been widely adopted in clinical nursing practice, with nursing education efforts consistently emphasizing its importance in strengthening implementation efforts. Despite these efforts to promote translational research, the level of implementation of evidence-based practice (EBP) in clinical nursing practice remains unsatisfactory. This study aimed to identify specific organizational, individual, and research-related barriers to the utilization of research in clinical practice among nurses in Sabah, Malaysia, to determine factors associated with these perceived barriers and to assess nurses' awareness and understanding of the implementation of evidence-based practice. <b>Methods:</b> A cross-sectional study was conducted in 2019 using the BARRIERS scale, a validated tool that measures perceived barriers to the utilization of research across four domains: organizational barriers, nurses' research awareness and values, quality of research, and research communication. This study involved nurses from five tertiary hospitals in Sabah, Malaysia. <b>Results:</b> A total of 562 nurses participated in the study, with a mean age of 34.3 years (SD = 7.96) and mean duration of clinical practice of 10.0 years (SD = 7.58). While 66.5% of the nurses had heard of EBP, only 7.3% reported understanding it very well. The top three barriers to the utilization of research were 'the nurse does not feel she/he has enough authority to change patient care procedures' (35.9%), 'the nurse does not have time to read research' (27.8%), and 'research reports/articles are not published fast enough' (25.8%). Among the four domains, organizational barriers scored highest (mean = 2.7, SD = 0.72), followed by research communication (mean = 2.6, SD = 0.73). <b>Conclusions:</b> The study findings emphasize the challenges nurses encounter in integrating research into clinical practice and highlight the need for ongoing efforts to promote the utilization of evidence-based practice and research among nurses in Sabah, while addressing the identified gaps.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 7","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12299198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709325","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}

{"title":"Effectiveness of Additional Preventive Measures for Pressure Injury Prevention in an Intensive Care Unit: A Retrospective Cohort Study.","authors":"Carolina Martín-Meana, José Manuel González-Darias, Carmen D Chinea-Rodríguez, María Del Cristo Robayna-Delgado, María Del Carmen Arroyo-López, Ángeles Arias-Rodríguez, Alejandro Jiménez-Sosa, Patricia Fariña-Martín","doi":"10.3390/nursrep15070259","DOIUrl":"10.3390/nursrep15070259","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Pressure injuries (PIs), a recognized indicator of care quality, have a higher incidence in intensive care units (ICUs). Our objective was to assess whether critically ill patients identified as \"unprotected\" (COMHON ≥ 11) developed pressure injuries despite additional preventive measures. <b>Methods:</b> A historical cohort study of an adult ICU was carried out. Of the 811 patients admitted in 2022, 400 were selected. All of them were subjected to the ICU's PI Prevention Protocol, and those with a moving average of the COMHON Index ≥ 11 were given two additional measures: a multilayer dressing on the sacrum, and anti-equinus and heel-pressure-relieving boots. <b>Results:</b> A total of 36 patients presented with PIs (cumulative incidence of 9%). Significant differences were observed in their mean length of stay and in their disease severity score (APACHE-II). Most of the PIs were located on the sacrum, followed by the heel. Prior to the appearance of the PIs, a sacral dressing was applied to 100% of the patients, while anti-equinus and heel-pressure-relieving boots were only applied to 58.3%. Of the 36 patients with PIs, 52.8% had a PI on the sacrum and 22.2% on the heel. <b>Conclusions:</b> Focusing only on those who presented with PIs, we observed that the considered measures were not effective for preventing PIs in all the patients. Not all PIs are preventable, and individual risk factors should be considered. In the future, we will analyze the individual characteristics of these patients and verify whether the Prevention Protocol was followed, in order to determine how they could have been prevented or whether they were so-called unavoidable PIs.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 7","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12298032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709333","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}

{"title":"Patient and Family-Centered Care to Promote Inpatient Safety: An Exploration of Nursing Care and Management Processes.","authors":"Tânia Correia, Maria Manuela Martins, Fernando Barroso, Lara Pinho, João Longo, Olga Valentim","doi":"10.3390/nursrep15070260","DOIUrl":"10.3390/nursrep15070260","url":null,"abstract":"<p><p><b>Background</b>: Family involvement in promoting patient safety is a strategy that is increasingly recognized. Nurses have a major role to play here. This study aims to know the family care process developed by nurses and explore the logistic process identified as support for the development of family care in ensuring patient safety in the hospital. <b>Methods</b>: An interpretative qualitative study was conducted through semi-structured interviews with 10 nurses selected by convenience. Content analysis was performed using Atlas.ti 9.1.7 software and Bardin's methodology. <b>Results</b>: Two large <i>families</i> were identified according to the nature of the strategies mentioned by the participant/s: <i>assistance process and logistic process</i>, 5 categories and 23 subcategories. <i>Care process</i> categories: <i>initial assessment</i>, <i>planning</i>, <i>and implementation</i>. Categories of the logistic process: <i>material and human resources and organization</i>. <b>Conclusions</b>: To implement patient and family-centered care to ensure patient safety, it is necessary to adjust the care and logistic process. At the care level, the importance of the nursing process in the organization of care is evident. At the logistical level, organizational initiatives are needed to stimulate and support this philosophy of care and to intervene at the level of human and material resources.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 7","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12299392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709355","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}

{"title":"Cultural Adaptation and Validation of the Japanese Version of the Psychological Safety in High-Fidelity Simulation Scale (PS-HFS-J).","authors":"Keisuke Nojima, Makoto Tsukuda, Kosuke Kawamura, Junko Honda, Mie Murozumi","doi":"10.3390/nursrep15070257","DOIUrl":"10.3390/nursrep15070257","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Psychological safety is essential for effective learning in high-fidelity simulation (HFS); however, no validated Japanese instrument currently exists to measure psychological safety among nursing students. This study aimed to translate the Psychological Safety in High-Fidelity Simulation (PS-HFS) scale into Japanese (PS-HFS-J) and evaluate its psychometric properties. <b>Methods</b>: Following COSMIN guidelines, the PS-HFS was translated through forward and back translation, reviewed by an expert panel, and tested for face validity via pilot testing. The scale's reliability and validity were subsequently examined in 263 undergraduate nursing students using confirmatory factor analysis (CFA), Cronbach's alpha, and intraclass correlation coefficients (ICC). <b>Results</b>: CFA confirmed a good fit of the original four-factor model (CFI = 0.990, TLI = 0.988, RMSEA = 0.026). The scale demonstrated excellent internal consistency (Cronbach's α = 0.906 overall) and strong test-retest reliability (ICC range: 0.859-0.914). Content validity indices were also high (I-CVI = 0.80-1.00, S-CVI/Ave = 0.94). <b>Conclusions</b>: The PS-HFS-J is a reliable, valid, and culturally adapted instrument for assessing psychological safety in Japanese nursing education. It can support educational research, curriculum development, and faculty training, contributing to safer and more effective simulation-based education. Future studies should examine its applicability across diverse educational levels and clinical contexts.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 7","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12298457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709329","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}

{"title":"Nurse-Led Bereavement Support During the Time of Hospital Visiting Restrictions Imposed by the COVID-19 Pandemic-A Qualitative Study of Family Members' Experiences.","authors":"Michele Villa, Annunziata Palermo, Dora Gallo Montemarano, Michela Bottega, Paula Deelen, Paola Rusca Grassellini, Stefano Bernasconi, Tiziano Cassina","doi":"10.3390/nursrep15070254","DOIUrl":"10.3390/nursrep15070254","url":null,"abstract":"<p><p><b>Objectives</b>: This study aims to explore the experiences of bereaved family members during and after the loss of a relative in an intensive care unit (ICU) during the COVID-19 pandemic-related visitation restrictions, as well as to assess their perceptions of a nurse-led bereavement support programme. <b>Methods</b>: Ten participants with a relative who had died in an ICU were recruited in September 2020 during a follow-up bereavement meeting at a tertiary cardiac centre in Switzerland. Descriptive qualitative research was conducted. Face-to-face nurse-led follow-up bereavement meetings, adapted to the pandemic circumstances and conducted as semi-structured interviews, were analysed by a thematic analysis. <b>Findings</b>: Fifteen sub-themes and three main categories were identified. The motivation behind the family members' participation in the meetings was to ask and learn about their experiences regarding the death of their relative during this abnormal time. The reactions to the meetings varied among the families. Many expressed that the experience of bereavement was particularly challenging and painful, and that the absence of a final farewell to their loved one, as well as the impossibility of having a formally held funeral, made the deaths harder to accept. The families appreciated the interview as it gave them clarification, information, and an awareness of the facts and the care provided, and for several of them it was also a chance to share their emotions and express any difficulties they might have encountered both during and after the patient's death. <b>Conclusion</b>: The COVID-19 pandemic's restrictions had a profound impact on families who lost a loved one in an ICU. The nurse-led bereavement support service responded to the needs of grieving families, providing valuable emotional and practical support and re-establishing a healthy relationship between the families and the caregivers that was hindered by pandemic restrictions. The study also shows that a nurse-led bereavement support service can be a valuable component of family-centred care.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 7","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12299844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709351","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}

{"title":"Translation, Cultural Adaptation, and Content Validity of a Modified Italian Version of the Jackson/Cubbin Pressure Injury Risk Assessment Scale for ICU Patients.","authors":"Chiara Rollo, Daniela Magnani, Sara Alberti, Brigitta Fazzini, Sergio Rovesti, Paola Ferri","doi":"10.3390/nursrep15070256","DOIUrl":"10.3390/nursrep15070256","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The Jackson/Cubbin scale is a recommended tool to assess the risk of pressure injury in intensive care unit (ICU) patients. This scale is deemed to have superior predictive validity compared to the Braden scale. Many Italian nurses struggle with reading and applying the tool in English. This language barrier results in a lack of use of the Jackson/Cubbin scale clinically, meaning that patients potentially experience worse outcomes. This study aims to translate the original English version of the Jackson/Cubbin scale into the Italian language, conduct a cultural adaptation, and verify its content validity. <b>Methods</b>: An observational study was conducted using Beaton's five-step methodology: (1) forward translation, (2) synthesis, (3) back-translation, (4) expert committee approval using Fleiss' Kappa (κ) index, and (5) pre-testing, where participants assessed item clarity on a dichotomous scale (clear/unclear). Items deemed unclear by 20% or more of the sample were revised. Content validity was assessed using the Content Validity Index (CVI). <b>Results</b>: Fleiss' κ index was 0.74. Item 3 \"PMH-affecting condition\" was unclear to 36% of the sample and required revision. The item-level CVI (I-CVI) was >0.78 for each item. The scale-level CVI (S-CVI) and the scale-level CVI using the average method (S-CVI-Ave) were 0.92 and 0.94, respectively. <b>Conclusions</b>: The translation process resulted in a linguistically accurate scale requiring content modifications to reflect current evidence and reduce inter-rater variability. This may improve implementation of the Jackson/Cubbin scale in clinical practice for Italian nurses and reduce the incidence of pressure injury for ICU patients.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 7","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12300118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709394","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}

{"title":"Collaboration and Communication in Care at the Nursing Home: The Next of Kin's Experiences of Participation Following Educational Intervention for Staff.","authors":"Helene Åvik Persson, Birgitta Wallerstedt, Åsa Alftberg, Anna Sandgren, Gerd Ahlström","doi":"10.3390/nursrep15070255","DOIUrl":"10.3390/nursrep15070255","url":null,"abstract":"<p><p><b>Background</b>: After an older person moves into a nursing home, the next of kin often continues to participate in the care provided there. This participation in care may contribute valuable knowledge of the preferences and wishes of the older person, thereby helping nursing staff deliver personalised care. <b>Objectives</b>: The aim of this study was to explore how next of kin experience their participation in the care of older persons residing in nursing homes after educating nursing staff about participation in palliative care. <b>Methods</b>: This follow-up study used a qualitative design based on semi-structured interviews with 37 next of kin. A thematic analysis was applied. <b>Results</b>: Participation of the next of kin involved active communication and collaboration with nursing staff, expressed in three themes: striving to achieve co-created care, navigating involvement through presence, and building commitment through communication and information. The dual role of being an emotionally close next of kin and a participant in the relative's care was challenging and became increasingly burdensome and often overwhelming when the older person's health deteriorated. <b>Conclusions</b>: This study reveals the need to develop and implement a policy for the participation of next of kin in the care of older people living in nursing homes. In addition, support groups can increase well-being through dialogue with other next of kin, thereby alleviating emotional strain. Increased implementation of life stories and the use of digital communication would keep the next of kin informed about the older person's condition, especially when they cannot be present in person. Life story is a valuable tool for person-centred care and strengthens the relationships between the next of kin, the older person, and the nursing staff.</p>","PeriodicalId":40753,"journal":{"name":"Nursing Reports","volume":"15 7","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12300079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709327","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}