{"title":"Experiences of Families Supporting Patients With Refractory Cancer: An Interpretive Descriptive Study.","authors":"Junko Morishita, Rika Tamura, Reiko Shigeta, Yumiko Yatomi","doi":"10.1177/23333936261489258","DOIUrl":"10.1177/23333936261489258","url":null,"abstract":"<p><p>This study aimed to develop an interpretive understanding of the experiences of family members of patients with refractory cancer across the diagnosis and treatment stages and daily life, and explore implications for nursing support. Semi-structured interviews were conducted with family members of patients with refractory cancer, and the data were analyzed using interpretive description. Participants included three men and six women, consisting of eight spouses and one adult child. The patients' cancer types included pancreatic cancer (n = 6), scirrhous gastric cancer (n = 1), intrahepatic cholangiocarcinoma (n = 1), and ovarian tumor (n = 1). Data analysis resulted in the construction of six themes: confronting the reality of refractoriness; struggling with the desire to support the patient; reorganizing daily life and managing multiple burdens; emotional fluctuations and isolation; experiencing support and distress within relationships; and unmet support needs. Overall, the family experience was interpreted as a process of navigating the realities of refractoriness while seeking support and readjustment. The findings indicate that family members' experiences constitute a distinct and dynamic process characterized by anticipatory grief, emotional burden, and the reorganization of daily life, thereby underscoring the importance of sustained, family-centered nursing support throughout refractory cancer care.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261489258"},"PeriodicalIF":3.0,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13571000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963969","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":"Visualizing the Structure of First-Year Nursing Students' Learning From Outpatient Experiences in Early Community-Based Practicum.","authors":"Takiko Imai, Akiko Miwa, Kiyotaka Monden, Takahiro Kawabata","doi":"10.1177/23333936261489257","DOIUrl":"10.1177/23333936261489257","url":null,"abstract":"<p><p>In Japan, nursing education has traditionally emphasized hospital-based ward training, underscoring the need for early practicum experiences in non-inpatient settings. Yet, little is known about how first-year students interpret and structure these community-based experiences into meaningful learning. This study aimed to clarify and visualize the learning structure of first-year nursing students during a community-based early practicum, focusing on learning derived from outpatient clinic/hospital experiences. During the practicum (45 hours), students recorded their learning on sticky notes and engaged in group-based label work as an educational and reflective activity. Data from 32 student groups (128 first-year nursing students), from whom informed consent was obtained, were analyzed. Researchers structured the notes using the Kawakita Jiro (KJ) method, a qualitative structuring approach known internationally as affinity diagramming, to derive symbolic concepts and structure their interrelationships. Eight symbolic concepts illustrated how students' learning expanded through communication as a central mechanism, reflecting core competencies such as collaboration and safety. Community-based experiences and group-based label work deepened students' understanding of patient-centered care and strengthened their readiness for subsequent, more intensive ward-based clinical practicums. The KJ method made the learning structure explicit and clarified key features of learning that emerge during early community-based practicums.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261489257"},"PeriodicalIF":3.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13562887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956804","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}
Israa A M Abuijlan, Fatma M Ibrahim, Eman Abdelaziz Rashad Dabou, Rachel James, Shaimaa Hashem Elsalous, Shaimaa Abdelsamad, Amal Mohammed Abdallah Al Balushi
{"title":"Transferring Therapeutic Communication From Simulation to First Clinical Placement: A Qualitative Description of Undergraduate Nursing Students' Experiences.","authors":"Israa A M Abuijlan, Fatma M Ibrahim, Eman Abdelaziz Rashad Dabou, Rachel James, Shaimaa Hashem Elsalous, Shaimaa Abdelsamad, Amal Mohammed Abdallah Al Balushi","doi":"10.1177/23333936261471669","DOIUrl":"10.1177/23333936261471669","url":null,"abstract":"<p><p>Simulation-based learning is widely used to prepare nursing students for therapeutic communication, but transfer is often treated as if students acquire decontextualized skills in the laboratory and then apply them in clinical practice. This qualitative descriptive study explored how undergraduate nursing students experienced the transition from communicating with simulated patients to communicating with real patients during early clinical practice. Fifteen third-year Bachelor of Science in Nursing students in the United Arab Emirates who had completed the required Adult Health Nursing I simulation component and an initial medical-surgical clinical rotation participated in three face-to-face focus groups. Data were analyzed inductively using reflexive thematic analysis. The overarching interpretation was that students moved from prepared encounters in simulation to situated responsiveness in clinical practice. Three themes explained this shift: encountering unplanned patient agency, becoming accountable for one's response, and communicating within institutional opacity. Simulation supported foundational communication practices but did not fully reproduce the emotional, relational, cultural, and organizational conditions of real patient communication. Findings suggest that simulation-to-practice transfer should be supported through progressively complex patient portrayals, explicit orientation to communication boundaries and workflows, and structured post-clinical reflection.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261471669"},"PeriodicalIF":3.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13535028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882047","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}
Noora Narsakka, Johanna Finskas, Riitta Suhonen, Barbara Groot, Jouko Katajisto, Minna Stolt
{"title":"Improving the Promotion of Older Adults' Physical Activity in Institutional Long-Term Care: Participatory Action Research.","authors":"Noora Narsakka, Johanna Finskas, Riitta Suhonen, Barbara Groot, Jouko Katajisto, Minna Stolt","doi":"10.1177/23333936261452490","DOIUrl":"10.1177/23333936261452490","url":null,"abstract":"<p><p>Older adults' physical activity engagement in institutional long-term care is insufficient, despite the importance of physical activity for their health, functioning, and wellbeing. The purpose of this study was to improve the promotion of the physical activity of older adults in institutional long-term care by co-developing, implementing, and evaluating changes to care practices and the care environment in collaboration with staff members, older adults, and their family members. A participatory action research study was conducted in one unit with 18 staff members, 17 older adults, and 6 family members. Qualitative data were collected throughout the research process using interviews, focus groups, observations, workshops, and meetings, and analyzed with thematic analysis. Quantitative data collection was used to measure changes in older adult and staff outcomes before and after implementation of changes in activity promotion, and analyzed with statistical methods. Qualitative and quantitative findings were integrated in the results section. Three themes were developed, including (i) there is a need for a paradigm shift to improve physical activity promotion, (ii) change requires collaboration and time, and (iii) produced change can be beneficial in many ways and for different actors. Opportunities exist that are not currently used to promote older adults' physical activity. Implementing physical activity in different parts of daily life and employing the environment could facilitate the sustainability of physical activity promotion. The role of nursing professionals is important in the implementation. Engaging staff members in co-development facilitates context-fitting change and care culture change, producing benefits also for themselves.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261452490"},"PeriodicalIF":3.0,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13527325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867215","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":"Polio Survivors' Experiences of Corrective Surgery and Rehabilitation in 1950s-1960s Finland.","authors":"Minna Elomaa-Krapu","doi":"10.1177/23333936261480474","DOIUrl":"10.1177/23333936261480474","url":null,"abstract":"<p><p>This study aimed to explore polio survivors' childhood experiences of corrective surgery and rehabilitation in post-war Finland during the 1950s and 1960s. Oral history research was used with a descriptive qualitative approach. Between September 29, 2018 and June 30, 2019, 40 participants were interviewed, while one wrote about their experiences (N = 41). The data were analyzed using reflexive thematic analysis, which produced the overarching theme 'The Ongoing Process of Recovery: Body, Mind, and Self, 'describing recovery as a holistic process shaped by bodily changes, emotional responses, and social experiences. Three related themes further elaborated children's treatment trajectories: 'Surgical Treatments as Healing and Traumatizing Experiences,' 'The Multidimensional Nature of Rehabilitation,' and 'The Child's Emotional Coping and Agency in the Hospital Environment.' The findings emphasize that corrective surgery and rehabilitation were not experienced solely as clinical interventions but as life-shaping events influencing children's sense of safety, control, and self. This study highlights the need to consider the long-term psychosocial impact of childhood hospitalization and supports child-centered, family-centered, and trauma-informed approaches in pediatric care.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261480474"},"PeriodicalIF":3.0,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13498791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799388","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}
Isabella Spensieri, Maria Mathews, Lindsay Hedden, Julia Lukewich, Leslie Meredith, Dana Ryan, Sarah Spencer, Cheryl Cusack, Crystal Vaughan
{"title":"The Experiences of Canadian Primary Care Nurses Caring for COVID-Positive Patients: A Qualitative Study.","authors":"Isabella Spensieri, Maria Mathews, Lindsay Hedden, Julia Lukewich, Leslie Meredith, Dana Ryan, Sarah Spencer, Cheryl Cusack, Crystal Vaughan","doi":"10.1177/23333936261479459","DOIUrl":"https://doi.org/10.1177/23333936261479459","url":null,"abstract":"<p><p>Primary care nurses (PCNs) in Canada were instrumental in caring for COVID-positive patients during the pandemic, yet their contributions received little attention in the pandemic preparedness plans published before the pandemic. Therefore, the purpose of this study was to explore PCNs' experiences caring for COVID-positive patients and the roles they fulfilled in supporting this patient population. Using a pragmatic, qualitative descriptive design, we conducted semi-structured interviews with 76 PCNs from four Canadian provinces (British Columbia, Ontario, Nova Scotia, Newfoundland and Labrador). Participants were asked to describe their actual and potential roles during different stages of the COVID-19 pandemic, as well as facilitators and challenges they encountered. We applied a thematic analysis approach to the data and analyzed codes related to treating and managing COVID-positive patients. We identified four roles performed by PCNs caring for COVID-positive patients: (1) conducting patient outreach and monitoring initiatives; (2) adapting infection prevention and control protocols; (3) administering medications to treat COVID-19; and (4) supporting patients with post-COVID-19 condition/long COVID. Roles and specific activities varied by nurse designation, consistent with their scope of practice. These findings can be used to inform the development of future pandemic preparedness plans for primary care providers.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261479459"},"PeriodicalIF":3.0,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766525","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}
Laura Finkler-Kemeny, Grace Hu, Elizabeth Troughton, Kathleen Yue, Rachel Z Carter
{"title":"Factors Shaping the Implementation of Serious Illness Conversations: Frontline Clinician Insights.","authors":"Laura Finkler-Kemeny, Grace Hu, Elizabeth Troughton, Kathleen Yue, Rachel Z Carter","doi":"10.1177/23333936261477873","DOIUrl":"10.1177/23333936261477873","url":null,"abstract":"<p><p>Frontline clinicians are key to implementing Serious Illness Conversations (SICs), yet little qualitative research has examined <i>how</i> they experience its implementation in practice. This qualitatively driven mixed-method study explored clinicians' experiences with SIC Program implementation across diverse practice settings in British Columbia, Canada, guided by the Promoting Action on Research Implementation in Health Services (PARIHS) framework. Implementation barriers and facilitators were identified through semi-structured interviews and survey data that included open- and closed-ended questions. Clinicians valued the SIC Guide's credibility, reporting greater confidence and improved patient engagement during conversations when using the guide. Implementation of SICs was supported by leadership endorsement, peer networks, and integration into electronic health records, but constrained by documentation gaps, role confusion and limited mentorship following training. Rural clinicians highlighted strong relational continuity with fewer system supports, while urban clinicians reported the opposite. Nurses were prominent drivers of success, strengthening implementation fidelity and enhancing interprofessional collaboration. Findings affirm the utility of PARIHS but extend it by 1) positioning equity and cultural safety as essential contextual factors, 2) illustrating the overlap within domains of the PARIHS framework and 3) emphasizing the role of champions as facilitators to implementation.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261477873"},"PeriodicalIF":3.0,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13462618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722803","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}
Estelle Guingo, Sylvie Le May, Casey Cotes-Turpin, Christine Genest, Sofia Addab, Leandra Desjardins, Pascal Bernier, Michel Duval, Cathy Vézina, Marie-France Langlet, Félix Cotes-Charlebois, David Paquin
{"title":"Perceived Effects of Customized Avatars in a Multiplatform Virtual Environment on Pain and Anxiety in Hospitalized Children in Hemato-Oncology.","authors":"Estelle Guingo, Sylvie Le May, Casey Cotes-Turpin, Christine Genest, Sofia Addab, Leandra Desjardins, Pascal Bernier, Michel Duval, Cathy Vézina, Marie-France Langlet, Félix Cotes-Charlebois, David Paquin","doi":"10.1177/23333936261471667","DOIUrl":"10.1177/23333936261471667","url":null,"abstract":"<p><p>The aim of this pilot study was to explore the feasibility, safety, acceptability, and perceived effects of an immersive, multi-platform distraction (virtual reality/smartphone) intervention on pain and anxiety of children undergoing cancer treatment to improve and refine the intervention. Qualitative data were collected through parent journals and semi-structured, in-person child-parent interviews and analyzed using content analysis to evaluate intervention feasibility and perceived effects on child anxiety and pain management. These data were analyzed through content analysis to evaluate feasibility of the intervention and its perceived effects on the child's anxiety and pain management. Children's and parents' satisfaction were evaluated through surveys. Five children aged from 6 to 17 years hospitalized for cancer treatments and their parents, were recruited (n=10, 5 children, 5 parents). No negative side effects or major logistic issues were reported. Child experiences and parent observations are summarized across three categories: \"Effects of the Game Experience,\" \"Logistical Issues,\" and \"Engagement and Motivation.\" Children and their parents were satisfied with the intervention and mentioned that it had a positive effect on anxiety, pain management, social isolation and children's mood. Results show the potential of a customized avatar in a multiplatform virtual environment for anxiety and pain management of children hospitalized for cancer treatments. Further research is needed with a larger sample size to have a better understanding of the effects of this intervention with this population of patients.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261471667"},"PeriodicalIF":3.0,"publicationDate":"2026-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13452948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702589","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}
Samantha Perry, Jeremy Chapdelaine, Carla Ginn, Jennifer Jackson
{"title":"Towards a Scope of Practice for Peer Support Workers in Addictions: A Community-Based Study Using Qualitative Description.","authors":"Samantha Perry, Jeremy Chapdelaine, Carla Ginn, Jennifer Jackson","doi":"10.1177/23333936261475488","DOIUrl":"10.1177/23333936261475488","url":null,"abstract":"<p><p>The aim of this study was to identify how Peer Support Workers (PSWs) understand their scope of practice, to provide greater clarity for PSWs working in addiction care with interprofessional teams. We conducted semi-structured interviews with PSWs and analysed the results using qualitative description. We interviewed 17 PSWs from a variety of backgrounds. We identified five descriptive themes that illustrate how PSWs delineated their scope of practice: building relationships with clients, therapeutic engagement with clients, system navigation, providing supplies to clients, and professional development. PSWs had a clear sense of their scope of practice and how they could be most effective, despite a lack of recognition of this scope in their workplaces. By creating a preliminary description for a PSW scope of practice, we hope that PSWs and nurses can work together to support the PSW professional role, enhancing patient outcomes.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261475488"},"PeriodicalIF":3.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13428141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654721","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}
Garbiñe Elizegi Narbarte, Leslie Dubbin, Stella Aguinaga Bialous, Iratxe Perez-Urdiales, Jennifer James
{"title":"Gender Bias and Discrimination in Healthcare as Experienced by Basque Women and Gender Non-normative Individuals in the Basque Country.","authors":"Garbiñe Elizegi Narbarte, Leslie Dubbin, Stella Aguinaga Bialous, Iratxe Perez-Urdiales, Jennifer James","doi":"10.1177/23333936261474970","DOIUrl":"10.1177/23333936261474970","url":null,"abstract":"<p><p>The Basque Country is one of Europe's many stateless nations and home to the Basque Indigenous population. As members of an Indigenous and ethnic minority culture, Basque women and gender non-normative individuals risk suboptimal healthcare services and outcomes because of gender bias and discrimination. This study explores their experiences with healthcare services and identifies the ways in which gender bias and discrimination serve as a barrier to cultural safety in the Basque Country. We used critical ethnography and triangulated data from 37 semi-structured interviews, health clinic observations, 4 focus groups, and document analysis. Thematic analysis was used to identify overarching themes from transcripts and field notes. Participants reported numerous instances of discrimination that hinder the implementation of cultural safety. We found that gender bias and discrimination are central to the healthcare experiences of Basque women and gender non-normative individuals. These issues manifest in various ways, including knowledge transmission gap regarding women's health, discrimination based on sexual and/or gender identity, and obstetric and gynecologic violence. Meanwhile, patient autonomy during healthcare encounters is a key facilitator. Training in self-reflection, bias awareness, and gender-affirming can reduce discrimination. Findings also highlight clinical knowledge gaps and the need to integrate cultural safety into nursing education and practice.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261474970"},"PeriodicalIF":3.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13428101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654645","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}