Natalie Saham, Amanda P Miller, Stephen Mugamba, Taylor Thomas, Bashir Magada, Adriane Wynn, William Ddaaki, Emmanuel Kyasanku, Robert Bulamba, Vitalis O Olwa, James Nkale, Godfrey Kigozi, Fred Nalugoda, Grace N Kigozi, Alex Daama, Gertrude Nakigozi, Jennifer A Wagman
{"title":"Barriers to Routine Antenatal Syphilis Screening in Uganda: Provider Perspectives and Practices.","authors":"Natalie Saham, Amanda P Miller, Stephen Mugamba, Taylor Thomas, Bashir Magada, Adriane Wynn, William Ddaaki, Emmanuel Kyasanku, Robert Bulamba, Vitalis O Olwa, James Nkale, Godfrey Kigozi, Fred Nalugoda, Grace N Kigozi, Alex Daama, Gertrude Nakigozi, Jennifer A Wagman","doi":"10.1177/23333936251375457","DOIUrl":"10.1177/23333936251375457","url":null,"abstract":"<p><p>Congenital syphilis is preventable through early detection and treatment during pregnancy. Although global syphilis rates have declined, the prevalence of undiagnosed and untreated infections remains high in low- and middle-income countries. In Uganda, national clinical guidelines recommend syphilis screening and treatment at the first antenatal care (ANC) visit, yet coverage remains suboptimal, contributing to ongoing perinatal transmission. As part of a multiple-method research project, this qualitative study explored provider perspectives on barriers to antenatal syphilis screening and treatment. We conducted in-depth interviews with 20 ANC providers at six public health facilities in two districts serving diverse communities. Using a descriptive qualitative approach and thematic analysis, we identified four interrelated barriers to effective service delivery: (1) stockouts of test kits and benzathine penicillin that disrupt care; (2) limited access to formal training and continuing education, reducing provider confidence in diagnosis and treatment; (3) misalignment between clinical guidelines and routine practice, leading to missed screening opportunities; and (4) low male partner engagement, increasing risk of reinfection. Addressing these barriers through health systems strengthening-including improved supply chain monitoring, universal provider training, supportive supervision, and community-informed strategies for partner engagement-is critical to reducing perinatal syphilis transmission and advancing Uganda's progress toward congenital syphilis elimination.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251375457"},"PeriodicalIF":2.1,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233768","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}
Sally Pezaro, Louise Moody, Edmund Collier, Isabelle Taylor, Andrea Pieri Gonzalez, Susan Wareham, Nick Walker
{"title":"Exploring the Experiences of Nurses Who Worked During the COVID-19 Pandemic: An Arts-Based Inquiry.","authors":"Sally Pezaro, Louise Moody, Edmund Collier, Isabelle Taylor, Andrea Pieri Gonzalez, Susan Wareham, Nick Walker","doi":"10.1177/23333936251375472","DOIUrl":"10.1177/23333936251375472","url":null,"abstract":"<p><p>The COVID-19 pandemic profoundly impacted nurses and other healthcare professionals, underscoring a need to capture and share their experiences, especially amid persistent negative perceptions of nursing. This research aimed to understand the experiences of those who worked during the pandemic, translate them into audio artworks, and understand how their resulting exhibition was experienced. Utilizing arts-based inquiry, nurses (<i>n</i> = 4) and other healthcare specialists (<i>n</i> = 4) were involved in an arts-based workshop fostering a deep exploration of their experiences, and revealing themes such as uncertainty, the complexities of navigating professional identity within widespread \"hero narratives\", human connection and the powerful sense of catharsis and community found in sharing their experiences. Inspired by these insights, an artist created the audio artwork \"Boats on an ocean\". Six other audio artworks were subsequently created in the same way. A survey (<i>n</i> = 18) and in two hybrid workshops (<i>n</i> = 6) were then undertaken to understand how audiences experienced the exhibited artwork. Audiences consistently described the exhibition as \"profoundly moving\". This research marks the first instance of using arts-based methods to both qualitatively capture and artistically disseminate healthcare professionals' COVID-19 experiences. It serves as a historic record, preserving accounts for future generations.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251375472"},"PeriodicalIF":2.1,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201752","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":"Older People's Voices Matter!: Possibilities and Limitations for Providing Dignified Palliative Care with Wearable Devices.","authors":"Rada Sandic Spaho, Lisbeth Uhrenfeldt, Theofanis Fotis, Jorunn Bjerkan, Ingjerd Gåre Kymre","doi":"10.1177/23333936251375182","DOIUrl":"10.1177/23333936251375182","url":null,"abstract":"<p><p>This study aimed to gain insight into the phenomenon of how wearable devices affect the sense of dignity of older patients (above 65 years of age) in palliative care settings using remote monitoring health services. Five interviews were carried out using reflective lifeworld research approach. A phenomenological analysis showed that the essence of older adults' sense of dignity in palliative care is vulnerable and, therefore, at stake when using wearable devices for remote monitoring. This essence is reflected in the following constituents: a simultaneous sense of regained and diminished quality of life; mixed feelings ranging from strengthened self-identity and independence to vulnerability and dependence; shifting care responsibilities within the context of life's finitude; and uncertainty about being valued, seen, and empowered while navigating relational expectations. The phenomenon was illuminated through the lens of various forms of dignity, offering insight into how it is experienced and challenged. These findings underscore the importance of recognising and addressing threats to dignity as digital health technologies continue to evolve in palliative care settings. Interprofessional collaboration among various stakeholders, including patients as active informants and participants, is necessary for designing future dignified remote care using wearable devices.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251375182"},"PeriodicalIF":2.1,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193596","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}
Kim Slusser, Mary Beth Flynn Makic, Figaro Loresto, Ashley Leak Bryant, Health Coats
{"title":"Access and Early Integration of Palliative Care in the Non-Hospital Setting for Individuals Living with Cancer in the United States: A Mixed Methods Systematic Review.","authors":"Kim Slusser, Mary Beth Flynn Makic, Figaro Loresto, Ashley Leak Bryant, Health Coats","doi":"10.1177/23333936251375184","DOIUrl":"10.1177/23333936251375184","url":null,"abstract":"<p><p>The early integration of palliative care (PC) alongside standard cancer care is associated with decreased symptom burden, better adherence to cancer treatment, and enhanced quality of life for individuals living with cancer. The purpose of this mixed methods systematic review was to answer the following research questions (1) What are the characteristics of PC access in non-hospital settings in the US for individuals living with cancer?, and (2) What factors facilitate or deter whether PC is integrated early alongside standard cancer care? The study followed the Joanna Briggs Institute methodology for mixed methods systematic review and a convergent integrated data analysis design. The Conceptual Framework of Access to Healthcare and its five dimensions of access (approachability, acceptability, availability, affordability, appropriateness) guided the categorization and organization of the review's findings. Fifty-one studies were included and findings illuminated facilitators and challenges of PC access and early integration. While findings supported the use of traditional PC approaches for early integration, embedded PC clinics, lay navigation, and telehealth were found to be promising alternatives, especially for historically minoritized and rural populations. The results of this review led to the development of the Conceptual Framework for Early PC Access and Integration for Individuals Living with Cancer.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251375184"},"PeriodicalIF":2.1,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193586","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}
Taylor N Richardson, Michelle D Graf, Lauren Hicks, Courtney Caiola
{"title":"\"Whispered on Only the Darkest Corners of the Internet:\": A Qualitative Descriptive Study Exploring Fathers' Experiences with Paternal Postpartum Depression on Reddit.","authors":"Taylor N Richardson, Michelle D Graf, Lauren Hicks, Courtney Caiola","doi":"10.1177/23333936251374618","DOIUrl":"10.1177/23333936251374618","url":null,"abstract":"<p><p>At least 10% of fathers experience depressive symptoms during the postpartum period, yet they are often overlooked and under-supported. It is critical to understand paternal postpartum depression as it has been linked to serious consequences, such as increased suicide risk among fathers. Further, paternal postpartum depression influences the entire family unit as it has been associated with maternal mental health issues and negative father-infant interactions. Through a qualitative descriptive design, we aimed to (1) identify the factors that fathers report as contributors to their postpartum depression symptoms, and (2) examine the reported postpartum depression symptoms among fathers and the associated impacts on their lives. Using thematic analysis, we analyzed 63 anonymous Reddit posts by fathers about their paternal postpartum depression experiences. Contributors included: (1) altered role adjustment, (2) resource-demand imbalance, (3) challenging maternal and infant circumstances, and (4) disparate yet concurrent realities. Symptoms included: (1) cognitive-emotional, (2) somatic, and (3) masked. Impacts included: (1) fractured social connections, (2) diminished career satisfaction and performance, and (3) positive outcomes on the other side. Fathers experienced various contributors, symptoms, and impacts of paternal postpartum depression. There is a critical need to increase awareness of and support for paternal postpartum depression to increase overall postpartum family well-being.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251374618"},"PeriodicalIF":2.1,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193538","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}
Jonas Olofsson, Ann-Cathrine Bramhagen, Margareta Rämgård, Katarina Sjögren-Forss
{"title":"Navigating the Unseen: Healthcare Support Staff's Perception of Existential Loneliness Among Older Migrants.","authors":"Jonas Olofsson, Ann-Cathrine Bramhagen, Margareta Rämgård, Katarina Sjögren-Forss","doi":"10.1177/23333936251375459","DOIUrl":"10.1177/23333936251375459","url":null,"abstract":"<p><p>Existential loneliness is a profound sense of loneliness that arises when confronting existential questions, often intensified by the awareness of mortality. For older migrants, this experience may be deepened by feelings of exclusion and a disrupted sense of belonging. While existential loneliness has been explored in general older populations, little is known about how it is perceived and addressed by healthcare support staff working with older migrants. This study explores healthcare support staff's perceptions of existential loneliness among older migrants and the conditions necessary to address their needs. Using focus group methodology, analysis of data generated the overarching theme of \"Navigating the unseen,\" capturing the complexity of recognizing and responding to existential loneliness. Three subthemes illustrate how HSSs perceive and respond to experiences of EL among older migrants. The first two-(a) \"Feelings of exclusion contribute to the experience of EL\" and (b) \"The ongoing quest for belonging\"-highlight how participants perceived older migrants' experiences of EL. The third subtheme, \"Aspects influencing HSSs' engagement with older migrants experiencing EL,\" captures factors that shape HSSs' capacity to support this population. This study highlights the complex challenges staff face in addressing existential loneliness in this population. To meet these needs, staff require time, training, and managerial support. Building trustful relationships, fostering cultural and religious inclusivity, and integrating psychosocial care are essential to support older migrants in finding meaning and belonging in later life.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251375459"},"PeriodicalIF":2.1,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12441275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087694","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":"Dignity-Preserving Dementia Care in Old Age Homes in Nepal: Healthcare Professionals' Perspectives.","authors":"Oscar Tranvåg, Soni Shrestha","doi":"10.1177/23333936251369444","DOIUrl":"10.1177/23333936251369444","url":null,"abstract":"<p><p>In recent decades, there has been growing interest in research on dignity in care for persons with dementia living in high-income countries. In contrast, such research remains limited in low- and middle-income countries. This study aimed to explore healthcare professionals' perceptions of the critical qualities inherent in dignity-preserving care for persons with dementia living in old age homes in Nepal. Using a hermeneutical approach, we conducted qualitative in-depth interviews with eleven healthcare professionals. Our analysis revealed that participants' understanding of dignity-preserving care was rooted in their ontological and cultural belief of 'Acknowledging the equal worth of each human being'. Grounded in this foundational belief, critical elements of dignity-preserving care practices focused on 'sheltering the self-esteem and promoting a meaningful everyday life of persons with dementia'. These practices involved 'being respectful and protecting the self-identity of each person'; 'recognising the need for being a person who people listen to'; 'showing regard for each person's efforts and contributions in life'; 'safeguarding the person's sense of belonging', and; 'facilitating personally valued activities', and were considered as critical qualities of dignity-preserving care. The study provides valuable insights for improving care strategies and informing policy developments for dignity-preserving care for persons with dementia.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251369444"},"PeriodicalIF":2.1,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12391714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973651","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}
Kechi C Iheduru-Anderson, Karen E Alexander, Nisha Mathews, Julia U Ugorji, Valeria A Ramdin, Christiana Akanegbu, Katryna McCoy, Danielle McCamey, Florence Okoro, Wilma J Calvert, Kashica J Webber-Ritchey
{"title":"From Bedside to Classroom: An Autoethnography of the Mentoring Experiences of BIPOC Nurse Faculty from Transition to Tenure and Promotion.","authors":"Kechi C Iheduru-Anderson, Karen E Alexander, Nisha Mathews, Julia U Ugorji, Valeria A Ramdin, Christiana Akanegbu, Katryna McCoy, Danielle McCamey, Florence Okoro, Wilma J Calvert, Kashica J Webber-Ritchey","doi":"10.1177/23333936251369439","DOIUrl":"10.1177/23333936251369439","url":null,"abstract":"<p><p>Black and South Asian nurse faculty transitioning from clinical practice to academia face persistent barriers, including racialized exclusion, institutional neglect, and unclear tenure and promotion expectations. Despite the importance of mentorship, many report insufficient formal support, turning instead to external networks and self-advocacy to navigate academic life. This autoethnographic study explores the mentoring experiences of Black and South Asian nurse faculty in U.S. higher education, from transition through the promotion and tenure process. Inductive thematic analysis of reflective journal narratives, interpreted through the lens of Social Cognitive Career Theory, led to the development of themes spanning a nine-stage mentorship cycle. Findings highlight the lack of structured mentorship and unclear tenure expectations as primary challenges. Additional themes included mistrust in assigned mentors, emotional and psychological burdens, and the impact of racial identity on career progression. Participants frequently turned to peer networks and professional organizations to fill mentorship gaps and, over time, assumed mentorship roles themselves. This study underscores the need for culturally responsive, equity-centered mentorship programs and transparent advancement pathways. Institutions must commit to inclusive leadership development and sustained support to ensure the success and retention of Black and South Asian faculty in nursing academia.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251369439"},"PeriodicalIF":2.1,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12391713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973690","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}
Ruwang Han, Melanie Rogers, Sofia Asplund, Lisbeth Fagerström
{"title":"Nurse Practitioners' Practice Patterns in Primary Care in Finland: A Descriptive Qualitative Study.","authors":"Ruwang Han, Melanie Rogers, Sofia Asplund, Lisbeth Fagerström","doi":"10.1177/23333936251365612","DOIUrl":"10.1177/23333936251365612","url":null,"abstract":"<p><p>Healthcare demands continue to increase across the globe, Advanced Practice Nurses (APNs) including Nurse Practitioners (NPs) are recognised as a valuable workforce that can increase access and improve the quality of care. However, NPs are underrepresented in Finland. This study explored Finnish NPs' practice patterns and identified the common visit types to NP clinics in primary care. This descriptive qualitative study is part of a multiple-method and action research project that aims to develop and evaluate advanced practice nursing models in primary care within a wellbeing services county of Western Finland. Responses to open-ended questions and interview data from 16 NPs working in primary care were analysed using inductive content analysis. The findings highlight key aspects of NPs' work, including the types of patients they care for-those with both acute and long-term health needs-and the core elements of their practice, such as conducting health assessments, providing counselling and coaching, engaging in collaborative care, and prescribing medications. The analysis also revealed persistent ambiguity surrounding certain aspects of NP practice. Overall, the findings indicate that NPs in Finland utilise a wide range of knowledge and skills to care for patients presenting with acute and long-term health problems.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251365612"},"PeriodicalIF":2.1,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12365369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973680","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}
Christa Torrisi, Mei R Fu, Michelle Teti, Jane M Armer
{"title":"\"When I Look in the Mirror, I Want to See a Healthy Body\": The Lived Experience of Young Previvors, Bilateral Risk-Reducing Mastectomy, and Body Image.","authors":"Christa Torrisi, Mei R Fu, Michelle Teti, Jane M Armer","doi":"10.1177/23333936251362638","DOIUrl":"10.1177/23333936251362638","url":null,"abstract":"<p><p>Breast cancer is a significant cause of cancer death in young women in the United States. Inherited pathogenic variants, like BRCA1 and BRCA2, contribute to an increased lifetime breast cancer risk in this population. For women with a known pathogenic variant but without a previous cancer diagnosis, also known as \"previvors,\" the bilateral risk-reducing mastectomy (BRRM) most effectively reduces breast cancer risk. However, this surgery often causes physical change to the body. While existing research has examined the effect of BRRM and body image among previvors across the lifespan, the effect of prophylactic breast removal to decrease lifetime breast cancer risk in young previvors less than 40 years of age is less understood. A descriptive phenomenological approach, along with participant-submitted images, from a sample of 13 young previvors from the Midwestern United States, aged 29 to 39, explored the lived experience of BRRM and body image in the first 12 months following surgery. Narrative data served as the primary source, augmented by participant-submitted visual data. Essential themes were intuited to include BRRM to promote health, the importance of adaptation and acceptance to a changed body, and unexpected challenges following surgery; body image was found to be largely positive after healing occurred.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251362638"},"PeriodicalIF":2.1,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12332254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817859","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}