Halldóra Egilsdóttir, Helga Jónsdóttir, Marianne Elisabeth Klinke
{"title":"Living in Rural Areas and Receiving Cancer Treatment Away From Home: A Qualitative Study Foregrounding Temporality.","authors":"Halldóra Egilsdóttir, Helga Jónsdóttir, Marianne Elisabeth Klinke","doi":"10.1177/23333936221111802","DOIUrl":"https://doi.org/10.1177/23333936221111802","url":null,"abstract":"<p><p>We used explorative interviews to gauge (inter)personal, physiological, and emotional challenges of seven rural cancer patients who traveled long distances to cancer treatment centers. After a thematic analysis, we foregrounded experiences of temporality by using a phenomenologically inspired approach. The analysis resulted in three themes: (a) An epiphany of \"what really matters in life\"-time gains new meaning, (b) Feeling out of sync with others and own body-striving for coherence and simultaneity, and (c) Being torn between benefits of home and treatments site-time and distance as a tangible aspect of traveling and being away. Under these themes, 13 meaning units were generated, which reflected changes in temporality. During treatment, life primarily revolved around repeating circles of travel arrangements, staying on top of treatment schedule, and synchronizing a home life with a life away from home. Nurses should provide comprehensive care to enhance stability in cancer patients' temporal experiences.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":" ","pages":"23333936221111802"},"PeriodicalIF":1.7,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/d4/10.1177_23333936221111802.PMC9305796.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40622476","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":"Death Acceptance Process in Thai Buddhist Patients With Life-Limiting Cancer: A Grounded Theory.","authors":"Ratchaneekorn Upasen, Sureeporn Thanasilp, Lanchasak Akkayagorn, Janya Chimluang, Wilailuck Tantitrakul, Dawn Liam Doutrich, Weeraphol Saengpanya","doi":"10.1177/23333936221111809","DOIUrl":"https://doi.org/10.1177/23333936221111809","url":null,"abstract":"<p><p>Cancer patients with life-limiting illnesses have varied levels of death acceptance pervarious scales. Nevertheless, the process of developing death acceptance in patients with life-limiting cancer remains unclear. This study explores the death acceptance process among patients with life-limiting cancer. We used grounded theory methodology. Data were collected through in-depth interviews of 13 patients with cancer in a palliative care setting, and researchers completed field notes. Data were analyzed using constant and comparative methods. Thai Buddhist patients with cancer in palliative care process death acceptance through three dynamic phases: engaging suffering, being open-minded about death, and adhering to Buddhist practices for increasing death consciousness. The death acceptance process described in this study could serve as a guideline to support death acceptance in Thai Buddhist patients with cancer, and other patients with cancer in palliative care, to improve peaceful life and attain good death.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":" ","pages":"23333936221111809"},"PeriodicalIF":1.7,"publicationDate":"2022-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/00/dc/10.1177_23333936221111809.PMC9284199.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40513340","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}
Britt Laugesen, Maja Thomsen Albrechtsen, Mette Grønkjær, Kathrine Hoffmann Kusk, Marie Germund Nielsen, Lone Jørgensen, Birgith Pedersen, Birgitte Lerbæk, Helle Haslund-Thomsen, Charlotte Brun Thorup, Sara Jacobsen, Karin Bundgaard, Siri Lygum Voldbjerg
{"title":"Nurses' Clinical Decision-Making in a Changed COVID-19 Work Environment: A Focus Group Study.","authors":"Britt Laugesen, Maja Thomsen Albrechtsen, Mette Grønkjær, Kathrine Hoffmann Kusk, Marie Germund Nielsen, Lone Jørgensen, Birgith Pedersen, Birgitte Lerbæk, Helle Haslund-Thomsen, Charlotte Brun Thorup, Sara Jacobsen, Karin Bundgaard, Siri Lygum Voldbjerg","doi":"10.1177/23333936221109876","DOIUrl":"https://doi.org/10.1177/23333936221109876","url":null,"abstract":"<p><p>This study aims to explore how a changed COVID-19 work environment influences nurses' clinical decision-making. Data were collected via three focus groups totaling 14 nurses working in COVID-19 pandemic wards at a Danish university hospital. The factors influencing decision-making are described in three themes; navigating in a COVID-19 dominated context, recognizing the importance of collegial fellowship, and the complexities of feeling competent. A strong joint commitment among the nurses to manage critical situations fostered a culture of knowledge-sharing and drawing on colleagues' competencies in clinical decision-making. It is important for nurse leaders to consider multiple factors when preparing nurses not only to work in changing work environments, but also when nurses are asked to work in environments and specialties that deviate from their usual routines.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":" ","pages":"23333936221109876"},"PeriodicalIF":1.7,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4c/53/10.1177_23333936221109876.PMC9272177.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40589718","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}
Tanja Moilanen, Mari Sivonen, Kirsi Hipp, Hanna Kallio, Oili Papinaho, Minna Stolt, Riitta Turjamaa, Arja Häggman-Laitila, Mari Kangasniemi
{"title":"Developing a Feasible and Credible Method for Analyzing Healthcare Documents as Written Data.","authors":"Tanja Moilanen, Mari Sivonen, Kirsi Hipp, Hanna Kallio, Oili Papinaho, Minna Stolt, Riitta Turjamaa, Arja Häggman-Laitila, Mari Kangasniemi","doi":"10.1177/23333936221108706","DOIUrl":"https://doi.org/10.1177/23333936221108706","url":null,"abstract":"<p><p>Healthcare provides a rich, and constantly increasing, number of written documents, which are underutilized in research data for health and nursing sciences, but previous literature has only provided limited guidance on the process of document analysis. The aim of this paper is to provide a methodological framework for analyzing health care documents as written data, based on a systematic methodological review and the research team's experience of the method. Based on the results, the methods consist of seven phases: (i) identify the purpose, (ii) determine the document selection strategy, (iii) select or design an extraction matrix, (iv) carry out pilot testing, (v) collect and analyze the data, (vi) consider the credibility, and (vii) ethics of the study. The framework that has been developed can be used to carry out document analysis studies that are both feasible and credible.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":" ","pages":"23333936221108706"},"PeriodicalIF":1.7,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40589720","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":"Advanced Practice Registered Nurse Transition to Practice in the Long-Term Care Setting: An Ethnography.","authors":"Alisha Harvey Johnson, Tracie Culp Harrison","doi":"10.1177/23333936221108701","DOIUrl":"https://doi.org/10.1177/23333936221108701","url":null,"abstract":"<p><p>Advanced practice registered nurses are successful in improving quality outcomes and filling provider care gaps in long-term care. However, little is known about the nurse's transition to practice in this setting. A 12-month ethnography was conducted via participant-observation with nine advanced practice registered nurses in five long-term care facilities to understand practice environment influence on the nurses' transition and on the reciprocal influence of the nurse on the practice environment. Transition was fraught with uncertainty as documented by five themes: <i>where's my authority</i>, <i>institutional acceptance</i>, <i>personal role fulfillment</i>, <i>provider relationships</i>, and <i>individual versus organizational care</i>. These findings suggest that transition in this setting is complex, characterized by insecurity whether the individual is new to advanced practice or experienced. Transition in long-term care could be strengthened by formal programs that include clinical practice, reconceived mentorship for advanced practice registered nurses, and education designed to improve comfort and expertise with indirect care.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":" ","pages":"23333936221108701"},"PeriodicalIF":1.7,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/aa/99/10.1177_23333936221108701.PMC9272163.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40589716","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}
Therése Bielsten, Elzana Odzakovic, Agneta Kullberg, Jan Marcusson, Ingrid Hellström
{"title":"Controlling the Uncontrollable: Patient Safety and Medication Management From the Perspective of Registered Nurses in Municipal Home Health Care.","authors":"Therése Bielsten, Elzana Odzakovic, Agneta Kullberg, Jan Marcusson, Ingrid Hellström","doi":"10.1177/23333936221108700","DOIUrl":"https://doi.org/10.1177/23333936221108700","url":null,"abstract":"<p><p>Most adverse events in health care are related to medication management and they are almost always preventable. Increased knowledge of patient safety related to medication management in home health care is an urgent issue to provide safe care for all patients regardless of where the health care takes place. This study explored patient safety within medication management in municipal home health care. Vignettes were used as stimulus during qualitative interviews with registered nurses. Three main themes with related subthemes were identified as challenges to patient safety within medication management in home health care: (1) challenges to information transfer, (2) challenges related to delegation, and (3) challenges of advanced medical treatments in the home. The issue of transfer of information permeated our findings. Coordinating medications, delegating tasks, along with more advanced care require clear communication between care providers to be compatible with patient safety within medication management in home health care.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":" ","pages":"23333936221108700"},"PeriodicalIF":1.7,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40591741","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":"Prelicensure Nursing Students' Reflections on Institutional Response to the 2020 COVID-19 Crisis.","authors":"Kechinyere C Iheduru-Anderson, Jo Anne Foley","doi":"10.1177/23333936221106793","DOIUrl":"https://doi.org/10.1177/23333936221106793","url":null,"abstract":"<p><p>The study aimed to describe how prelicensure student nurses perceive academic support and their institutions' response during the 2020 COVID-19 crisis. The shift to online learning caused by the COVID-19 pandemic disrupted every aspect of higher education, including pre-licensure nursing students. Prelicensure nursing education is one of the most stressful programs in higher education. In a period of great uncertainty, it becomes essential to explore how prelicensure nursing students perceive academic support from their institutions. A qualitative descriptive design was employed for the study. Thematic analysis was used to analyze data obtained from 16 semi-structured interviews. Six themes resulted from the data: Disorganization leading to chaos; technology and technical challenges; stress and frustration; am I prepared to be a nurse?; not having money; mental health matters. This study validates the experiences of nursing students. Students' obstacles during the pandemic should be identified and mitigated to promote learning and academic success.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":" ","pages":"23333936221106793"},"PeriodicalIF":1.7,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f2/89/10.1177_23333936221106793.PMC9240339.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40558379","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":"Perspectives on Everyday Life Challenges of Danish Young People With Duchenne Muscular Dystrophy (DMD) on Corticosteroids","authors":"C. Handberg, U. Werlauff, A. Højberg","doi":"10.1177/23333936221094858","DOIUrl":"https://doi.org/10.1177/23333936221094858","url":null,"abstract":"This study aimed to investigate perspectives on everyday life challenges of young persons with Duchenne muscular dystrophy in Denmark treated with corticosteroids perceived by young persons and their parents to improve rehabilitation interventions. Nineteen semi-structured interviews were conducted: 10 individual interviews with 10 persons with DMD and six individual interviews with parents (five mothers and one father) and three couple interviews (three mothers and three fathers). The analysis was guided by interpretive description methodology and Antonovsky’s Sense of Coherence theory. The results indicated that persons with Duchenne muscular dystrophy existed in a flux between experiencing greater Sense of Coherence revolving around normality and less Sense of Coherence exposing their vulnerability which unfolded in four opposing themes: (1) bodily ability and disability, (2) content and anxious, (3) sociable and lonely, and (4) independent and dependent. Future rehabilitation should aim at supporting resistance resources promoting bodily ability, being content, sociable, and independent.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49158567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Erratum to \"We Were Absolutely in the Dark\": Latent Analysis of Developmental Disability Nurses' Experiences During the COVID-19 Pandemic.","authors":"","doi":"10.1177/23333936221085688","DOIUrl":"https://doi.org/10.1177/23333936221085688","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/23333936211051705.].</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":" ","pages":"23333936221085688"},"PeriodicalIF":1.7,"publicationDate":"2022-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a9/cb/10.1177_23333936221085688.PMC8935136.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40315069","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":"Corrigendum to Using Applied Conversation Analysis in Patient Education","authors":"","doi":"10.1177/23333936221088187","DOIUrl":"https://doi.org/10.1177/23333936221088187","url":null,"abstract":"[This corrects the article DOI: 10.1177/23333936211012990.].","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46347844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}