Global Qualitative Nursing Research最新文献

{"title":"Palliative Home Care Nurses' Experiences of End-of-Life Patients Expressing a Wish to Die: A Qualitative Content Analysis.","authors":"Mattias Fernberg, Lisbeth Kristiansen","doi":"10.1177/23333936261474967","DOIUrl":"10.1177/23333936261474967","url":null,"abstract":"<p><p>Expressions of a wish to die among patients with advanced illness represent a complex and ethically challenging phenomenon within palliative care. Nurses working in advanced healthcare in patients' homes are often at the forefront of responding to such expressions in a setting characterized by close relationships and prolonged engagement. The aim of this study was to examine nurses' experiences of caring for end-of-life patients who express a wish to die. A qualitative descriptive design was adopted. Semi-structured interviews were conducted with nine registered nurses working in advanced healthcare in patients' homes in Sweden. Data were analysed using qualitative content analysis, combining an initial deductive phase informed by the Six S model of person-centred palliative care with a subsequent inductive analysis. One overarching theme was identified: <i>Alleviating suffering by engaging with the patient's lifeworld</i>. Nurses interpreted expressions of a wish to die primarily as communicative acts reflecting multidimensional suffering, including physical pain, anxiety, existential distress, and loss of meaning. Four generic categories described how nurses responded through symptom relief, support for meaning-making, collaboration with relatives and the interdisciplinary team, and preservation of patient autonomy. Rather than indicating a stable desire to end life, nurses understood patients' expressions of a wish to die as manifestations of suffering that could be alleviated through person-centred, relational, and symptom-focused care. The findings highlight the central role of nurses in palliative home care and contribute nursing-specific knowledge to the international literature on end-of-life care.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261474967"},"PeriodicalIF":3.0,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13424765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654633","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":"Social Justice Perceptions of Newly Graduated Nurses: A Grounded Theory Study.","authors":"M Erin Hoying, Karen J Foli","doi":"10.1177/23333936261473378","DOIUrl":"10.1177/23333936261473378","url":null,"abstract":"<p><p>Nursing is rooted in social justice principles, yet achieving health equity remains challenging, particularly given the unclear perceptions of social justice among newly graduated registered nurses (NGRNs). High turnover rates in this group further threaten progress toward equity goals. This study explored how NGRNs understand, cocreate, process, and respond to social justice in practice using a constructivist grounded theory approach. Analysis of 28 NGRNs' narratives from virtual interviews led to the development of a theoretical framework encompassing four co-constructed processes of <i>Best Care for All, No Matter What</i>; <i>Importance of Making the Human Connection; Novice Emancipators; and a Supportive Organizational Environment</i> and a fluid process. Based on these findings, a situation-specific theory titled the <i>NGRN Evolving Identity of Social Justice</i> was proposed. The study highlights the need to foster social justice identity during NGRNs' transition to practice. Implications include integrating social justice into nursing curricula, onboarding programs, leadership strategies, and policy initiatives to promote person-centered care and health equity. Supporting NGRNs as advocates for social justice may strengthen retention, improve patient outcomes, and position nursing at the forefront of systemic change toward equity.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261473378"},"PeriodicalIF":3.0,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13424784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654737","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":"I Am Not a \"Relative\": Self-Understanding of Relatives in Residential Long-Term Care - A Reflexive Thematic Analysis.","authors":"Rouven Brenner, Hanna Mayer, Heidrun Gattinger","doi":"10.1177/23333936261466865","DOIUrl":"10.1177/23333936261466865","url":null,"abstract":"<p><p>Much is known about what relatives do in residential long-term care, yet the question of who they are as persons within this context remains unasked. Research frames relatives through functional categories, addressing their contributions but not their self-understanding, which is accessible only through their own accounts. This qualitative study examined how relatives of care-dependent persons in Swiss residential long-term care understand themselves as persons within the institutional context. Guided by McCormack and McCance's Person-Centred Practice Framework, we conducted interviews with seven relatives across three care facilities and analysed the data using Reflexive Thematic Analysis. Four themes position \"being relative\" as an ontological condition rather than a functional role: <i>Being irreducibly relational</i>: identity constituted through biographical relationships, not institutional categories; <i>Being attentively co-bearing</i>: felt responsibility for the entire care situation, including nursing staff; <i>Being deeply anchored</i>: the institution as constitutive of who relatives are, marked by simultaneous belonging and strangeness; and <i>Being persistently unsettled</i>: a self kept in motion by displaced identities, guilt, and moral impossibilities. These dimensions coexist as features of a condition for which person-centred care may need a vocabulary that recognises relatives' personhood rather than their function.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261466865"},"PeriodicalIF":3.0,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13424763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654655","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":"Leading Preventive Care: Confidence, Collaboration, and Systemic Challenges Among Primary Health Care Nurses.","authors":"Katrina Paine, Elizabeth Denney-Wilson, Mark Harris, Sue Randall","doi":"10.1177/23333936261473379","DOIUrl":"10.1177/23333936261473379","url":null,"abstract":"<p><p>General Practice Nurses (GPNs) collaborate with General Practitioners (GPs) to provide preventive care through comprehensive health assessments, risk appraisal, lifestyle counselling, and delivery of continuous patient-centred care. This research explored how GPNs identify, negotiate, and sustain preventive care within a complex multilayered health system. Informed by the Socioecological Model, a qualitative descriptive design employed semi-structured interviews with 33 GPNs across diverse practice locations. Data underwent reflexive thematic analysis through iterative familiarisation, inductive coding, and theme development. Five interconnected themes captured nurses' multilevel preventive care practice. The first theme was <i>Adaptive Leadership of Prevention</i> at the individual level, where nurses tailored interventions to patient readiness, coordinated general practitioner-nurse-patient monitoring, and set focused goals despite resistance from patients and busy lifestyles. The second theme was <i>Brokering Interprofessional Collaboration</i> at the interprofessional level, securing practitioner endorsement and linking fragmented care teams for universal referrals. The third theme was <i>Championing Prevention Amid Organisational Constraints</i> at the organisational level, where nurses managed time pressures, staff turnover, delegation, and local knowledge. The fourth theme was <i>Community Connectivity and Extended Reach</i> at the community level, which included word-of-mouth recommendations, interpreters, external support services, targeted programs for marginalised communities, low-socioeconomic status, and migrant populations. The fifth theme was <i>Local Adaptation within Policy Constraints</i> at the policy level, where prevention is embedded within Australia's Medicare Benefits Schedule care plans despite inadequate nurse funding. These findings position GPNs as boundary-spanning professionals who translate nationally framed prevention priorities into locally responsive care consistent with prevention strategies. Sustainable, equitable outcomes for patients demand aligned funding, team-based policy recognition, practice infrastructure investment, clearly defined roles, ongoing professional development, and policy reform.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261473379"},"PeriodicalIF":3.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608457","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":"From Description to Explanation: Strengthening Conceptualisation in Qualitative Research Through Classic Grounded Theory.","authors":"Tracy Flenady, Justine Connor, Kara Vander Linden","doi":"10.1177/23333936261472675","DOIUrl":"10.1177/23333936261472675","url":null,"abstract":"<p><p>Qualitative research continues to grapple with the challenge of moving beyond rich description toward explanatory insight. While Classic grounded theory is explicitly designed to generate theory through conceptualisation, researchers frequently struggle to sustain conceptual-level analysis in practice, resulting in descriptive or thematic outputs. This paper addresses this methodological problem by making explicit the analytic work required to move from description to explanation. Drawing on classic GT, it identifies common points of descriptive drift, demonstrates how descriptive codes can be reformulated into conceptual codes, and introduces the Conceptual Lift Practice Loop as a practice-oriented articulation of this analytic work within the constant comparative method. In doing so, the paper clarifies how conceptualisation is enacted in practice without reducing it to procedural technique. This contributes to strengthening methodological rigour in grounded theory research. The paper has particular relevance for nursing, where grounded theory is widely used to examine complex clinical, organisational, and workforce processes, and where explanatory insight is critical for informing practice beyond local contexts.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261472675"},"PeriodicalIF":3.0,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13400915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593948","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":"Tuberculosis Treatment Adherence as a Relational and Cultural Process: A Qualitative Study From Urban Indonesia.","authors":"Era Dorihi Kale, Nursalam, Makhfudli, I Gede Juanamasta","doi":"10.1177/23333936261469299","DOIUrl":"10.1177/23333936261469299","url":null,"abstract":"<p><p>Tuberculosis (TB) treatment adherence remains a major public health challenge, particularly where illness is experienced within family and social contexts. This study examined how TB patients and family members described treatment adherence in an urban Indonesian primary healthcare setting, with attention to relational and cultural dimensions. A qualitative exploratory descriptive study was conducted at across primary health facility in Kupang, East Nusa Tenggara, Indonesia, using individual semi-structured interviews with six TB patients and five family members. Data were analysed using reflexive thematic analysis. Adherence appeared as a temporally unfolding process shaped by emotional adjustment, household obligation, and faith. Six themes were constructed: psychological disruption at diagnosis; fragile illness acceptance and early non-adherence; stigma as a social identity threat; cultural explanatory models; family as behavioural infrastructure; and spirituality as therapeutic reinforcement. Where prior literature has treated family support, stigma, and cultural belief as separate variables, this study shows how these forces interact across the treatment trajectory, reframing TB adherence as a relational process that households actively produce. Programmes engaging families as active participants, addressing stigma at the household level, and communicating within patients' cultural frameworks may better support adherence in collectivist settings.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261469299"},"PeriodicalIF":3.0,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13376530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680340","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":"Thinking Habits Determine Possibilities for Equity: Results of a Critically Reflective Dialogue Study.","authors":"Katrina Plamondon","doi":"10.1177/23333936261463899","DOIUrl":"10.1177/23333936261463899","url":null,"abstract":"<p><p>Since the Commission on Social Determinants of Health named the distribution of power, resources, and money as causes of health inequities, gaps between knowledge and action have remained tenaciously wide. This critically reflective inquiry was informed by previous work which revealed incoherencies between evidence and action aimed at reducing health inequities. Drawing on the expertise of seventeen thought leaders in knowledge translation and health equity, this study involved a series of dialogues deeply exploring practices for overcoming this gap. Results point to the importance of cultivating equity 'attunement' as a central promising practice, enabled by four intentional thinking habits, including thinking relationally, reflexively, responsively, and tenaciously. These habits underpin the possibility of coherence between evidence and practice or policy in global and public health, making them determinants of equity action. Thinking habits are pivotal, mutually reinforcing, learned, and intentional practices that carry direct implications for capacity building, teaching, research, and policy. Importantly, at a moment when the world navigates a polarized, anti-equity political climate, this research offers an invitation for individuals, groups and institutions to embrace agency in shaping our futures.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261463899"},"PeriodicalIF":3.0,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13354894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425340","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":"Engaging Faith Communities in Hispanic Child Obesity Prevention: Church Leaders' Insights on Barriers and Cultural Strategies.","authors":"Erickson Feliciano, Martha Rojo, Janet Lopez, Britni Lee Ayers, Jonathan Rodriguez, Joel Gittelsohn","doi":"10.1177/23333936261463911","DOIUrl":"10.1177/23333936261463911","url":null,"abstract":"<p><p>Childhood obesity disproportionately affects Hispanic children, yet culturally responsive interventions within faith-based organizations remain underutilized. This formative study explored faith leaders' perspectives on promoting healthy eating to inform church-based obesity prevention in predominantly Hispanic congregations. Using a qualitative-dominant mixed-methods design guided by Community-Based Participatory Research principles, we conducted surveys and in-depth interviews with faith leaders from diverse Arkansas denominations, including 30 who participated in interviews. Participants described balancing formal religious duties with informal roles as role models, community builders, and cultural translators connecting congregants to external resources. Three themes were developed through reflexive thematic analysis: (1) faith leadership as relational and cultural brokerage; (2) navigating tensions between spiritual mission and health promotion; and (3) the church as a culturally anchored space for holistic well-being. Leaders emphasized integrating health initiatives into existing church activities, adapting traditional foods rather than replacing them, and using culturally resonant materials delivered by trusted messengers. Findings demonstrate that faith-based organizations can support sustainable healthy eating interventions when programs align with spiritual priorities and cultural traditions, informing the development of a culturally-tailored, faith-based healthy eating intervention for Hispanic families.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261463911"},"PeriodicalIF":3.0,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13351231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425363","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":"Explaining the Experience of Organ Transplant Coordinator Nurses Regarding the Process of Obtaining Consent and Organ Donation From Brain-Dead Patients.","authors":"Mehrzad Mashayekhi, Maryam Askaryzadeh Mahani, Fatemeh Bahramnezhad","doi":"10.1177/23333936261463914","DOIUrl":"10.1177/23333936261463914","url":null,"abstract":"<p><p>Brain death, as the irreversible cessation of brain function, provides the possibility of organ donation, yet the consent rate among families in Iran remains low. Transplant coordinators, mostly nurses, play a crucial role in communication, emotional support, and trust-building, while facing significant psychological and professional challenges. The aim of this descriptive qualitative study was to describe transplant coordinators' experiences and needs in the consent process, with the goal of enhancing performance and ultimately increasing organ donation rates. A purposive sample of 20 transplant coordinator nurses was selected to capture a diverse range of experiences relevant to the study aims, and participants took part in semi-structured interviews. Using inductive content analysis, six main themes were developed to reflect nurses' experiences in obtaining informed consent for organ donation: professional duality in balancing emotional sensitivity with procedural responsibilities; managing emotional and moral complexities; communication challenges with patients' families; work-related and psychological pressures during the consent process; the influence of individual values and cultural beliefs; and the need for psychological and organizational support. The findings show that obtaining consent for organ donation is a complex, multi-layered experience beyond simple communication skills, involving moral responsibility, emotional conflicts, cultural beliefs, and severe psychological pressures. Coordinating nurses face professional duality, communication challenges, and a lack of support. The findings highlight the need for supportive, educational, and policy programs to improve care quality and the success of organ donation.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261463914"},"PeriodicalIF":3.0,"publicationDate":"2026-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13334071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438217","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":"Towards a Multidimensional Understanding of \"Being Relative\" in Residential Long-Term Care: Findings From a Qualitative Multiperspective Study.","authors":"Rouven Brenner, Heidrun Gattinger, Hanna Mayer","doi":"10.1177/23333936261454128","DOIUrl":"10.1177/23333936261454128","url":null,"abstract":"<p><p>Relatives are constitutive to residential long-term care, yet are often conceptualised through a functional lens that focuses on tasks or burden. This qualitative multiperspective study explores the ontological condition of \"being relative\" beyond these functional categories. Analysing 30 \"Integrated Encounter Analyses\" from two Swiss facilities, which synthesised participant observations and interviews, we identified eight constitutive dimensions organised into Situational, Relational, and Spatial-Temporal meta-dimensions. Findings reveal \"being relative\" not as a static role but as a dynamic movement across continua - oscillating between alienation and resonance, and institutional subjection and strategic agency. We conclude that \"being relative\" is a distinct existential condition characterised by permanent liminality - dwelling in the in-between rather than transitioning through it. The institutional context fundamentally shapes this existential condition: agency manifests not as resistance against but as quiet negotiation within constraints. Institutions must therefore validate the existence of this threshold and support relatives' navigational competencies rather than forcing binary categorisations of visitors or partners.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261454128"},"PeriodicalIF":3.0,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13305279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346758","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}