Global Qualitative Nursing Research最新文献_第2页

The Barriers to Nurses with Prescriptive Authority in Exercising Their Prescriptive Role: A Systematic Review and Thematic Synthesis of Qualitative Studies. 具有规定性权威的护士行使其规定性角色的障碍：定性研究的系统回顾和专题综合。

IF 2.1

Global Qualitative Nursing Research Pub Date : 2025-08-06 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251356349

Jiaxi Xu, Lu Qi, Aimei Mao

{"title":"The Barriers to Nurses with Prescriptive Authority in Exercising Their Prescriptive Role: A Systematic Review and Thematic Synthesis of Qualitative Studies.","authors":"Jiaxi Xu, Lu Qi, Aimei Mao","doi":"10.1177/23333936251356349","DOIUrl":"10.1177/23333936251356349","url":null,"abstract":"This systematic review investigates the barriers experienced by nurses with prescriptive authority and their required supports to strengthen and sustain nurse prescribing. Empirical qualitative studies indexed in Embase, MEDLINE, CINAHL, and ProQuest from inception through 31 December 2023 were screened, yielding 27 eligible articles. Data were synthesized with Thomas and Harden's three-stage inductive approach which included: line-by-line coding, construction of descriptive themes, and generation of analytical themes. Two overarching analytical themes were constructed - \"The Undervaluing of Nurse Prescribers\" and \"The Need for a Supportive System\". Each encompassed several subthemes that expose pervasive misconceptions about, and systemic undervaluation of, nurse prescribers' expertise. The review underscores the imperative for comprehensive organizational and policy support to strengthen nurse prescribers' autonomy, confidence, and effectiveness. Because most of the included studies originated from high-income Western countries, future research is needed to examine nurse prescribing in low- and middle-income settings.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251356349"},"PeriodicalIF":2.1,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800548","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}

引用次数: 0

The Burdens of Underrepresentation and Professional Identity: A Qualitative Study of Black Women in Academic Nursing. 代表性不足的负担与职业认同：对学术护理领域黑人女性的定性研究。

IF 2.1

Global Qualitative Nursing Research Pub Date : 2025-07-31 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251360542

Kechi Iheduru-Anderson

{"title":"The Burdens of Underrepresentation and Professional Identity: A Qualitative Study of Black Women in Academic Nursing.","authors":"Kechi Iheduru-Anderson","doi":"10.1177/23333936251360542","DOIUrl":"10.1177/23333936251360542","url":null,"abstract":"Black women remain markedly underrepresented in academic nursing-particularly in tenure-track and leadership roles-and their contributions are often overshadowed by persistent inequities in advancement, recognition, and compensation, compounded by the emotional and cultural labor required to navigate predominantly White institutions. Guided by Critical Race Theory and intersectionality, this narrative inquiry explored how 32 Black women faculty and academic leaders experience systemic underrepresentation and construct professional identity. Data were subjected to reflexive thematic analysis, yielding six interlocking themes: the burdens of representation; navigating undervaluation in academia; confronting stereotypes, exclusion, and racialized labor; institutional isolation and structural neglect; emotional exhaustion and the cost of survival; and identity negotiation and resilience as survival work. Participants described countering structural inequities through internal resistance, mentoring, and advocacy. These findings reveal that professional identity construction among Black women in academic nursing is inseparable from entrenched racism and sexism and underscore the urgent need for equity-centered leadership and mentorship to disrupt exclusion and support Black faculty.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251360542"},"PeriodicalIF":2.1,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12317236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776451","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}

引用次数: 0

"Living for Myself and Others": The Role of an Ostomy Self-Help Group in Thailand in Providing Psychosocial Support. “为自己和他人而活”：泰国造口术自助小组在提供社会心理支持方面的作用。

IF 2.1

Global Qualitative Nursing Research Pub Date : 2025-07-30 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251361311

Niphattra Haritavorn, Chanika Nimsun

{"title":"\"Living for Myself and Others\": The Role of an Ostomy Self-Help Group in Thailand in Providing Psychosocial Support.","authors":"Niphattra Haritavorn, Chanika Nimsun","doi":"10.1177/23333936251361311","DOIUrl":"10.1177/23333936251361311","url":null,"abstract":"The Thai ostomate self-help group is an informal association of people living with ostomy who come together with the goal of improving their quality of life and living conditions. This study aims to qualitatively explore the experiences of individuals with colostomy and their participation in a self-help group in Thailand. In-depth interviews were conducted with 30 individuals living with a permanent ostomy who had undergone ostomy surgery for colorectal cancer. Through engaging with the group, participants found ways to live for themselves and others. Information and support were shared in the form of positive stories that empowered participants to live a more normal life and participate in everyday activities. Moreover, group members found a sense of meaning and appreciation in devoting themselves to helping other members. These results enhance the understanding of the benefits of self-help groups in Thailand, and in turn raise question about the provision of psychosocial services for people living with ostomy in the Thai health care system.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251361311"},"PeriodicalIF":2.1,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12314349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776450","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}

引用次数: 0

"Home Away From Home": A Critical Metaphor Analysis of Displaced Ukrainian Women's Experiences With Their Canadian Hosts. “家外之家”：对流离失所的乌克兰妇女与加拿大主人的经历的批判性隐喻分析。

IF 2.1

Global Qualitative Nursing Research Pub Date : 2025-07-26 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251353210

Areej Al-Hamad, Yasin M Yasin, Kateryna Metersky, Sepali Guruge

{"title":"\"Home Away From Home\": A Critical Metaphor Analysis of Displaced Ukrainian Women's Experiences With Their Canadian Hosts.","authors":"Areej Al-Hamad, Yasin M Yasin, Kateryna Metersky, Sepali Guruge","doi":"10.1177/23333936251353210","DOIUrl":"10.1177/23333936251353210","url":null,"abstract":"Displaced by the Russian invasion, Ukrainian women face complex challenges in adapting to new environments. This study explores their experiences living in homestay arrangements in Canada, drawing on Conceptual Metaphor Theory and Critical Metaphor Analysis to examine how they express displacement, adaptation, and integration. Eighteen women participated through photo-elicitation interviews, metaphor-building activities using AI-generated images, and focus group discussions. The participants created metaphors to represent their hosting experiences, which were analyzed using Charteris-Black's framework for Critical Metaphor Analysis alongside thematic narrative analysis. Metaphors such as \"The Cardboard House,\" \"Ferris Wheel of Photos,\" and \"Warm Safe House\" captured their resilience, vulnerability, and evolving sense of belonging. These metaphors informed three central themes: the search for stability, safety, and peace; the process of adaptation and expressions of gratitude; and the emotional dislocation tied to homeland connections. The findings highlight the emotional complexity of homestay experiences and the need for culturally sensitive, structured hosting models. For nursing, this underscores the value of trauma- and culturally-informed care to support displaced women's psychosocial well-being.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251353210"},"PeriodicalIF":2.1,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733791","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}

引用次数: 0

A Confidence and Preparedness Survey: Cognitive Interviews for Tool Assessment and Nursing Student Perspectives. 信心和准备调查：认知访谈的工具评估和护理学生的观点。

IF 2.2

Global Qualitative Nursing Research Pub Date : 2025-07-14 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251349356

Joanne Roman Jones, Jennifer Morgan, Allison A Lewinski, Ryan Chan, Richard Booth, Liza Behrens, Priscilla K Gazarian

{"title":"A Confidence and Preparedness Survey: Cognitive Interviews for Tool Assessment and Nursing Student Perspectives.","authors":"Joanne Roman Jones, Jennifer Morgan, Allison A Lewinski, Ryan Chan, Richard Booth, Liza Behrens, Priscilla K Gazarian","doi":"10.1177/23333936251349356","DOIUrl":"10.1177/23333936251349356","url":null,"abstract":"Safe medication administration is a critical responsibility of registered nurses and is an essential skill developed during nursing education. Student confidence and preparation regarding medication administration are essential aspects of professional skill building. The Confidence and Preparation Survey (CPS) was used previously among homogeneous nursing student samples. The existing dominant discourse, shaped by ideologies and systems, can unfortunately lead to limited perspectives; therefore, the purpose of this study was to evaluate and refine the CPS for feasibility, clarity, and validity among nursing students primarily from groups that have been historically marginalized. A secondary purpose considered the conditions that affect perceived confidence and preparedness. Cognitive interviews were undertaken with baccalaureate nursing students (n = 11) attending an urban college of nursing in the Northeastern region of the United States. Data were analyzed using rapid qualitative techniques and the framework matrix method. The CPS was readily understood and interpreted by this sample. Student perspectives of conditions that influence their understanding and interpretation of the CPS are described under three themes: (1) prior outside of school healthcare experiences influence understanding, (2) school experiences support survey comprehension, and (3) concerns over insufficient training within school. Findings also include a revised CPS instrument ready for further testing.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251349356"},"PeriodicalIF":2.2,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12260289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643809","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}

引用次数: 0

Transformed Parenthood in the Face of ALS: A Profound Struggle for Both Ill Parents and Co-parents. 面对渐冻症的转变的父母：对患病父母和共同父母的深刻斗争。

IF 2.2

Global Qualitative Nursing Research Pub Date : 2025-07-12 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251348143

Nina Malmström, Joakim Öhlén, Stefan Nilsson, Ingela Nygren, Peter M Andersen, Birgitta Jakobsson Larsson, Anneli Ozanne

{"title":"Transformed Parenthood in the Face of ALS: A Profound Struggle for Both Ill Parents and Co-parents.","authors":"Nina Malmström, Joakim Öhlén, Stefan Nilsson, Ingela Nygren, Peter M Andersen, Birgitta Jakobsson Larsson, Anneli Ozanne","doi":"10.1177/23333936251348143","DOIUrl":"10.1177/23333936251348143","url":null,"abstract":"When a parent is diagnosed with a progressive, fatal neurodegenerative disease, such as amyotrophic lateral sclerosis (ALS), it can have major effects on the family's health. Parenthood itself may also be affected, potentially fueling an urgent need for support from healthcare. Research focusing on this group of parents is nevertheless limited. The aim of this study was to illuminate the meaning of parenthood when a parent has ALS, from the perspective of ill parents and co-parents. An interpretive qualitative study was conducted, using data gathered from interviewing 26 parents (13 ill parents and 13 co-parents) with children living at home in Sweden. Applying a phenomenological hermeneutical analysis, structural analyses depicted the burdensome, complex impact that ALS can have on parenthood, redefining its meaning while forcing parents to face the difficult challenges it brings. The interpreted whole revealed how navigating this transformed parenthood meant a profound struggle, as the parents strived to balance their own emotional pain from grief and worry with remaining stable and supportive for their children. To promote the health of families affected by ALS, more proactive, tailored support is needed within ALS nursing, along with early integration of a palliative approach and attention to the parental perspective.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251348143"},"PeriodicalIF":2.2,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12256732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638371","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}

引用次数: 0

Understanding the Care Needs of People With Post-Stroke Aphasia: A Qualitative Study of Stroke Care Transitions. 了解脑卒中后失语症患者的护理需求：脑卒中护理转变的定性研究。

IF 2.2

Global Qualitative Nursing Research Pub Date : 2025-06-19 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251346440

Amy B Thomas, Gerasimos Fergadiotis, Lonnie A Nelson, Catherine R Van Son, Celestina Barbosa-Leiker

{"title":"Understanding the Care Needs of People With Post-Stroke Aphasia: A Qualitative Study of Stroke Care Transitions.","authors":"Amy B Thomas, Gerasimos Fergadiotis, Lonnie A Nelson, Catherine R Van Son, Celestina Barbosa-Leiker","doi":"10.1177/23333936251346440","DOIUrl":"10.1177/23333936251346440","url":null,"abstract":"Communication difficulties experienced by people with aphasia (PWA) cause disconnects between meaningful conversations and care received. The purpose of this study was to identify concepts PWA define as (1) the most critical facilitators to transitional care and communicative access success, and (2) transitional care and communicative barriers. A qualitative descriptive study design was utilized. Semi-structured interviews were conducted with six PWA and two communication partners and analyzed using directed content analysis, guided by the theory of Human Scale Development. Findings revealed that barriers and facilitators centered on three Needs: (1) Participation: Participation in life events was directly related to public understanding of aphasia; (2) Protection: Healthcare services failed to provide necessary care, and participants relied on themselves to gain access to healthcare; and (3) Understanding: Healthcare conversations were described as one-sided, with successful healthcare interactions being mediated by empathic responses. Results identified how successful navigation of stroke care for PWA are complex and multifaceted processes. Findings affirm the importance of effective communication in healthcare. Participants call to action the need for healthcare professionals to be better educated on accessible communicative strategies.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251346440"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12179441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477251","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}

引用次数: 0

"All They See Is Those Three Letters": Exploring the Effects of Stigma Among Older Black Women Living with HIV. “他们所看到的只是那三个字母”：探索老年黑人妇女感染艾滋病毒的耻辱的影响。

IF 2.2

Global Qualitative Nursing Research Pub Date : 2025-06-17 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251348064

Laika Maganga, Natalia Villegas, Lucero Rocha, Rosina Cianelli

引用次数: 0

What Motivates Intensive Care Nurses to Continue Working in the Intensive Care Unit: A Qualitative Study. 是什么激励重症监护护士继续在重症监护病房工作：一项定性研究。

IF 2.2

Global Qualitative Nursing Research Pub Date : 2025-06-17 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251349352

Camilla Leithe-Lajord, Kjersti Grønning

{"title":"What Motivates Intensive Care Nurses to Continue Working in the Intensive Care Unit: A Qualitative Study.","authors":"Camilla Leithe-Lajord, Kjersti Grønning","doi":"10.1177/23333936251349352","DOIUrl":"10.1177/23333936251349352","url":null,"abstract":"The COVID-19 pandemic highlighted the need to improve ICU capacity and working conditions in Norwegian hospitals and recruit and retain nurses. The aim of this study is to explore what motivates nurses to continue working in the ICU using a constructivist approach, asserting that knowledge is created through the interaction between the researcher, the participants, and the context. Eight individual semi-structured interviews with intensive care nurses were audio-recorded and transcribed verbatim. The data were analysed using thematic analysis. We identified one main overarching theme, \"an interpersonal and professionally focussed work environment,\" highlighting how a supportive and professional atmosphere boosts intensive care nurses' job satisfaction and motivation, and three subthemes. The sub-themes were named: \"unity and well-being,\" underscoring the need for professional and interpersonal support, \"close and professional leadership,\" emphasising the importance of having an attentive, accessible, and unifying leader, and \"professional engagement and mastery,\" focussing on the significance of training, continuous skill development, and task distribution based on competence and experience. This study adds new knowledge about environmental factors that contribute to the understanding of why intensive care nurses remain in their profession and their motivation to continue working in the ICU despite the high workload.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251349352"},"PeriodicalIF":2.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12174790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327222","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}

引用次数: 0

Equity-Focused Palliative and End-of-Life Care in a System Not Designed for it: Qualitative Insights from Service Providers and Recipients. 在一个不为其设计的系统中以公平为中心的姑息治疗和临终关怀：来自服务提供者和接受者的定性见解。

IF 2.2

Global Qualitative Nursing Research Pub Date : 2025-06-17 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251350107

Courtney R Petruik, Lauren Wan-Sai-Cheong, Helen Hagos, Katrina Milaney

{"title":"Equity-Focused Palliative and End-of-Life Care in a System Not Designed for it: Qualitative Insights from Service Providers and Recipients.","authors":"Courtney R Petruik, Lauren Wan-Sai-Cheong, Helen Hagos, Katrina Milaney","doi":"10.1177/23333936251350107","DOIUrl":"10.1177/23333936251350107","url":null,"abstract":"'Equity-focused care' has gained attention in recent years. With widespread use, concepts take on different meanings creating confusion for service providers. This study examines what people experiencing homelessness with life-limiting illnesses value in equity-focused care, and how service providers-who identify their work as equity-focused-describe their roles within a care system that relies on, yet often undervalues, this kind of work. We conducted 11 interviews with service providers and seven with people experiencing homelessness with a life-limiting illness and who received care from a community-based palliative care team in Western Canada. Interviews were transcribed and analyzed via thematic analysis. We constructed three themes: Adapting to Individual Needs; Service Provider Orientation to Practice; and Being Present with People. Themes aligned with two spheres of influence from the Education Training Research's Health Equity Framework: Relationships and Networks and Systems of Power. Findings highlighted that service providers deliver equity-focused care by developing strong relational care networks challenging existing power structures -making this model incongruent with existing individually-focused biomedical care models. Findings transform the theoretical concept, 'equity-focused care', into tangible knowledge that highlights areas for policy change to support equity-focused care.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251350107"},"PeriodicalIF":2.2,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12174749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327221","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}

引用次数: 0