Rachel A Elliott, Edward Cruz, Sherry Morrell, Adrian Guta, Kathryn Pfaff
{"title":"Facilitators and Barriers to Integrating Trauma-Informed Care in Undergraduate Nursing Education.","authors":"Rachel A Elliott, Edward Cruz, Sherry Morrell, Adrian Guta, Kathryn Pfaff","doi":"10.1177/23333936261461044","DOIUrl":"10.1177/23333936261461044","url":null,"abstract":"<p><p>Effects of pervasive exposure to trauma result in a costly public health crisis. Trauma-informed care (TIC) is a well-known and established health care approach for supporting individuals who experience trauma. Despite increasing recognition of its importance, TIC remains poorly integrated into nursing education, with reasons that are not yet well understood. This interpretive descriptive study explored nurse educators' perspectives on the facilitators and barriers for embedding TIC into nursing curricula in Ontario, Canada. Twenty eight participants were purposively sampled from an online survey of 145 respondents for semistructured interviews. Reflexive thematic analysis guided the generation of key facilitators and barriers. Facilitators included: passionate educators, innovative teaching strategies, supportive leadership, and collaborative teaching models. The barriers to TIC integration in undergraduate nursing programs included: the invisibility of TIC in curricula; a lack of faculty training and confidence; overloaded, siloed program structures; challenges with authentic assessment; and inconsistent role modelling in clinical settings. Embedding TIC into undergraduate nursing education requires intentional curricular mapping, institutional support, faculty development, and alignment with clinical practice and experiential learning. Effective integration of TIC in undergraduate nursing curricula is needed to equip nurses to address the growing global burden of trauma and support a resilient nursing workforce.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261461044"},"PeriodicalIF":3.0,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13287411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319885","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>Conceptual Scaffold Analysis</i> Using Mature Lay Concepts when Constructing Qualitative Theory.","authors":"Janice M Morse, Lauren Clark","doi":"10.1177/23333936261455156","DOIUrl":"10.1177/23333936261455156","url":null,"abstract":"<p><p>An important part of a qualitative project is the proposal preparation required for ethics review and funding application, yet proposals are relatively undeveloped at the beginning of a qualitative study. Here we describe a new method, <i>Conceptual Scaffold Analysis,</i> for applying a relevant, mature lay concept (from the literature) as a focus within a research proposal. This method enables analyzing and integrating a concept into your proposed methods, expedites inquiry, provides an organizing framework, and reconstructs understanding. We present a selection of mature concepts pertinent to nursing that may be used for <i>Conceptual Scaffold Analysis.</i> As a complete method, <i>Conceptual Scaffold Analysis</i> may serve as the qualitative (QUAL) component in a mixed method project, enhancing the <i>qual</i> method for the sequential component, thereby enabling advanced theory development. We present an example of <i>Conceptual Scaffold Analysis</i> on a topic critical to nursing and public health: the importance of mothers' trust in vaccinating their infants and children with developmental disabilities. Analysis <i>of trust</i> is used to organize the main QUAL component, contributing to a mixed methods design, as a scaffold for the analysis of the <i>qual</i> supplemental research study to follow. Thus, the concept analytic structure, developed from the scaffold analysis, expedites and enriches the subsequent qualitative component, strengthening an inductive mixed-method qualitative process.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261455156"},"PeriodicalIF":3.0,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13234372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200540","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}
Xiaoge Liu, Haobin Liang, Yingru Huang, Yuexin Huang, Baoting Chen, Jiayu Liu, Yujing Li, Xiaoyu Wan, Ni Gong, Qiaohong Yang
{"title":"Proactive Health Profiling and Classification of Older Adults with Multimorbidity in Rural China: A Qualitative Study.","authors":"Xiaoge Liu, Haobin Liang, Yingru Huang, Yuexin Huang, Baoting Chen, Jiayu Liu, Yujing Li, Xiaoyu Wan, Ni Gong, Qiaohong Yang","doi":"10.1177/23333936261452049","DOIUrl":"10.1177/23333936261452049","url":null,"abstract":"<p><p>Our study aimed to identify and classify proactive health management patterns among rural older adults with multimorbidity using a user persona approach. We conducted a descriptive qualitative study with user persona methodology in a rural area of South China from February to May 2025, where 33 rural adults aged ≥60 years with ≥2 chronic conditions were recruited via purposive sampling. We used semi-structured interviews to explore key dimensions of proactive health management, including health cognition, resource use, and information acquisition; we coded and analyzed interview data using NVivo 12 to extract behavioral characteristics and construct persona categories. Our analysis of the interview data from 33 participants identified 5 typical user personas: tradition-oriented self-management, low perceived risk management, family-delegated management, resource-constrained striving, and actively learning management. The findings indicate that rural older adults with multimorbidity exhibit diverse proactive health management patterns shaped by cultural beliefs, family dynamics, and resource constraints. Recognizing this heterogeneity is essential for moving beyond uniform health promotion approaches and supporting more responsive chronic disease management.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261452049"},"PeriodicalIF":3.0,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13221587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139229","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}
Isa Makama Muazu, Terence Ferns, Trevor Thompson, Lesley Dibley
{"title":"A Journey in Pursuit of Meaning: A Hermeneutic Phenomenological Study on Living With Post-Operative Shoulder Pain Following Discharge From Day Case Surgery.","authors":"Isa Makama Muazu, Terence Ferns, Trevor Thompson, Lesley Dibley","doi":"10.1177/23333936261448076","DOIUrl":"10.1177/23333936261448076","url":null,"abstract":"<p><p>This hermeneutic phenomenological study explored the meaning of post-operative pain for patients following day case shoulder surgery. Eighteen adults with a confirmed diagnosis of shoulder injury who were scheduled for day surgery were recruited purposively. Unstructured interviews were conducted by phone or online, audio recorded, transcribed verbatim, and analyzed using Diekelmann's interpretative method. Four constitutive patterns were developed: (1) <i>Suffering perpetually in pain</i>; (2) <i>Overcoming pain</i>; (3) <i>Living in an unfamiliar body</i>; and (4) <i>Communicating and Lacking Essential Information</i>. Pain was often unexpected, unpredictable and disruptive; the body was experienced as \"unhomelike\" due to temporary dysfunction of the affected limb and enforced dependence on others for daily help. Pain medication regimes and goals were not always understood, nor used as prescribed, though some participants were able to accept and withstand their temporary post-operative pain. Information from healthcare providers was perceived to be of poor quality, causing confusion during the post-operative period. The experience of shoulder pain following day surgery is complex, and one for which most participants were unprepared, suggesting a need for a nursing approach toward pre-operative preparation and post-operative rehabilitation - acknowledging patients' relevant prior experiences, providing clear, concise information, creating pre-operative \"shoulder\" clubs and facilitating consistent follow-up which is not currently catered for by the current day case model.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261448076"},"PeriodicalIF":3.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13219811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139231","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}
Shefa'a Alfraheed, Maha Atout, Wafa Alrawashdeh, Atheer Qashou, Fatimah S Tarawneh
{"title":"The Lived Experience of Parents Raising Children with Congenital Heart Disease: A Descriptive Phenomenological Approach.","authors":"Shefa'a Alfraheed, Maha Atout, Wafa Alrawashdeh, Atheer Qashou, Fatimah S Tarawneh","doi":"10.1177/23333936261451677","DOIUrl":"10.1177/23333936261451677","url":null,"abstract":"<p><p>This study aimed to understand the experiences of Jordanian parents of children with congenital heart disease (CHD) and how this condition impacted their quality of life and their day-to-day life experiences. The study used a descriptive phenomenological design. Forty parents who had children being cared for in a paediatric cardiac ward were interviewed. Three interrelated experiential patterns emerged: parents' profound emotional changes after diagnosis, their continuing adaptation to challenges of caring for their child with social, spiritual and financial support, and the need for information to enhance their participation in care. Parenting a child with CHD is a significant life transition that is marked by uncertainty, emotional distress and adjustment. These experiences were influenced by family dynamics, spiritual coping, and financial constraints of the Jordanian healthcare system. The results suggest the need for family-focused education and psychosocial support to build parents' confidence and decrease uncertainty to improve their long-term ability to manage their parental roles.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261451677"},"PeriodicalIF":3.0,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13219807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139272","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":"Living Before Dying: Nursing Practice in Supporting Meaningful Living for Patients Receiving Home Care at End-of-Life.","authors":"Jérôme Leclerc-Loiselle, Sylvie Gendron, Serge Daneault","doi":"10.1177/23333936261450446","DOIUrl":"10.1177/23333936261450446","url":null,"abstract":"<p><p>Palliative care nursing practice supports individuals and their caregivers through the end-of-life by emphasizing a person-centered approach. However, in practice, nurses must navigate ongoing tensions between organizational norms, professional responsibilities, and the diverse values and wishes of patients, raising questions about how care can remain responsive within complex and constraining contexts. Despite recognition of these challenges, the mechanisms through which palliative care nursing practice sustains meaningful living at the end-of-life remain insufficiently understood. This study examined the mechanisms through which palliative care nursing enables patients to live a meaningful life until death. Using an interpretive descriptive design informed by Sen's capability approach, the study combined three qualitative methods: co-construction of practice narratives with three home-based palliative care nurses, reflexive writing of a personal narrative by the main researcher, and analytical questioning. The analysis identified four interrelated mechanisms that characterize palliative care nursing practice: navigating between patients' valued lives and norms; recognizing patients as simultaneously capable and vulnerable; reflexively engaging with one's own practice; and being creatively present through sensitive and slow actions tailored to each situation. Together, these mechanisms depict a reflexive, relational, and context-sensitive nursing practice oriented toward expanding patients' real possibilities for living a meaningful life until death.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261450446"},"PeriodicalIF":3.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13201921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148043912","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, Valeria A Ramdin, Christiana O Akanegbu, Ednah Madu, Julia U Ugorji, Vanessa A Johnson, Nisha Mathews, Karen E Alexander, Benita N Chatmon, Danielle McCamey, Agnes T Deleawe
{"title":"Autoethnography in Nursing Education: An Integrative Review of Methodological Variants, Quality Practices, and Ethical Considerations (2010-2025).","authors":"Kechi C Iheduru-Anderson, Valeria A Ramdin, Christiana O Akanegbu, Ednah Madu, Julia U Ugorji, Vanessa A Johnson, Nisha Mathews, Karen E Alexander, Benita N Chatmon, Danielle McCamey, Agnes T Deleawe","doi":"10.1177/23333936261450825","DOIUrl":"10.1177/23333936261450825","url":null,"abstract":"<p><p>Autoethnography is increasingly used in nursing education research to examine the relational, embodied, and often hidden dimensions of teaching, learning, and professional socialization. Yet uneven use of variant-sensitive approaches, quality frameworks, and ethics reporting suggests continuing methodological inconsistency. We conducted an integrative review of autoethnographic nursing education literature published between 2010 and 2025, examining five dimensions: (1) variant definitions and operationalization, (2) quality appraisal frameworks, (3) reflexivity and positionality practices, (4) credibility strategies, and (5) ethical procedures, including attention to implicated others. Systematic searches of CINAHL, MEDLINE, ERIC, Scopus, ScienceDirect, and Web of Science yielded 23 eligible studies. Collaborative autoethnography predominated (56%), and several studies, especially those examining the experiences of racially minoritized faculty, explicitly positioned autoethnography as a decolonizing approach and demonstrated stronger reported reflexive practices. Reflexivity, as represented in published manuscripts, ranged from integrated positionality analyses that informed analytic decisions to brief, largely token acknowledgment. Findings suggest that nursing education scholarship may benefit from a fit-for-variant approach to appraisal and clearer field expectations for relational ethics reporting, especially given power differentials when faculty write about students, colleagues, and institutions. More explicit linking of standpoint to analysis may advance methodological transparency and interpretive credibility.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261450825"},"PeriodicalIF":3.0,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989397","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":"Constructing Nursing Professional Identity in Impossible Situations: A Longitudinal Narrative Study of New Nurses' Transition to Practice.","authors":"Laura L Reilly, Shira Birnbaum","doi":"10.1177/23333936261450423","DOIUrl":"10.1177/23333936261450423","url":null,"abstract":"<p><p>Newly graduated nurses are expected to develop a strong professional identity during transition to practice, yet considerable research describes a gap between the ideals taught in nursing school and the realities of clinical work. Mounting evidence suggests that the transition to practice has become more complex in recent years, despite the widespread implementation of precepted orientation programs. Using a narrative analysis approach, this longitudinal qualitative study examined 4 months of the transition to work among 10 newly licensed nurses who accepted positions in medical-surgical units across 5 hospitals in a single U.S. state. In stories they told about hospital life, the nurses rhetorically presented themselves as they believed nurses should be seen, but also conveyed profound disappointment with institutions that constrained their ability to enact values they ascribed to nursing, such as honesty, collaboration, forthright communication, and serious analytic engagement with complex problems. Portraying healthcare institutions as places that render these aspects of nursing impossible, their narratives illuminate how contemporary practice conditions frame processes of identity construction. Our findings enrich understanding of contemporary retention trends and offer a window into the concerns of an emerging generation of nurses.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261450423"},"PeriodicalIF":3.0,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13180157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976275","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}
Rachel A Elliott, Heather Sweet, Natalie Bownes, Bayan Nasra, Kelsey Schumacher, Kelly-Anne Vanderdoe, Gabriela Digesu, Eunice Kungu, Grace Okello, Emma Crew, Mia Chauvin, Kendall Soucie
{"title":"Becoming Culturally Competent: Transformative Learning in an International, Interprofessional Nursing Placement.","authors":"Rachel A Elliott, Heather Sweet, Natalie Bownes, Bayan Nasra, Kelsey Schumacher, Kelly-Anne Vanderdoe, Gabriela Digesu, Eunice Kungu, Grace Okello, Emma Crew, Mia Chauvin, Kendall Soucie","doi":"10.1177/23333936261450418","DOIUrl":"10.1177/23333936261450418","url":null,"abstract":"<p><p>Research indicates that cultural competence is lacking among registered nurses, and nurses commonly report feeling ill-equipped to care for culturally diverse patients. This qualitative study employed a blended methodological approach informed by narrative inquiry and participatory action research to explore undergraduate nursing students' development of cultural competence during an international, interprofessional clinical placement. Ten undergraduate nursing students completed a 3-week clinical placement in partnership with preservice teachers from the Faculty of Education. Aligned with participatory action research commitments to democratizing knowledge production, students were engaged as co-authors across multiple stages of the study. This approach recognized students as knowledge holders whose experiential insights shaped the analytic process. Data were generated through semi-structured interviews, and reflexive thematic analysis was undertaken iteratively, emphasizing the co-construction of themes. Five themes were generated: (1) opportunities for personal growth, (2) relationship building to facilitate collaboration, (3) interprofessional teamwork and leadership skills, (4) cultural competence development through immersion, and (5) shifting mindsets and learning from resource-limited settings. Findings underscore how structured reflection and debriefing can deepen equity-oriented learning by enabling students to critically examine assumptions, power, and privilege. These insights support the integration of international and interprofessional placements, alongside reflective pedagogy, into undergraduate nursing curricula.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261450418"},"PeriodicalIF":3.0,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13180154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976243","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}
Judit Staller, Helene Hillborg, Annika Kjällman Alm, Lisbeth Kristiansen
{"title":"Care That Matters: Classic Grounded Theory of Identity -Validation in Dementia Care.","authors":"Judit Staller, Helene Hillborg, Annika Kjällman Alm, Lisbeth Kristiansen","doi":"10.1177/23333936261448366","DOIUrl":"10.1177/23333936261448366","url":null,"abstract":"<p><p>Behavioral and psychological symptoms of dementia in nursing care are complex and demand a highly professional approach. The study aimed to identify the main concerns and develop a classic grounded theory regarding assistant nurses' care interactions when encountering these symptoms. Ten assistant nurses were observed during 70 hr of their shifts in two nursing homes. The <i>Theory of Validating Identity</i> was developed to maintain residents' orientation, which became the core category. Life story, reminiscence, and other identified nursing care contexts, care interventions, and care actions demonstrate the smooth integration of person-centered dementia nursing care. <i>The Theory of Validating Identity</i> elucidates nursing interactions focused on care users' identities and connected to two dimensions-body, mind, and soul-intertwined with components of time and space. Applying this theory to daily practice could optimize care management, facilitate the development of tailored, individualized care plans, and enhance clinical practice to foster advanced person-centered dementia care.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261448366"},"PeriodicalIF":3.0,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13173337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147964636","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}