Global Qualitative Nursing Research最新文献_第3页

An Interpretive Description of Nurses' Perspectives on Rural Child and Youth Mental Health and Substance Use Care. 农村儿童青少年心理健康与物质使用护理护士视角的阐释

IF 2.1

Global Qualitative Nursing Research Pub Date : 2025-12-13 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251404917

Sage Thomas, Nelly D Oelke, Dennis Jasper, Elizabeth Keys

{"title":"An Interpretive Description of Nurses' Perspectives on Rural Child and Youth Mental Health and Substance Use Care.","authors":"Sage Thomas, Nelly D Oelke, Dennis Jasper, Elizabeth Keys","doi":"10.1177/23333936251404917","DOIUrl":"10.1177/23333936251404917","url":null,"abstract":"Mental health and substance use (MHSU) disorders are the primary contributors to disability among children and youth, often with an early age of onset. Rural communities face added challenges in accessing care. Nurses may be a key professional support for rural children and youth needing MHSU care, but there is a gap in the literature about nurses' roles in this practice area. This interpretive descriptive study explored the insights of rural nurses regarding MHSU care for children and youth in community practice settings in British Columbia, Canada. Semi-structured interviews were conducted with eleven rural nurses who were either MHSU specialists or generalists with MHSU as part of their practice. Reflexive thematic analysis and interpretive description were used to analyse the data. Three key themes were constructed: (1) children and youth's mental health was tethered to the rural and remote context; (2) MHSU care was more than just MHSU treatment; and (3) the essential components of rural child and youth MHSU nursing practice. Early intervention and rural-centric approaches may support rural children and youth. By supporting rural nurses, MHSU care for children and youth can be enhanced.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251404917"},"PeriodicalIF":2.1,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12701935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764234","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 Storm Within: Exploring First-Year Nursing Students' Experiences of the Objective Structured Clinical Examination. 内心的风暴：一年级护生客观结构化临床考核经验探讨。

IF 2.1

Global Qualitative Nursing Research Pub Date : 2025-12-06 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251400692

Marko Stojiljkovic, Line Nortvedt, Kari Röhrl, Elisabeth Hessevaagbakke, Katrin Lindeflaten, Anne-Marthe Rustad Indregard, Daniela Lillekroken

{"title":"The Storm Within: Exploring First-Year Nursing Students' Experiences of the Objective Structured Clinical Examination.","authors":"Marko Stojiljkovic, Line Nortvedt, Kari Röhrl, Elisabeth Hessevaagbakke, Katrin Lindeflaten, Anne-Marthe Rustad Indregard, Daniela Lillekroken","doi":"10.1177/23333936251400692","DOIUrl":"10.1177/23333936251400692","url":null,"abstract":"Although the Objective Structured Clinical Examination (OSCE) is widely used in nursing education as a summative assessment of students' learning and clinical competence, less attention has been given to students' experience of the examination process. The aim of this study is to explore first-year nursing students' experiences with the OSCE. Data were collected through eight focus group interviews with first-year students between March and June 2025 and analyzed using qualitative content analysis. The analysis resulted in three main categories: \"Before the OSCE - The Calm before the Storm,\" \"During the OSCE - In the Eye of the Storm,\" and \"After the OSCE - Emerging from the Storm.\" Students described the examination as both empowering and stressful. For many, it validated growth, enhanced confidence, and motivated further learning. For others, it raised concerns about fairness and caused frustration. The OSCE was experienced as a \"storm\" of emotions that strengthened skills, resilience, and students' professional identity, while also causing stress and raising feelings of inequity. Furthermore, the study highlights the need for improved student preparation, educators' feedback, and alignment between academia and clinical practice.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251400692"},"PeriodicalIF":2.1,"publicationDate":"2025-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12681625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709108","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

Telenursing Practices for Inflammatory Bowel Disease: An Interview Study. 炎性肠病的远程护理实践：访谈研究。

IF 2.1

Global Qualitative Nursing Research Pub Date : 2025-12-01 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251400277

Aki Kawakami, Makoto Tanaka, Kayoko Sakagami, Yura Moribe, Reiko Kunisaki

{"title":"Telenursing Practices for Inflammatory Bowel Disease: An Interview Study.","authors":"Aki Kawakami, Makoto Tanaka, Kayoko Sakagami, Yura Moribe, Reiko Kunisaki","doi":"10.1177/23333936251400277","DOIUrl":"10.1177/23333936251400277","url":null,"abstract":"Telenursing services are widely used to support individuals with inflammatory bowel disease in several countries. Nurses supporting this population must manage diverse symptoms and care needs, but many report challenges in responding to telephone consultations. This qualitative study aimed to identify and describe the specific elements of telenursing practice for patients with inflammatory bowel disease in Japan, and the aspects that nurses consider important in remote care. Semi-structured interviews were conducted with 20 nurses who had extensive experience in telenursing for inflammatory bowel disease, who were selected through purposive sampling. Data were analyzed using inductive content analysis. Participants had a median of 10 years of telenursing experience. Six categories of practice were identified: (1) educate and inform in advance, (2) clarify the situation and needs, (3) assess worsening symptoms and decide the response, (4) recommend responses to worsening symptoms, (5) respond to issues other than physical deterioration, and (6) nurse-to-patient contact. Three key elements were highlighted as essential to effective telenursing: establishing a coordinated system, clarifying the role of telenursing, and improving nursing skills. These findings provide a clearer understanding of telenursing practices and offer guidance for enhancing support for individuals with inflammatory bowel disease.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251400277"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12669478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145670252","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

Applying Hybrid Coding and Reflexivity in Qualitative Content Analysis: An Exemplar. 混合编码与反身性在定性内容分析中的应用：一个范例。

IF 2.1

Global Qualitative Nursing Research Pub Date : 2025-11-20 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251395024

Kunwar Kaur, Ma'en Zaid Abu-Qamar, Amineh Rashidi, Nilufeur McKay, Rosemary Saunders

{"title":"Applying Hybrid Coding and Reflexivity in Qualitative Content Analysis: An Exemplar.","authors":"Kunwar Kaur, Ma'en Zaid Abu-Qamar, Amineh Rashidi, Nilufeur McKay, Rosemary Saunders","doi":"10.1177/23333936251395024","DOIUrl":"10.1177/23333936251395024","url":null,"abstract":"Qualitative Content Analysis (QCA) is a widely used method in nursing research for analysing textual data. Numerous authors have provided comprehensive explanations of this approach, including step-by-step guidelines. The coding methods employed in QCA are typically categorised as deductive, inductive, or a combination of both, often referred to as the abductive or hybrid technique. However, the hybrid coding technique remains under-utilised within nursing research. Further, trustworthiness, a cornerstone of qualitative research, has been extensively discussed in the literature, with reflexivity identified as a key component of ensuring rigor and credibility. This paper presents an example from nursing research where a hybrid coding technique was applied to analyse data. The authors also detail the reflexive practices adopted by the first author, who shared a close cultural relationship with the participants and data. These practices were critical in addressing potential biases and ensuring the trustworthiness of the research. Overall, this paper provides insights into the practical application of hybrid coding within the QCA framework, contributing to a deeper understanding of its utility in nursing research.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251395024"},"PeriodicalIF":2.1,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12638670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589427","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

Shaping Group Antenatal Care in Brussels Metropolitan Region: A Descriptive Multi-Case Study. 布鲁塞尔都市地区产前护理的形成：一个描述性的多案例研究。

IF 2.1

Global Qualitative Nursing Research Pub Date : 2025-11-16 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251390429

Florence Talrich, Astrid Van Damme, Hilde L A Bastiaens, Marlies E B Rijnders, Katrien Beeckman

{"title":"Shaping Group Antenatal Care in Brussels Metropolitan Region: A Descriptive Multi-Case Study.","authors":"Florence Talrich, Astrid Van Damme, Hilde L A Bastiaens, Marlies E B Rijnders, Katrien Beeckman","doi":"10.1177/23333936251390429","DOIUrl":"10.1177/23333936251390429","url":null,"abstract":"Group Antenatal Care (GANC) provides a person-centred approach to prenatal care, integrating health care delivery with health promotion, while empowering participants and building a sense of community. GANC has proven to be effective and positively experienced by both participants and care providers and is also feasible to implement. However, introducing such innovative care models in a metropolitan city like Brussels involves navigating both challenges and opportunities. This study explores how GANC facilitators implement sessions in Brussels, the extent to which the core components are incorporated, and the rationale behind the chosen approaches. We used a descriptive multiple case study design grounded in constructivism and conducted reflexive thematic analysis. We collected data from four settings offering GANC, including 21 observations of four series of sessions and four in-depth interviews with GANC-facilitators. The findings indicate that settings shape the format of the sessions through the creation of a supportive atmosphere, the structure of content, and the integration of health assessments, which creates the format of the sessions. Furthermore, two key dynamics were identified: participant engagement and interaction, and facilitator responsiveness. Our study demonstrates that the settings can uphold the foundational principles of GANC, while addressing the opportunities and challenges within Brussels' complex urban environment.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251390429"},"PeriodicalIF":2.1,"publicationDate":"2025-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12623657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557702","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

Co-designing an International Nursing Course on Workplace Violence in Ethiopia, Sweden, and Tanzania: A Collective Autoethnography. 在埃塞俄比亚、瑞典和坦桑尼亚共同设计一个关于工作场所暴力的国际护理课程：一个集体的自我民族志。

IF 2.1

Global Qualitative Nursing Research Pub Date : 2025-11-14 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251393222

Martin Salzmann-Erikson, Elisabet Eriksson, Tilahun Saol Tura, Tumbwene Elieza Mwansisya, Loveluck Mwasha, Malin Jordal

{"title":"Co-designing an International Nursing Course on Workplace Violence in Ethiopia, Sweden, and Tanzania: A Collective Autoethnography.","authors":"Martin Salzmann-Erikson, Elisabet Eriksson, Tilahun Saol Tura, Tumbwene Elieza Mwansisya, Loveluck Mwasha, Malin Jordal","doi":"10.1177/23333936251393222","DOIUrl":"10.1177/23333936251393222","url":null,"abstract":"This study explores whether and how the co-creation of an international university course on workplace violence served as a site of transformative learning for us as nursing educators across Sweden, Ethiopia, and Tanzania. Using collaborative autoethnography, our team of six faculty members critically reflected on pedagogical assumptions, educator identities, and experiences of cross-cultural collaboration. The data comprised written reflections, meeting transcripts, and observational notes. Through this process, our pedagogical approaches and professional identities were reshaped, shifting from content deliverers to reflective co-learners within the cross-cultural partnership. Our analysis highlights the interplay of cultural negotiation, logistical frictions, and unspoken yet influential power dynamics that shaped the collaboration. These pedagogical transformations extended beyond the course itself, contributing to curricular innovations at our home institutions. By offering thick, reflexive descriptions of educator learning, the study proposes a nuanced model for equitable knowledge co-production, showing that the relational and institutional work of partnership is as critical as the pedagogical content itself.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251393222"},"PeriodicalIF":2.1,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12618818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145542092","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

"You Don't Feel Alone": Perceptions of the My Tools 4 Care-In Care Web-Based Interactive Toolkit. “你不会感到孤独”：对My Tools 4 Care- in - Care网络互动工具包的看法。

IF 2.1

Global Qualitative Nursing Research Pub Date : 2025-11-13 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251390491

Genevieve Thompson, Shelley Peacock, Jane Kraut, Tess Harrison, Hannah M O'Rourke, Pamela Baxter, Véronique Dubé, Jennifer Swindle, Wendy Duggleby

{"title":"\"You Don't Feel Alone\": Perceptions of the My Tools 4 Care-In Care Web-Based Interactive Toolkit.","authors":"Genevieve Thompson, Shelley Peacock, Jane Kraut, Tess Harrison, Hannah M O'Rourke, Pamela Baxter, Véronique Dubé, Jennifer Swindle, Wendy Duggleby","doi":"10.1177/23333936251390491","DOIUrl":"10.1177/23333936251390491","url":null,"abstract":"With the physical and mental impacts of caregiving being well-documented, there is an emphasis on creating interventions to support family carers and enhance their wellbeing. Many of these have been shifting toward accessible, web-based interventions. My Tools for Care (MT4C)-In Care is a self-administered, web-based intervention for carers of persons living with dementia residing in long-term care (LTC). The objectives of the current study were to understand the acceptability, usability, and usefulness of the MT4C-In Care toolkit. Using qualitative description, semi-structured interviews with family carers (n = 39) were completed across Canadian study sites in four provinces. Interviews were analyzed using deductive content analysis. Participants found the toolkit to be a suitable and adequate tool to support them as carers of persons living with dementia residing in LTC. They also perceived the online format easy to use, although there were barriers, outside of the intervention, to using the tool. The perceived usefulness was described by participants in three ways. The toolkit: (1) validated and normalized feelings, (2) provided permission for self-care and mental well-being, and (3) strengthened their caregiving knowledge. The MT4C-In Care interactive toolkit provided support that participants perceived as acceptable, easy to use, and meaningful.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251390491"},"PeriodicalIF":2.1,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12615912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543302","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

"This Is Something Every Woman Needs. . .So Why Is It That Expensive?": Examining Privileges and Inequities in Access to a Privately Funded HPV Vaccination Program in Ghana. “这是每个女人都需要的……”那么为什么这么贵呢？：审查加纳私人资助的HPV疫苗接种计划的特权和不平等。

IF 2.1

Global Qualitative Nursing Research Pub Date : 2025-11-13 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251391556

Emmanuel A Marfo, Charles A Adjei, Bukola O Salami, Shannon E MacDonald

{"title":"\"This Is Something Every Woman Needs. . .So Why Is It That Expensive?\": Examining Privileges and Inequities in Access to a Privately Funded HPV Vaccination Program in Ghana.","authors":"Emmanuel A Marfo, Charles A Adjei, Bukola O Salami, Shannon E MacDonald","doi":"10.1177/23333936251391556","DOIUrl":"10.1177/23333936251391556","url":null,"abstract":"The age-standardized incidence and mortality rates for cervical cancer in Ghana is 27.4 and 17.8 per 100,000 women, respectively. Currently, HPV vaccination is available only through privately funded programs, leading to inequitable access and uptake. This study examined how intersecting identities, and social locations contribute to inequities in the privately-funded HPV vaccination program in Ghana. We used an intersectionality-guided qualitative case study design. Data collection included non-participant observation of the clinic context and semi-structured interviews with HPV vaccine recipients (N = 13). We found that participants' access to HPV vaccination was shaped by socioeconomic privileges, including the ability to afford the vaccine. Their narratives revealed significant challenges in accessing HPV vaccination and highlighted how intersecting identities contribute to inequities in the privately funded program. Participants reported a general lack of HPV vaccination information in Ghana and often learned about the vaccine through incidental means. Conservative sociocultural norms surrounding sex, sexuality, and reproductive health were significant barriers, particularly in facilitating adolescent-parent discussions about HPV vaccination. Given the inequities reported by vaccine recipients, there is a critical need for education campaigns that raise awareness of the benefits of HPV vaccination, alongside strategies to support socioeconomic empowerment. Addressing these barriers through an inclusive public health policy will help prevent replicating the inequities seen in the privately-funded program and reduce HPV-related diseases, particularly cervical cancer.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251391556"},"PeriodicalIF":2.1,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12615924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543271","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

Strategies for Implementing Research Inspired Teaching in Higher Education for Midwifery and Nursing: A Qualitative Study Introducing the 4M Model. 高等助产护理专业实施研究型教学的策略：引进4M模式的定性研究

IF 2.1

Global Qualitative Nursing Research Pub Date : 2025-11-12 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251369833

Elina Leiviska, Sally Pezaro, Luca Morini, Alun DeWinter, Rosie Kneafsey

{"title":"Strategies for Implementing Research Inspired Teaching in Higher Education for Midwifery and Nursing: A Qualitative Study Introducing the 4M Model.","authors":"Elina Leiviska, Sally Pezaro, Luca Morini, Alun DeWinter, Rosie Kneafsey","doi":"10.1177/23333936251369833","DOIUrl":"10.1177/23333936251369833","url":null,"abstract":"Integrating research and evidence into teaching promotes critical thinking, problem solving and innovation, but challenges remain in identifying the most effective methods. The Research Inspired Online/Offline Teaching (RIOT) framework presents a solution for midwifery and nursing education, but its applicability and feasibility must first be tested. This study investigated factors influencing the implementation of the RIOT framework and proposed solutions for overcoming barriers. Semi-structured interviews and qualitative surveys were conducted with academic staff, and educational managers and leaders in a university in the United Kingdom between February and June 2024. Twenty-four interviews and six qualitative survey responses were analysed using framework and thematic analysis. Framework analysis identified barriers and solutions at five levels: individual, interpersonal, organisational, institutional and societal. Thematic analysis formed four overarching themes: (1) understanding the relevance of research, (2) knowledge, skills, tools and confidence to apply research into teaching, (3) establishing a collaborative research culture and (4) overcoming challenges impacting the ability to maintain teaching excellence. The 4M Model for Promoting Research Inspired Teaching in Midwifery and Nursing Education was developed from the findings to provide a foundation for facilitating research integration via the RIOT framework. The 4M model emphasises the necessity for collaboration, optimisation of research impact, cultivation of a collaborative research culture, and maintenance of teaching excellence.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251369833"},"PeriodicalIF":2.1,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12612518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145542527","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

What Factors Influence Canadian Nurse Practitioners' Willingness to Act as Assessors and Providers for Medical Assistance in Dying (MAID)? 什么因素影响加拿大执业护士作为死亡医疗援助评估者和提供者的意愿？

IF 2.1

Global Qualitative Nursing Research Pub Date : 2025-11-05 eCollection Date: 2025-01-01 DOI: 10.1177/23333936251390481

Zachary Mokosak, Barbara Pesut, Sally Thorne

{"title":"What Factors Influence Canadian Nurse Practitioners' Willingness to Act as Assessors and Providers for Medical Assistance in Dying (MAID)?","authors":"Zachary Mokosak, Barbara Pesut, Sally Thorne","doi":"10.1177/23333936251390481","DOIUrl":"10.1177/23333936251390481","url":null,"abstract":"In passing legislation in 2016 to allow medical assistance in dying (MAID), Canada became the world's first jurisdiction to allow nurse practitioners (NPs) to act as MAID assessors and providers. Health Canada's annual report shows that the demand for MAID in Canada increases each year, as does the proportion of MAID cases that NPs provide. The purpose of this study was to better understand factors that motivate or deter nurse practitioners from becoming MAID assessors and providers. The study design was a secondary analysis of a large qualitative dataset guided by interpretive description methodology. Primary data collection took place from 2018 to 2023 via semi-structured interviews with nurses and NPs. Secondary analysis of transcripts of all of the NPs interviewed for the primary study allowed for identifying significant motivational and deterring themes in their accounts. The analysis yielded two categories of motivating factors (philosophical perspectives; experiences with death and dying) and three deterring factors (moral complexity; health system barriers; professional and social considerations), and further generated insights around supports and practices that make NP MAID work viable. As the first study that explicitly sought to understand what explains Canadian NPs' willingness to participate in MAID, these findings fill a gap in the available knowledge.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"12 ","pages":"23333936251390481"},"PeriodicalIF":2.1,"publicationDate":"2025-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12592663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483450","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