María Fernández-Hawrylak, Laura Alonso-Martínez, Raúl Soto-Cámara, Juan F Pérez-López
{"title":"Voices From the Frontline: A Phenomenological Study of Nurses' Roles in Child and Adolescent Mental Health.","authors":"María Fernández-Hawrylak, Laura Alonso-Martínez, Raúl Soto-Cámara, Juan F Pérez-López","doi":"10.1177/23333936261435393","DOIUrl":"10.1177/23333936261435393","url":null,"abstract":"<p><p>The rising prevalence of mental health disorders among children and adolescents presents a significant and ongoing challenge for healthcare and education systems. Child and adolescent mental health nurses are central to the early identification, ongoing monitoring, and provision of emotional support to young people and their families. Despite their essential contribution, research into their professional experience remains limited, particularly in regions where specialist services and qualified nursing professionals are scarce. This descriptive phenomenological study explored the role of nurses in addressing the mental health needs of children, adolescents, and their families in Castile and León (Spain), with the aim of identifying the principal challenges, needs, and strategies for delivering high-quality care. Seventeen nurses currently employed in these resource-constrained services participated in the study. Data were analyzed using Moustakas's phenomenological method. Six themes were identified, highlighting the complexity and high level of specialization required in child and adolescent mental health nursing. Findings emphasize the need to strengthen interdisciplinary collaboration, expand workforce capacity and service infrastructure, and promote greater family involvement in therapeutic processes. This study deepens understanding of the experiences of Castilian-Leonese nurses in this field and offers valuable insights to guide future research and innovation in mental healthcare provision.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261435393"},"PeriodicalIF":3.0,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610446","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":"Adolescents' Experiences with Being Weighed at School: A Qualitative Interview Study in Norway.","authors":"Marit Kjesbo Risøy, Maria Gangdal Gunnarskog","doi":"10.1177/23333936261435414","DOIUrl":"10.1177/23333936261435414","url":null,"abstract":"<p><p>School-based weight measurements are routinely used in public health surveillance and are intended to support the early identification of health risks. However, concerns have been raised regarding unintended consequences, and research on pupils' experiences remains limited. This study explored how upper secondary school pupils retrospectively reflect on being weighed in school. Semi-structured interviews were conducted with 16 adolescents aged 16 to 19 years in Western Norway, and the data were analyzed using systematic text condensation. Participants described responses ranging from neutrality to increased body awareness, body dissatisfaction, and, in some cases, the onset of eating disorders. Weighing can prompt peer discussions, including pressure to disclose one's weight and to engage in body comparisons. Organizational factors such as limited privacy, lack of information, and unclear voluntariness shaped experiences that could undermine the intended health-promoting purpose. These findings indicate that school-based weighting poses psychosocial risks that undermine its health-promoting aims and contribute to the broader debate over whether such practices should continue. To better align with health-promoting goals, school health services should ensure privacy, provide clear communication about the purpose and voluntariness of weighing, and offer opportunities for dialogue. Public health nurses should use sensitive and stigma-free communication when weight deviations are identified.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261435414"},"PeriodicalIF":3.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13033862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147594948","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}
Nqobile Nzama, Lesley M Harris, Blake D Skidmore, Juma S Mwenda, Jelani C Kerr, Martin T Hall, Sadaf Sedaghatshoar, Andrea Reyes-Vega, Harideep Samanapally, Anupama Raghuram, Smita Ghare, Shirish Barve
{"title":"Markers of Quality Care in PrEP Services: Qualitatively Exploring Dimensions of Support Among Persons Who Engage in High-Risk Alcohol Use.","authors":"Nqobile Nzama, Lesley M Harris, Blake D Skidmore, Juma S Mwenda, Jelani C Kerr, Martin T Hall, Sadaf Sedaghatshoar, Andrea Reyes-Vega, Harideep Samanapally, Anupama Raghuram, Smita Ghare, Shirish Barve","doi":"10.1177/23333936261429417","DOIUrl":"10.1177/23333936261429417","url":null,"abstract":"<p><p>Healthcare providers employ various strategies to ensure continuous care for patients taking pre-exposure prophylaxis (PrEP) for HIV prevention. However, sustained engagement in care remains challenging, especially among populations at a higher risk of acquiring HIV, such as individuals who engage in high-risk alcohol use or have alcohol dependence. Understanding the provider-level factors-markers of quality care-that positively influence patient engagement remains underexplored. Through a descriptive qualitative approach and thematic analysis of 38 interviews with 14 participants who use PrEP and who screened positive for hazardous or harmful alcohol consumption (AUDIT scores >7), six major themes were constructed that characterize PrEP quality care: (1) Access to Care and Continuity of Treatment, (2) Positive Patient-Provider Relationships, (3) Educational Engagement, (4) Psychosocial Support and Motivation, (5) Financial Accessibility, and (6) Peer Support. Overall, quality care in the context of PrEP is multifaceted, encompassing efficient service provision, positive patient-provider interactions, accessible and well-defined health education, psychosocial reinforcement, affordability, and peer-based support systems. These findings underscore the need for holistic approaches to PrEP care that address logistical, relational, educational, and financial factors to enhance patient experiences and outcomes.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261429417"},"PeriodicalIF":3.0,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13010007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515606","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}
Kateryna Metersky, Areej Al-Hamad, Kristina Tsvygun, Valerie Tan, Victoria Hayrabedian
{"title":"Ukrainian Displaced Women and Sex Work in Canada: A Qualitative Exploration of Experiences.","authors":"Kateryna Metersky, Areej Al-Hamad, Kristina Tsvygun, Valerie Tan, Victoria Hayrabedian","doi":"10.1177/23333936261426319","DOIUrl":"10.1177/23333936261426319","url":null,"abstract":"<p><p>Following Russia's invasion of Ukraine, Canada has welcomed displaced Ukrainians through federal resettlement initiatives. Faced with challenges in securing employment and housing, some Ukrainian displaced women have engaged in sex work, either voluntarily or as a means of survival. This qualitative study utilizes a critical interpretive phenomenological approach to explore the lived experiences of five Ukrainian displaced women who engaged in sex work in Canada. This study was guided by two theoretical frameworks, social identity theory and critical feminist theory, which informed both the interview approach and the interpretation of participants' narratives. The following themes were identified: (1) entry into sex work; (2) navigating power, autonomy, and risks in sex work; and (3) coping, resilience, and support needs. This study highlights how intersecting vulnerabilities foster an environment of precarity for Ukrainian displaced women and offers user-informed insight into improving accessibility of healthcare services, community resources, and federal policies to support a safe, long-term integration of this population in Canada and globally.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261426319"},"PeriodicalIF":3.0,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12988305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469610","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}
Macarena Chacón-Docampo, Ángela Asensio-Martínez, David Liñares, Luis-Javier Márquez-Álvarez, Marina Feijoo Barbeito, Ana Clavería
{"title":"Burnout During Residency: A Thematic Analysis of Stressors, Coping, and Organisational Challenges Among Nursing Residents.","authors":"Macarena Chacón-Docampo, Ángela Asensio-Martínez, David Liñares, Luis-Javier Márquez-Álvarez, Marina Feijoo Barbeito, Ana Clavería","doi":"10.1177/23333936261426859","DOIUrl":"10.1177/23333936261426859","url":null,"abstract":"<p><p>Burnout is a pervasive challenge among healthcare professionals in training, with significant implications for both well-being and quality of care. This qualitative study, using a phenomenological design, explored the experiences of nursing residents regarding sources of stress, coping strategies, and organisational challenges, and how these factors contribute to the development of burnout. Three focus groups were conducted with 24 nursing residents. Data were analysed using reflexive thematic analysis. Five themes were constructed: peer solidarity as a protective shield, navigating institutional abandonment, the crushing weight of unmanaged demands, the \"lottery of learning,\" and the sacrifice of personal identity. Participants described residency as a demanding and disorganised stage, characterised by heavy workloads, inconsistent educational opportunities, and scarce institutional support. These conditions fostered emotional exhaustion and frustration, but peer networks were identified as a crucial protective factor, providing informal learning, solidarity, and resilience. The findings highlight the need for organisational reform in residency programmes, including greater educational equity, improved leadership, and spaces for dialogue and mentoring. Recognising the role of peer support alongside institutional responsibility can contribute to building more humane, sustainable, and ethically grounded training environments.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261426859"},"PeriodicalIF":3.0,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12972549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436497","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}
Martha M Whitfield, Roger Pilon, Monakshi Sawhney, Rosemary Wilson
{"title":"Clinical Practice Within the Nurse Practitioner Academic Role: A Collaborative Self-Study Pilot.","authors":"Martha M Whitfield, Roger Pilon, Monakshi Sawhney, Rosemary Wilson","doi":"10.1177/23333936261419013","DOIUrl":"10.1177/23333936261419013","url":null,"abstract":"<p><p>PhD-prepared nurse practitioners (NPs) bring a unique combination of attributes to work within university settings. However, models for integrating clinical practice within academia are lacking for nursing faculty. As four PhD-prepared NPs, we completed a pilot collaborative self-study to explore how PhD-NPs working in academia experience the integration of clinical practice with academic work, and how clinical practice fits within workload and academic promotion models. Following initial data collection by email, we conducted a virtual focus group and analyzed the data using Braun and Clarke's Reflexive Thematic Analysis. Identified themes included the value of clinical work; lack of understanding of the PhD-NP role; synergy between teaching, research, and clinical practice; challenges including time constraints and competing responsibilities; and the lack of formal models for PhD-NP role organization and compensation. PhD-prepared NPs felt clinical work added value to their teaching and research, although academic-clinical role organizational models were lacking. This pilot data must be contextualized within current North American policies and practice settings. Findings can be used to inform further study on the development of models for clinical practice in academia.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261419013"},"PeriodicalIF":3.0,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12957595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147366939","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":"\"Do You Understand What I Am Saying?\": Exploring Language Practices in Describing Life With Diabetes.","authors":"Jessica Gonzalez, Renee Crossman, Jude Spiers","doi":"10.1177/23333936261426775","DOIUrl":"10.1177/23333936261426775","url":null,"abstract":"<p><p>Language is a vehicle to express and defend one's desired identity by employing socially normative strategies to promote and protect a preferred identity. In this qualitative secondary analysis, we explored the language practices in 30 interviews with 15 adults with diabetes who use insulin pumps. Inductive thematic analysis guided by Identity Process Theory illuminated how participants expressed and defended their preferred identities. Language strategies such as personification, humour, sarcasm, metaphors, similes, co-constructed stories, and joking, indicated trust with the listener and the speaker's association with diabetes. Metaphor and similes provided a comprehensible analogy to articulate experience. Distancing strategies, such as objectification and sarcasm, reflected a sense of ownership of diabetes. Protecting self-esteem and self-efficacy through whispering and justification was important when describing diabetes practices as deviant or individualized. Clinicians' attendance to language practices gives insight into identity and identity threats in a way direct questioning cannot.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261426775"},"PeriodicalIF":3.0,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12954000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357055","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":"Complicated Interactions in Home Care: An Ethnographic Study.","authors":"Vilhelmina Th Einarsdottir, Asta Snorradottir, Jeannette Pols, Holly Symonds-Brown, Kristin Bjornsdottir","doi":"10.1177/23333936261426317","DOIUrl":"10.1177/23333936261426317","url":null,"abstract":"<p><p>In this qualitative ethnographic study, we aimed at increasing understanding of what makes interactions between staff, users, and relatives in home care services complicated, how these interactions are experienced and how home care practice can be developed to better address these interactions. The study was conducted in Reykjavik, the capital of Iceland, and data were collected from January 2021 to February 2022. In this article we present findings reflecting the experiences of the staff. Home care work involves frequent interactions with service users and their relatives, and the quality of these interactions can influence both care provision and overall well-being. This qualitative ethnographic study aimed to enhance understanding of what makes interactions among staff, service users, and relatives in home care services complex, how these interactions are experienced, and how home care practice might be developed to better address them. The study draws on observations of interactions between staff and service users, as well as semi-structured interviews with service users, relatives, and staff, involving a total of 35 participants. Three themes were developed from the data, informed by the theoretical background (emotional labor and care practices approach). They were: (a) frictions and emotional difficulties, (b) home and workplace, and (c) problems associated with substance use. The findings show that staff need to be aware of how they communicate with users and their relatives and understand the emotional impact of complicated interactions. Managers of Home Care organizations play an important role in supporting and guiding staff concerning complex interactions.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261426317"},"PeriodicalIF":3.0,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12946389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327622","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}
Susanna Böling, My Engström, Johan Berlin, Joakim Öhlén
{"title":"Early Integration of Palliative Care in Hospitals: How Can Palliative Care Consultation Teams Drive Practice Change?","authors":"Susanna Böling, My Engström, Johan Berlin, Joakim Öhlén","doi":"10.1177/23333936261421581","DOIUrl":"10.1177/23333936261421581","url":null,"abstract":"<p><p>Early integration of palliative care within disease-oriented care is advocated but the question of how this is best accomplished remains. In the context of surgical care for patients with pancreatic cancer, a quality improvement initiative was introduced whereby palliative care consultations were offered early in the disease trajectory. We devised a qualitative study using an interpretive description design, focusing on the integration of palliative care consultation practice and collaboration between actors. The aim of the study was to examine a practice-driven change for the early integration of palliative care within surgical cancer care. Seventeen study participants (healthcare professionals, managers and patient association representatives) were interviewed. The interviews were complemented by observations, and a constant comparative analysis was applied. This study found that the development and success of the quality improvement initiative were shaped by the interplay among three key actors - the palliative care team, the surgical team, and the patient and their family - and were further influenced by organisational factors, project structure and implementation, and broader societal circumstances. Within these domains, perspectives on <i>what</i>, <i>when</i> and <i>how</i> to integrate palliative care proved pivotal and need to be disclosed when initiating collaboration between palliative care consultation services and specialist hospital teams.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261421581"},"PeriodicalIF":3.0,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12925021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277031","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":"Storied Bodies and Temporal Lives: A Narrative Inquiry Exploring the Experiences of Young Adults Living with an Eating Disorder.","authors":"Sydney Gaudet","doi":"10.1177/23333936261419040","DOIUrl":"10.1177/23333936261419040","url":null,"abstract":"<p><p>An eating disorder is a type of mental illness, characterized by a disturbance in eating related behaviour, resulting in significant physical and psychological impairments. Despite this recognition, eating disorders remain poorly understood and plagued by high mortality and low recovery rates. Furthermore, individuals living with an eating disorder rarely have opportunities to shape study design or inform treatment. This study used narrative inquiry to explore the experiences of two young adults, aged 18 to 30, living with Anorexia or Bulimia Nervosa, and self-identified as living with an eating disorder. Participants were interviewed five times over 3 months, and narrative accounts were co-composed through a collaborative process emphasizing relational engagement and therapeutic alliance. By centring the lived experience of participants this study engages with the complexity of living with an eating disorder rather than taking it for granted. Resonant narrative threads that were constructed through co-creation of knowledge are discussed. This article extends traditional research approaches by responding to participants' priorities, fostering co-constructed understanding, and offering pathways to inform research and care design that reflect the nuanced realities of living with an eating disorder.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":"13 ","pages":"23333936261419040"},"PeriodicalIF":3.0,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12921169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272362","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}