{"title":"Shaping Better Rehabilitation to Chronic Obstructive Pulmonary Disease Patients: Experiences of Nurses and Colleagues With an Interdisciplinary Telerehabilitation Intervention.","authors":"Charlotte Simonÿ, Marianne Neerup Andersen, Rasmus Gormsen Hansen, Lisbeth Schrøder, Therese Gjerde Jensen, Uffe Bodtger, Regner Birkelund, Malene Beck","doi":"10.1177/23333936221109890","DOIUrl":"https://doi.org/10.1177/23333936221109890","url":null,"abstract":"<p><p>In order to evaluate the reach of a collaborative cross-sectoral telerehabilitation intervention to patients with Chronic Obstructive Pulmonary Disease (COPD), this study investigates how nurses and interdisciplinary colleagues experienced working with it. In two focus group interviews, the experiences of working in the empowerment and tele-based ><b>C☺PD-Life</b>>> program were examined among three nurses and four interdisciplinary colleagues. Data were analyzed with inspiration from Ricoeur's theory of narrative and interpretation and discussed with Gittell's theory of relational coordination. Nurses and colleagues experienced that the intervention paved the way for unique patient-professional coordination and interdisciplinary cross-sectoral teamwork that allowed double-layered relational coordination, focusing holistically on patients' lived challenges in everyday life with COPD. By this rehabilitation setup, nurses and colleagues are perceived as educated to deliver high standard personalized support, raising professional pride and confidence. The findings can inspire future health-promoting initiatives within nursing support related to patients afflicted with COPD.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/49/71/10.1177_23333936221109890.PMC9421008.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40336520","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}
Mia Ingerslev Loft, Cecilie Volck, Lise Randrup Jensen
{"title":"Communicative and Supportive Strategies: A Qualitative Study Investigating Nursing Staff's Communicative Practice With Patients With Aphasia in Stroke Care.","authors":"Mia Ingerslev Loft, Cecilie Volck, Lise Randrup Jensen","doi":"10.1177/23333936221110805","DOIUrl":"https://doi.org/10.1177/23333936221110805","url":null,"abstract":"<p><p>This study aimed to provide detailed descriptions of the influences on the nursing staff's communicative practices with patients with aphasia in the context of usual stroke care interactions, and secondly to explore the nursing staff's use or non-use of supportive techniques, including the SCA<sup>TM</sup> method. A qualitative design was chosen, combining field observations and semi-structured interviews. Inductive and deductive qualitative content analysis was used. The results showed that the nursing staff's interactions with patients with aphasia were influenced by organizational and environmental influences, nurses' roles and functions and supporting patients with aphasia in communication. The role of the nursing staff in caring for the psychosocial well-being of patients is deprioritised in favor of other tasks. If there is no time or culture for prioritizing time for conversing with patients and supporting their psychosocial well-being, communication-partner training like SCA<sup>TM</sup> is likely hindered.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ea/be/10.1177_23333936221110805.PMC9335487.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40574972","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}
Adeline M Nyamathi, Lillian Gelberg, Darlene Lee, Nicholas Arce, Alexandria Patten-Jones, Kartik Yadav, Maniyah Goodwine, Mitra Alikhani, Maritas Yao, Alicia H Chang, Benissa E Salem
{"title":"Perceptions of Homeless Adults and Their Providers on Coping With the Impact of COVID-19 Pandemic on Mental Health, Substance Use, and Harm Reduction Services.","authors":"Adeline M Nyamathi, Lillian Gelberg, Darlene Lee, Nicholas Arce, Alexandria Patten-Jones, Kartik Yadav, Maniyah Goodwine, Mitra Alikhani, Maritas Yao, Alicia H Chang, Benissa E Salem","doi":"10.1177/23333936221108712","DOIUrl":"https://doi.org/10.1177/23333936221108712","url":null,"abstract":"Adults experiencing homelessness experience a disproportionate burden of health disparities which has further exacerbated mental health, substance use, and coping during the COVID-19 pandemic. As limited data is available to understand the experience of adults experiencing homelessness and their health during this time, the purpose of this study was to explore how COVID-19 may have impacted their mental health, substance use, and ways of coping in this population. Using community-based participatory research, a community advisory board was established and remote individual interviews with 21 adults experiencing homelessness and 10 providers were conducted in Skid Row, Los Angeles. Using a qualitative, data analytic approach, the following major themes emerged: (1) Negative Impact of COVID-19 on Mental Health; (2) Negative Impact of COVID-19 on Limitation of Harm Reduction Services; and (3) Coping Strategies Utilized During the COVID-19 Pandemic. More research is needed to understand the impact of this pandemic on underserved communities.","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/95/09/10.1177_23333936221108712.PMC9335488.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40574973","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}
Halldóra Egilsdóttir, Helga Jónsdóttir, Marianne Elisabeth Klinke
{"title":"Living in Rural Areas and Receiving Cancer Treatment Away From Home: A Qualitative Study Foregrounding Temporality.","authors":"Halldóra Egilsdóttir, Helga Jónsdóttir, Marianne Elisabeth Klinke","doi":"10.1177/23333936221111802","DOIUrl":"https://doi.org/10.1177/23333936221111802","url":null,"abstract":"<p><p>We used explorative interviews to gauge (inter)personal, physiological, and emotional challenges of seven rural cancer patients who traveled long distances to cancer treatment centers. After a thematic analysis, we foregrounded experiences of temporality by using a phenomenologically inspired approach. The analysis resulted in three themes: (a) An epiphany of \"what really matters in life\"-time gains new meaning, (b) Feeling out of sync with others and own body-striving for coherence and simultaneity, and (c) Being torn between benefits of home and treatments site-time and distance as a tangible aspect of traveling and being away. Under these themes, 13 meaning units were generated, which reflected changes in temporality. During treatment, life primarily revolved around repeating circles of travel arrangements, staying on top of treatment schedule, and synchronizing a home life with a life away from home. Nurses should provide comprehensive care to enhance stability in cancer patients' temporal experiences.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/d4/10.1177_23333936221111802.PMC9305796.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40622476","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":"Death Acceptance Process in Thai Buddhist Patients With Life-Limiting Cancer: A Grounded Theory.","authors":"Ratchaneekorn Upasen, Sureeporn Thanasilp, Lanchasak Akkayagorn, Janya Chimluang, Wilailuck Tantitrakul, Dawn Liam Doutrich, Weeraphol Saengpanya","doi":"10.1177/23333936221111809","DOIUrl":"https://doi.org/10.1177/23333936221111809","url":null,"abstract":"<p><p>Cancer patients with life-limiting illnesses have varied levels of death acceptance pervarious scales. Nevertheless, the process of developing death acceptance in patients with life-limiting cancer remains unclear. This study explores the death acceptance process among patients with life-limiting cancer. We used grounded theory methodology. Data were collected through in-depth interviews of 13 patients with cancer in a palliative care setting, and researchers completed field notes. Data were analyzed using constant and comparative methods. Thai Buddhist patients with cancer in palliative care process death acceptance through three dynamic phases: engaging suffering, being open-minded about death, and adhering to Buddhist practices for increasing death consciousness. The death acceptance process described in this study could serve as a guideline to support death acceptance in Thai Buddhist patients with cancer, and other patients with cancer in palliative care, to improve peaceful life and attain good death.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/00/dc/10.1177_23333936221111809.PMC9284199.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40513340","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}
Britt Laugesen, Maja Thomsen Albrechtsen, Mette Grønkjær, Kathrine Hoffmann Kusk, Marie Germund Nielsen, Lone Jørgensen, Birgith Pedersen, Birgitte Lerbæk, Helle Haslund-Thomsen, Charlotte Brun Thorup, Sara Jacobsen, Karin Bundgaard, Siri Lygum Voldbjerg
{"title":"Nurses' Clinical Decision-Making in a Changed COVID-19 Work Environment: A Focus Group Study.","authors":"Britt Laugesen, Maja Thomsen Albrechtsen, Mette Grønkjær, Kathrine Hoffmann Kusk, Marie Germund Nielsen, Lone Jørgensen, Birgith Pedersen, Birgitte Lerbæk, Helle Haslund-Thomsen, Charlotte Brun Thorup, Sara Jacobsen, Karin Bundgaard, Siri Lygum Voldbjerg","doi":"10.1177/23333936221109876","DOIUrl":"https://doi.org/10.1177/23333936221109876","url":null,"abstract":"<p><p>This study aims to explore how a changed COVID-19 work environment influences nurses' clinical decision-making. Data were collected via three focus groups totaling 14 nurses working in COVID-19 pandemic wards at a Danish university hospital. The factors influencing decision-making are described in three themes; navigating in a COVID-19 dominated context, recognizing the importance of collegial fellowship, and the complexities of feeling competent. A strong joint commitment among the nurses to manage critical situations fostered a culture of knowledge-sharing and drawing on colleagues' competencies in clinical decision-making. It is important for nurse leaders to consider multiple factors when preparing nurses not only to work in changing work environments, but also when nurses are asked to work in environments and specialties that deviate from their usual routines.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4c/53/10.1177_23333936221109876.PMC9272177.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40589718","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}
Tanja Moilanen, Mari Sivonen, Kirsi Hipp, Hanna Kallio, Oili Papinaho, Minna Stolt, Riitta Turjamaa, Arja Häggman-Laitila, Mari Kangasniemi
{"title":"Developing a Feasible and Credible Method for Analyzing Healthcare Documents as Written Data.","authors":"Tanja Moilanen, Mari Sivonen, Kirsi Hipp, Hanna Kallio, Oili Papinaho, Minna Stolt, Riitta Turjamaa, Arja Häggman-Laitila, Mari Kangasniemi","doi":"10.1177/23333936221108706","DOIUrl":"https://doi.org/10.1177/23333936221108706","url":null,"abstract":"<p><p>Healthcare provides a rich, and constantly increasing, number of written documents, which are underutilized in research data for health and nursing sciences, but previous literature has only provided limited guidance on the process of document analysis. The aim of this paper is to provide a methodological framework for analyzing health care documents as written data, based on a systematic methodological review and the research team's experience of the method. Based on the results, the methods consist of seven phases: (i) identify the purpose, (ii) determine the document selection strategy, (iii) select or design an extraction matrix, (iv) carry out pilot testing, (v) collect and analyze the data, (vi) consider the credibility, and (vii) ethics of the study. The framework that has been developed can be used to carry out document analysis studies that are both feasible and credible.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40589720","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":"Advanced Practice Registered Nurse Transition to Practice in the Long-Term Care Setting: An Ethnography.","authors":"Alisha Harvey Johnson, Tracie Culp Harrison","doi":"10.1177/23333936221108701","DOIUrl":"https://doi.org/10.1177/23333936221108701","url":null,"abstract":"<p><p>Advanced practice registered nurses are successful in improving quality outcomes and filling provider care gaps in long-term care. However, little is known about the nurse's transition to practice in this setting. A 12-month ethnography was conducted via participant-observation with nine advanced practice registered nurses in five long-term care facilities to understand practice environment influence on the nurses' transition and on the reciprocal influence of the nurse on the practice environment. Transition was fraught with uncertainty as documented by five themes: <i>where's my authority</i>, <i>institutional acceptance</i>, <i>personal role fulfillment</i>, <i>provider relationships</i>, and <i>individual versus organizational care</i>. These findings suggest that transition in this setting is complex, characterized by insecurity whether the individual is new to advanced practice or experienced. Transition in long-term care could be strengthened by formal programs that include clinical practice, reconceived mentorship for advanced practice registered nurses, and education designed to improve comfort and expertise with indirect care.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/aa/99/10.1177_23333936221108701.PMC9272163.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40589716","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}
Therése Bielsten, Elzana Odzakovic, Agneta Kullberg, Jan Marcusson, Ingrid Hellström
{"title":"Controlling the Uncontrollable: Patient Safety and Medication Management From the Perspective of Registered Nurses in Municipal Home Health Care.","authors":"Therése Bielsten, Elzana Odzakovic, Agneta Kullberg, Jan Marcusson, Ingrid Hellström","doi":"10.1177/23333936221108700","DOIUrl":"https://doi.org/10.1177/23333936221108700","url":null,"abstract":"<p><p>Most adverse events in health care are related to medication management and they are almost always preventable. Increased knowledge of patient safety related to medication management in home health care is an urgent issue to provide safe care for all patients regardless of where the health care takes place. This study explored patient safety within medication management in municipal home health care. Vignettes were used as stimulus during qualitative interviews with registered nurses. Three main themes with related subthemes were identified as challenges to patient safety within medication management in home health care: (1) challenges to information transfer, (2) challenges related to delegation, and (3) challenges of advanced medical treatments in the home. The issue of transfer of information permeated our findings. Coordinating medications, delegating tasks, along with more advanced care require clear communication between care providers to be compatible with patient safety within medication management in home health care.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40591741","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}
Georgios Savva, Evridiki Papastavrou, Andreas Charalambous, Stavros Vryonides, Anastasios Merkouris
{"title":"Exploring Nurses' Perceptions of Medication Error Risk Factors: Findings From a Sequential Qualitative Study.","authors":"Georgios Savva, Evridiki Papastavrou, Andreas Charalambous, Stavros Vryonides, Anastasios Merkouris","doi":"10.1177/23333936221094857","DOIUrl":"10.1177/23333936221094857","url":null,"abstract":"<p><p>A focus group study was conducted to explore nurses' perceptions of medication administration error associated factors in two medical wards of a tertiary hospital. Nurses were invited to participate in focus group discussions. Thematic analysis was employed and identified four themes: professional practice environment related factors, person-related factors, drug-related factors, and processes and procedures. Staffing, interruptions, system failures, insufficient leadership, and patient acuity were perceived as risk factors for medication errors. The findings of this study complement the findings of an observational study which investigated medication administration errors in the same setting. Although some findings were similar, important risk factors were identified only through focus group discussions with nurses. Nurses' perceptions of factors influencing medication administration errors provide important considerations in addressing factors that contribute to errors and for improving patient safety.</p>","PeriodicalId":45940,"journal":{"name":"Global Qualitative Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e3/d4/10.1177_23333936221094857.PMC9243474.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40558378","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}