Scandinavian Journal of Caring Sciences最新文献

{"title":"Midwifery Students' Views on Care Plans Used in Clinical Training: A Qualitative Study.","authors":"Nazli Unlu Bidik, Zekiye Turan","doi":"10.1111/scs.70040","DOIUrl":"10.1111/scs.70040","url":null,"abstract":"<p><strong>Background: </strong>The preparation of a care plan is one of the duties of the nurse or midwife caring for the patient. In clinical practice, patient care is planned and implemented using NANDA-I diagnoses in the care plan. The ability to write a care plan is taught theoretically and practically during undergraduate education.</p><p><strong>Aim: </strong>This study aimed to explore midwifery students' views on care plans.</p><p><strong>Methods: </strong>In this qualitative study, the content analysis method was used to extract meaningful themes from the data and to reveal the relationships between these themes. The study used criterion sampling, a purposive sampling technique. One-on-one in-depth interviews were conducted with a total of 12 midwifery students in clinical practice who completed the care plan form. Study data were collected using a semi-structured interview form. The data obtained were analysed using MAXQDA.</p><p><strong>Results: </strong>Four main themes emerged from the analysis of the student interviews: NANDA-I Diagnoses, Evaluation of the Forms, Problems Encountered in Filling the Forms and Suggestions/Expectations.</p><p><strong>Conclusions: </strong>This study reveals the existence of various problems related to midwifery students' care plans. In order to solve the problems experienced in care plans, which are a part of clinical education, there is a need to integrate technology into health care services and to examine the opinions of students and educators in detail.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"39 2","pages":"e70040"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12106851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Educational Programs for the Empowerment and Well-Being of Caregivers of Children With Mental Disorders: A Systematic Review.","authors":"Mahrokh Keshvari, Mousa Alavi, Mostafa Haghshenas, Saeideh Zeinalzad","doi":"10.1111/scs.70053","DOIUrl":"10.1111/scs.70053","url":null,"abstract":"<p><strong>Background: </strong>Family caregivers play an important role in providing care and support to children with mental illness. Caring for a child with a mental disorder is heavy and stressful for family members.</p><p><strong>Aim: </strong>The current review aimed to summarise the conclusions of these programs and identify the available gaps for planning and designing to help this family and the people in contact with it.</p><p><strong>Methods: </strong>This systematic review was conducted until July 24, 2024. PRISMA guidelines were used in this study to retrieve all national and international studies. This research aimed to evaluate the correlation between interventions designed for caregivers of children with mental health disorders and a wide range of outcomes, including subjective and objective outcomes. Measures of burden, general well-being, quality of life, sleep quality, knowledge acquisition, self-efficacy, and physiological health-while contrasted with standard supportive practices or alternative control conditions.</p><p><strong>Results: </strong>The findings of this study, which were based on the educational content provided to these families, were categorised into five categories: (1) psychoeducational psychotherapy, (2) parent management training, (3) telehealth interventions, (4) family therapies and (5) support groups.</p><p><strong>Conclusions: </strong>Research has shown that targeted interventions can significantly increase the quality of life for caregivers of children with mental disorders, but more empirical research is needed to confirm the findings and develop stronger support systems alongside tailored programs that these caregivers need to face distinct challenges.</p><p><strong>Prospero registration: </strong>CRD42024597965.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"39 2","pages":"e70053"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to 'Implementing Patient-Centered Goal-Setting in Practice: Perspectives of Primary Care Nurses'.","authors":"","doi":"10.1111/scs.70048","DOIUrl":"10.1111/scs.70048","url":null,"abstract":"","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"39 2","pages":"e70048"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Staff and Patient Interactions and Patients' Perceptions of Good Quality of Care in Psychiatric Outpatient Services-A Structural Equation Model.","authors":"Mikael Rask, Patrik Rytterström, Tabita Sellin, Lars-Olov Lundqvist, Agneta Schröder, David Brunt","doi":"10.1111/scs.70043","DOIUrl":"10.1111/scs.70043","url":null,"abstract":"<p><strong>Background: </strong>The therapeutic relationship has been identified as essential for ensuring high-quality care in psychiatric outpatient services, as highlighted in several studies. This study focuses on the content of interactions between patients and staff in psychiatric outpatient care, as well as the quality of care provided, as perceived by the patients.</p><p><strong>Aim: </strong>The aim of this study is to explore the relationship between these interactions and aspects of the perceived quality of care from the perspective of patients in psychiatric outpatient services.</p><p><strong>Methods: </strong>A sample of 706 patients from psychiatric outpatient clinics in Sweden completed the Verbal and Social Interaction Outpatient (VSI-OP) and the Quality in Psychiatric Care-Outpatient (QPC-OP) instruments. A structural equation model was conducted to explore these associations. The study was approved by the Regional Ethical Review Board in Uppsala, Sweden (Dnr. 2018/186).</p><p><strong>Results: </strong>The model revealed that the staff showing an interest in the patients' feelings, experiences and behaviour influences the patients' perceived quality of participation through an intricate network of mediator variables, including the staff's ability to establish a relationship, a good encounter, support and a high level of information to the patients. High levels of Participation/Empowerment indicate a high level of quality of care in a psychiatric outpatient context.</p><p><strong>Implication for practice: </strong>The presented model provides an understanding of the associations between staff and patient interactions and perceived quality of care and sheds light on important aspects of quality of care from the perspective of the patients.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"39 2","pages":"e70043"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12130364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of a Patient Safety Advisory Among Inpatients-A Mixed Methods Study.","authors":"Margareta Bånnsgård, My Engström, Caterina Finizia, Johanna Moreno, Bojan Tubic","doi":"10.1111/scs.70034","DOIUrl":"10.1111/scs.70034","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to examine patients' experiences with an educational leaflet containing information about how patients can participate in their care and keep themselves safe during their hospital stay.</p><p><strong>Methods: </strong>Patients from different wards at Sahlgrenska University Hospital and Skaraborg Hospital in Sweden were given the patient safety advisory during their hospital stay (n = 456). Patients (n = 219) completed a structured telephone interview 2-8 weeks after their discharge.</p><p><strong>Results: </strong>137 patients read the safety advisory during their stay and 82 patients did not. More patients who read the safety advisory stated that they received discharge instructions than patients who did not read it. The patients were overall positive towards the safety advisory. The advisory seemed to function as a reminder as the majority already knew the information. One quarter of participants reported that they changed their behaviour based on the safety advisory.</p><p><strong>Conclusions: </strong>The safety advisory seemed to promote behavioural change as 25% stated that they altered their actions after reading it. One challenge when advising patients about patient safety is optimising how the information is given, as more than a third of the participants did not read the safety advisory despite receiving it. This study indicates that the educational leaflet could promote safety behavioural change among inpatients.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"39 2","pages":"e70034"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12125419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critical Care Nurses' Experiences of Caring for Patients With Intoxication and the Risk of Workplace Violence: A Qualitative Study.","authors":"Marte Spikkeland Angvoll, Ellisiv Marie Lundgren, Oda Rokvam, Per Sverre Persett, Simen A Steindal","doi":"10.1111/scs.70044","DOIUrl":"https://doi.org/10.1111/scs.70044","url":null,"abstract":"<p><strong>Background: </strong>Critical care nurses who work in intensive or intermediate care units could be exposed to violence and threats in their workplace from patients admitted with intoxication. Despite extensive research on intoxication, research on critical care nurses' experiences with violence and threats from these patients is limited.</p><p><strong>Aim: </strong>This study explored critical care nurses' experiences with workplace violence when caring for patients with intoxication in an intensive or intermediate care unit setting.</p><p><strong>Design: </strong>This study employed an exploratory-descriptive qualitative design. The COREQ checklist guided the study's reporting.</p><p><strong>Methods: </strong>Twelve critical care nurses at four intensive and/or intermediate care units in Norway were interviewed. The data were analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>Four themes were created in the data analysis: being one step ahead when facing unpredictability, tailoring care to the patient's needs to prevent workplace violence, feeling drained when insufficient nursing care is provided, and wanting more competence and support.</p><p><strong>Conclusion: </strong>Workplace violence poses a significant challenge to critical care nurses. To mitigate risks and improve patient safety, it is crucial to equip critical care nurses with the necessary knowledge and skills to foster predictability and support the implementation of structured plans.</p><p><strong>Implications for the profession: </strong>The findings underscore the need to integrate education about drugs, psychiatric diagnoses, and strategies for managing workplace violence into the curriculum for critical care nursing students and in clinical settings. Ward managers should promote education on workplace violence and organise debriefing sessions following incidents of workplace violence.</p><p><strong>Patient or public contribution: </strong>This study had no patient or public contributions.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"39 2","pages":"e70044"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Efficacy of Nurse-Delivered Psychosocial and Psychotherapeutic Interventions for Individuals With Mental Health Issues: A Meta-Analysis of Randomised Controlled Trials.","authors":"Sevda Uzun, Elif Güzide Emirza, Kübra Gülırmak Güler","doi":"10.1111/scs.70036","DOIUrl":"10.1111/scs.70036","url":null,"abstract":"<p><strong>Background: </strong>Nurses are among the most interactive professionals in society, providing both care and psychosocial and psychotherapeutic interventions for individuals with mental health issues. Nurse-centred approaches have demonstrated a positive impact on addressing mental health issues.</p><p><strong>Aim: </strong>This study aimed to evaluate the effectiveness of psychosocial and psychotherapeutic interventions administered by nurses in managing mental health issues.</p><p><strong>Methods: </strong>For this meta-analysis, data were gathered through a comprehensive search of databases, including PubMed, Web of Science, EBSCOhost, Google Scholar and the YÖK Thesis Center, with no restrictions on publication year. Following the review process, a total of 25 studies were included in the analysis. The PRISMA checklist was employed to guide our study.</p><p><strong>Results: </strong>The meta-analysis revealed that interventions implemented by nurses in the context of mental health were effective. Specifically, the psychosocial and psychotherapeutic interventions significantly reduced depression levels in individuals (SMD: -0.918, 95% CI: -1.350 to -0.486; Z = -4.161; p < 0.05) and anxiety levels (SMD: -0.61, 95% CI: -1.190 to -0.029; Z = -2.59; p < 0.05). Additionally, these interventions were associated with an improvement in individuals' quality of life (SMD: 0.673, 95% CI: 0.303-1.403; Z = 3.56; p < 0.05).</p><p><strong>Conclusion: </strong>Nurses can play a pivotal role in addressing mental health issues, effectively contributing to the reduction of anxiety and depression levels while enhancing the overall quality of life for individuals.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"39 2","pages":"e70036"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12138741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Symptom Experience After Surgical Treatment for Vulvar Cancer-A Scoping Review.","authors":"Anne Marie Thimm, Eva Helena Hansson, Katrine Bak Wraae, Mette Linnet Olesen","doi":"10.1111/scs.70037","DOIUrl":"10.1111/scs.70037","url":null,"abstract":"<p><strong>Background: </strong>Previous reviews have indicated a high burden of physical, emotional and sexual symptoms in women who have undergone surgery for vulvar cancer. Numerous surgical modifications have been made over the past few decades to limit post-operative symptoms. However, few reviews have investigated a wide range of symptoms in women with vulvar cancer. A comprehensive review of the literature examining these symptoms following advanced surgical treatment for vulvar cancer could contribute to an updated understanding of symptom experiences in these women.</p><p><strong>Aim: </strong>To map the literature on women's symptom experiences after surgical treatment for vulvar cancer.</p><p><strong>Methods: </strong>A scoping review was conducted, following the Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR). The included studies provided independent analyses of women with vulvar cancer, utilised patient-reported outcome measures or qualitative data, were published between 2008 and 2024 and were in English, Danish, Norwegian or Swedish. Searches were conducted on February 20, 2024, in Embase, MEDLINE, CINAHL and PsycINFO. Data were thematically analysed as described by Braun and Clarke.</p><p><strong>Results: </strong>The following themes were identified in the 20 studies: lymphedema, sexuality and body image, pain, physical functioning, fatigue, urinary symptoms, emotional symptoms and support from relatives and healthcare professionals.</p><p><strong>Conclusion: </strong>Women who have undergone surgery for vulvar cancer experience several physical and emotional symptoms. However, there is a shortage of qualitative studies that thoroughly explore the concept of symptom experience and quantitative studies that include vulvar-specific patient-reported outcome measures.</p><p><strong>Trial and protocol registration: </strong>The protocol was preregistered on Open Science Framework on April 9, 2024, registration https://doi.org/10.17605/OSF.IO/429JW.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"39 2","pages":"e70037"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12104857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing Patient-Centred Goal-Setting in Practice: Perspectives of Primary Care Nurses.","authors":"Karen S Schaepe, Michelle A Lampman, Angela B Mattson, Stephanie G Witwer, Pamela J McCabe","doi":"10.1111/scs.70018","DOIUrl":"10.1111/scs.70018","url":null,"abstract":"<p><strong>Background: </strong>As a component of goal-oriented care, goal-setting is an important strategy to improve self-management and reduce the economic and personal burden of chronic illness. Primary care nurses, as integral members of the healthcare team, play a pivotal role in providing self-management support to patients with multiple chronic illnesses. Yet, little is known about their perspectives on partnering with patients to set meaningful goals within self-management support programmes.</p><p><strong>Aim: </strong>To explore perspectives of primary care nurses about their practice of goal-setting with patients to improve self-management.</p><p><strong>Methods: </strong>For this qualitative exploratory study, we conducted semi-structured interviews with 28 primary care nurses who provided self-management support to patients with multiple chronic illnesses. Data were analysed using inductive thematic analysis. This research was approved by the Mayo Clinic Institutional Review Board.</p><p><strong>Results: </strong>Key themes from interviews focused on: (1) goal-setting practices; (2) challenges encountered in goal-setting; and (3) the perceived value-add of using a patient-centred goal-setting approach. Nurses described practices that empower patients to take charge of goal-setting, emphasising that the opportunity to create personal goals enhances motivation and enables the development of realistic action plans. Key challenges faced were patients' lack of familiarity with personal goal-setting, competing life stressors and patients' reluctance to change.</p><p><strong>Conclusion: </strong>Our findings contribute valuable insights about how primary care nurses approach goal-setting within a self-management support program. Notably, unlike previous studies where clinicians reported that time-limited appointments and institutional expectations hindered patient-centred goal-setting, our participants practicing in an institutionally supported goal-oriented patient-centred model of care did not report time constraints or pressures to prioritise clinical goals over patient goals. Instead, they described patient-centred goal-setting practices that are associated with positive patient and clinical outcomes. To potentially corroborate and expand upon our findings and inform practice and training, future research should include qualitative and survey studies to explore primary care RNs perspectives about goal-setting and observational research to evaluate nurse-patient goal-setting interactions.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"39 2","pages":"e70018"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Significance of Social Connections and Health in Relation to Loneliness Experienced by Older Adults Living at Home: A Qualitative Study.","authors":"Anna Axén, Line Christiansen, Elin Taube, Christine Kumlien, Christel Borg","doi":"10.1111/scs.70057","DOIUrl":"10.1111/scs.70057","url":null,"abstract":"<p><strong>Background and aim: </strong>Due to ageing, physical changes can affect one's ability to actively engage with others, resulting in limitations in social connections comparable to loneliness. Hence, there is a need for research on how older adults avoid experiencing loneliness and thus promote health through social connections. The aim of this study was to describe the significance of social connections and health in relation to loneliness experienced by older adults living at home.</p><p><strong>Methods: </strong>Older adults aged 65 years and older (n = 16) purposively selected from a longitudinal population-based multicentre study participated in semi-structured interviews. The interviews were conducted in January 2024, transcribed verbatim and analysed using inductive content analysis.</p><p><strong>Findings: </strong>The findings illustrated one main category, Preventing loneliness, and three associated generic categories: The silver lining of connecting with oneself, Being surrounded by meaningful connections and Striving to maintain an active and healthy life.</p><p><strong>Conclusion: </strong>Preventing loneliness may be one important aspect of healthy ageing. However, for some older adults, time alone offers enrichment and well-being, with routines playing a key role. Meaningful connections and feeling needed are crucial in preventing loneliness, especially as social networks may decline with age. An active and healthy life also prevents loneliness, though barriers like age-related limitations must be addressed. It is, therefore, important to address loneliness in society. Furthermore, it is essential that healthcare education incorporates the impact of loneliness on older adults to promote healthy ageing.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"39 2","pages":"e70057"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}