Scandinavian Journal of Caring Sciences最新文献

{"title":"Effects of Nurse-Led Interventions on Quality of Life and Self-Care Among Patients With Heart Failure: A Systematic Review.","authors":"Rozainah Mat Yusoff, Wan Ling Lee, Imran Zainal Abidin","doi":"10.1111/scs.70227","DOIUrl":"10.1111/scs.70227","url":null,"abstract":"<p><strong>Background: </strong>Nurses are pivotal in promoting self-care among patients with heart failure (HF), particularly by educating them on how to prevent potential complications and rehospitalisations. Meanwhile, optimal self-care in patients with heart failure is a positive predictor of improved physical and mental health, which are core domains of quality of life (QOL). This systematic review aims to identify available evidence on the effectiveness of nurse-led education on the QOL and self-care in patients with HF.</p><p><strong>Methods: </strong>A detailed literature search was performed in six electronic databases (PubMed, Scopus, ScienceDirect, ProQuest and PsycNet) guided by the PRISMA guidelines to retrieve relevant articles published between 2015 and 2022. The results were checked for eligibility criteria, followed by performing quality appraisal and data synthesis.</p><p><strong>Results: </strong>Overall, 19 articles were found to be eligible and relevant for the analysis. Descriptively, the interventions comprised different components, including self-care knowledge and skills, illness representation, cognitive behavioural intervention, motivation, social and emotional support, coping strategies, setting goals, problem-solving and action planning. The delivery methods were mainly face-to-face interaction, verbal education and the use of written materials, while follow-ups entailed telephone calls and home visits. Most nurse-led interventions, particularly those combining educational and psychological components, led to significant improvement in self-care and QOL.</p><p><strong>Conclusion: </strong>The findings imply that nurse-led interventions can be provided by utilising diverse methods to improve self-care and QOL among patients with HF. Further studies are required to ascertain the long-term effect and the most effective component of these educational interventions.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 3","pages":"e70227"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13459748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708150","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":"A Watson-Based Mentorship Programme for New Nurses: A Longitudinal Mixed-Methods Study.","authors":"Damla Gökalp, Selmin Şenol, Fatma Tanrıkulu İnce, Gülşen Simavlıoğlu, Fadime Gökçay, Çiğdem Zeren","doi":"10.1111/scs.70321","DOIUrl":"https://doi.org/10.1111/scs.70321","url":null,"abstract":"<p><strong>Background: </strong>Mentorship programmes are widely used to support the professional transition of newly employed nurses; however, evidence regarding their effectiveness in developing countries remains limited.</p><p><strong>Aim: </strong>This study aimed to examine the effects of a mentorship programme based on Watson's Theory of Human Caring on new nurses' transition experience, job satisfaction and intention to leave, and to explore the experiences and perceived benefits of both mentor and mentee nurses.</p><p><strong>Methods: </strong>This study employed a longitudinal multiphase explanatory mixed-methods design. The study was conducted between June 2022 and June 2023 at a university hospital in western Türkiye. The mentorship programme lasted nine months and involved monthly face-to-face meetings between mentor (n = 15) and mentee nurses (n = 24). Quantitative data were collected before and four months after the programme from the completing mentee nurses (n = 16) to assess transition experience, job satisfaction and intention to leave. Qualitative data were obtained through monthly interviews with mentors who completed the process (n = 11) and open-ended evaluation forms completed by both mentors and mentees at the end of the programme. Quantitative data were analysed using statistical tests for dependent groups, while qualitative data were examined through content analysis.</p><p><strong>Results: </strong>No statistically significant differences were found in new nurses' job satisfaction, intention to leave or perception of the transition process (p > 0.05). However, a moderate effect size was observed for the perception of the transition process (r = 0.41), indicating the potential positive influence of the mentorship programme. Qualitative findings showed that the programme enhanced mentors' communication and leadership skills and supported the professional and clinical adaptation of mentee nurses.</p><p><strong>Conclusion: </strong>Mentorship programmes structured within Watson's Theory of Human Caring may provide a supportive and healing framework that facilitates the early clinical adaptation of new nurses.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 3","pages":"e70321"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026399","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":"Care Practices Supporting Older Adult Mobility in Institutional Long-Term Care: An Ethnographic Study.","authors":"Johanna Finskas, Minna Stolt, Riitta Suhonen, Noora Narsakka","doi":"10.1111/scs.70308","DOIUrl":"10.1111/scs.70308","url":null,"abstract":"<p><strong>Background: </strong>Older adults living in institutional long-term care (ILTC) generally have decreased mobility, and their mobility care is often insufficient. Residents spend much of their day being sedentary, even though sedentary behaviour and inactivity are known to have many negative effects on health and functional capacity. More qualitative research describing care practices that support residents' everyday mobility in ILTC is needed. The aim of this study is to describe how care workers support residents' mobility in one ILTC unit.</p><p><strong>Methods: </strong>A focused ethnographic study was conducted. Data were collected by observing care workers (n = 10) and residents (n = 12) in one ILTC unit in May and June 2023. Data collection was guided by Spradley's framework. In addition, informal interviews were conducted with the care workers during the observations. The data were analyzed using thematic analysis.</p><p><strong>Results: </strong>Care workers carried out mobility care through situational compromises between person-centred mobility care and institutional expectations. While mobility care was person-centred, supporting residents' autonomy and grounded in residents' mobility needs, it was also shaped by institutional expectations. Institutional expectations were evident when other essential care activities were prioritized and routine practices were utilized in mobility care.</p><p><strong>Conclusions: </strong>Mobility care occurs in the interaction process between care workers and residents. Supporting residents' mobility requires care workers to balance person-centred mobility care and institutional expectations. Therefore, care workers need guidance for communication with residents with dementia, sufficient resources, and shared practices to enable quality mobility care in ILTC. Mobility care should also be embedded in institutional values and guidelines to prevent it from becoming a mechanical activity of the residents' day.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 3","pages":"e70308"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13487446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799730","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":"The Silent Crisis: Loneliness in Older Adults-A Critical Review of Impacts, Strategies and Path Forward.","authors":"Hanif Abdul Rahman, Nurrabiatul Haziqah Zahari","doi":"10.1111/scs.70292","DOIUrl":"10.1111/scs.70292","url":null,"abstract":"<p><strong>Background: </strong>Loneliness, distinct from social isolation, is a subjective sense of social disconnection exacerbating a public health crisis among older adults. Affecting ~33% of community-dwelling individuals aged 50-80 years post-COVID-19, it rivals smoking in mortality risk and drives cognitive, cardiovascular, and mental health declines. This review synthesises evidence to inform clinical strategies.</p><p><strong>Methods: </strong>A critical review of per-reviewed meta-analyses, RCTs, and prospective cohorts literature (2019-2025) was conducted for adults aged 50 years and above. Studies were selected using validated loneliness or social isolation measures, with quality appraised via AMSTAR-2, Cochrane RoB 2, and Newcastle-Ottawa Scale; 34 studies met eligibility criteria from an initial yield of 1,847 records.</p><p><strong>Results: </strong>Prevalence of loneliness stands at 29% isolation by 2024, highest among those with poor health (53%-75%), unemployment (52%), solitary living, and ages 50-64. Loneliness elevates all-cause mortality (32%), dementia (50%-59%), cardiovascular events (29%-32%), depression (40%), and anxiety (35%). Mechanisms include increased inflammation (↑CRP, IL-6), HPA dysregulation, immune compromise, hippocampal atrophy, and behavioural lapses. Interventions like CBT/reminiscence therapy, multicomponent programs, animal therapy, exercise, and digital platforms have been shown to reduce loneliness, though primary care implementation lags due to screening/referral barriers. Tools such as the UCLA Loneliness Scale enable feasible assessment.</p><p><strong>Conclusions: </strong>Loneliness as a geriatric syndrome demands mandated screening, provider education, and reimbursement reforms. Coordinated healthcare-community efforts could avert substantial morbidity/mortality, addressing gaps in long-term outcomes and cost-effectiveness research.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 3","pages":"e70292"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148353967","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":"Fear of Being Judged: A Phenomenological Hermeneutical Study of Encountering Ambulance Staff When Living in Stigmatized Neighbourhoods.","authors":"Sara Björklund, Peter Hagell, Petra Lilja Hagell, Mats Holmberg","doi":"10.1111/scs.70311","DOIUrl":"10.1111/scs.70311","url":null,"abstract":"<p><strong>Aims and objectives: </strong>To elucidate meanings of encountering ambulance staff when living in stigmatized neighbourhoods.</p><p><strong>Methodological design and justification: </strong>The study was conducted using a phenomenological hermeneutical approach based on narrative interviews.</p><p><strong>Ethical issues and approval: </strong>The study was approved by the Swedish Ethical Review Authority and conducted in accordance with the Declaration of Helsinki.</p><p><strong>Research methods: </strong>A phenomenological hermeneutical analysis was conducted. Interviews were performed with 18 persons living in stigmatized neighbourhoods who had lived experiences of encountering ambulance staff, either as relatives or as patients.</p><p><strong>Results: </strong>These encounters carry meanings of being dependent on how the staff act in situations marked by fear, involving fear for one's own or a relative's health, or fear of being judged based on ethnicity, culture, or place of residence.</p><p><strong>Study limitations: </strong>The participants shared similar demographic backgrounds, and recruitment through gatekeepers may have constrained the range of perspectives. As an interpretive method, the findings represent one possible understanding, and other interpretations may emerge from different backgrounds or theoretical lenses.</p><p><strong>Conclusions: </strong>Encounters with ambulance staff carried meanings of fear of being judged and of dependence, while ambulance staff's interpersonal actions could either reinforce or alleviate these meanings.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 3","pages":"e70311"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876160","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":"On Caring and Geography.","authors":"Berit Lindahl","doi":"10.1111/scs.70322","DOIUrl":"https://doi.org/10.1111/scs.70322","url":null,"abstract":"","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 3","pages":"e70322"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041424","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":"Concrete Behaviours Expected in Interdisciplinary Teams in Home Nursing Care Inspired by Buurtzorg: Qualitative Descriptive Study.","authors":"Benjamin Olivares Bøgeskov, Gry Segoli","doi":"10.1111/scs.70320","DOIUrl":"10.1111/scs.70320","url":null,"abstract":"<p><strong>Background: </strong>Interdisciplinary teams in home care and home nursing are being implemented across Denmark, inspired by the Buurtzorg model. While structural aspects have been studied, less is known about the concrete, observable behaviours that make interdisciplinary teams function well in practice.</p><p><strong>Aim: </strong>To identify and thematise observable behaviours in well-functioning interdisciplinary teams' meetings in home care and home nursing care, thereby contributing to practice development and implementation.</p><p><strong>Method: </strong>The study used a qualitative descriptive, practice-oriented design to identify concrete behaviours rather than generate new theory. Data were collected during the implementation of interdisciplinary teams in a metropolitan municipality covering 10 districts and about 185 professionals. Material comprised 14 preliminary observations, 64 structured participatory observations of team meetings across all the municipality's 16 interdisciplinary teams, and two individual and three focus group interviews with staff and leaders. Data were analysed thematically, with two authors coding independently before refining themes iteratively through discussion.</p><p><strong>Ethical issues: </strong>The study complied with the Danish Code of Conduct for Research Integrity and national legislation. Informed consent was obtained, and GDPR requirements were observed.</p><p><strong>Results: </strong>Thirty-six observable actions were identified and grouped into four sets of behaviours: (1) performing meeting goals (shared understanding, shared solving, shared deciding); (2) following the meeting's methodology (role clarity, documentation, participatory dialogue); (3) creating conditions (presence, psychological safety, adequate facilities, and leadership support); and (4) sharing perspectives, recognising others (disciplinary and holistic perspectives, including existential care). A distinctive marker of well-functioning teams was the practice of open questioning, which fostered sensemaking and co-creation.</p><p><strong>Limitations: </strong>Findings are drawn from one municipality, which limits generalisability.</p><p><strong>Conclusions: </strong>Well-functioning interdisciplinary teams are characterised less by information exchange and coordination than by achieving shared understanding, collective problem-solving, and integration of diverse perspectives. These behaviours reflect and produce a shift from efficiency-driven management towards co-creation and holistic care and can guide future implementation of interdisciplinary teams.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 3","pages":"e70320"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13598356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026417","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":"The Ontological Primacy of Being-With: Caring as Communion.","authors":"Cyruz P Tuppal","doi":"10.1111/scs.70314","DOIUrl":"10.1111/scs.70314","url":null,"abstract":"<p><strong>Background: </strong>Caring science has consistently emphasised relationality as central to nursing and human health; however, its ontological grounding remains insufficiently articulated. Prevailing models often rely on interactional paradigms that conceptualise caring as exchanges between discrete individuals, thereby overlooking the deeper existential condition that renders caring encounters meaningful.</p><p><strong>Aim: </strong>This study aims to articulate the ontological primacy of being-with as the foundational ground of caring and to advance the Theory of Communion-in-Caring as its fulfilment.</p><p><strong>Method: </strong>A hermeneutic philosophical inquiry was conducted using interpretive analysis, comparative philosophical examination, and conceptual synthesis. Foundational works from Martin Heidegger, Martin Buber, Emmanuel Levinas, Maurice Merleau-Ponty, and Gabriel Marcel were integrated with key caring science traditions to construct a coherent ontological framework.</p><p><strong>Results: </strong>Being-with is conceptualised as a primordial ontological condition expressed through three interrelated structures: Relational co-presence, dialogical openness, and embodied attunement. These structures constitute the ground of caring encounters and converge in communion, understood as a shared field of presence, meaning, and ethical responsiveness. Communion represents the ontological fulfilment of relational existence, wherein caring is enacted as participatory, embodied, and ethically grounded presence.</p><p><strong>Conclusion: </strong>The ontology of being-with provides a rigorous philosophical foundation for caring science, reconfiguring caring as a mode of being rather than a set of tasks or interactions. By positioning communion as the fulfilment of relational existence, the Theory of Communion-in-Caring advances theoretical coherence and offers a foundation for future empirical, methodological, and practice-based developments.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 3","pages":"e70314"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13547972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901264","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":"Raising Awareness of Oral Care Through Co-Creation: A Qualitative Evaluation Study With Patients and Healthcare Professionals in a Hospital Setting.","authors":"Charlotte Nielsen, Nadja Buch Petersson, Helene Mathilde Dalgaard, Bettina Trettin","doi":"10.1111/scs.70319","DOIUrl":"10.1111/scs.70319","url":null,"abstract":"<p><strong>Aim: </strong>To explore how oral care is experienced and enacted in clinical practice by patients and staff in hospital wards 6 months after implementing solutions aimed at improving oral care.</p><p><strong>Design: </strong>A qualitative study exploring the experiences of patients and staff from wards that participated in testing solutions to improve oral care. The solutions were oral care goodie bags for patients and support from dental hygienists.</p><p><strong>Methods: </strong>Data collection involved participant observation in four hospital wards, 12 individual semi-structured patient interviews, and four focus groups with 26 staff members. The data analysis was based on Ricoeur's theory of interpretation. Data collection took place from May to June 2024.</p><p><strong>Results: </strong>Three themes emerged regarding oral care practice: (1) Raising awareness of oral care as a first step towards changes in practice, (2) oral care is deprioritised during hospitalisation, and (3) oral care involves navigating personal and professional boundaries.</p><p><strong>Conclusion: </strong>The co-created interventions enhanced awareness of oral care, representing an early stage of cultural change across organisational levels. However, persistent barriers underscore the complexity and gradual nature of cultural change in clinical practice.</p><p><strong>Implications for patient care: </strong>This study proposes an intervention aimed at enhancing sustained oral care practice through the integration of external dental expertise and goodie bags for patients.</p><p><strong>Impact: </strong>The study demonstrates that strengthening knowledge and support for both patients and staff is crucial to improving oral care practice in hospital settings. Establishing legitimised approaches can help staff overcome personal boundaries, while co-creation with patients and staff holds promise for sustainable improvements in oral care practice.</p><p><strong>Reporting methods: </strong>The study followed COREQ criteria for reporting qualitative research.</p><p><strong>Patient contribution: </strong>A patient representative from the department was involved as a contributor in discussions on the study's design, conduct, and results.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 3","pages":"e70319"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971621","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":"The Systemic Lottery - A Field Observational Study on the Detection and Management of Acute Events in Care Homes.","authors":"Trine Lenskjold Rudebeck, Dorthe Nielsen, Annmarie Touborg Lassen, Dagmar Andersen, Christina Østervang","doi":"10.1111/scs.70315","DOIUrl":"10.1111/scs.70315","url":null,"abstract":"<p><strong>Aims and objectives: </strong>Care home residents represent some of the frailest and most vulnerable members of society due to impaired physical and cognitive functions. In acute situations specifically, residents often rely heavily on others to speak and act on their behalf. This places significant demands on organizational preparedness within care homes and across sectors. However, the contextual and structural processes in these situations are underexplored, potentially overlooking important contextual and clinical processes to support person-centered care in acute situations. We sought to obtain a comprehensive understanding of the circumstances surrounding acute events among residents.</p><p><strong>Methodological design and justification: </strong>A qualitative study was performed with a phenomenological and hermeneutic approach. Field observations (180 h) were conducted in four care homes in one large Danish urban municipality between October 2024 and February 2025. Purposive sampling included care homes of different sizes and districts, and acute events were included based on a predefined definition. Data analysis was inspired by Paul Ricoeur's interpretation theory.</p><p><strong>Ethical issues and approval: </strong>This study is registered with the Danish Data Protection Agency (24/30952).</p><p><strong>Findings: </strong>Based on 38 acute events, we identified three themes: (1) Care home staff have a crucial but challenged role, (2) Organizational structures in care homes shape the response, and (3) Care home residents rely on mutually dependent systems. Detection and management of acute events were strongly shaped by contextual factors, including staffing, resources, and intersectoral collaboration.</p><p><strong>Conclusions: </strong>Detection and management of acute events among residents are a systemic lottery, as resident care depends more on circumstances than personal needs and preferences. This misalignment produces a structural vulnerability that puts residents at risk of compromised autonomy and integrity in acute situations and undermines visions of person-centered care.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 3","pages":"e70315"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13545489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892420","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}