Scandinavian Journal of Caring Sciences最新文献

{"title":"Expanding Compassion: Integrating Justice Into Caring Science in the Face of Health Inequity.","authors":"Anitha M Tind","doi":"10.1111/scs.70281","DOIUrl":"https://doi.org/10.1111/scs.70281","url":null,"abstract":"","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70281"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279306","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":"Caring Science and Reflective Caring Approach.","authors":"Hanna Holst","doi":"10.1111/scs.70284","DOIUrl":"https://doi.org/10.1111/scs.70284","url":null,"abstract":"","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70284"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260133","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":"Telemedicine and Clinical Ethics: Emerging Dilemmas in Digital Healthcare From the Perspective of Professionals.","authors":"Guillerma Medina Martin, Eva de Mingo Fernández, María Jiménez Herrera","doi":"10.1111/scs.70276","DOIUrl":"10.1111/scs.70276","url":null,"abstract":"<p><strong>Background: </strong>Telemedicine has established itself as a growing form of healthcare within global health systems. However, despite its technological implementation, ethical challenges remain that limit its optimal practice.</p><p><strong>Objective: </strong>The objective of this study was to explore the fundamental aspects and ethical shortcomings of telemedicine practice in hospitals and primary care settings.</p><p><strong>Research design, participants and research context: </strong>The study design was qualitative, using inductive content analysis as described by Elo and Kyngäs. The information was obtained through a focus group and seven in-depth interviews with healthcare professionals who are experts in bioethics, from the hospital and primary care settings. MAXQDA software was used for data management, and the analysis was conducted by two researchers.</p><p><strong>Ethical considerations: </strong>The study was approved by a Research Ethics Committee (approval number 104/2025).</p><p><strong>Results: </strong>Six main categories emerged from this study: autonomy, equity, safety, clinical practice, professional competence and person-centred care. Problems were identified with informed consent and the choice of telemedicine practice based on user characteristics.</p><p><strong>Conclusions: </strong>Telemedicine cannot be imposed as a universal substitute for face-to-face care without compromising ethical principles such as equity and autonomy. Failures in its ethical application were detected, especially in obtaining consent and data protection. Including the bioethical perspective in its regulation is key to responsible and person-centred implementation and development.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70276"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151036","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 Impact of an Intensive International Course on Advanced Practice Nurse (APN) Educators' Teaching Readiness and Competence in APN Programmes. A Pretest-Posttest Intervention Study.","authors":"Salla Grommi, Hannele Levä, Reet Urban, Norlyk Annelise, Heikkilä Johanna, Virpi Sulosaari","doi":"10.1111/scs.70246","DOIUrl":"10.1111/scs.70246","url":null,"abstract":"<p><strong>Background: </strong>Previous research has analysed advanced practice nursing education and nurse educators' roles. However, limited attention has been paid, and a gap remains in understanding educators' experiences delivering the APN programme and their readiness to focus on their teaching roles.</p><p><strong>Aim: </strong>To enhance our understanding of nurse educators' experiences in becoming APN educators before and after participating in the APN educators' intensive course and additionally describe how participants evaluated this course.</p><p><strong>Method: </strong>A pretest-posttest intervention study. A total of 19 APN educators from the Nordic and Baltic countries completed both pre- and post-surveys. Fourteen respondents answered the course evaluation questionnaire.</p><p><strong>Result: </strong>This intensive course intervention appeared to increase APN educators' readiness and competence. Although the overall results were not statistically significant, the subgroup analyses highlighted that prior clinical experience, higher education and teaching experience influenced competency development. The course evaluation results indicate that the international intensive course was perceived as successful.</p><p><strong>Conclusion: </strong>This study provides new insights into the readiness and competencies of APN educators in the Nordic and Baltic countries. The research findings can contribute to understanding APN educators' teaching readiness and competence and offer directions for future development in education for APN educators.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70246"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700220","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":"How Does Symptom Management Affect Quality of Life in Palliative Care Patients? A Descriptive and Correlation Study.","authors":"Gülşah Çamcı, Sıdıka Oğuz, Gülsüm Betül Uçar, Pınar Yarman","doi":"10.1111/scs.70240","DOIUrl":"10.1111/scs.70240","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to determine the relationship between symptom management and quality of life in palliative care patients.</p><p><strong>Methods: </strong>Data was collected using the Patient Information Form, the Edmonton Symptom Assessment Scale (ESAS), and the EQ-5D Quality of Life Scale. The ESAS rates each symptom from 0 to 10, with scores ≥ 5 indicating moderate-to-severe burden. The EQ-5D index score ranges from -0.59 to 1, with higher scores representing better health-related quality of life. The EQ-5D VAS score ranges from 0 to 100.</p><p><strong>Results: </strong>According to the ESAS, 54.9% of the patients scored ≥ 5 points for pain, 42.5% for fatigue, 34.6% for insomnia, 20.9% for nausea, 44.4% for loss of appetite, 53.6% for shortness of breath, 33.3% for depression, 35.3% for anxiety, 37.9% for feeling unwell, and 26.8% for constipation. The mean EQ-5D quality of life score was 0.03 ± 0.45, and the EQ-5D VAS score was 48.10 ± 11.85. The quality-of-life sub-dimension scores showed that 60.1% had extreme problems with mobility, 69.3% in self-care, 64.7% in usual activities, 21.6% in pain/discomfort, and 15.7% in anxiety/depression. The patient's quality of life decreased as the days of hospitalization increased. A significant negative correlation was observed between quality of life and symptom severity, indicating that quality of life decreased as symptoms worsened. According to the simple regression analyses, the variables pain, fatigue, insomnia, nausea, loss of appetite, depression, anxiety, feeling unwell, constipation, edema in the legs, age, and body mass index were found to be significant negative predictors of quality of life.</p><p><strong>Conclusion: </strong>Palliative care patients had moderate symptom control and a poor quality of life.</p><p><strong>Practice implications: </strong>Pharmacological and non-pharmacological methods of symptom control in palliative care should be increasingly used. Providing patients with symptom control can improve their quality of life. Further studies on symptom control in palliative care patients are needed.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70240"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13049233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147616669","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":"Reliability and Validity of the Swedish Version of the Parents' Postoperative Pain Measure (PPPM-S): A Cross-Sectional Psychometric Study.","authors":"C Hermansson, I Thylén, B Grossmann","doi":"10.1111/scs.70236","DOIUrl":"10.1111/scs.70236","url":null,"abstract":"<p><strong>Background: </strong>As paediatric day surgery becomes increasingly common, postoperative care is transferred to the home setting where parents play a central role in assessing and managing their child's postoperative pain. No validated Swedish instrument currently exists to support parents in evaluating their child's pain at home.</p><p><strong>Aim: </strong>To assess the reliability and validity of the Swedish translation of the PPPM-S in children aged 2-12 years during the first two postoperative days.</p><p><strong>Method: </strong>The instrument was earlier translated from English into Swedish in accordance with the WHO Guidelines for translation and adaptation of an instrument. A backward-forward translation was done with a bilingual expert panel, and cognitive interviews were done in the target population. This study was conducted at three Swedish hospitals between 2022 and 2025 involving 80 parents of children aged 2-12 years who underwent day surgery. Parents completed the PPPM-S on postoperative days 1 and 2. To evaluate the accuracy of the instrument, the results were compared with scores from an established pain rating scale, the Coloured Analogue Scale (CAS).</p><p><strong>Findings: </strong>PPPM-S demonstrated good psychometric properties: good internal consistency (Cronbach's alpha 0.842-0.851) and satisfactory criterion validity demonstrated by strong correlations with CAS (Spearman's rho = 0.683-0.630, p < 0.01). ROC analysis identified 5/15 as an optimal cut-off, with acceptable sensitivity and specificity. Parents reported high levels of satisfaction and found it easy to use at home.</p><p><strong>Conclusion: </strong>The PPPM-S is a valid and practical tool for assessing children's postoperative pain at home. It can help parents better understand and evaluate their child's pain, potentially improving postoperative care in the home setting.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70236"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13031420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533762","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 Experiences of Family Caregivers Whose Relative Is Relocating From a Regular Nursing Home to an Innovative Living Arrangement: A Qualitative Study.","authors":"Mara Brouwers, Audrey Beaulen, Hilde Verbeek, Wim G Groen, Bram de Boer","doi":"10.1111/scs.70257","DOIUrl":"10.1111/scs.70257","url":null,"abstract":"<p><strong>Introduction: </strong>Due to an ongoing culture change, relocations from regular nursing homes to innovative living arrangements are increasing. This affects not only residents but also their family caregivers. The perspective of family caregivers regarding the relocation processes that occur within the context of culture change is understudied. Therefore, this study examines the experiences of family caregivers concerning the relocation of their relatives from a regular nursing home to an innovative living arrangement.</p><p><strong>Methods: </strong>A qualitative study, using semi-structured interviews, was performed in the Netherlands. Three nursing homes offering 24-h care that were planning a relocation from a regular nursing home to an innovative living arrangement were selected. Twenty-two family caregivers were included in the study. Interviews took place 2 weeks to a month after the relocation day.</p><p><strong>Results: </strong>Four themes were constructed from the data: (1) Family caregivers took on an active role throughout the relocation process; (2) Family caregivers were concerned about the emotional impact of relocating on their relative; (3) Lack of communication with family caregivers during the relocation process; and (4) The challenges of implementing the culture change.</p><p><strong>Discussion: </strong>This study emphasizes the need to provide practical support when preparing for the move. Emotional support, information provision and optimal communication are important to support family caregivers. Furthermore, family caregivers appear to be hesitant regarding the intended culture change. Therefore, it is important to create a sense of innovation readiness in both staff and family caregivers by informing and involving them.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70257"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822301","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":"Belonging to a Community-Newly Graduated Nurses' Lived Experiences of Participating in an Introduction Program: A Phenomenological Hermeneutical Study.","authors":"Anna Kjellsdotter, Fredrika Sundberg, Joanne Wills, Mia Berglund","doi":"10.1111/scs.70238","DOIUrl":"10.1111/scs.70238","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to explore newly graduated nurses' lived experiences of transition while participating in a Clinical Nursing Introduction Program and to describe factors that influence personal and professional development.</p><p><strong>Methodological design: </strong>A phenomenological hermeneutic design was used for researching lived experiences.</p><p><strong>Research methods: </strong>The data comprised nurses' individual and group interviews (n = 14) and written narratives (n = 21) after completing the Clinical Nursing Introduction Program approximately 1 year after graduation. The data was analysed using phenomenological hermeneutical approach.</p><p><strong>Results: </strong>The lived experiences of transitioning while participating in the Clinical Nursing Introduction Program mean personal and professional growth, which, after 1 year, manifests as increased security and self-confidence. The findings are presented in five themes: Belonging to a community, Stepping out of the comfort zone, The clinical wards' environment and atmosphere, Developing an allowing attitude, and Gaining confidence in profession and self.</p><p><strong>Conclusions: </strong>This study illuminates the pivotal role of the Clinical Nursing Introduction Program, comprising a community with peers, designated education days away from the ward, and group reflection sessions that facilitate the transition of newly graduated nurses into professional practice. These factors not only mitigate transition shock but also promote the development of competence and confidence, which are essential for personal and professional growth. The results also emphasised the need for ongoing group-based reflective supervision, which is essential for promoting lifelong learning within the nursing profession. These findings from a hospital setting can be implemented for newly graduated nurses in other healthcare settings, such as Primary Care and Community care. By facilitating such supportive environments, healthcare organisations can ensure smoother transitions and empower newly graduated nurses (NGNs) to thrive in their roles, ultimately enhancing the quality of patient care.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70238"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13036283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582808","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 Effects of Social Support on Newborn Hygienic Care and Breastfeeding Intentions in Primigravid Pregnancies: A Cross-Sectional Descriptive Study.","authors":"Pelin Palas Karaca, Hülya Türkmen, Maya Mısırlı, Dilara Erişen","doi":"10.1111/scs.70252","DOIUrl":"10.1111/scs.70252","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to investigate the effects of perceived social support on newborn hygienic care and breastfeeding intentions in primigravid pregnancies.</p><p><strong>Methods: </strong>This study had a descriptive, cross-sectional, and correlational design. The study was conducted with 360 primigravid pregnant women who visited the Obstetrics Outpatient Clinic of a university hospital in Türkiye. A Descriptive Information Form, the Multidimensional Scale of Perceived Social Support, the Scale of Readiness for the Hygienic Care of the Newborn, and the Infant Feeding Intentions Scale were used to collect data. The relationships between scale scores were examined using Pearson's correlation analysis. Multiple linear regression analysis was used to evaluate the effects of perceived social support on newborn hygienic care and breastfeeding intention.</p><p><strong>Results: </strong>The mean total scores of the participants were 70.72 ± 14.04 (min: 12, max: 87) on the Multidimensional Scale of Perceived Social Support, 55.71 ± 14.22 (min: 10, max: 70) on the Scale of Readiness for the Hygienic Care of the Newborn, and 6.95 ± 1.36 (min: 0, max: 9.5) on the Infant Feeding Intentions Scale. It was determined that the participants who were working, those whose babies were female, those who wanted to receive information about infant care, and those with high Multidimensional Scale of Perceived Social Support scores were more prepared for the hygienic care of their newborns (p < 0.001). The Infant Feeding Intentions Scale scores of the participants were significantly associated with their working status, status of wanting to receive information about infant care, and Multidimensional Scale of Perceived Social Support scores (p < 0.001).</p><p><strong>Conclusions: </strong>As the perceived social support levels of primigravid pregnant women increased, their readiness for the hygienic care of their newborns and their intentions to breastfeed their newborns also increased. This study provides insights into antenatal care planning by holistically addressing social support systems, newborn hygienic care readiness, and breastfeeding intentions in a primigravid sample. Therefore, health professionals may consider evaluating the social support systems of pregnant women, strengthening their social support systems during the care process, and providing the necessary professional support.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70252"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13129260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785669","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":"How to Involve Families in Hospital Care: Development, Content Validation, and Feasibility of a Concise Family Assessment Framework.","authors":"Josien M Woldring, Wolter Paans, Reinold O B Gans, Marie Louise Luttik","doi":"10.1111/scs.70250","DOIUrl":"10.1111/scs.70250","url":null,"abstract":"<p><strong>Background: </strong>Family members play a vital role in supporting patients during hospitalization, yet their involvement is often insufficiently recognized. Existing family assessment tools are typically developed for community or long-term care settings and are too complex or time-intensive for hospital use. A concise and feasible assessment framework is needed to facilitate the effective involvement of family members in patient care and to support healthcare professionals in acknowledging, aligning and collaborating with families during hospitalization.</p><p><strong>Aim: </strong>To develop, validate and evaluate the feasibility of a family assessment framework with relevance for use in hospital settings.</p><p><strong>Methods: </strong>A four-phase sequential study was conducted to develop and test a family assessment framework. The framework was informed by a review of existing tools, validated through a two-round Delphi study with international experts, refined in focus groups with family members and pilot-tested by nurses to assess feasibility.</p><p><strong>Results: </strong>The family assessment framework includes essential discussion items at admission-such as family structure, functioning and needs-along with required professional attitudes, skills and contextual conditions. Experts and families confirmed its clarity and completeness. Nurses viewed it as a flexible, supportive conversation guide rather than a checklist. Its use enhanced recognition of caregiving roles and clarified mutual expectations. Implementation requires workflow adjustments, role definitions and attention to communication skills.</p><p><strong>Conclusion: </strong>The validated and feasible family assessment framework structures and facilitates family involvement in hospital care through essential discussion items between patients, family members and healthcare professionals, thereby improving the quality of care.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70250"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13129240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785937","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}