Malene Beck, Malene Missel, Heidi Bergenholz, Michael A van Manen
{"title":"Bereavement Groups for Parents Who Have Lost a Child: A Qualitative Study of Parental Experiences in a Danish Context.","authors":"Malene Beck, Malene Missel, Heidi Bergenholz, Michael A van Manen","doi":"10.1111/scs.70232","DOIUrl":"10.1111/scs.70232","url":null,"abstract":"<p><strong>Background: </strong>Bereavement support for families experiencing the loss of a child is a crucial aspect of Specialized Paediatric Palliative Care (SPPC). As an offering of SPPC, bereavement groups have the potential to provide meaningful support. Limited research, however, exists considering parents' direct experiences of these groups and considerations for how to approach them in a Scandinavian context.</p><p><strong>Aim: </strong>To explore parents' experiences of bereavement support groups to explicate thematic priorities that speak to the design, facilitation, and other practical considerations for delivering these groups in a Scandinavian context.</p><p><strong>Methods: </strong>A qualitative study, inspired by a phenomenological approach, was conducted in a regional Danish hospital-based bereavement program. Parents who had lost a child and participated in a bereavement group were invited to share their experiences in a focus group and/or individual interview. Thematic analysis methods were utilized to explicate thematic priorities.</p><p><strong>Results: </strong>Three thematic priorities were articulated for delivering bereavement support groups: (1) to cultivate a sense of belonging; (2) To share and bear memories that sustain presence; and, (3) to support parents make sense of past experiences in the present. Additional specific practical considerations were elucidated.</p><p><strong>Conclusions: </strong>In a Scandinavian context, hospital-initiated bereavement groups may aspire to provide a shared space for parents to engage with existential aspects of loss. This study contributes to evolving understandings of best practices for bereavement support in regional paediatric palliative care programs.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70232"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13031418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533648","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":"Factors Influencing Nurses' Person-Centred Care Practices in Dementia Care: A Scoping Review Based on the Donabedian Model.","authors":"Sungjun Kim, Jiyoung Kim, Kyoung Ja Kim","doi":"10.1111/scs.70259","DOIUrl":"10.1111/scs.70259","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to identify the structural, process and outcome factors influencing nurses' implementation of person-centred care (PCC) for people with dementia, guided by Donabedian's structure-process-outcome (SPO) model.</p><p><strong>Methods: </strong>A scoping review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Review (PRISMA-ScR) guidelines. A scoping review was conducted. The final search was conducted on January 28, 2025, were from the following major international and Korean databases: MEDLINE, EMBASE, Cochrane Library, PubMed, CINAHL, PsycINFO, Web of Science, KCI and NDSL. Studies addressing factors related to nurses' PCC practices in dementia care were systematically analysed and categorized using the SPO model.</p><p><strong>Results: </strong>Fourteen studies were included in this scoping review. The structural factors included nurses' personal characteristics (e.g., demographics and knowledge), organizational conditions and educational factors; some factors were positively associated with PCC practices (e.g., salary satisfaction), whereas others demonstrated inconsistent findings across studies (e.g., age and clinical experience). Process factors encompassed attitudes, emotional responses, behavioural management and practice strategies, which were identified as facilitators or barriers to PCC practices. The outcome factors indicated that PCC practices were associated with improvements in nurses' knowledge, attitudes, satisfaction, care efficacy and care provision capacity, while being associated with reduced care burden.</p><p><strong>Conclusion: </strong>This review provided a systematic analysis of the factors influencing nurses' PCC practices in dementia care. Effective promotion of person-centred care requires multifaceted strategies at both the individual nurses and organizational levels.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70259"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13263646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240294","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}
Eleni Naki, Agapi L Batiridou, Christine Mantzouka, Mary Gouva, Stefanos Mantzoukas, Zoe Konstanti
{"title":"Tracing the Satisfactory Care of the Chronically Ill in Emergency Departments: A Scoping Review.","authors":"Eleni Naki, Agapi L Batiridou, Christine Mantzouka, Mary Gouva, Stefanos Mantzoukas, Zoe Konstanti","doi":"10.1111/scs.70248","DOIUrl":"10.1111/scs.70248","url":null,"abstract":"<p><strong>Aims and objectives: </strong>The growing prevalence of chronic diseases has heightened the demand for emergency department (ED) services, underscoring their increasingly essential role within healthcare systems. To improve outcomes and decrease needless ED use, it is essential to comprehend what constitutes appropriate care in this context.</p><p><strong>Methodological design: </strong>A scoping review was conducted following PRISMA-ScR reporting guidelines. Relevant studies published between 2013 and 2024 were identified through systematic searches conducted in PubMed, Cochrane and Scopus. The methodological approach was based on the Arksey and O'Malley framework, further refined by Levac et al. and Peters et al., and complemented by the Framework 'N' to integrate principles of caring science and patient-centred care within the synthesis process.</p><p><strong>Results: </strong>Fifteen studies were deemed eligible for inclusion. Four overarching motifs emerged from the thematic synthesis. (1) Health systems: Age and multimorbidity are the main causes of ED dependence. This emphasises the necessity of service reform and customised care programs. (2) ED use and care transitions: Results are enhanced by functional evaluation, timely pain management and organised follow-up. Delays and disjointed aftercare, however, are frequent. (3) Interdisciplinary collaboration: Coordinated multidisciplinary teams and integration with primary care enhance patient satisfaction and continuity. Nevertheless, these methods are rarely used. (4) Barriers and challenges: Errors, undertreatment and repeated ED visits are caused by stigma, poor staff training, a lack of resources and poor communication.</p><p><strong>Conclusions: </strong>Stronger integration between emergency departments (EDs) and primary care, along with standardised procedures and individualised care pathways, is essential in response to population aging and the increasing complexity of chronic diseases. Prioritising digital technologies, enhancing staff training and improving care transitions can not only enhance patient outcomes and experiences but also reduce avoidable ED visits.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70248"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13280965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279264","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 Effect of Progressive Relaxation Exercises Applied to Individuals With Type 2 Diabetes on FATIQUE Level and Sleep Quality: A Randomised Controlled Study.","authors":"Bahar Vardar Inkaya, Ayşegül Koç, Birgül Genç, Ceren Mumcu, Canan Güngör, Reyhan Ersoy","doi":"10.1111/scs.70220","DOIUrl":"10.1111/scs.70220","url":null,"abstract":"<p><strong>Background: </strong>Progressive relaxation exercises involve systematically tensing and relaxing all muscle groups in the body to achieve relaxation. Progressive relaxation exercises may be beneficial for individuals with various chronic conditions, including diabetes, by effectively reducing fatigue levels.</p><p><strong>Method: </strong>This study was conducted to examine the effects of progressive relaxation exercises on fatigue levels and sleep problems in individuals with type 2 diabetes. It is an experimental study conducted in a randomized controlled pretest/posttest design. The method of the study included the creation of an experimental group (n = 33) and a control group (n = 30) using simple randomization. Pittsburgh Sleep Quality Index, Fatigue Severity Scale, and progressive relaxation exercise videos were used for data collection. The study was a total of 63 individuals diagnosed with type 2 diabetes who applied to outpatient treatment and met the research criteria. In the evaluation of the data, the 'Independent Sample-t' test (with Z-table value) was used for comparing measurement values between two independent groups, and the \"ANOVA\" test (with F-table value) was used for comparing three or more independent groups. The 'Mann-Whitney U' test (with Z-table value) was used for comparing measurement values between two independent groups, and the 'Kruskal-Wallis H' test (with χ2-table value) was used for comparing three or more independent groups. To examine the relationship between two categorical variables, 'Pearson-χ2' cross-tables and Fisher-Exact test. After eliminating the effect of the pretest on the posttest during group comparison, ANCOVA analysis was applied to examine the differences between the groups.</p><p><strong>Results: </strong>According to the research findings, a significant difference was observed in fasting and postprandial blood glucose levels between the pretest and posttest in the experimental group (p < 0.05). A decrease was observed in the Pittsburgh Sleep Quality Index posttest scores in the experimental group, but it was not statistically significant (p > 0.05). On the other hand, a statistically significant difference was found in the fatigue severity scale pretest-posttest scores of diabetic individuals in the experimental group (Z = -4.718; p = 0.000).</p><p><strong>Conclusion: </strong>It can be concluded that progressive relaxation exercises can be utilized in the elimination of fatigue and sleep problems in diabetic individuals.</p><p><strong>Trail registration: </strong>NCT05893784.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70220"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628796","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":"Examination of the Relationship Between Foot Care Behaviour, Self-Efficacy, and Diabetes Self-Care Among Individuals With and Without Diabetic Foot Wounds.","authors":"Elif Boz, Eylem Topbaş","doi":"10.1111/scs.70243","DOIUrl":"10.1111/scs.70243","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to examine the relationship between foot care behaviours, self-efficacy and diabetes self-care activities among individuals with and without diabetic foot wounds and to identify associated sociodemographic and disease-related factors.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 120 patients presenting to the internal medicine, endocrinology, and diabetic foot outpatient clinics and wards of three different hospitals. Data were collected using a demographic and clinical characteristics form, the Foot Care Behaviour Scale, Diabetic Foot Care Self-Efficacy Scale, and Diabetes Self-Care Scale. Data were analysed using IBM SPSS version 22, with Mann-Whitney U, Kruskal-Wallis H, independent samples t-test, ANOVA and correlation analysis applied as appropriate.</p><p><strong>Results: </strong>Patients with and without diabetic foot wounds did not differ significantly in foot care behaviours or diabetes self-care scores (p > 0.05). However, diabetic foot care self-efficacy scores were significantly higher among patients without diabetic foot wounds (p < 0.05). In patients with diabetic foot wounds, prior foot care education was associated with significantly higher diabetic foot care self-efficacy and diabetes self-care scores (p < 0.05). Older age was negatively correlated with scale scores in both groups, whereas higher education level and certain preventive practices (e.g., foot self-examination, checking footwear) were significantly associated with better scores. Strong positive correlations were identified among foot care behaviours, diabetic foot care self-efficacy, and diabetes self-care across all participants (p < 0.05).</p><p><strong>Conclusion: </strong>The strong positive associations among foot care behaviours, diabetic foot care self-efficacy, and diabetes self-care underscore the critical role of patient empowerment in disease management. The higher self-efficacy scores in patients without diabetic foot and those who were previously educated on their prevention demonstrate the importance of early, targeted nursing interventions. Implementing structured foot care education prior to the onset of complications may strengthen patient self-efficacy, improve self-care adherence and ultimately prevent the development of diabetic foot wounds.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70243"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13145307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844181","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 Effect of Mandala Colouring on Spiritual and Psychological Well-Being in Family Members Caring for Palliative Care Patients: Experimental Study.","authors":"Arzu Nurdaş","doi":"10.1111/scs.70235","DOIUrl":"10.1111/scs.70235","url":null,"abstract":"<p><strong>Background: </strong>Palliative care is a broad spectrum of care that encompasses not only the physical but also the psychological and spiritual care of patients at the end of life, as well as the care of family members caring for the patient.</p><p><strong>Objective: </strong>The aim of the study was to evaluate the effect of mandala colouring on spiritual and psychological well-being in family members caring for palliative care patients.</p><p><strong>Material and method: </strong>A total of 84 relatives of palliative care patients (42 experimental and 42 control) participated in this prospective, randomised, controlled, experimental study. The relatives of palliative care patients in the experimental group were given mandala colouring for 4 weeks, once a week for 1 h. No intervention was made to the relatives of the patients receiving palliative care services in the control group. Mandala colouring book and crayon were used for the study. The application was done quietly, calmly, and outside the clinic area.</p><p><strong>Data collection and analysis: </strong>Data were collected with personal information form, Psychological Well-Being scale, and Spiritual Well-Being scale. Data were analysed using SPSS 26 software.</p><p><strong>Main results: </strong>When the pre and post-test results obtained from the experimental group were evaluated, the level of well-being increased, and as a result, mandala colouring was effective in increasing spiritual and psychological well-being.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70235"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610438","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}
Juulia Kaihlaniemi, Maria Kääriäinen, Pia Liljamo, Anna-Maria Tuomikoski, Anne Oikarinen
{"title":"Healthcare Professionals' Perceptions of Digital Counselling: A Qualitative Descriptive Study.","authors":"Juulia Kaihlaniemi, Maria Kääriäinen, Pia Liljamo, Anna-Maria Tuomikoski, Anne Oikarinen","doi":"10.1111/scs.70242","DOIUrl":"10.1111/scs.70242","url":null,"abstract":"<p><strong>Background: </strong>This study aims to describe healthcare professionals' perceptions of digital counselling, addressing a significant research gap in existing literature. As digital services become more common in healthcare, digital counselling has become part of healthcare professionals' work. Counselling is carried out using new methods, such as text-based or video-mediated communication, which are transforming the role of healthcare professionals.</p><p><strong>Methods: </strong>In this qualitative descriptive study, healthcare professionals (n = 12) working in Digital Care Pathways were recruited for semi-structured interviews using convenience sampling. Data were analysed using inductive content analysis.</p><p><strong>Results: </strong>Five main categories were identified: facilitating the use of digital counselling applications, involvement of the patient in care, considering the patient's situation holistically, aiming for reciprocal understanding, and decision-making related to care.</p><p><strong>Conclusions: </strong>Digital counselling enables text-based or video-mediated interactive applications, thus involving patients in their self-care. It contains the same elements as traditional counselling, including consideration of the patient's needs, goal orientation, and interactivity, but it has its own characteristics.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70242"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13050803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624294","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":"Navigating Family Involvement in Scandinavian Intensive Care Units-An Integrative Review.","authors":"Lotta Johansson, Ranveig Lind, Janet Mattsson, Fredrika Sundberg, Kristin Halvorsen, Janet Jensen","doi":"10.1111/scs.70275","DOIUrl":"10.1111/scs.70275","url":null,"abstract":"<p><strong>Background: </strong>Family involvement in the intensive care unit (ICU) is recognized as important, yet its implementation is complex and varies across contexts, including Scandinavian settings.</p><p><strong>Aim: </strong>This integrative review aimed to synthesize and integrate the evidence on family involvement in Scandinavian ICUs across the perspectives of family members, patients, and healthcare professionals. Findings are presented thematically rather than by perspective to capture shared and contrasting dimensions within overarching concepts.</p><p><strong>Design: </strong>An integrative review was conducted following Whittemore and Knafl's framework.</p><p><strong>Methods: </strong>A systematic search was conducted in five databases (PubMed, PsycINFO, and CINAHL) covering January 2010-October 2023, with an update in January 2025. A systematic search strategy was applied, and reporting adhered to PRISMA guidelines. Peer-reviewed studies published between 2013 and 2024 in English, Danish, Swedish, or Norwegian were included.</p><p><strong>Findings: </strong>Fourteen studies met the inclusion criteria: nine qualitative (including one case-oriented) and five cross-sectional surveys. The review highlights the critical role of family involvement in the ICU, emphasizing its positive impact on patient care and family wellbeing. Active participation by family members provides both practical assistance and emotional support, fostering a patient-centred approach that improves patient outcomes. However, integrating families into care also presents significant challenges. Healthcare professionals' attitudes and behaviours, along with institutional policies and resource limitations, strongly influence the experience of family involvement. Families often face emotional stress and uncertainty, which can affect their engagement and lead to varying levels of participation. These findings underscore the need for strategies that balance collaboration with sensitivity to contextual and individual factors.</p><p><strong>Conclusions: </strong>Family involvement in Scandinavian ICUs is a complex, context-dependent phenomenon shaped by relational, emotional, and organizational factors. It requires healthcare teams to balance challenges with the benefits for patients and families.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70275"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145080","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}
Brian A Vasquez, Jestoni D Maniago, Gil P Soriano, Juanito G Elmido, Kathyrine A Calong Calong
{"title":"How Wearable Technologies Generate Value in Older Adult Care: An Axiomatic Model.","authors":"Brian A Vasquez, Jestoni D Maniago, Gil P Soriano, Juanito G Elmido, Kathyrine A Calong Calong","doi":"10.1111/scs.70283","DOIUrl":"10.1111/scs.70283","url":null,"abstract":"<p><strong>Background: </strong>Wearable technologies are increasingly used in older adult care; however, a coherent framework explaining how these technologies generate value remains lacking.</p><p><strong>Aim: </strong>This study aims to develop a clear and ethically grounded framework for understanding how wearable technologies generate value in older adult care, with relevance to nursing practice.</p><p><strong>Methods: </strong>Using a formal, non-numerical axiomatic conceptualization approach, we constructed a theory-building model by defining key system components, specifying foundational assumptions and logically deriving their implications for care and design.</p><p><strong>Results: </strong>The framework identifies 10 core system entities and nine governing axioms that describe the necessary conditions under which wearable-generated data become meaningful, actionable and ethically acceptable in older adult care. From these axioms, six logically derived theorems articulate how monitoring can support early detection, safety, adherence and care integration. These theorems are translated into seven practical design principles to guide evaluation and implementation. Value generation is conceptualized as a staged process, from data capture to care outcomes, conditioned by human and system factors such as adherence, usability, trust, safety, relevance and clinical integration.</p><p><strong>Conclusion: </strong>This model provides a common language for researchers, designers, and nurses to evaluate and design wearable technologies that enhance safety, autonomy, and well-being while preserving dignity, trust and relational care in older adult populations.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70283"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279235","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}
Eliisa Roine, Tiina Rissanen, Tuovi Hakulinen, Ari Haaranen
{"title":"The Meanings of Empowering Encounters From Patients' Perspectives in Nursing Health Counselling. A Scoping Review.","authors":"Eliisa Roine, Tiina Rissanen, Tuovi Hakulinen, Ari Haaranen","doi":"10.1111/scs.70266","DOIUrl":"10.1111/scs.70266","url":null,"abstract":"<p><strong>Background: </strong>The global increase in public health problems has highlighted the need to understand how health counselling can support individuals more effectively. Exploring how patients experience empowering approaches in nursing encounters is important for developing health counselling.</p><p><strong>Aim: </strong>This review aimed to synthesize findings related to the meaning of empowering encounters in nursing health counselling.</p><p><strong>Methods: </strong>The review followed a scoping review methodology based on Arksey and O'Malley. Data were collected from PubMed, MEDLINE, CINAHL, PsycINFO, and PsycArticles, covering the period from January 2000 to February 2024. Two authors independently selected the articles meeting the inclusion criteria, and the studies were screened using the Covidence software. Studies were assessed using the Joanna Briggs Institute (JBI) Quality Assessment Checklist. An inductive content analysis process was used for data extraction and synthesis of the results.</p><p><strong>Results: </strong>The search identified 1753 articles that were transferred to Covidence. Duplicate articles were excluded. A total of 1044 articles were screened based on their titles and abstracts. The selected studies (n = 18) addressed the research questions and met the inclusion criteria. The findings were categorized into three themes representing patients' perceptions of the meanings of empowering encounters: (1) confirming faith, (2) awakening hope and (3) caring communication.</p><p><strong>Conclusion: </strong>Empowering encounters play a significant role in successful nursing counselling. Encounters increase patient empowerment when they feel seen, listened to, and understood as individuals. Personnel should have sufficient time, continuity in nurse-patient relationships, and current knowledge. Patients need kindness, a positive attitude, support and encouragement. A good encounter empowers and strengthens faith, hope, and the ability to achieve well-being and health, which are central concepts in caritative caring, highlighting the importance of compassionate presence and holistic support.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70266"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018248","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}