Scandinavian Journal of Caring Sciences最新文献

{"title":"Comment on \"The Effect of Abdominal Massage and In-Bed Exercise on Gastrointestinal Complications, Pain and Comfort in Palliative Care Patients: A Randomized Controlled Trial\".","authors":"K V Vijay Kumar, Pankaj Kshirsagar, Mansi Mishra, Surbhi Panwar","doi":"10.1111/scs.70282","DOIUrl":"https://doi.org/10.1111/scs.70282","url":null,"abstract":"","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70282"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240333","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 Nurses' Intercultural Communication Apprehension, Xenophobia Levels and Caring Behaviours: A Descriptive and Relational Research.","authors":"Yelda Koçak, Gönül Taşcı, Handan Zincir","doi":"10.1111/scs.70274","DOIUrl":"10.1111/scs.70274","url":null,"abstract":"<p><strong>Introduction: </strong>With increasing immigration, the likelihood that nurses will provide care to individuals from diverse cultures has increased. To deliver ethically appropriate care, nurses must consider diverse cultural characteristics. Therefore, it is important to assess nurses' attitudes toward individuals from diverse cultures in relation to the quality of care provided.</p><p><strong>Aim: </strong>The study aimed to investigate the relationships among nurses' intercultural communication apprehension, levels of xenophobia and caring behaviours.</p><p><strong>Methodology: </strong>This is a descriptive, correlational and cross-sectional study. Data were collected from nurses using the Personal Information Form, the Caring Behaviors Inventory-24, the Intercultural Communication Apprehension Scale and the Xenophobia Scale. Descriptive statistics, exploratory analyses and linear regression analysis were applied.</p><p><strong>Ethical issues and approval: </strong>Ethical approval and informed consent were obtained from all participants.</p><p><strong>Results: </strong>Participants' levels of intercultural communication apprehension and xenophobia were moderate, and their perceptions of care behaviours were high. It was determined that age, gender, education, knowing a second language, having experience abroad, having friends from different cultures, Xenophobia Scale scores and Caring Behaviours Inventory-24 scores explained 38.1% of the change in Intercultural Communication Apprehension Scale scores.</p><p><strong>Study limitations: </strong>Conducting the study at a single centre limits its generalizability.</p><p><strong>Conclusions: </strong>Because interacting with different cultures can reduce intercultural communication apprehension and xenophobia, practices that facilitate nurses' interaction with people from other cultures should be developed.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70274"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158499","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":"Being Taken Seriously: Patients' Experiences of Participation in Care for Supraventricular Tachycardia-A Phenomenological Study.","authors":"Ann-Katrin Nordblom, Anna Kjellsdotter, Gabriella Norberg Boysen, Mia Berglund","doi":"10.1111/scs.70269","DOIUrl":"10.1111/scs.70269","url":null,"abstract":"<p><strong>Aims and objectives: </strong>For patients with a recurring and elusive heart disorder, participation is challenging because of the need for care across the healthcare system. This paper describes how patients with supraventricular tachycardia (SVT) experience participation in their healthcare encounters.</p><p><strong>Methodological design: </strong>A descriptive phenomenological design in line with the reflective lifeworld research approach was used. Interviews were conducted with 17 patients, and the analysis was carried out to analyse participation as it evolved from the initial healthcare encounter through various phases of illness and treatment.</p><p><strong>Findings: </strong>Patient participation in the context of SVT is commonly experienced as limited, inconsistent, and fragmented. These shortcomings contributed to feelings of existential insecurity and led patients to repeatedly seek care. Patients described a lack of continuity, passive or dismissive responses from healthcare professionals, and not being taken seriously-factors that increased their vulnerability and disrupted daily life. Overall, the findings underscore the need to recognise patients' lived experiences and to support their active involvement in diagnostic processes and treatment decisions.</p><p><strong>Conclusions: </strong>Patients with SVT continue to face challenges in participation in their care due to fragmented care pathways and repeated encounters with multiple healthcare providers. The study underscores the importance of validating intermittent symptoms, providing clear information, and ensuring continuity to support meaningful participation. Improved education for healthcare professionals-focusing on trust-building, communication, and managing uncertainty-is essential. Further research should develop and evaluate interventions that enhance trust and address the informational and existential dimensions of living with SVT.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70269"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036402","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":"Utilisation of Individual Competencies in Palliative Care: A Qualitative Interview Study of Healthcare Professionals' Experiences in Home Care at Life's End.","authors":"Johanne Bjørvik, Hanne Mørkenborg Bové, Beate André","doi":"10.1111/scs.70267","DOIUrl":"10.1111/scs.70267","url":null,"abstract":"<p><strong>Background: </strong>Palliative care is required for all life-threatening diagnoses, aiming to prevent and reduce patients' experienced total pain, hence improving the quality of life for both patients and their relatives. Providing palliative care at home and facilitating home deaths is challenging. Norwegian authorities recognise insufficient competence among healthcare professionals as a factor within this area.</p><p><strong>Aim: </strong>To elucidate how healthcare professionals experience their utilisation of individual competencies when providing palliative end-of-life care at home.</p><p><strong>Method: </strong>A qualitative study was performed in the Norwegian home care service. Ten individual semi-structured interviews with healthcare professionals were conducted. Data were analysed using reflexive thematic analysis, employing a critical realist approach.</p><p><strong>Results: </strong>Three themes were developed: (1) Being the right person for the job, (2) The patient is more than a diagnosis and (3) Supporting relatives along the journey. Healthcare professionals' individual competencies made them well-suited to provide palliative care, enabled them to recognise patients as unique individuals, and facilitated essential support and empowerment of their relatives.</p><p><strong>Conclusion: </strong>Important individual competencies among healthcare professionals were personal intuition, compassion, attentiveness, respect, flexibility and open-mindedness. The right healthcare professionals for providing palliative end-of-life care at home must utilise their individual competencies to seamlessly unite the art of caring with the science of palliative medicine. By doing this, healthcare professionals can better fulfil the aims of palliative care and provide high-quality care for patients.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70267"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036439","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":"More Than Their Bodies. Aesthetic Dimensions of Nursing Care to People With Eating Disorders.","authors":"Sine Maria Herholdt-Lomholdt, Berit Støre Brinchmann","doi":"10.1111/scs.70270","DOIUrl":"10.1111/scs.70270","url":null,"abstract":"<p><strong>Aims and objectives: </strong>This study aims to explore what it means and what it takes to focus on 'more than the body' in nursing care for hospitalized people with an eating disorder.</p><p><strong>Methodological and justification: </strong>Eating disorders are complex mental disorders with a high mortality. Nursing care in this context usually focuses on mealtime activities and nutritional support to help patients survive. Nevertheless, earlier studies from a patient perspective call for nursing care, focusing on more than the body and the patient's physical survival. The study is designed phenomenologically and is theoretically informed by philosophic aesthetics by the Danish philosopher, Dorthe Jørgensen.</p><p><strong>Ethical issues and approvals: </strong>The study is approved by the Norwegian Data Protection service, SIKT (ref. number 947253).</p><p><strong>Research methods: </strong>The study is based on a phenomenological analysis of a single lived experience description told by an experienced nurse working within the field of eating disorders.</p><p><strong>Results: </strong>The analysis shows that focusing on 'more than the body' implies invitations to people with eating disorders to participate in everyday activities which they earlier enjoyed. This means invitations into experiences of meaning and liveliness.</p><p><strong>Study limitations: </strong>The study is based on one lived experience description expressed by an experienced nurse. This is commonly accepted in phenomenological research as the results point to possible human experiences of importance. Nevertheless, this is also a limitation, as other stories could point elsewhere and as the patient's own perspectives are not included.</p><p><strong>Conclusion: </strong>The study recommends nurses to be courageous enough to include activities that let the patient experience meaning and liveliness in the care of people with severe eating disorders.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70270"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13238340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165091","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":"Interorganisational Patient Safety Incident Reports: An Analytical Perspective.","authors":"Jaana Tuppurainen, Hannele Turunen, Kaisa Haatainen","doi":"10.1111/scs.70247","DOIUrl":"10.1111/scs.70247","url":null,"abstract":"<p><strong>Aim: </strong>To obtain information on what kinds of patient safety incidents were reported between different healthcare organisations, which professional groups reported them, and what kind of development measures were planned to prevent recurrence of the patient safety incidents.</p><p><strong>Design: </strong>The data of this retrospective register study consisted of interorganisational patient safety incident reports (n = 1225) entered in the electronic incident reporting system from 2015 to 2021.</p><p><strong>Methods: </strong>The reports were sent to the university hospital from other healthcare organisations belonging to the university hospital's specific catchment area in Finland. Numeric data were analysed using descriptive statistical methods and open-ended answers reporting development measures (n = 139) with inductive content analyses.</p><p><strong>Results: </strong>The majority of reported incidents between organisations were related to information flow and management (57%). The second most reported concerned medication, fluid therapies, blood transfusions, contrast, and marker patient safety incidents. Most of the reports were prepared by nurses, followed by physicians and other stakeholders. Many of the patient safety incidents reported were categorised as insignificant or low risk (67%). The type of incidents was usually 'incidents occurring to the patients', causing minor risk to the patient. Only a few interorganisational development measures were suggested.</p><p><strong>Conclusions: </strong>Collaboration between healthcare organisations should be improved to ensure timely and high-quality information transfer regarding the safe continuity of patient care. Incidents should be regularly reviewed and the planning of preventive measures for recurrent incidents should be conducted by interorganisational multi-professional teams, with the information in each organisation being disseminated at the unit level to improve safe care pathways.</p><p><strong>Implications for the profession: </strong>To avoid variations in patient safety incident risk assessment and increase its reliability, the risk assessment should be performed by qualified assessors.</p><p><strong>Impact: </strong>This study showed that patient data transfer with adequate documentation and communication must be ensured for the continuity of care and patient safety. Development of interorganisational collaboration between professionals is needed to safeguard patient transfers from one healthcare organisation to another and ensure the patient's integrated care pathway.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70247"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13135325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785152","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":"Interprofessional Competence of Health and Social Care Professionals Working in Specialized Palliative Care: A Cross-Sectional Study.","authors":"Pauliina Kesonen, Leena Salminen, Anu Soikkeli-Jalonen, Johanna Saarinen-Nassar, Elina Haavisto","doi":"10.1111/scs.70241","DOIUrl":"10.1111/scs.70241","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this paper is to assess interprofessional competence and explain factors associated with it among health and social care professionals working in specialized palliative care hospital wards.</p><p><strong>Design: </strong>The research study employs a descriptive cross-sectional approach.</p><p><strong>Ethics: </strong>The study followed good scientific practice. Ethical approvals were obtained from the Ethics Committee of Tampere University (85/2022) and the Ethics Committee of the Pirkanmaa Wellbeing Services County (6/2023). Research permits were obtained separately from each institution that participated in the study. Participation was voluntary, contingent on informed consent and the confidentiality of participants was protected.</p><p><strong>Methods: </strong>In total, 153 health and social care professionals from 16 specialized palliative care wards in Finland participated in the study. The data were collected from May 2023 to March 2024, using the previously validated generic IPEC instrument and newly developed, palliative-care-specific ICOPA self-assessment instruments. Data were analysed using descriptive and inferential statistics. Due to the data not being normally distributed, non-parametric Mann-Whitney U and Kruskal-Wallis tests were applied, depending on the number of groups compared. Pearson's correlation was used to examine associations between variables.</p><p><strong>Results: </strong>Health and social care professionals self-assessed their interprofessional competence as good. Among the interprofessional competencies, values and ethics were assessed highest, while teams and teamwork were assessed lowest. Education level, participation in interprofessional education, work experience, amount of teamwork conducted in their own unit, and evaluation considering teamwork functionality had a statistically significant association with professionals' better self-assessed interprofessional competence.</p><p><strong>Conclusion: </strong>The results have identified competence gaps that will guide the development of interprofessional practice. However, because the currently used instruments are based on self-assessment, objective measures are also needed to ensure a comprehensive evaluation of interprofessional competence.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 2","pages":"e70241"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13129249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785311","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":"Storytelling Intervention Relieved Pain During Tracheostomy Suction in Children Under Palliative Care: A Randomised Controlled Trial.","authors":"Gamze Akay, Fatma Güdücü Tüfekci","doi":"10.1111/scs.70182","DOIUrl":"10.1111/scs.70182","url":null,"abstract":"<p><strong>Background: </strong>Aspiration causes pain in children receiving palliative care. This study evaluated the effectiveness of storytelling and cartoon watching in reducing pain during aspiration procedures in palliative care for children aged 1-3 years.</p><p><strong>Methods: </strong>Using a single-center, within-subjects crossover design (n = 15), each child experienced three conditions: control, storytelling, and cartoon watching. Pain (FLACC scale) and physiological parameters were measured before, during, and after aspiration.</p><p><strong>Results: </strong>Both interventions significantly reduced pain and improved physiological indicators compared to control. Storytelling had the most pronounced effect.</p><p><strong>Conclusions: </strong>These findings support the use of age-appropriate, non-pharmacological methods to manage procedural pain in paediatric palliative care settings.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 1","pages":"e70182"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146054378","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":"Mothers' Lived Experiences of Participating in Pain Management for Hospitalised Preterm Infants During Invasive Procedures: An Interpretive Phenomenological Study.","authors":"Marzieh Avazeh, Shahla Shahbazi, Leili Borimnejad, Mohammadbagher Hosseini, Mahnaz Jabraeili","doi":"10.1111/scs.70180","DOIUrl":"10.1111/scs.70180","url":null,"abstract":"<p><strong>Background and aim: </strong>Preterm infants are subjected to numerous painful procedures during their hospitalisation. Parental involvement, especially mothers, in pain management has been emphasised as one of the most effective approaches for relieving this pain. Understanding mothers' experiences is critical to improving neonatal pain management. This study aimed to explore the lived experiences of mothers from participating in pain management for hospitalised preterm infants during invasive procedures.</p><p><strong>Methodological design: </strong>This research is a qualitative study with an interpretive phenomenological approach. Data were collected through unstructured interviews with 10 mothers of preterm infants, employing purposeful sampling using a sequential and emergence-driven strategy with a saturation/redundancy approach to select participants. Interviews were initiated with an open-ended question about the mothers' experiences of participating in infants' pain management during invasive procedures, followed by probing questions based on their experiences. Data analysis was conducted through an interpretive phenomenological analysis approach.</p><p><strong>Results: </strong>The analysis revealed a constitutive pattern of 'progressive development of capability', comprising three themes: reconstructing the healing role of the mother, maternal growth and transformation, and becoming a healing agent. The subthemes are as follows: 'Sense of helplessness', 'mother on the margin', 'becoming an advocate', 'witnessing pain, discovering responsibility', 'observation and learning', 'laying the groundwork for participation', 'maternal selflessness', 'understanding the maternal healing power' and 'self-confidence'.</p><p><strong>Conclusion: </strong>The findings of this study revealed that mothers of preterm infants gradually develop the capability to manage their infants' pain with the support and education of healthcare professionals. Empowering mothers as active partners through staff education and attention to family-centred care approaches can improve neonatal pain management.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 1","pages":"e70180"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145918714","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":"Development and Evaluation of a Standardised Nursing Care Plan for Chronic Liver Disease Patients Using International Terminology.","authors":"Gülfigar Gülkaya, Fatos Korkmaz","doi":"10.1111/scs.70177","DOIUrl":"10.1111/scs.70177","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to identify the care needs of individuals with chronic liver disease, develop a standardised nursing care plan (SNCP) based on international nursing terminologies, and evaluate its effectiveness, quality, and satisfaction.</p><p><strong>Methods: </strong>A participatory action research design comprising three phases was used. In Phase 1 (December 2017), qualitative data from eight patients identified care needs and disease experiences. In Phase 2, feedback from 18 nurses guided the development of a SNCP, incorporating international nursing terminologies, which was then validated. In Phase 3 (October-December 2023), the plan's effectiveness, quality, and satisfaction were evaluated through implementation with 10 inpatients and 18 nurses.</p><p><strong>Results: </strong>Qualitative analysis revealed two themes: disease-related symptoms and daily living challenges. Most nurses in phase 2 were familiar with the nursing process and NANDA terminology. The SNCP included 22 NANDA diagnoses, NOC outcomes, and NIC interventions, achieving 95%-100% validity. In Phase 3, a statistically significant improvement was observed in nurses' total care plan scores from pretest (5.44 ± 2.81) to posttest (16.50 ± 4.98). Additionally, patient files documented with the care plan SNCP showed a statistically significant quality improvement compared to those using traditional care plans. Nurses reported high satisfaction, citing ease of use, improved patient follow-up, support for evidence-based practice, enhanced care quality, and focus on individual patient needs.</p><p><strong>Conclusions: </strong>The SNCP based on international nursing terminologies was evaluated as valid in terms of scope, effective in identifying care problems compared to traditional care plans, better quality in terms of documentation, and satisfactory for nurses using it in patients with chronic liver disease. In this direction, it is recommended that the standard nursing care plan based on international nursing terminologies for chronic liver patients be widespread, and the care outcomes be evaluated with further studies.</p>","PeriodicalId":48171,"journal":{"name":"Scandinavian Journal of Caring Sciences","volume":"40 1","pages":"e70177"},"PeriodicalIF":2.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967437","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}