Nursing Open最新文献

{"title":"Transition Shock Among Nursing Interns: Roles of Achievement Motivation and Clinical Practice Environment-A Cross-Sectional Study.","authors":"Siman Chen, Weijuan Liu, Yuan Li, Ping Zhang, Huiling Ye, Xiaoyu Feng, Pingdong Li, Liang Ruan, Xiaobing Wu","doi":"10.1002/nop2.70297","DOIUrl":"10.1002/nop2.70297","url":null,"abstract":"<p><strong>Aims: </strong>To examine the relationships between achievement motivation, clinical practice environment and nursing interns' transition shock.</p><p><strong>Design: </strong>A descriptive cross-sectional study with an online survey.</p><p><strong>Methods: </strong>This study included 343 nursing interns from practice hospitals across six Chinese provinces. Data were collected via convenience sampling from June to September 2022. A researcher-designed sociodemographic questionnaire covering key demographic and internship-related characteristics was administered alongside three validated instruments: the Achievement Motivation Scale, the Clinical Practice Environment Scale and the Transition Shock Scale. Data were analysed through univariate analysis, correlation analysis and multiple linear regression analysis. The STROBE checklist was adhered to for reporting.</p><p><strong>Results: </strong>Conflict between theory and practice was the most prominent aspect of transition shock among nursing interns. Multiple linear regression analysis identified achievement motivation, clinical practice environment, attitudes towards the nursing profession, educational level and the average number of overtime hours per week since internship as influencing factors of nursing interns' transition shock, explaining 30% of the total variance.</p><p><strong>Conclusions: </strong>This study underscores the critical role of strong achievement motivation and a supportive clinical practice environment in mitigating transition shock among nursing interns.</p><p><strong>Implications for the profession: </strong>Nursing interns often experience transition shock due to the mismatch between theory and practice, which hinders their readiness for professional nursing roles. Our findings provide important insights for nursing educators and administrators in developing tailored interventions to reduce transition shock. Nursing educators and administrators should incorporate guidelines to boost nursing interns' achievement motivation into education programmes and develop a clinical environment improvement plan that focuses on creating a harmonious and positive learning and working environment through continuous consultation.</p><p><strong>Public contribution: </strong>Throughout the data collection procedure, nursing interns' feedback was used to help evaluate study techniques and interpret findings.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 9","pages":"e70297"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12412515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006680","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":"Longitudinal Research: Differences in Nurse Work Environment Between the COVID-19 Outbreak and Mitigation Periods.","authors":"Ru-Wen Liao, Chu-Hsuan Cheng, I-Shiang Tzeng","doi":"10.1002/nop2.70294","DOIUrl":"10.1002/nop2.70294","url":null,"abstract":"<p><strong>Aim: </strong>The coronavirus disease 2019 (COVID-19) outbreak led to a massive influx of patients into hospitals, thus prompting the implementation of various response mechanisms to manage the surge in number of patients. During the mitigation period, hospital response mechanisms ceased and ensued a return to normal settings. However, changing hospital settings can affect nurses' work environments. Therefore, the primary objectives of this study were to investigate the impact of changes during disease outbreaks and the mitigation period on nurses' work environments, and to analyse the relationship between nurses' background variables and work environments.</p><p><strong>Study design: </strong>A longitudinal research design is employed herein.</p><p><strong>Methods: </strong>Two surveys were conducted in a hospital: the first during the COVID-19 outbreak period, when the hospital implemented response mechanisms, and the second during the COVID-19 mitigation period, when the hospital returned to normalcy. The questionnaire covered the nurses' background variables and work environment.</p><p><strong>Results: </strong>When the COVID-19 outbreak transitioned to the mitigation period, satisfaction with managerial (p < 0.05) and unit support (p < 0.05) in the workplace decreased. Regarding the relationship between nurses' backgrounds and work environment satisfaction, we found that nurses working in COVID-19 dedicated units reported higher satisfaction with manager support (p < 0.001), peer support (p < 0.001), unit support (p < 0.05) and intent to stay (p < 0.05) than those in non-COVID-19 dedicated units. Additionally, factors such as age, nursing experience, sex, education, clinical teaching/mentoring roles, perceived COVID-19 infection risk, work shifts, housing problems during the outbreak and experience of discrimination influenced work environment satisfaction.</p><p><strong>Patient or public contribution: </strong>Hospitals need to adjust the transformational steps of their COVID-19 or emerging infectious disease response mechanisms, or provide sufficient support to these nurses to mitigate the impact on their work environment.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 9","pages":"e70294"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993901","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":"Identifying Nursing Students' Misconceptions Concerning Long-Term Weight Loss Recommendations: A Phenomenographic Study.","authors":"Sergio Yuste, Jagoba Zarandona, Susana Cariñanos-Ayala, Marta Arrue, Leyre Gravina","doi":"10.1002/nop2.70312","DOIUrl":"10.1002/nop2.70312","url":null,"abstract":"<p><strong>Aim: </strong>To gain insight into nursing students' learning by exploring misconceptions in their understanding of long-term dietary recommendations given for weight loss in overweight or obese patients.</p><p><strong>Design: </strong>A phenomenographic research approach was used.</p><p><strong>Methods: </strong>The study was conducted within a nursing degree university programme. A total of 146 first-year undergraduate nursing students took part. Data were collected using an open-ended question pretest-posttest. Phenomenographic analysis was carried out to construct categories of student understanding.</p><p><strong>Results: </strong>Four phenomenographic categories were differentiated in hierarchical order, ranging from the highest to the lowest quality of reasoning. Two primary misconceptions were identified: the recommendation to drink water as the only step for weight loss, and the advice to consult another health professional without a nutritional assessment by the nurse prior to patient referral. The misconception about water intake persisted despite instruction, whereas the misunderstanding about the role of nurses in dietary advice prior to consulting other health professionals was corrected.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 9","pages":"e70312"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12461665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139100","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":"Stigma Towards Hospitalised Older Adults: A Concept Analysis.","authors":"Sadaf Murad-Kassam, Wenting Yan, Rachel G Khadaroo","doi":"10.1002/nop2.70215","DOIUrl":"10.1002/nop2.70215","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this concept analysis paper is to explore the concept of stigma towards hospitalised older adults and propose a clear definition to understand this phenomenon.</p><p><strong>Design and review method: </strong>Rodgers' evolutionary concept analysis method was used to evaluate the concept of stigma towards hospitalised older adults by identifying attributes, antecedents, and consequences.</p><p><strong>Data sources: </strong>A systematic search was conducted using CINAHL, PubMed, Scopus, and Google Scholar databases. Seventeen research articles from 1963 to 2025 were identified as directly related to the concept of stigma towards hospitalised older adults.</p><p><strong>Results: </strong>Discrimination based on age, discriminatory practices, and negative stereotypes were the common attributes highlighted in research studies. The primary antecedent of stigma in hospitalised older adults is a social stigma which leads to stigmatised attitudes and practices towards older adults admitted into hospital. Inequalities in the hospital environment and lack of motivation are consequences that may provoke a stigmatised demeanour towards older patients in hospitals.</p><p><strong>Conclusion: </strong>A clear understanding of stigma in the context of hospitalised older adults will guide the development of a conceptual framework and improve the healthcare professionals' care approach towards older adults in the hospital setting.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 9","pages":"e70215"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12436170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070738","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":"Assessment of Fall Risk in Community-Dwelling Older Adults Using the Stopping Elderly Accidents, Deaths, and Injuries Algorithm.","authors":"Kyeongra Yang, Anita Van Wingerden, Marta Galagoza, Karla Soldevilla, Ethan A Lim, Mary L Wagner","doi":"10.1002/nop2.70299","DOIUrl":"10.1002/nop2.70299","url":null,"abstract":"<p><strong>Aim: </strong>To identify individuals at risk of falls and the factors contributing to their risk, we screened community-dwelling older adults using the Centers for Disease Control and Prevention's Stopping Elderly Accidents, Deaths, and Injuries (STEADI) Assessments.</p><p><strong>Design: </strong>A descriptive correlational study design.</p><p><strong>Methods: </strong>Fall risk screenings with community-dwelling older adults aged 65 or older were conducted during a virtual interprofessional education event (IPE) for fall risk screening. The screening included demographic questions, perception of fall risks, medication questions and physical assessments (Timed Up and Go test, Single Leg test, 30-Second Sit to Stand) using the STEADI algorithm. Screening data were collected via Qualtrics, and descriptive data analyses were performed using SPSS.</p><p><strong>Results: </strong>In total, 114 community volunteers aged 65 or older were screened for fall risk. Using the STEADI Fall Risk questionnaire, 84 participants (73.7%) exhibited at least one clinically proven risk factor for falls, with 39 (34.2%) having four or more risk factors. The physical assessments identified 37 participants (32.5%) with functional leg weakness, 47 (41.2%) had poor mobility and 32 (28.1%) had poor balance. As a result, the modified STEADI algorithm identified 68 (59.6%) with fall risk and the most frequently discussed SMART objectives were related to physical assessment data issues (34.5%).</p><p><strong>Patient or public contribution: </strong>Our study confirmed the effectiveness of a multifaceted STEADI assessment in identifying community individuals at risk for falls who may not be detected through the normal standard of care. Educating nurses on performing comprehensive fall risk assessments and creating corresponding action plans with SMART objectives is essential to ensure thorough screening and care of their patients. A collaborative, interprofessional education programme can help train health professional students to gain valuable skills in conducting comprehensive fall risk screenings and developing objectives for future care plans based on those findings.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 9","pages":"e70299"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006694","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":"Nursing Students' Satisfaction and Perceptions Under the Unprecedented Abrupt Online Clinical Practicum During the COVID-19 Pandemic.","authors":"Li-Hung Tsai, Chia-Jung Wu, Sum-Fu Chiang, Chuan-Mei Chen","doi":"10.1002/nop2.70301","DOIUrl":"10.1002/nop2.70301","url":null,"abstract":"<p><strong>Aim: </strong>To explore nursing students' satisfaction levels of each specific item and perceptions under the unprecedented abrupt online clinical practicum during the COVID-19 pandemic.</p><p><strong>Design: </strong>A mixed-method design comprises a questionnaire and qualitative content analysis.</p><p><strong>Methods: </strong>The study used purposive sampling using data from nursing students in grade 3 of a 4-year bachelor RN programme at a technological university in the north of Taiwan, compiled from May 2021 to June 2021 using an online questionnaire. Students were invited to fill out a 5-point Likert scale to answer questions on their satisfaction with online clinical practicum and an open-ended question describing their experiences and perceptions of online clinical practicum. Quantitative data were analysed using the mean and standard deviation. Qualitative data were analysed using content analysis.</p><p><strong>Results: </strong>A total of 157 nursing students participated. Students' overall satisfaction with online clinical practicum gained the lowest score with a mean score of 3.33 (±0.98). By contrast, students' satisfaction with the attitudes of teachers for online clinical practicum gained the highest score with a mean score of 4.53 (±0.69). Based on qualitative data analysis, the advantages of online clinical practicum include providing flexible learning time and space and improving the learning depth of the nursing profession; the disadvantages include the negative impact of long-term online learning on body and mind and difficulty replacing the learning in real clinic scenarios.</p><p><strong>Conclusions: </strong>Students have a moderate level of overall satisfaction with online clinical practicum, but a high level of satisfaction with teachers' teaching attitudes. Students perceptions that online clinical practicum can provide flexible learning time and space and improve nursing professional knowledge through multiple teaching strategies; however, online virtual practicum can scarcely replace the real experience gained by nursing patients.</p><p><strong>Impact: </strong>The findings highlight the value of online practicum in offering flexible learning opportunities and enhancing nursing knowledge through multiple teaching strategies. However, students also underscore the irreplaceable role of hands-on patient care experiences in developing comprehensive clinical competence, suggesting the need to balance virtual and real-world practicum in nursing education.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 9","pages":"e70301"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034385","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":"Organisational Culture Predictors of Job Satisfaction Among Nurses in Kenya, Sub-Sahara Africa: A Cross-Sectional Study.","authors":"Evans Kasmai Kiptulon, Anna Szőllősi, Zrínyi Miklós, Adrienn Ujváriné Siket","doi":"10.1002/nop2.70298","DOIUrl":"10.1002/nop2.70298","url":null,"abstract":"<p><strong>Aims: </strong>To find out how Kenyan nurses rate their organisational culture, determine their level of job satisfaction, and organisational culture predictors of job satisfaction.</p><p><strong>Design: </strong>A cross-sectional online survey.</p><p><strong>Methodology: </strong>A total of 300 nurses across Kenya were invited to participate in this study. The Practice Environment Scale of Nursing Work Index was used to measure organisational culture, while a single-item scale was used to assess job satisfaction. Data analysis was done using SPSS version 28. Chi-square, correlation, and bivariate logistic regression were performed to determine the relationship among the study variables.</p><p><strong>Results: </strong>Kenya's overall organisational culture was rated as weak-positive (M = 2.51). Only 24.5% of nurses reported being satisfied, while 74.5% were dissatisfied or neutral. Structural Equation Modelling of the five sub-scales demonstrated an acceptable fit and accounted for 43.7% of job satisfaction variance. Significant predictors of job satisfaction included participation in hospital affairs (β = 0.409, SE = 0.084, T = 5.396, p < 0.001) and staffing and resource adequacy (β = 0.311, SE = 0.060, T = 4.665, p < 0.001).</p><p><strong>Conclusion: </strong>This study highlights the crucial role of organisational culture in determining nurses' job satisfaction. It provides robust evidence to policymakers, hospital administrators, nurse managers and other health stakeholders of the need to fully involve and engage nurses in hospital affairs while providing adequate staffing and resources. Such measures are essential for creating a highly satisfied workforce, fostering the delivery of high-quality nursing care to patients. Nurse Managers and hospital management should strive to continuously monitor and build positive organisational cultures to raise the quality of service delivery and retain the nursing workforce.</p><p><strong>Patient or public contribution: </strong>This study involves no patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 9","pages":"e70298"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034432","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":"Developing a Sleepiness Scale for Nurses and Physicians: A Methodological Study.","authors":"Ali Kaplan, Özlem Kaplan, Cevriye Özdemir, Ferhan Elmalı, Emre Bülbül","doi":"10.1002/nop2.70296","DOIUrl":"10.1002/nop2.70296","url":null,"abstract":"<p><strong>Aim: </strong>The sleepiness of healthcare workers can negatively affect various aspects of healthcare, including patient and staff safety. Therefore, the aim of this study was to develop a valid and reliable scale to measure sleepiness in nurses and physicians working night shifts.</p><p><strong>Design: </strong>A methodological study design was used in this study.</p><p><strong>Methods: </strong>The scale items were developed through literature review and qualitative data analysis. The initial items of the instrument were developed based on the identified core concepts and presented to 21 experts for content validity assessment. In order to test the validity and reliability of the scale, a group of 255 nurses and 230 physicians working in a university hospital in a province of Turkey were included in the study between November 2023 and January 2024 by face-to-face survey method. Lawshe's content validity ratio, Kaiser-Mayer-Olkin coefficient, Bartlett's test, exploratory factor analysis, principal component analysis, Varimax factor rotation method, confirmatory factor analysis, Cronbach's alpha internal consistency coefficient, Spearman correlation coefficient and Wilcoxon Signed Ranks tests were used to analyse the data.</p><p><strong>Results: </strong>The sleepiness scale is a 19-item instrument with three factors: 'cognitive and physical effects of sleepiness on the process of working', 'difficulty keeping awake' and 'sleepiness coping strategies'. The Kaiser-Meyer-Olkin measures indicated that the data were sufficient for exploratory factor analysis. Bartlett's test indicated patterned relationships among the items (χ² = 5049.779; p < 0.001). Three factors explained 58.927% of the variance. Internal consistency was demonstrated by Cronbach's alphas of 0.921 Factor 1, 0.766 Factor 2, 0.797 Factor 3 and 0.923 total scale. According to the confirmatory factor analysis fit index results of the scale, RMSEA value was 0.062 and χ²/df value was 2.843. The 4-week test-retest reliability of the sleepiness scale (n = 51) was also satisfactory (ICC = 0.958). The Sleepiness Scale is a valid and reliable measurement tool that can be used to determine the severity of sleepiness in nurses and physicians working in the night shift.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 9","pages":"e70296"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12408601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993913","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 Impact of Trauma-Informed Care on Patient Engagement, Experience and Barriers to Care: A Qualitative Study: Empirical Research Qualitative.","authors":"Victoria N Roberts, Alison M Hutchinson, Renee L Fiolet","doi":"10.1002/nop2.70331","DOIUrl":"10.1002/nop2.70331","url":null,"abstract":"<p><strong>Aims: </strong>To explore patient experiences of trauma-informed care in general health services delivered by community health nurses to individuals impacted by sexual assault or domestic violence, and the impact this care had on service engagement, overall patient experiences and barriers to care.</p><p><strong>Design: </strong>A naturalistic inquiry approach was adopted.</p><p><strong>Methods: </strong>Individual semi-structured interviews were conducted with six adults impacted by sexual assault or family violence attending a multi-agency metropolitan health service. Data were inductively analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>The significance of feeling safe and heard was interwoven across three main themes: Enhancing engagement with health care; Sharing the load: the experience of trauma-informed nursing care; and The nurse's role in breaking down health system barriers and highlighting the value and impact of nurses implementing trauma-informed care.</p><p><strong>Conclusions: </strong>Patient experiences supported the need for and provided examples of operationalising trauma-informed care in health care. Study findings suggest incorporation of trauma-informed care into mainstream health service provision and training is recommended. Future research should expand understanding of the process and outcomes of implementing trauma-informed care.</p><p><strong>Impact: </strong>Trauma-informed care can prevent re-traumatisation and disrupt trauma impacts, but implementation in the health sector is poorly understood. This study demonstrates how trauma-informed care can be translated to general health care settings to improve accessibility to care, enhance engagement and generate positive patient experiences.</p><p><strong>Reporting method: </strong>Aligns with the EQUATOR guidelines and COREQ reporting method.</p><p><strong>Patient or public contribution: </strong>Six patients were involved as participants in the study; findings were shared with these patients before being included in the manuscript.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 9","pages":"e70331"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12461756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139097","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":"Methodological Insights From Evaluating a Family Member's Voice Reorientation Programme: An Interpretive Descriptive Approach.","authors":"Gideon U Johnson, Amanda Towell-Barnard, Christopher McLean, Glenn Robert, Beverley Ewens","doi":"10.1002/nop2.70291","DOIUrl":"10.1002/nop2.70291","url":null,"abstract":"<p><strong>Background: </strong>Interpretive descriptive design is a well-established methodology in healthcare research, offering novel insights into complex phenomena that may elude other qualitative methods. Although interpretive descriptive is effective in translating findings into clinical practice, its application to intensive care unit interventions remains limited. The intricate nature of the intensive care unit environment and the vulnerability of this patient group, necessitates methodologies that delve deeply into interactions and translate them into practical solutions.</p><p><strong>Objective: </strong>This study applies an interpretive descriptive methodology to evaluate the Family Member's Voice Reorientation (FAMVR) programme, focusing on its impact on ICU patients, families and nurses and assessing its feasibility for clinical integration in delirium care.</p><p><strong>Methods: </strong>The study involved semi-structured interviews with three patients, six family members and a focus group of eight nurses. The data were analysed thematically, revealing insights into how interpretive descriptive methodology can guide actionable insights into intensive care unit-based, family-led interventions.</p><p><strong>Findings: </strong>Interpretive descriptive methodology enabled a nuanced exploration of the FAMVR programme, capturing how it influenced the emotional, cognitive and practical aspects of care for patients, families and clinicians. The study found that sensitivity to context was crucial in understanding participants' experiences within the high-stakes intensive care unit setting. The interpretive descriptive approach also allowed for a holistic view, incorporating physical, emotional, social and spiritual dimensions of care, thereby enhancing the intervention's relevance and applicability in delirium management.</p><p><strong>Conclusions: </strong>This study demonstrates that interpretive descriptive methodology is particularly well-suited for evaluating complex intensive care unit interventions, providing a comprehensive understanding of participants' experiences and yielding practical, family-centred recommendations. Findings suggest that interpretive descriptive methods can inform the refinement of interventions like FAMVR, making them more responsive to the unique needs of ICU patients and their families, while highlighting the value of family involvement in enhancing patient care. These insights position interpretive descriptive as a valuable approach for future qualitative research in healthcare settings.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p><p><strong>Trial registration: </strong>ACTRN12622001568707; ANZCTR (https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=385122&isClinicalTrial=False).</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 9","pages":"e70291"},"PeriodicalIF":2.3,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974844","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}