{"title":"Ethical Leadership of Head Nurses as Perceived by Nurses and Its Relationship With Nurses' Organisational Justice.","authors":"Jiachen She, Zongao Cai, Yanan Li, Ruixing Zhang, Yongxia Mei, Hongfeng Li","doi":"10.1002/nop2.70197","DOIUrl":"10.1002/nop2.70197","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the level of ethical leadership among head nurses and its relationship with nurses' perceived organisational justice.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>This cross-sectional study was conducted with a convenience sample of 501 clinical nurses from four tertiary-level hospitals in Zhengzhou, Henan Province of China, in May 2023. The Ethical Leadership at Work Questionnaire and the Organisational Justice Scale were used as data collection instruments. Multiple stratified linear regression was used to analyse the relationships.</p><p><strong>Results: </strong>The mean score of ethical leadership of head nurses was 4.13 ± 0.46, which is at a high level. Marital status, department and monthly income were the influencing factors of nurses' perceived ethical leadership. Head nurses' ethical leadership was positively correlated with nurses' organisational justice (r = 0.513, p < 0.01). Stratified linear regression analysis showed that the people orientation, power sharing and sustainability dimensions explained 23.0% of the variance in nurses' organisational justice (p < 0.05). Head nurses' ethical leadership plays a critical role in helping nurses improve their sense of organisational justice. Nurse managers need to pay more attention to nurses' personal development and needs, give them more opportunities to participate in decision-making and strengthen their organisational justice.</p><p><strong>Patient or public contribution: </strong>We would like to thank the nurses who were recruited and the hospital administrators who supported the study in the research process. Our study utilised the online questionnaire star platform to conduct an online questionnaire survey. After obtaining the consent of the hospital administrators, a nurse in the selected department was contacted as a research investigator, and after clarifying the purpose, methodology, significance and precautions for completing the questionnaire, the investigator distributed the electronic questionnaire in the form of a web link using a uniform guideline to nurses in the department who met the inclusion criteria.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70197"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693941","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}
Nursing OpenPub Date : 2025-02-01DOI: 10.1002/nop2.70151
Lenny J Tange, Maud Heinen, Raymond T C M Koopmans, Dirk F de Korne, Anke Persoon, Robert Lindeboom, Debby L Gerritsen, Marleen H Lovink
{"title":"Development and Validation of the EBP-Affinity Questionnaire: A Mixed-Method Study.","authors":"Lenny J Tange, Maud Heinen, Raymond T C M Koopmans, Dirk F de Korne, Anke Persoon, Robert Lindeboom, Debby L Gerritsen, Marleen H Lovink","doi":"10.1002/nop2.70151","DOIUrl":"https://doi.org/10.1002/nop2.70151","url":null,"abstract":"<p><strong>Background: </strong>Implementation of evidence-based practice (EBP) in nursing homes is important to improve quality of care and reduce costs. These facilities primarily employ certified nurse assistants (CNAs) and vocationally-trained registered nurses (VTRNs). Although EBP is scarcely addressed in their education, these caregivers have an important role in EBP. Insight into their affinity with EBP could provide a good starting point for working according to EBP.</p><p><strong>Aims: </strong>To develop a questionnaire that measures affinity with EBP amongst CNAs and VTRNs in nursing homes. To assess the reliability and validity of the questionnaire.</p><p><strong>Design: </strong>Mixed-method design according to the COSMIN-checklist.</p><p><strong>Methods: </strong>Phase 1: the questionnaire was developed in three steps: (1) gathering items from existing questionnaires, occupational profiles and interviews; (2) compression through consensus rounds and (3) a pilot study. Phase 2: psychometric properties were assessed amongst CNAs and VTRNs in nine nursing homes. The factors extracted through principal component analysis were tested for measurement invariance using the one-parameter Rasch model.</p><p><strong>Results: </strong>Phase 1: all experts interviewed (N = 5) indicated CNAs and VTRNs can play specific and significant roles in EBP. A 26-item questionnaire was created through two consensus rounds with experts (N = 7) and a pilot study (N = 7). Phase 2: Principal component analysis revealed a two-factor structure with good internal reliability (N = 428 questionnaires). All items exhibited good fit with the Rasch model and measurement invariance for CNAs and VTRNs.</p><p><strong>Conclusion: </strong>CNAs and VTRNs can fulfil important roles in EBP in nursing homes. The 'Evidence-Based Practice-Affinity Questionnaire' is reliable and valid for assessing affinity with EBP amongst CNAs and VTRNs to improve practice and research, and can guide tailored training programs for CNAs and VTRNs, enhancing evidence-based practices in nursing homes.</p><p><strong>Impact: </strong>The research provides insight into the roles CNAs and VTRNs can play in EBP and how to measure their affinity with EBP, which contributes to implementation of EBP in nursing homes.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution in the study.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 2","pages":"e70151"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366397","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}
Nursing OpenPub Date : 2025-02-01DOI: 10.1002/nop2.70155
Liselott Osberg Ferm, Margareta Karlsson, Anne Kasén, Sandra Pennbrant
{"title":"A Personalised Caring Approach at Home-Patients, Relatives and Nurses' Experiences of Specialised Palliative Care: An Integrative Literature Review.","authors":"Liselott Osberg Ferm, Margareta Karlsson, Anne Kasén, Sandra Pennbrant","doi":"10.1002/nop2.70155","DOIUrl":"10.1002/nop2.70155","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to describe patients, relatives and nurses' experiences of specialised palliative home care.</p><p><strong>Design: </strong>Integrated literature review.</p><p><strong>Methods: </strong>The review was performed using the PRISMA 2020 Statement. The searches were conducted in Cinahl, PubMed and Scopus.</p><p><strong>Results: </strong>Eighteen articles were selected. An overall theme 'co-creation for personalised home care' emerged, based on three categories: 'Safe and secure care', 'Care based on wishes and needs' and 'Relatives' caring role'. Patients, relatives and nurses' experiences showed that co-creation was an important strategy for achieving goals and enabling patients to remain at home despite illness and limited life expectancy.</p><p><strong>Conclusion: </strong>Co-creation becomes a prerequisite for personalised home care and enabled through collaboration and learning between patients, relatives and nurses.</p><p><strong>Patient or public contribution: </strong>This article is an overview of how patients, relatives and nurses experience care at home, supported by a specialised palliative care unit, and the result showed that co-creation enables personalised care.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 2","pages":"e70155"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068867","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":"Hospital-to-Home Transitions for Lung Cancer Patients-A Qualitative Study of Healthcare Professionals' Experiences.","authors":"Charlotte Nilsen, Trine Oksholm, Gudmund Ågotnes, Gro Beate Samdal, Sidsel Ellingsen","doi":"10.1002/nop2.70143","DOIUrl":"10.1002/nop2.70143","url":null,"abstract":"<p><strong>Aims and objectives: </strong>To explore the professional practice of transferring patients with lung cancer from hospitals to their homes through the experiences of healthcare professionals (HCPs) working in hospitals.</p><p><strong>Background: </strong>Hospital-to-home transitions are particularly challenging for vulnerable patients, including lung cancer patients, and could threaten patient safety. There is a need to improve coordination between specialised and community care and to develop knowledge on the practice of transferring patients with lung cancer.</p><p><strong>Design: </strong>A descriptive qualitative design was used. Consolidated criteria for reporting qualitative research (COREQ) were followed for reporting.</p><p><strong>Methods: </strong>Six focus group interviews with nurses and two focus group interviews with physicians at pulmonary medicine units in two hospitals in Norway were conducted. Qualitative content analysis was used to analyse the focus group interviews.</p><p><strong>Results: </strong>Patients' vulnerability and gratitude motivated HCPs to ensure that patients experienced the best hospital-to-home transition. The following obstacles made it challenging to plan for a good hospital-to-home transition and to transfer the responsibility for the patient to the municipality: lack of time and routines to attend to the patient's individual needs, lack of established standards for patient information, absence of resources and predictability, and inadequate communication tools for collaborating with the primary healthcare services.</p><p><strong>Conclusion: </strong>The healthcare system does not provide hospital units and HCPs with adequate resources to accommodate the individual needs of lung cancer patients in hospital-to-home transitions. HCPs compensate with supplementary initiatives to secure patient safety, but the additional responsibility and tasks leave them overworked.</p><p><strong>Relevance to clinical practice: </strong>The study provides knowledge on lung cancer patients' needs in hospital-to-home transitions and how HCPs try to ensure patient safety by compensating for the healthcare system's deficiencies.</p><p><strong>Public contribution: </strong>A reference group comprising one patient representative from the Norwegian Cancer Society and five HCPs with varied relevant backgrounds contributed to the overall design, recruited participants, and provided feedback on the interview guide.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 2","pages":"e70143"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11803455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366399","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}
Nursing OpenPub Date : 2025-02-01DOI: 10.1002/nop2.70135
Ayser Döner, Sultan Taşci, Aylin Bilgin
{"title":"The Effect of Massage, Acupressure and Reflexology on Restless Legs Syndrome Severity and Sleep Quality in Patients Receiving Haemodialysis Treatment: A Systematic Review and Meta-Analysis.","authors":"Ayser Döner, Sultan Taşci, Aylin Bilgin","doi":"10.1002/nop2.70135","DOIUrl":"10.1002/nop2.70135","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to review massage, acupressure and reflexology interventions applied to haemodialysis patients with restless legs syndrome and to examine the effects of these interventions on sleep quality.</p><p><strong>Design: </strong>A systematic review and meta-analysis.</p><p><strong>Data sources: </strong>A systematic literature search was conducted on databases ScienceDirect, Web of Science, Cochrane Central Register of Controlled Trials, EBSCO and PubMed.</p><p><strong>Methods: </strong>The Modified Jadad scale was used. The statistical analysis was conducted using the Stata 15.0 software, with the aim of evaluating heterogeneity between studies using both chi-square and I<sup>2</sup> statistics. The risk of bias in the included studies was assessed using both the Cochrane risk of bias assessment tool and statistical tests. A funnel plot was used to detect potential publication bias, which is indicated by an asymmetry in the plot. The Egger regression test was also performed to evaluate publication bias.</p><p><strong>Results: </strong>Twelve studies were selected for the meta-analysis. All studies included in this meta-analysis were of good quality. In the subgroup analysis, it was determined that massage and acupressure reduced the severity of restless legs syndrome as a result of the intervention, while reflexology had no effect. Interventions did not affect the sleep quality of patients. Restless legs syndrome severity was significantly reduced in studies using oil and in studies that intervened for more than 15 min per session.</p><p><strong>Conclusion: </strong>Interventions applied to haemodialysis patients with restless legs syndrome can reduce the severity of restless legs syndrome. It is recommended to conduct randomised controlled trials that determine the effects of methods on restless legs syndrome severity and sleep quality in haemodialysis patients.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 2","pages":"e70135"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11794833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190979","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":"Patients' Perception of Missed Nursing Care in a Tertiary Hospital: A Cross-Sectional Study.","authors":"Afia Achiaa Sarpong, Amanda Towell-Barnard, Lucy Gent, Ebenezer Afrifa-Yamoah, Diana Arabiat","doi":"10.1002/nop2.70157","DOIUrl":"10.1002/nop2.70157","url":null,"abstract":"<p><strong>Aims: </strong>To identify types of patient-reported missed nursing care and adverse events and identify the factor associated with missed care in a Western Australian tertiary hospital.</p><p><strong>Background: </strong>Research in the domain of missed nursing care has established the association between missed nursing care and unsafe patient outcomes. However, there is a paucity of evidence on patient perception of missed nursing care and associated factors.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Method: </strong>A study of inpatients in a tertiary teaching hospital in Western Australia was carried out. Ninety-eight patients admitted in 16 medical and surgical wards were sampled. The patient MISSCARE survey was used to capture patient-reported types of missed care, prevalence of adverse events and the association between missed care, unit type, demographic characteristics and patient health problems. Descriptive and logistic analysis were performed using SPSS.</p><p><strong>Findings: </strong>The most frequently reported missed nursing care activities included mouth care (63%), ambulation (35%), helping patient out of bed into a chair (31%), informing patient about tests or procedures (29%) and considering patient opinion (27%). The majority of reported missed care activities were from basic care domain followed by communication. The most common adverse events reported were intravenous infusion leaking into skin, intravenous fluid running dry, falls and development of pressure ulcer. Significant association was observed between missed nursing care and patient age.</p><p><strong>Discussion: </strong>The findings of this study showed significant level of patient-reported missed nursing care particularly in the domain of basic care. Although this study's limitations, including its small sample size and potential response bias, warrant caution in generalising the findings, the insights gained provide a valuable foundation for future research aimed at improving patient care.</p><p><strong>Conclusion: </strong>Findings provide valuable insight about patient's perception of missed care and inform the need for effective interventions to reduce unsafe outcomes related to missed nursing care.</p><p><strong>Relevance to clinical practice: </strong>Healthcare systems need to make necessary efforts to ensure that patients receive the right amount of care needed to maintain and promote safe hospitalisation outcomes.</p><p><strong>Reporting method: </strong>The study was reported according to the STROBE guidelines.</p><p><strong>Patient or public contribution: </strong>The development of this study protocol, data collection, analysis and interpretation of results were carried out through a collaborative effort between patients, families and the research team.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 2","pages":"e70157"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143417117","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}
Nursing OpenPub Date : 2025-02-01DOI: 10.1002/nop2.70158
Anne Kuusisto, Kaija Saranto, Katriina Lähteenmäki, Anu Soikkeli-Jalonen, Elina Haavisto
{"title":"Patients' Experiences With Advance Care Planning and Decision-Making: An Interview Study in Finnish Hospital Palliative Care Wards.","authors":"Anne Kuusisto, Kaija Saranto, Katriina Lähteenmäki, Anu Soikkeli-Jalonen, Elina Haavisto","doi":"10.1002/nop2.70158","DOIUrl":"10.1002/nop2.70158","url":null,"abstract":"<p><strong>Aim and objective: </strong>This study described patients' experiences with advance care planning and decision-making in Finnish hospital palliative care wards.</p><p><strong>Design: </strong>A descriptive qualitative study with semi-structured individual interviews.</p><p><strong>Methods: </strong>The study group consisted of purposely selected patients in palliative care wards from two university hospital districts. A pretested interview guide was used. The interviews focused on three main themes with auxiliary questions. Data were gathered until data saturation was reached. The data were analysed using inductive content analysis.</p><p><strong>Results: </strong>A total of 20 patients with cancer were interviewed. Patients' experiences with advance care planning in palliative care were grouped into three parent categories with subcategories: (1) Making plans for the end of life (need for psychosocial support in cancer disease and wish for goals of care discussion), (2) Symptom management planning (wish for pharmacological interventions for symptom management and wish for non-pharmacological interventions for symptom management) and (3) Palliative care coordination (need for discharge planning and wish for compatibility between team members). Patients' experiences with care decision-making in palliative care were grouped into two parent categories with subcategories: (1) healthcare professional as a care decision-maker (medical care decision-making, nursing care decision-making and inter-professional care decision-making) and (2) shared decision-making (need for patient involvement in shared decision-making and need for family member involvement in shared decision-making).</p><p><strong>Conclusion: </strong>This study highlights the need for advance care planning and involvement in shared decision-making in palliative care from patient perspectives.</p><p><strong>Relevance for clinical practice: </strong>The results from this study show that nurses must be critically concerned about the early and intentional initiation of palliative care.</p><p><strong>Reporting method: </strong>The consolidated criteria for reporting qualitative studies checklist (COREQ) was used.</p><p><strong>Patient or public contribution: </strong>The data consists of answers given by patients in interviews.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 2","pages":"e70158"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441895","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}
Nursing OpenPub Date : 2025-02-01DOI: 10.1002/nop2.70159
Marion Waite, Jane Appleton, Kathleen Greenway, Robert Crookston, Sanj Nathoo, Catherine Henshall
{"title":"Workforce Recruitment Through Pre-Nursing Vocational and Education Training Schemes. A Qualitative Evaluation Through a Social Capital Lens.","authors":"Marion Waite, Jane Appleton, Kathleen Greenway, Robert Crookston, Sanj Nathoo, Catherine Henshall","doi":"10.1002/nop2.70159","DOIUrl":"10.1002/nop2.70159","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate learners' and stakeholders' experiences and perspectives of two models of pre-nursing vocational education and training (VET) schemes on nursing workforce recruitment.</p><p><strong>Design: </strong>Qualitative exploratory approach.</p><p><strong>Methods: </strong>This qualitative study comprised online, semi-structured interviews of nine stakeholders and eight trainees from one United Kingdom region in which two pre-nursing VET scheme models were implemented. Interview data was thematically analysed and interpreted through a social capital theory lens.</p><p><strong>Results: </strong>The interviews uncovered three key themes concerning the participants' experiences and perspectives on workforce recruitment: motivations and expectations, relational aspects of curriculum design and delivery and future possibilities. Established social structures were reported to be connected to education and clinical boundaries, enabling learners to build relationships with staff and patients and influencing their identity and career choices in healthcare. Limited placement opportunities hindered clinical learning, trainees from non-traditional backgrounds were underrepresented, and the validity of the academic preparation was unclear.</p><p><strong>Conclusion: </strong>The study makes a novel contribution by explaining how social assets can be created for all parties through two pre-nursing VET models when stakeholders' expectations and motivations align with learners' aspirations for a vocational route into nursing. This potentially leads to recruitment into nursing and healthcare pathways. The study's insights also showed a lack of recognition of this route to nursing and a lack of standardisation in access and educational delivery. The findings have implications for policy and educational practice. A deeper understanding of the socioeconomic factors affecting learners' nursing and healthcare career choices can enhance existing knowledge. Furthermore, studies are required to compare with other regions nationally and internationally to determine how pre-nursing VET schemes significantly address the global nurse recruitment crisis while considering local social and economic contexts.</p><p><strong>Reporting method: </strong>Consolidated criteria for reporting qualitative research (COREQ).</p><p><strong>Patient or public contribution: </strong>Stakeholder consultation during the study's design phase influenced the development of the research questions. Presenting the findings at a regional stakeholder workshop highlighted the key discussion points reported in the paper.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 2","pages":"e70159"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11807385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383634","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}
Nursing OpenPub Date : 2025-02-01DOI: 10.1002/nop2.70160
Yaprak Sarıgöl Ordin, Burcu Arkan
{"title":"Factors Affecting the Clinical Learning Environment of Nursing Students Using a Different Clinical Practice Model During the COVID-19 Pandemic.","authors":"Yaprak Sarıgöl Ordin, Burcu Arkan","doi":"10.1002/nop2.70160","DOIUrl":"10.1002/nop2.70160","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to determine the factors that affected the clinical learning environment of third-year nursing students during the COVID-19 period when a different clinical practice model ('make-up practices') had to be followed.</p><p><strong>Design: </strong>This study adopted a qualitative research design.</p><p><strong>Methods: </strong>Due to the pandemic, the clinical practices of the second-year applied courses were not performed in the nursing school where the study was conducted. Instead, only the theoretical courses were taught. The clinical practices of the third-year applied courses were thus not performed during the usual term. For this reason, the second- and third-year clinical practices that the students had to complete were carried out as 'make-up practices' at the end of the third year during the summer term. The sample of this study consisted of the 12 students who were enrolled into both the second- and third-year applied nursing courses as 'make-up practices'. In-depth semi-structured interviews were conducted. The data were analysed using content analysis.</p><p><strong>Results: </strong>The factors that affected the clinical learning environments of nursing students during the COVID-19 pandemic process were identified under three main themes: the effect of distance education and make-up practice, fear of infection, and supportive approaches.</p><p><strong>Conclusion: </strong>It was observed that the clinical practices conducted as make-up practices were very beneficial for students' learning, notwithstanding the many difficulties caused.</p><p><strong>Patient or public contribution: </strong>Students included in this study were participants during the data collection process. No patient or public contribution was involved.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 2","pages":"e70160"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11840082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Qualitative Survey of Mothers' Experiences of Breastfeeding Support at a Family Centre.","authors":"Breisy Castro, Anette Johnsson, Margareta Karlsson","doi":"10.1002/nop2.70152","DOIUrl":"10.1002/nop2.70152","url":null,"abstract":"<p><strong>Aim: </strong>The aim was to describe mothers' experiences of breastfeeding support at a family centre.</p><p><strong>Design: </strong>The study employed a qualitative approach using a descriptive design.</p><p><strong>Methods: </strong>Mothers enrolled at a family centre in western Sweden who used breastfeeding support based on the World Health Organization's 10 steps, were voluntarily selected to participate. Data were collected by an open-ended questionnaire from May to September 2023 and analysed using inductive qualitative content analysis.</p><p><strong>Results: </strong>The results indicated that mothers received support in the form of communication, actions and emotional care at the family centre. Accessible and continuous breastfeeding support was provided, rooted in their experiences during pregnancy and after giving birth. This was achieved through meaningful communication and by gaining knowledge via education with someone attentive to their breastfeeding story. Concrete support was offered, including practical advice and guidance to address breastfeeding challenges. Additionally, the mothers felt respected in their breastfeeding decisions and experienced empathetic, supportive care.</p><p><strong>Conclusions: </strong>Breastfeeding support and guidance are crucial to assisting mothers and respecting their individual needs. Effective support encompasses communication, actions and emotional care, strengthened by collaboration among actors to ensure accessibility and personalised care. The cooperative approach to breastfeeding at the family centre provides health-promoting and preventive primary care from a family-oriented perspective.</p><p><strong>Public contributions: </strong>A total of 31 mothers' participated by answering the open-ended questionnaire. Their responses contributed significantly to the content of this study.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 2","pages":"e70152"},"PeriodicalIF":2.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11802636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366395","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}