Applied Nursing Research最新文献

{"title":"Transcultural challenges in the nurse-migrant patient caring relationship: a phenomenological study","authors":"Arianna Anzini ,&nbsp;Gabriele Caggianelli ,&nbsp;Rita Patrizia Tomasin ,&nbsp;Alessia Segala ,&nbsp;Stefania Giangrazi ,&nbsp;Chiara Paccagnella ,&nbsp;Stefano Mancin ,&nbsp;Fabio Petrelli ,&nbsp;Valentina Vanzi ,&nbsp;Giovanni Cangelosi ,&nbsp;Irene Dello Iacono","doi":"10.1016/j.apnr.2025.151954","DOIUrl":"10.1016/j.apnr.2025.151954","url":null,"abstract":"<div><h3>Background/aim</h3><div>The rising migration to EU Member States has increased demographic diversity, posing challenges for healthcare systems in delivering culturally competent care. Nurses, often the first healthcare providers to interact with migrant patients, play a crucial role in addressing cultural differences. However, a lack of awareness and preparedness can negatively impact the nurse-patient relationship and overall care quality. This study aimed to explore the transcultural challenges nurses encounter when caring for migrant patients.</div></div><div><h3>Methods</h3><div>A qualitative phenomenological approach was used to examine the experiences of 19 nurses from two hospitals in Italy. Semi-structured interviews were conducted between June and August 2024. Giorgi's phenomenological method was applied to analyze the data and identify key themes related to transcultural care challenges.</div></div><div><h3>Results</h3><div>The findings revealed that language barriers significantly hinder communication, often requiring nurses to rely on non-verbal strategies. Cultural differences in health beliefs and expectations necessitate continuous adaptation of care plans. Building trust and empathy is crucial in fostering effective relationships, yet nurses face emotional and ethical challenges when patient values conflict with standard practices. Culturally competent staff act as essential mediators, bridging gaps in understanding and care delivery.</div></div><div><h3>Conclusions</h3><div>This study highlights the need for tailored interventions to support nurses in managing transcultural challenges. Addressing communication barriers and ethical dilemmas through training and the inclusion of cultural mediators is crucial to improving care quality for migrant patients. Further research is needed to develop evidence-based strategies for culturally competent nursing care.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151954"},"PeriodicalIF":2.7,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859506","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":"Nurses' perceptions of care practices for adults with cognitive impairment in hospital: a cross-sectional study","authors":"Erin Rachel Davis ,&nbsp;Christina Aggar ,&nbsp;Michelle Bissett","doi":"10.1016/j.apnr.2025.151953","DOIUrl":"10.1016/j.apnr.2025.151953","url":null,"abstract":"<div><h3>Aim</h3><div>To explore nurses' perceptions of care practices for adults with cognitive impairment.</div></div><div><h3>Design</h3><div>A cross-sectional survey using an amended psychometrically tested tool. This cross-sectional study followed the STROBE guidelines.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with nurses working on select surgical and medical hospital wards in 9 hospitals across a regional health district in NSW, Australia. Participants (<em>N</em> = 235) completed a survey which collected relevant demographic information and explored their perceptions of care practices for adults with cognitive impairment. A five-point Likert scale was utilised in the survey, with a higher score indicating higher usage of the care practice. For data analysis, descriptive statistics explored perceptions and correlation analysis examined associations between participant demographics and perceptions.</div></div><div><h3>Results</h3><div>Nurses react with care (median = 3.75) when adults with cognitive impairment display challenging behaviours and most often use their professional knowledge (median = 4.00) as an alternative to physical restraints. The results of this study suggest that nurses' experience and recent education focused on adults with cognitive impairment significantly influenced care practices.</div></div><div><h3>Conclusion</h3><div>Years of experience as a nurse and recent workplace education may positively influence the nursing practice of adults with cognitive impairment. This paper supports the development of mentorship programs led by experienced nurses and the provision of workplace education to improve nursing care practice for adults with cognitive impairment in hospital.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151953"},"PeriodicalIF":2.7,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828412","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":"Effects of effleurage massage on sleep quality in women hospitalized for high-risk pregnancies: A randomized crossover design","authors":"Yu-Ting Tien ,&nbsp;Chi-Jane Wang ,&nbsp;Chiung-Hsin Chang ,&nbsp;Ying-Ju Chang ,&nbsp;Hsiao-Ying Hung","doi":"10.1016/j.apnr.2025.151955","DOIUrl":"10.1016/j.apnr.2025.151955","url":null,"abstract":"<div><h3>Introduction</h3><div>It is important for health care professionals to improve sleep quality of women hospitalized for high-risk pregnancies to avoid adverse maternal and infant consequences.</div></div><div><h3>Methods</h3><div>A randomized crossover study was conducted at a medical center in southern Taiwan. Sixty hospitalized pregnant women were randomly assigned to receive either two consecutive nights of 20-minute effleurage massage followed by two nights of routine care, or the reverse order. Sleep quality was assessed using subjective measures, including the Pittsburgh Sleep Quality Index (PSQI) and the Verran and Snyder-Halpern Sleep Scale, as well as objective data collected via wrist actigraphy.</div></div><div><h3>Results</h3><div>The women perceived their sleep quality to be better when they received massages than when they received standard care (z = 5.801, <em>p</em> &lt; .001). Additionally, the women had shorter sleep latency (z = −6.493, p &lt; .001), less frequent awakenings (z = −4.829, p &lt; .001), and longer total sleep duration (z = 5.713, p &lt; .001) when receiving massage. These improvements were evident regardless of the women's initial sleep quality.</div></div><div><h3>Conclusion</h3><div>A 20-minute effleurage massage before bedtime for two consecutive days improves sleep quality of hospitalized women with high-risk pregnancies. Massage should be included in routine care for these women to avoid negative maternal and fetal health outcomes caused by insufficient sleep.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151955"},"PeriodicalIF":2.7,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845116","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":"Educational needs of patients with pre-cancerous vulval conditions: An audit and cross-sectional survey","authors":"Natalie Williams RN, MPhil (Nursing & Midwifery) ,&nbsp;Natarsha Wilson RN, Grad Cert ,&nbsp;Hayley Fleay RN, Grad Dip ,&nbsp;Bernadette McElhinney MB BAO BCH FRANZCOG","doi":"10.1016/j.apnr.2025.151951","DOIUrl":"10.1016/j.apnr.2025.151951","url":null,"abstract":"<div><h3>Background</h3><div>A systematic approach to surveillance of vulval dermatoses and pre-cancers is recommended for early detection of vulval cancer and nurses are crucial in care delivery. Typically, patients with gynaecological cancers have significant unmet information needs; however the extent in patients with vulval dermatoses and pre-cancers is unknown.</div></div><div><h3>Aim</h3><div>To evaluate knowledge gaps and educational requirements of patients attending vulvoscopy clinics at a Western Australian tertiary centre.</div></div><div><h3>Methods</h3><div>A retrospective audit examined data of 307 patients attending vulvoscopy clinics. A cross-sectional survey collected quantitative and qualitative data from 61 clinic attendees between January 2024 and March 2024. Data underwent descriptive statistical and content analysis.</div></div><div><h3>Results</h3><div>Most audited patients attended with vulval intrepithelial neoplasia, vaginal intraepithelial neoplasia or lichen sclerosus diagnoses (n = 212; 69 %). Most survey respondents (n = 49; 84 %) were confident in vulval care, however, almost half (n = 27, 46 %) self-reported ‘low’ knowledge. In explaining their condition, most (n = 23; 48 %) provided symptom descriptions.</div><div>Face-to-face appointments with a health professional was the preferred way to receive education (n = 48; 79 %). There was interest in attending nurse-led support group or education sessions. Most (n = 50; 85 %) indicated they would use an information pack including various resource formats.</div></div><div><h3>Conclusions</h3><div>Patients know how to effect vulval care but may not understand why. Nurses are key to providing trusted care in conditions commonly associated with stigma and embarrassment. Development of nurse-led strategies to provide support and education, may assist reducing the risk of progression to cancer. Future research evaluating nurse-led interventions will support best practice and improve outcomes for people living with vulval conditions.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151951"},"PeriodicalIF":2.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817450","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 association between health literacy and readiness for hospital discharge among family caregivers of acute myocardial infarction patients","authors":"Jehad A. Rababah,&nbsp;Mohammed Munther Al-Hammouri,&nbsp;Ayat Radaideh","doi":"10.1016/j.apnr.2025.151950","DOIUrl":"10.1016/j.apnr.2025.151950","url":null,"abstract":"<div><h3>Background</h3><div>Family caregivers play a pivotal role in post-discharge care, yet their ability to manage this responsibility is influenced by their level of health literacy. However, limited research has examined the relationship between health literacy and family caregivers' preparedness for discharge in the context of acute myocardial infarction.</div></div><div><h3>Aim</h3><div>This study aimed to explore the association between health literacy and readiness for hospital discharge among family caregivers of acute myocardial infarction patients.</div></div><div><h3>Methods</h3><div>A cross-sectional design was employed, with 123 family caregivers of acute myocardial infarction patients recruited from three hospitals in Jordan. Data were collected using the Health Literacy Questionnaire (HLQ) and the Readiness for Hospital Discharge Scale-Family Caregiver Form (FamRHDS). Bivariate correlations and multiple linear regression were used to perform data analysis.</div></div><div><h3>Results</h3><div>Bivariate correlations analysis revealed significant positive associations between all nine health literacy domains and readiness for hospital discharge. Multiple linear regression indicated that three HLQ scales significantly predicted caregivers' readiness for hospital discharge, <em>F</em> (4, 122) = 32.02, <em>p</em> &lt; .001, <em>R</em>^<em>2</em> = 0.52, explaining 50 % of the variance.</div></div><div><h3>Conclusion</h3><div>Health literacy significantly impacts family caregivers' readiness for hospital discharge, particularly in the domains of social support, appraisal, and understanding of health information. Healthcare providers should incorporate health literacy assessments and interventions into discharge planning for acute myocardial infarction patients and their family caregivers. Tailoring education to caregivers' health literacy levels can improve post-discharge care, patient outcomes, and the overall quality of the care transition.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151950"},"PeriodicalIF":2.7,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738233","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":"Psychometric testing of the Moral Neutralization Scale-Nurse Version (MNS-NV): An exploratory and confirmatory factor analyses","authors":"Daniel Joseph E. Berdida ,&nbsp;Rizal Angelo N. Grande","doi":"10.1016/j.apnr.2025.151947","DOIUrl":"10.1016/j.apnr.2025.151947","url":null,"abstract":"<div><h3>Aim</h3><div>To psychometrically validate the 15-item Moral Neutralization Scale-Nurse Version (MNS-NV).</div></div><div><h3>Background</h3><div>Nurses' moral neutralization techniques may adversely impact patient safety and healthcare outcomes. However, studies about moral neutralization in nursing remain a blank spot. More than ever, a valid and reliable scale is needed to measure nurses' moral neutralization.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional design. Participant nurses from three nursing colleges and five hospitals in Saudi Arabia were consecutively recruited and accomplished the 15-item MNS-NV. Polychoric correlations, exploratory factor analysis (EFA), Spearman's rank-order correlation, Kaiser-Meyer-Olkin test, and confirmatory factor analysis (CFA) were used for data analyses.</div></div><div><h3>Results</h3><div>Four items from the MNS-NV were omitted after EFA and CFA due to low inter-item correlations and low-factor loading difference. The MNS-NV was condensed to 11 items containing the three-factor structure: <em>Negative Cognitive Reconstruction</em>, <em>Bullying Normalization</em>, and <em>Retribution Rationalization</em>. Accordingly, results exhibited the scale's revised three-factor structure yielded good overall reliability and sub-scale consistencies while demonstrating acceptable construct validity following the CFA.</div></div><div><h3>Conclusion</h3><div>The 11-item MNS-NV is a practical scale with established construct validity and reliability. Healthcare institutions that employ nurses and their nurse managers may use this scale to evaluate nurses' moral neutralization techniques to provide evidence for creating and sustaining ethically and morally relevant nursing policies and practice.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151947"},"PeriodicalIF":2.7,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143716161","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":"Constipation severity mediates the relationship between affective symptoms and sleep quality among people with schizophrenia: A multicenter cross-sectional study","authors":"Shu-Yin Huang ,&nbsp;Li-Ru Wang ,&nbsp;Chieh-Yu Liu ,&nbsp;Chiu-Yueh Yang","doi":"10.1016/j.apnr.2025.151948","DOIUrl":"10.1016/j.apnr.2025.151948","url":null,"abstract":"<div><h3>Background</h3><div>More than half of people with schizophrenia experience poor sleep quality, which is greater than the proportion among the general population and among individuals with bipolar disorder. Poor sleep is a key indicator of symptom stability. Constipation is also more common in this population. While emerging evidence suggests that gut-brain interactions play a role in affective disorders, the relationship between constipation severity and sleep disturbances remains underexplored.</div></div><div><h3>Aim</h3><div>This study examined the mediating effect of constipation severity on the relationship between affective symptoms and sleep quality in people with schizophrenia.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study involving 256 participants with schizophrenia across two psychiatric hospitals. Structured questionnaires were used to assess affective symptoms, constipation severity, and sleep quality. We analyzed the mediating role of constipation severity while controlling for seven covariates by conducting multiple regression analysis using the SPSS PROCESS macro model 4.</div></div><div><h3>Results</h3><div>Anxiety, depressive symptoms, constipation severity, and sleep quality were found to be interconnected. The findings showed that neither anxiety nor depressive symptoms significantly impacted sleep quality when accounting for constipation severity, indicating that constipation fully mediated the relationship between affective symptoms and sleep quality.</div></div><div><h3>Conclusion</h3><div>In individuals with schizophrenia, constipation has a greater negative impact on sleep quality than affective symptoms. This study highlights the need to address constipation in mental health care, as managing it may improve both sleep and emotional well-being. A holistic approach that includes constipation management should be part of treatment plans for those facing mental health and sleep issues.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151948"},"PeriodicalIF":2.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748098","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":"Temporal trends in quality of work life, burnout, resilience, and turnover intention among newly employed nurses","authors":"Chien-Chou Su ,&nbsp;Hsiang-Chin Hsu ,&nbsp;Hsuan-Man Hung ,&nbsp;Shih-Yu Chang ,&nbsp;Huan-Fang Lee ,&nbsp;Susan Fetze ,&nbsp;Miaofen Yen","doi":"10.1016/j.apnr.2025.151949","DOIUrl":"10.1016/j.apnr.2025.151949","url":null,"abstract":"<div><h3>Aims</h3><div><em>As the</em> global nursing shortage continues to worsen, the influence of newly employed nurses' attributes on nurse retention requires attention. This study examined quality of work life (QWL), resilience, and burnout on the turnover intention of new nurses during their first six months of employment.</div></div><div><h3>Methods</h3><div>A longitudinal study recruited newly employed nurses providing direct patient care in six hospitals across Taiwan. Validated instruments related to QWL, burnout, resilience, and turnover intention collected data at the first, third, and sixth month of employment. Sample characteristics were summarized with descriptive statistics. Longitudinal data was analyzed using generalized estimating equations (GEE) to examine the relationships among the variables and turnover intention.</div></div><div><h3>Results</h3><div>Newly employed nurses (<em>n</em> = 615) reported moderately high QWL, low resilience, and moderate burnout. Turnover intention increased significantly over six months. Male, older, and unmarried nurses reported greater turnover intention, while high QWL and resilience reduced turnover risk. Emotional exhaustion and depersonalization, two factors contributing to burnout, strongly predicted greater turnover intention.</div></div><div><h3>Conclusion</h3><div>Turnover intention among new nurses increases in the first six months of employment, influenced by individual and workplace factors. Targeted early interventions to enhance QWL, reduce burnout, and build resilience are critical for improving retention rates among newly employed nurses.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151949"},"PeriodicalIF":2.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747716","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":"Essential elements and outcomes of psychological safety in the healthcare practice setting: A systematic review","authors":"Rose D. LaPlante MBA, MSN, RN, NEA-BC ,&nbsp;Patricia Reid Ponte DNSc, RN, FAAN ,&nbsp;Cherlie Magny-Normilus PhD, FNP-BC, FNYAM, FAAN","doi":"10.1016/j.apnr.2025.151946","DOIUrl":"10.1016/j.apnr.2025.151946","url":null,"abstract":"<div><h3>Background</h3><div>Psychological safety is considered an essential component of highly effective teamwork in organizations, including healthcare organizations. This systematic review examines essential elements and outcomes of psychological safety in healthcare practice teams to determine best practices for implementing psychological safety.</div></div><div><h3>Method</h3><div>A systematic literature review of published studies that described psychological safety as a variable in healthcare practice settings was conducted. Articles were included if they were published in English, peer reviewed, included nurses or physicians either individually or as part of a team, incorporated psychological safety, presented workforce or patient outcomes, and published in the past 10 years.</div></div><div><h3>Results</h3><div>Out of 220 articles, 30 met the inclusion criteria. This review identifies five essential elements and outcomes of psychological safety in healthcare.</div></div><div><h3>Conclusion</h3><div>This systematic review corroborates the importance of psychological safety to healthcare teams. Directing resources toward ensuring the implementation and enhancement of psychological safety in healthcare teams would improve the likelihood of reliable, safe, and high-quality healthcare delivery.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151946"},"PeriodicalIF":2.7,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851702","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":"Adjustment to a temporary compared to a permanent ostomy: A qualitative analysis of survey responses","authors":"Ian Whiteley ,&nbsp;Fiona F. Stanaway ,&nbsp;Sue Randall","doi":"10.1016/j.apnr.2025.151945","DOIUrl":"10.1016/j.apnr.2025.151945","url":null,"abstract":"<div><h3>Aims</h3><div>To describe differences and similarities in adaptation or adjustment to a new temporary compared to a new permanent ostomy.</div></div><div><h3>Background</h3><div>Few studies have assessed differences in adjustment between temporary and permanent ostomies. This is important as some evidence suggests that individuals with a temporary ostomy defer returning to pre-ostomy life until the ostomy is reversed, while those with a permanent ostomy adjust more quickly. Qualitative data can offer deeper insights by exploring personal perspectives, beliefs, and attitudes as people adapt and adjust to a new ostomy.</div></div><div><h3>Design</h3><div>This is a multicentre, longitudinal observational study in which adjustment to an ostomy was measured using open-ended, short answer questions added to the Ostomy Adjustment Inventory (OAI-23).</div></div><div><h3>Methods</h3><div>Sample: Seven hundred participants were recruited through 11 care facilities, 397 had a temporary ostomy and 303 had a permanent ostomy. This paper explores the 626 responses to open-ended questions.</div><div>Data analysis: Data was uploaded into NVivo (14) software and responses were analysed as data c<em>orpus</em> using thematic analysis.</div></div><div><h3>Findings</h3><div>The formation of a new temporary or permanent ostomy required a period of adaptation and adjustment. Thirteen sub-themes were identified and further refined into three major themes, adjusting to the unfamiliar and unpredictable body; navigating uncharted territory; and psychological adjustment. Whilst some minor differences were noted, these were far overshadowed by the similarities in adjustment between the two groups.</div></div><div><h3>Conclusion</h3><div>Adaptation to a temporary or permanent ostomy is an ongoing process with many similarities influencing adjustment outcomes. Improved comprehension of ostomy adjustment will assist planning services to meet the needs of this population.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"83 ","pages":"Article 151945"},"PeriodicalIF":2.7,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725494","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}