Diako Morvati, Rita Solbakken, Jonas Vaag, Yvonne Hilli
{"title":"Nurses' and nurse leaders' perspectives on a health-promoting work environment: a meta-ethnographic study.","authors":"Diako Morvati, Rita Solbakken, Jonas Vaag, Yvonne Hilli","doi":"10.1080/17482631.2025.2460255","DOIUrl":"10.1080/17482631.2025.2460255","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this meta-ethnography is to integrate and synthesize nurses' and nurse leaders' perspectives on a health-promoting work environment to enhance understanding of its essential aspects.</p><p><strong>Methods: </strong>A meta-ethnographic approach developed by Noblit and Hare was conducted.</p><p><strong>Findings: </strong>Line of argument synthesis led to the development of an overarching tree metaphor: \"cultivating a flourishing environmental tree rooted in values, held stable by leadership, and nurtured by safe working conditions.\" This metaphor illustrates that a health-promoting work environment is imbued with three interdependent aspects: 1) core values as the roots of the tree, including respect, recognition, community, and engagement 2) value-conscious leadership as the trunk of the tree, meaning a leader who is conscious of their power position and responsibilities and 3) safe working conditions as fertile soil for the tree, comprising the physical and administrative dimensions of the work environment.</p><p><strong>Conclusions: </strong>Collaboration between nurses and leaders is crucial for cultivating a health-promoting work environment. However, nurse leaders, due to their influential positions, have the responsibility to facilitate this environment. Consequently, leaders need to receive adequate resources and support from their superiors to foster an environment that enhances nurses' health and job satisfaction.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2460255"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069453","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}
Malin Eriksson, Linda R Sundberg, Ailiana Santosa, Helena Lindgren, Nawi Ng, Kristina Lindvall
{"title":"Health behavioural change - the influence of social-ecological factors and health identity.","authors":"Malin Eriksson, Linda R Sundberg, Ailiana Santosa, Helena Lindgren, Nawi Ng, Kristina Lindvall","doi":"10.1080/17482631.2025.2458309","DOIUrl":"10.1080/17482631.2025.2458309","url":null,"abstract":"<p><p>Health behaviour is crucial for influencing health, making it a key component in health promotion. However, changing behaviours is complex, as many factors interact to determine health behaviours. Information, awareness, and knowledge are important but not enough. It is essential to move beyond focusing solely on individual psychological and cognitive factors to an understanding of the complex processes involved in health behaviour change. Social-ecological models account for these complex processes but risk being overly broad and all-encompassing. This qualitative grounded theory study explores how individual, interpersonal, and environmental factors interplay to influence health behaviour, and examines how social-ecological models in health promotion can be tailored to address different ecological needs. Participants were recruited from a community-based cardiovascular disease-prevention program in Northern Sweden. Data was collected through in-depth interviews about health and health behaviours throughout the life course among middle-aged men and women. The results illustrate how factors obstructing or enabling health behaviours vary in patterned ways for individuals with different health identities. Social-ecological interventions could be more effective if adapted to the specific needs of people with different health identities. In addition to screening for various risk factors, screening for health identities could be helpful in designing social-ecological health-promoting interventions.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2458309"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069436","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}
Marloes de Brabandere, Ini Vanwesenbeeck, Liselot Hudders
{"title":"Turning likes into lifts: Understanding how adolescents experience fitfluencer content and the opportunities it offers them.","authors":"Marloes de Brabandere, Ini Vanwesenbeeck, Liselot Hudders","doi":"10.1080/17482631.2025.2467520","DOIUrl":"10.1080/17482631.2025.2467520","url":null,"abstract":"<p><p>Current research on fitfluencers and fitspiration content is mostly quantitative and emphasizes its negative impact, overlooking its opportunities. Adolescents, who are undergoing an important and delicate developmental period, are largely understudied in research on fitfluencers and fitspiration. Combined with more than 80% of the world's adolescents not being sufficiently physically active, more research is needed on how fitfluencers may positively impact adolescents' mental and physical health. Through 20 semi-structured in-depth interviews with adolescents (aged 14-18), this study explores their lived experiences with fitfluencers and the role these play in their mental and physical health, and which opportunities fitfluencers offer to positively impact adolescents. Adolescents reported minimal negative consequences of fitfluencers and experience more motivation than demotivation. Four main opportunities-information, authenticity, actionable content, and entertainment-incited motivation to exercise and make fitfluencers' appearance and lifestyle more attainable and relatable. These results can guide future research on how fitfluencers can positively affect adolescents.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2467520"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11852233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484585","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}
Alexandra Säwén, Elzana Odzakovic, Martin Ulander, Jonas Lind, Anders Broström
{"title":"Primary healthcare nurses' experiences of symptoms and treatment needs of patients with RLS-associated symptoms at telephone nursing - an abductive analysis based on the Four Habits communication model.","authors":"Alexandra Säwén, Elzana Odzakovic, Martin Ulander, Jonas Lind, Anders Broström","doi":"10.1080/17482631.2025.2478687","DOIUrl":"10.1080/17482631.2025.2478687","url":null,"abstract":"<p><strong>Background: </strong>Restless legs syndrome (RLS) is a common, neurological disease. Primary healthcare (PHC) nurses are often the patient's first contact, but studies regarding their experience assessing RLS-associated symptoms and treatment needs in telephone nursing (TN) are lacking.</p><p><strong>Purpose: </strong>To describe how PHC nurses experience symptoms and treatment needs of patients with RLS-associated symptoms during TN.</p><p><strong>Methods: </strong>A descriptive abductive design, including semi-structured interviews with 18 PHC nurses from six Swedish regions. Data was deductively analyzed using the Four Habits communication model. Facilitators and barriers were inductively identified.</p><p><strong>Results: </strong>Invest in the beginning included the use of professional competence, interpretation of influencing factors at the start of the conversation and initial understanding of the patient's RLS symptoms. Elicit the patient's perspective involved originate from the patient's perception of the symptoms and comprehending the symptoms' impact on the patient's life situation. Relate to the patient's situation and the importance of trust in the patient meeting described demonstrating empathy. Invest in the end involved triaging patients with RLS-associated symptoms, providing self-care advice to patients with RLS-associated symptoms and achieving consensus at the end of the conversation.</p><p><strong>Conclusion: </strong>Using the Four Habits communication model could enrich communication regarding RLS-associated symptoms and treatment needs during TN.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2478687"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651840","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}
Johanna Swenne, Ricko Damberg Nissen, Torben Frøstrup Hansen, Lars Henrik Jensen, Jens Søndergaard, Mette Stie
{"title":"Lived experiences of life with newly diagnosed advanced cancer - a qualitative interview study.","authors":"Johanna Swenne, Ricko Damberg Nissen, Torben Frøstrup Hansen, Lars Henrik Jensen, Jens Søndergaard, Mette Stie","doi":"10.1080/17482631.2025.2453296","DOIUrl":"10.1080/17482631.2025.2453296","url":null,"abstract":"<p><strong>Background: </strong>Incurable cancer significantly affects an individual's life, requiering comprehensive palliative care (PC). With early PC now recommended but poorly integrated, it is essential to address patients' experiences and concerns to ensure successful early PC integration.</p><p><strong>Aim: </strong>This study aims to investigate the experiences of life in the initial period following a diagnosis of incurable cancer to inform early PC integration.</p><p><strong>Methodology: </strong>The study employed a phenomenological hermeneutical framework, drawing inspiration from interpretive descriptive methodology. Thirteen participants diagnosed with incurable cancer were purposively recruited. Data were generated through semi-structured, in-depth interviews exploring patients' experiences of lived life, their needs and wishes. Data analysis followed an iterative process of constant comparison and thematic development.</p><p><strong>Results: </strong>One main theme was identified throughout the analysis: Standing still in the storm. Three sub-themes were identified reflecting varying manifestations innhow doing so, and navigating their challenging circumstances. peace: 1) The urge to take action, 2) Clarity and awakening in the face of reality, and 3) Changed self-perception. As their understanding of their illness deepened, the patients experienced a shift towards reconciliation.</p><p><strong>Conclusion: </strong>The experiences of patients living with incurable cancer reveal a complex interplay of psychological, emotional, and existential responses. It is essential that healthcare professionals address existential concerns within clinical care. By acknowledging and supporting patients' existential struggles, discussions about sensitive topics becomes more natural and better recieved by the patients. .</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2453296"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048567","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}
Jack Palmieri, Maria Emmelin, Pia Svensson, Anette Agardh
{"title":"Aware but confused: conflicted between individual and collective responsibility. A grounded theory study of norms and organisational structures relating to sexual harassment among university students in southern Sweden.","authors":"Jack Palmieri, Maria Emmelin, Pia Svensson, Anette Agardh","doi":"10.1080/17482631.2025.2471667","DOIUrl":"10.1080/17482631.2025.2471667","url":null,"abstract":"<p><strong>Purpose: </strong>Sexual harassment in contexts of higher education is a well-documented problem with far reaching consequences for individuals and organizations. Questions remain about how sexual harassment is conceptualized and what implications these conceptualizations have for designing programmes to prevent and respond to sexual harassment in university settings. This study aimed to understand how students conceptualize sexual harassment, focussing on the influence of perceived norms and organizational structures as explanatory mechanisms.</p><p><strong>Methods: </strong>This grounded theory study utilized seven focus group discussions to collect data from students at Lund University, Sweden.</p><p><strong>Results: </strong>The analysis yielded one core category, \"Aware but confused: conflicted between individual and collective responsibility\", supported by four categories reflecting different elements of conceptualizing and responding to sexual harassment. Sub-categories captured properties and dimensions of these categories along the continuum of individual to collective responsibility. The findings reflected an awareness among students of the occurrence of sexual harassment but confusion over definitions and assignment of responsibility. This confusion could have serious consequences for willingness to report cases of sexual harassment.</p><p><strong>Conclusion: </strong>Building trust in the university system requires establishing common understandings of sexual harassment, clear and accountable pathways for reporting, and transparency of outcome when reports are made.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2471667"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517249","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}
Onat Yetim, Lut Tamam, Rabia Maria Küçükdağ, İlham Sebea Alleil
{"title":"\"The wind does not go the way the ship wants!\": stress and social support in Syrian migrant adolescents.","authors":"Onat Yetim, Lut Tamam, Rabia Maria Küçükdağ, İlham Sebea Alleil","doi":"10.1080/17482631.2025.2467514","DOIUrl":"10.1080/17482631.2025.2467514","url":null,"abstract":"<p><strong>Purpose: </strong>Previous studies reveal the importance of proximal context and social environment in the adaptation and resilience of immigrant adolescents. Syrian immigrant youth in Turkey face stressors such as acculturation, discrimination, and economic problems. However, more qualitative research is needed to examine the unique stressors and coping processes of Syrian immigrant youth and the social networks that support them. This study aimed to uncover the relevant unique relationships.</p><p><strong>Method: </strong>The study involved 24 Syrian migrant adolescents aged 12-18, with four focus group interviews conducted from April to May 2024. Data were analyzed using Interpretative Phenomenological Analysis (IPA).</p><p><strong>Conclusions: </strong>The themes related to sources of stress were (a) life struggle, (b) peer relationships, (c) future anxiety, (d) social barriers, and the social support mechanisms in times of stress were discovered as (a) family (b) clergy and religious rituals (c) non-governmental organizations (d) school counselors. The results of our study shed light on the fact that Syrian migrant youth experience significant socioeconomic difficulties and are forced to leave formal education and work in unequal conditions. Our study also revealed that youths have difficulties in accessing education, health, and professional psychological support services due to perceived discrimination in public institutions such as schools and hospitals.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2467514"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11837916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442901","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":"User and staff experiences of a revised process for coordinating support with shared decision making in the comorbidity field of practice: a qualitative interview study.","authors":"Amanda Jones","doi":"10.1080/17482631.2024.2447095","DOIUrl":"https://doi.org/10.1080/17482631.2024.2447095","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to explore user and staff experiences of a revised process for coordinated individual planning (CIP) that involves the user alongside staff from social services and healthcare and incorporates shared decision-making (SDM).</p><p><strong>Method: </strong>Eight staff members and five users participated in individual semi-structured interviews. The collected data were analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>Users and staff experienced that the revised CIP process facilitates emotional security through predictability. This predictability is attributed to the predetermined structure in the CIP process and the user involvement enabled through preparations, as well as the mutual trust that arises from following through on expectations and commitments. Furthermore, the importance of partnerships was highlighted. This refers to the intention of respecting users as contributors, the joint understanding achieved between staff and users, and the continuity of care ensured through staff collaboration.</p><p><strong>Conclusion: </strong>The findings show that incorporating SDM through the CIP process can enhance structure, user involvement, and a sense of emotional security through the process.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2447095"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899248","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}
Josephien Leonie Jansen, Vera Verhage, Richard Bruggeman, Lydia Krabbendam, Janneke Koerts
{"title":"A penny for your thoughts: three perspectives on financial problems and their associated factors of people with psychotic disorders.","authors":"Josephien Leonie Jansen, Vera Verhage, Richard Bruggeman, Lydia Krabbendam, Janneke Koerts","doi":"10.1080/17482631.2025.2479945","DOIUrl":"10.1080/17482631.2025.2479945","url":null,"abstract":"<p><strong>Purpose: </strong>Financial problems are of influence on mental health, and vice versa. Indeed, finances are a key challenge for people with psychosis. To gain deeper insights into these challenges, a qualitative approach focusing on all perspectives within the therapeutic triad is needed. This study aims to investigate perspectives of people with psychosis, family members and mental healthcare professionals on people with psychosis' financial problems, and associated factors.</p><p><strong>Methods: </strong>Fourteen people with psychosis, 15 family members and 16 professionals were recruited using purposive sampling, and participated in semi-structured, one-on-one interviews. Data was analysed using iterative thematic data-analysis.</p><p><strong>Results: </strong>Interviews revealed five themes of financial problems: Covering expenses, Financial performance, Living conditions and housing, Personal conflicts and victimization, and Regulations and legislation. Five themes were identified as factors associated with financial problems: Psychotic symptoms, Indirect factors related to psychosis, Substance use and addiction, Financial upbringing and life events, and Societal contextual factors.</p><p><strong>Discussion: </strong>People in the therapeutic triad largely mentioned similar, wide-ranging, and often co-occurring (factors associated with) financial problems of people with psychosis, risking vicious cycles. Fostering awareness and collaborative efforts among stakeholders is essential to breaking these cycles of financial problems for individuals with psychosis.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2479945"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665349","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 doctors and nurses looked like aliens': a qualitative study on the subjective hospitalization experiences of severe COVID-19 patients in Slovakia\".","authors":"Peter Halama, Jana Tencerová, Branislav Uhrecký","doi":"10.1080/17482631.2024.2438831","DOIUrl":"10.1080/17482631.2024.2438831","url":null,"abstract":"<p><p>Due to the need to hospitalize a large number of patients during the COVID-19 pandemic, the psychological conditions of hospitalized patients were often overlooked. This study focuses on the qualitative analysis of the subjective experiences of patients with a severe COVID-19 disease in Slovakia during hospitalization. A total of 27 Slovak participants (11 men and 16 women, mean age 57.10 years) who were hospitalized with severe COVID-19 disease were interviewed about their subjective experiences during hospitalization. The data was analysed using thematic analysis. The main themes included negative emotions such as distress, discomfort with the illness, discomfort with the medical environment and helplessness. The main sources of distress were the sense of isolation, witnessing the death of another patient, own death concerns, and concerns for others. Sources and strategies used by patients to improve their mental state included interpersonal resources such as contact with relatives and friends, instrumental support from them, mutual help among patients and professional psychological support. Interpersonal resources included optimism, hope, religion and spirituality, recollection of significant others, and reconciliation with the possibility of death. The results have implications for medical staff as they help them to understand the psychological state of COVID-19 patients during hospitalization and can inform psychological interventions to improve hospital care for these patients.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2438831"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11633432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830820","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}