International Journal of Qualitative Studies on Health and Well-Being最新文献

{"title":"Psychiatric spaces: a phenomenological case study of staff perspectives after relocation to a new mental health facility.","authors":"Anne Hagerup, Carina Ribe Fernee, Helle Wijk, Göran Lindahl, Sepideh Olausson","doi":"10.1080/17482631.2025.2485697","DOIUrl":"10.1080/17482631.2025.2485697","url":null,"abstract":"<p><strong>Introduction: </strong>Patients in mental health care rely on staff for their well-being, security, and quality of treatment. However, staff's perspective of the physical environment where care takes place remains underexplored. Their insights are crucial to understanding how the environment impacts the quality of care. Therefore, the aim of this study is to explore the meanings of the physical environment for inpatient care according to staff shortly after relocation to a new mental health facility.</p><p><strong>Methods: </strong>The study employed a phenomenological approach and focus group interviews with 20 staff working in a newly built mental health facility. Data were analysed using van Manen's existentials and guided by the theory of affordances.</p><p><strong>Results: </strong>The primary findings were as follows: (a) attempting to provide a therapeutic atmosphere, (b) design as symbolism, (c) altering the physical environment means altering time, (d) offering spaces for connection and communication, and (e) embodying the new mental health facility.</p><p><strong>Conclusion: </strong>The findings indicate that regardless of whether affordances are actualized, opportunities and obstacles in the hospital environment impact the staff's ability to provide inpatient care according to their standards. Conflict arose due to obstacles inherent in the organization and structure of the new mental health facility that limited opportunities to utilize possible affordances.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2485697"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755780","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":"Aspects of dignity in family caregivers of persons suffering from multiple sclerosis.","authors":"Dagfinn Nåden, Lillemor Lindwall, Vibeke Lohne","doi":"10.1080/17482631.2025.2468047","DOIUrl":"10.1080/17482631.2025.2468047","url":null,"abstract":"<p><strong>Background: </strong>The focus of this study is on preserved dignity and dignity violation of family caregivers of persons suffering from multiple sclerosis.</p><p><strong>Aim: </strong>The aim of the study was to get a deeper understanding of how family caregivers of persons suffering from multiple sclerosis perceive that their dignity is preserved or deprived.</p><p><strong>Methodology: </strong>A hermeneutic approach was employed.</p><p><strong>Research methods: </strong>The authors conducted research interviews in the form of conversations with eight family caregivers.</p><p><strong>Analysis and interpretation methods: </strong>Our compass and guide in the interpretation process were Gadamer's hermeneutics and the pursuit of the study' purpose.</p><p><strong>Ethical considerations: </strong>The participants were informed of the possibility of being able to withdraw from the study whenever they wished.</p><p><strong>Results: </strong>Preserved dignity through: Doing good for others; Compassion with and bearing burdens of others; Being reconciled with life; Violated dignity caused by insensitive health care professionals, public authorities, health care systems and friends.</p><p><strong>Conclusion: </strong>The family caregivers preserve their dignity by doing good for their loved ones, bearing their burdens and when they become reconciled with life. Their dignity is violated when being met by insensitive healthcare professionals.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2468047"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11841095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450857","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":"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}

{"title":"Correction.","authors":"","doi":"10.1080/17482631.2025.2489263","DOIUrl":"10.1080/17482631.2025.2489263","url":null,"abstract":"","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2489263"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804687","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":"Living in existential exile: women's lived experience of intimate partner violence during the breastfeeding period.","authors":"Ida Gustafsson, Aleksandra Jarling, Katarina Karlsson, Lina Palmér","doi":"10.1080/17482631.2025.2507313","DOIUrl":"10.1080/17482631.2025.2507313","url":null,"abstract":"<p><strong>Purpose: </strong>Intimate partner violence is a global health issue with physical, mental, and existential impacts. It affects women throughout their lives, including the breastfeeding period. Gaining an understanding of existential dimensions could potentially inspire individualized, health-oriented care. This study aims to explain and understand women's lived experience of intimate partner violence during the breastfeeding period.</p><p><strong>Methods: </strong>A lifeworld hermeneutic approach guided the interpretative analysis of nine lifeworld interviews and forty-nine written lifeworld stories of women exposed to intimate partner violence during breastfeeding.</p><p><strong>Results: </strong>The interpretations show that intimate partner violence during the breastfeeding period means to breastfeed under attack in an objectified and provocative female body while feeling abandoned and entrapped in an incomprehensible reality. The interpretations are abstracted into a main interpretation: being forced into an existential exile that entails an ambiguous passive-active resistance.</p><p><strong>Conclusions: </strong>Exposure to intimate partner violence during breastfeeding is a forced existential exile in a vulnerable situation. Women are forced into unauthentic lives, where their whole being is questioned, and active resistance is inhibited by limited freedom. Awareness of the lived experience of IPV during breastfeeding is essential for healthcare professionals to help reduce the suffering and enhance the health and well-being of women exposed to IPV.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2507313"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144111500","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":"Understanding the needs and challenges of unpaid carers caring for someone with drug and alcohol dependency: findings from a national qualitative evaluation.","authors":"Sarah Tickle, Sarah Greenhow","doi":"10.1080/17482631.2025.2500395","DOIUrl":"10.1080/17482631.2025.2500395","url":null,"abstract":"<p><strong>Purpose: </strong>The cost-of-living crisis witnessed in the UK, in addition to the repercussions of the COVID-19 pandemic, has exacerbated growing concerns about its disproportionate impact on caregivers. All caregivers face unprecedented challenges, but this is further intensified when caring for someone with drug and alcohol dependency which this paper argues are direct social harms.</p><p><strong>Methods: </strong>This paper presents findings from an external evaluation of three projects from a wider national programme funded by NHS England and Improvement [NHSE/I]. Identified by NHSE/I as a vulnerable community, interviews were conducted with eight caregivers who were caring for someone with drug and alcohol dependency, which this paper focuses on.</p><p><strong>Results: </strong>After thematic analysis was conducted on qualitative data, key themes emerged that emphasized a range of specific challenges faced by unpaid carers, including stigmatization and marginalization, a lack of understanding about drug and alcohol dependency, and caring for complex needs, which were particularly challenging in accessing appropriate support.</p><p><strong>Conclusions: </strong>Caregivers overwhelmingly advocated for the urgent need to raise awareness around the role of being a \"carer,\" to see more individualized support provided, in addition to the recognition of treating mental health alongside drug and alcohol dependency in a supportive holistic approach.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2500395"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063216","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 complexities of joy: a qualitative study of joy cultivation, loss of joy, and happiness in British adults.","authors":"Maria Roberts, Richard Appiah","doi":"10.1080/17482631.2025.2508946","DOIUrl":"10.1080/17482631.2025.2508946","url":null,"abstract":"<p><strong>Introduction: </strong>Joy is a fundamental yet underexplored emotion that plays a critical role in well-being and happiness. Despite its significance, little research has examined how individuals cultivate, experience, and lose joy, particularly in relation to its interplay with other emotions and broader aspects of well-being. This study explored the subjective and contextual dimensions of joy among UK adults, including how it is cultivated, lost, and related to the broader aspects of well-being.</p><p><strong>Methods: </strong>Using an exploratory qualitative design, semi-structured interviews were conducted with 14 adults aged 28-59 years. Thematic analysis was employed to identify patterns in participants' experiences of joy, its influences, and impact on well-being.</p><p><strong>Results: </strong>Four key themes were constructed: The Dynamics of Joy in Everyday Life, Determinants of Joy: Influences and Barriers, Impact of Joylessness: Coping Behaviours, and Strategies for Cultivating Joy. Joy was perceived as a distinct, profound emotion, often intertwined with gratitude and love. Barriers to joy included negative relationships, societal pressures, and emotional burdens, whereas fostering positive relationships, engaging with nature, and cultivating self-awareness were identified as key strategies for sustaining joy.</p><p><strong>Discussion: </strong>Findings highlight joy as a complex emotion, distinct from happiness and shaped by individual, relational, and cultural contexts. The study offers insight into joy's emotional and psychological impact, the challenges of its loss, and the enduring value of joyful memories. Participants also shared practical suggestions for cultivating joy, which may inform well-being initiatives in community, educational, or therapeutic settings.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2508946"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12107667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136515","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":"Unravelling the roadblocks and pathways to adolescents' physical activity.","authors":"Christina Alexandrou, Anna-Karin Lindqvist, Hanna Wieslander, Stina Rutberg","doi":"10.1080/17482631.2025.2524270","DOIUrl":"10.1080/17482631.2025.2524270","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic negatively affected adolescents' opportunities for physical activity in many countries.</p><p><strong>Aim: </strong>To explore experiences and opportunities for physical activity among Swedish adolescents with different backgrounds, considering both the impact of the COVID-19 pandemic and broader influencing factors during and after this period.</p><p><strong>Methods: </strong>Data was collected through focus group interviews (<i>n</i> = 13) with 86 students and analysed using content analysis.</p><p><strong>Results: </strong>Although many adolescents managed to remain physically active during the COVID-19 pandemic, socioeconomic differences affected opportunities for participation in organized sports and activities, as well as perceptions of community safety. Findings also highlighted the important role of schools and the influence of gender and performance norms on physical activity, as well as young girls' desire for \"safe spaces\" to focus on their training and development.</p><p><strong>Conclusion: </strong>The COVID-19 pandemic disrupted routines, prompting adaptations and exposing various barriers. Social belonging, socioeconomic background, and prevailing norms significantly influenced activity levels, while the balance between independence and safety emerged as a key factor. Moving forward, we recommend investing in community safety, youth sports, and supportive school policies that challenge gender and performance norms, particularly in socioeconomically disadvantaged areas.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2524270"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12217099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144546078","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":"\"I know it will make me feel better\": a grounded theory of sea gazing and well-being for women in midlife.","authors":"Sarah L Hurdman, Donna C Jessop, Megan Hurst, Tom L Farsides","doi":"10.1080/17482631.2025.2527883","DOIUrl":"10.1080/17482631.2025.2527883","url":null,"abstract":"<p><strong>Background: </strong>Midlife has been identified as a period of diminished health and well-being among women. A growing body of evidence has documented positive links between interactions with the sea and well-being. To date, most qualitative researchers have focused on the experience and benefits of activities taking place in, or on, the water. Hence, this study aimed to explore the experiences of looking out to sea from the land (\"sea gazing\"), and how it may be related to well-being, for women in midlife.</p><p><strong>Methods: </strong>Grounded theory methodology was used to develop a substantive theory of the relationship between sea gazing and well-being. Data were collected from 15 coastal-dwelling women, aged between 45-64 years old.</p><p><strong>Results: </strong>The proposed theory explains a self-reinforcing, cyclical process in which sea gazing is used as a habitual self-care practice within overall well-being management. The theory was constructed around a core category of <i>habitually reconnecting with the sea to help manage well-being</i>.</p><p><strong>Conclusions: </strong>Sea gazing from the land may offer a simple, affordable and accessible way for midlife women to gain well-being benefits from the sea . These results may be of interest to policymakers and healthcare professionals concerned with facilitating positive well-being outcomes for women in midlife.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2527883"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12239125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585586","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":"Why the oldest old in China bypass primary care: culture, family, and health system limitations.","authors":"Marius Wamsiedel, Boyang Li","doi":"10.1080/17482631.2025.2536103","DOIUrl":"https://doi.org/10.1080/17482631.2025.2536103","url":null,"abstract":"<p><strong>Purpose: </strong>This study contributes to the understanding of primary care bypassing in China by focusing on an underexplored demographic: the oldest old (individuals aged 80 years and above). While previous research has predominantly focused on health system determinants of bypassing, this study also considers social and cultural factors involved in the oldest old's health-related decision-making and health-seeking behaviour.</p><p><strong>Methods: </strong>Data were collected through 20 in-depth interviews with participants from Shandong, Henan, and Shanghai. Data analysis combined inductive and deductive approaches. Initially, we used the constructive grounded theory approach of inductive coding to allow codes to emerge from participants' narratives. Later, we integrated the emerging categories within the Health Belief Model to provide a more structured understanding of the factors influencing bypassing behaviours.</p><p><strong>Results: </strong>Our findings reveal that bypassing cannot be explained only through distrust in the quality of services and resource shortages at primary care facilities. Participants often regarded ageing as a natural, inevitable process, which, combined with the cultural norm of endurance, delayed care-seeking for minor health issues and reduced the use of preventive services. Family involvement in health-related decisions also contributes to bypassing, as children often push for hospital-based care, reflecting both the cultural expectation of filial devotion and the belief that hospitals provide better care. Personal connections within hospitals increase trust, facilitate access, and secure privileges, which reduce the appeal of primary healthcare facilities.</p><p><strong>Discussion: </strong>Our findings suggest that health system improvements alone, albeit necessary, are insufficient to reduce the bypassing of primary care. Interventions should also address the socio-cultural factors influencing this practice. Specifically, this paper calls for improving the quality of primary health services, reforming the essential medicines policy, and promoting cultural change by prioritizing preventive care and improving the general perception of community health centres, township health centres, and village clinics.</p>","PeriodicalId":51468,"journal":{"name":"International Journal of Qualitative Studies on Health and Well-Being","volume":"20 1","pages":"2536103"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661054","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}