Creative Nursing最新文献

Mothers' Experiences of Providing Complex Home-Based Care for Children with Profound Intellectual and Multiple Disabilities: A Phenomenological Study. 重度智障与多重智障儿童的母亲复杂居家照护经验：现象学研究。

IF 0.9

Creative Nursing Pub Date : 2025-10-03 DOI: 10.1177/10784535251382116

Masami Tanaka, Yuta Koto

{"title":"Mothers' Experiences of Providing Complex Home-Based Care for Children with Profound Intellectual and Multiple Disabilities: A Phenomenological Study.","authors":"Masami Tanaka, Yuta Koto","doi":"10.1177/10784535251382116","DOIUrl":"https://doi.org/10.1177/10784535251382116","url":null,"abstract":"Background:The care of children with Profound Intellectual and Multiple Disabilities (PIMD) often relies heavily on parents, and their care practices can be difficult for professionals to fully understand or replicate. Purpose: This study aims to clarify the foundation of care practices among parents of children with PIMD. Methods: Five mothers were interviewed using unstructured interviews, and the data were analyzed using a phenomenological approach. Conclusions: Mothers emphasized the importance of fostering children's sense of self-determination through sincere and attentive care. They also expressed concerns that nurses' excessive focus on medical expertise could lead to losing sight of the child as a person and reducing care to the application of knowledge. This study highlights the lack of a universal definition of care for children with PIMD. Implications for Practice: Nurses need to take more account of the fact that care for children with PIMD is deeply personalized, and that based on mothers' experiences, care itself constitutes an important form of tacit knowledge. These insights should be applied to everyday practice and emphasized in the training process.","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535251382116"},"PeriodicalIF":0.9,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barriers to Multiprofessional Information Sharing for Early Mobilization in the Intensive Care Unit: A Qualitative Descriptive Study. 重症监护病房早期动员中多专业信息共享的障碍：一项定性描述性研究。

IF 0.9

Creative Nursing Pub Date : 2025-10-01 DOI: 10.1177/10784535251379558

Azusa Katsuyama, Chiharu Akazawa

{"title":"Barriers to Multiprofessional Information Sharing for Early Mobilization in the Intensive Care Unit: A Qualitative Descriptive Study.","authors":"Azusa Katsuyama, Chiharu Akazawa","doi":"10.1177/10784535251379558","DOIUrl":"https://doi.org/10.1177/10784535251379558","url":null,"abstract":"Background: Early mobilization in the intensive care unit (ICU) is crucial for preventing complications; however, barriers to interprofessional information sharing can hinder its effectiveness. Objective: This qualitative descriptive study aimed to identify barriers to interprofessional information sharing in ICUs, focusing on early mobilization. Methods: Semi-structured interviews were conducted with 15 ICU physicians, nurses, and physiotherapists in two Japanese hospitals. Results: Six categories and 15 sub-categories involving barriers were identified. Categories were Inter-Professional Discussions, Recording Systems, Operationalizing Objective Evaluation Criteria, Understanding Other Professions, Differences in Terminology among Professions, and Staff Placement. Conclusions: Clinicians recognized barriers to information sharing about early mobilization in ICUs. Clear evaluation criteria, better accessibility of patient records, standardized record formats, and common language fostered through education can enhance collaboration and improve patient outcomes.","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535251379558"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disability Intersectionality and Visibility in Nursing. 护理中的残疾交叉性和可视性。

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Creative Nursing Pub Date : 2025-09-25 DOI: 10.1177/10784535251379534

Anna Maria Valdez, Andrea Dalzell

引用次数: 0

Good Disabled Company: A Disabled Student Perspective on Nursing School. 良好的残疾人公司：残疾学生对护理学校的看法。

IF 0.9

Creative Nursing Pub Date : 2025-09-25 DOI: 10.1177/10784535251379550

Tess Carichner

引用次数: 0

Barriers and Facilitators for Nursing Students' Clinical Instructors in Clinical Placements: A Qualitative Study. 护生临床导师在临床实习中的障碍与促进因素：一项质性研究。

IF 0.9

Creative Nursing Pub Date : 2025-09-11 DOI: 10.1177/10784535251367482

Letteria Consolo, Luisa Pancheri, Silvia Gasparini, Letizia Depalma, Antonio Condorelli, Donatella Luongo, Silvia Pazzaglia, Maura Lusignani

{"title":"Barriers and Facilitators for Nursing Students' Clinical Instructors in Clinical Placements: A Qualitative Study.","authors":"Letteria Consolo, Luisa Pancheri, Silvia Gasparini, Letizia Depalma, Antonio Condorelli, Donatella Luongo, Silvia Pazzaglia, Maura Lusignani","doi":"10.1177/10784535251367482","DOIUrl":"10.1177/10784535251367482","url":null,"abstract":"Background: Nursing education enhances knowledge and skills, fostering the development of nurses into highly competent professionals. Clinical Instructors (CIs) play a crucial role in bridging university education and real-world clinical experiences and are responsible for facilitating learning in clinical practice. Aim: To explore the perceived barriers and facilitators encountered by CIs in supervising nursing students during clinical placements. Method: An exploratory-descriptive qualitative design was adopted. Data were collected through two focus groups with CIs at the Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) National Cancer Institute Foundation of Milan, and analyzed using reflexive thematic analysis. Results: Twelve CIs participated. The analysis generated six themes; three themes (Mentorship, Relationships and Learning Processes, and Improvement of Learning Processes) represented facilitators and three (From Boomers to Zoomers, Aspects of Crisis within the Profession, and Managing Student Learning) represented barriers. The categorization into barriers and facilitators was applied after theme generation to facilitate interpretation. Conclusion: Findings indicate that facilitators promote a supportive learning environment, while barriers hinder the effectiveness of clinical education. Strengthening academic-clinical collaboration, expanding CI training, and enhancing mentorship programs may help improve clinical supervision. Future research should explore collaboratively developed tools and feedback processes between academic and clinical settings to better support CIs.","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535251367482"},"PeriodicalIF":0.9,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lyrical Witness: Poetic Inquiry Into Nurses' Emotional and Ethical Worlds. 抒情的见证：对护士情感和伦理世界的诗意探究。

IF 0.9

Creative Nursing Pub Date : 2025-09-03 DOI: 10.1177/10784535251372021

Cyruz P Tuppal, Shanine Mae P Tuppal, Leah Kalayaan A Pellacœur

{"title":"Lyrical Witness: Poetic Inquiry Into Nurses' Emotional and Ethical Worlds.","authors":"Cyruz P Tuppal, Shanine Mae P Tuppal, Leah Kalayaan A Pellacœur","doi":"10.1177/10784535251372021","DOIUrl":"10.1177/10784535251372021","url":null,"abstract":"This study explores the emotional and ethical dimensions of nursing practice through poetic inquiry. Drawing on 42 publicly accessible poems authored by nurses during and after the peak of the COVID-19 pandemic, the research investigates how verse serves as a medium for reflection, resistance, and relational meaning-making in clinical contexts. The central aim was to identify recurring themes that capture the affective labor, moral dilemmas, identity formation, and small triumphs experienced by nurses in their day-to-day practice. Using a six-phase thematic poetic analysis grounded in arts-based and interpretivist methodologies, the study employed purposive and snowball sampling to curate a diverse poetic corpus from blogs, social media, and online literary platforms. Poems were coded inductively using NVivo 12 software, preserving their literary integrity while surfacing thematic patterns. Four major themes emerged: Emotional Labor and Compassion Fatigue, Moral Courage and Ethical Conflict, Identity and Vocational Calling, and Small Triumphs and Healing Moments. Each theme revealed a dynamic spectrum of both emotional burden and resilience, underscoring the multidimensional nature of caregiving. The findings demonstrate that poetry enables nurses to bear witness to their lived realities in ways that traditional research tools often fail to capture. Poetic inquiry contributes to narrative ethics, reflective practice, and humanistic nursing education by legitimizing emotional knowledge and offering expressive space for what is often unspeakable in clinical settings. This study invites educators, practitioners, and policymakers to consider poetry not merely as a creative outlet but as a rigorous qualitative method that deepens understanding of the interior landscapes of care.","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535251372021"},"PeriodicalIF":0.9,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barriers to Integrating Soft Skills in Nursing Education and Patient Care in Ghana's Health-Care Institutions. 加纳卫生保健机构将软技能纳入护理教育和病人护理的障碍。

IF 0.9

Creative Nursing Pub Date : 2025-09-03 DOI: 10.1177/10784535251374712

Luke Laari, Menford Owusu Ampomah, Oboshie Anim-Boamah, Priscilla Yeye Adumoah Attafuah, Lillian Akorfa Ohene

{"title":"Barriers to Integrating Soft Skills in Nursing Education and Patient Care in Ghana's Health-Care Institutions.","authors":"Luke Laari, Menford Owusu Ampomah, Oboshie Anim-Boamah, Priscilla Yeye Adumoah Attafuah, Lillian Akorfa Ohene","doi":"10.1177/10784535251374712","DOIUrl":"https://doi.org/10.1177/10784535251374712","url":null,"abstract":"Background: Most professions in which human interactions are essential for successful job performance require both soft and hard skills. Integrating these two concepts has synergistic job output, yet there are barriers to nurse educators and nurse clinicians integrating soft skills. This study identified and described barriers to integrating soft skills in nursing education and patient care. Methods: In this qualitative descriptive study, 27 professional nurses and midwives in three different regions of Ghana completed semi-structured interviews. Data from the interviews were analyzed using inductive dominating content analysis. Findings: Three themes related to barriers were identified. Systemic barriers denoted institutional challenges, including unstructured curricula, that hindered the effective incorporation of soft skills into nursing. Interpersonal barriers denoted barriers arising from individuals' inability to connect and communicate. Personal barriers pertained to nurses' and midwives' difficulties relating to clients and students' lack of attentiveness in the classroom. Conclusion: Notwithstanding the significance of soft skills in nursing care, the identified barriers have hindered nurse educators and clinicians from employing them. Nurse educators are urged to engage with students as junior colleagues and exemplify the principles they impart, while nurse clinicians are recommended to interact and connect with their clients compassionately.","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535251374712"},"PeriodicalIF":0.9,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the Consequences of Body Disfigurement on Veterans: An Integrative Review. 探索身体毁容对退伍军人的影响：一项综合综述。

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Creative Nursing Pub Date : 2025-08-26 DOI: 10.1177/10784535251365983

Jerry M Orondo, Wyona M Freysteinson

{"title":"Exploring the Consequences of Body Disfigurement on Veterans: An Integrative Review.","authors":"Jerry M Orondo, Wyona M Freysteinson","doi":"10.1177/10784535251365983","DOIUrl":"https://doi.org/10.1177/10784535251365983","url":null,"abstract":"Introduction: This integrative review studies the psychological impact of body disfigurement on veterans who are injured in military service. More than 1.7 million veterans spanning different military service periods report having disfiguring scars related to their service. Methods: The analysis utilized studies published between 2014 and 2024 in the PubMed, Cumulative Index to Nursing and Allied Health Literature, ProQuest, Psychology and Behavioral Sciences Collection, and Scopus databases to identify common psychological impacts, coping strategies, and adaptations among military veterans. Nineteen studies were of moderate-to-high quality based on the Joanna Briggs Institute checklist. Results: Two themes were identified from the included studies: Situational Awareness, with subthemes of Rallying the Family, Dealing with Feelings, Working on Relationships, and Rediscovering Who You Are; and After-Review Actions, with subthemes of Soldiering On and Growing Stronger after Tough Times. Findings suggested that not only does body disfigurement contribute to psychological and relational issues, but resilience, family support, and post-traumatic growth are not just beneficial but essential to the healing of veterans. Conclusion: Nurses help veterans build resilience through support groups, family involvement, and emotional support. Future research should include longitudinal studies to understand the effects that apparent body injuries have on veterans over time.","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535251365983"},"PeriodicalIF":0.9,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Virtual Escapes: A Pedagogical Strategy for Developing Emotional Competence in Nursing Students. 虚拟逃避：护生情感能力培养的教学策略。

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Creative Nursing Pub Date : 2025-08-21 DOI: 10.1177/10784535251368947

Lisa Gomes, Maria Cassar, Roderick Bugeja, Inês Oliveira, João Cainé, Maria Augusta Romão Veiga, Rui Pereira, Daren Chircop

{"title":"Virtual Escapes: A Pedagogical Strategy for Developing Emotional Competence in Nursing Students.","authors":"Lisa Gomes, Maria Cassar, Roderick Bugeja, Inês Oliveira, João Cainé, Maria Augusta Romão Veiga, Rui Pereira, Daren Chircop","doi":"10.1177/10784535251368947","DOIUrl":"https://doi.org/10.1177/10784535251368947","url":null,"abstract":"Emotional competence, the ability to manage interpersonal relationships through understanding one's and others' emotions, encompasses two dimensions: cognitive and behavioral. In nursing practice, the combination of these dimensions allows for better performance in highly complex clinical situations. Nursing education does not always emphasize these competences. This pilot study explored the potential of an escape room, a Serious Games (SGs) prototype with virtual reality (VR), as a pedagogical strategy for eliciting emotions in a safe learning environment. Participants' immersion in the game provided an opportunity to identify, manage, and process emotions. Data were gathered by a questionnaire and by observation of performance. The findings revealed that participants felt various emotions (n = 51) while playing the game. The least frequent reported emotions were hope, shame, and contempt. Admiration, pride, satisfaction, and fear were the most frequently reported emotions. These findings suggest that using a SGs prototype with VR as a pedagogical tool holds significant potential in emotion elicitation in a safe learning environment, implying its value as a construct of emotional competence. Further research to verify educational value is recommended.","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535251368947"},"PeriodicalIF":0.9,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient Perspectives on Living with Atrial Fibrillation and Interactions with Health Care Specialists in Cardiac Outpatient Clinics: A Qualitative Study. 心房颤动患者的生活观点和与心脏门诊保健专家的相互作用：一项定性研究。

IF 0.9

Creative Nursing Pub Date : 2025-08-17 DOI: 10.1177/10784535251361079

Stine Rosenstrøm, Anne Brødsgaard, Signe Stelling Risom, Megan M Streur, Tom Møller

{"title":"Patient Perspectives on Living with Atrial Fibrillation and Interactions with Health Care Specialists in Cardiac Outpatient Clinics: A Qualitative Study.","authors":"Stine Rosenstrøm, Anne Brødsgaard, Signe Stelling Risom, Megan M Streur, Tom Møller","doi":"10.1177/10784535251361079","DOIUrl":"https://doi.org/10.1177/10784535251361079","url":null,"abstract":"Background: Atrial fibrillation (AF) affects approximately 2% of the population globally. Patients with AF often lack knowledge about the disease and its symptoms, leading to uncertainty about when to seek medical attention. Lack of knowledge may negatively impact several aspects of daily living. AF treatment is complex and requires a high degree of medical adherence to prevent complications and poor health-related quality of life. Aim: The aim of this study was to gain increased knowledge of how patients with AF experience their encounters with health-care professionals. Method: We conducted a qualitative study with a phenomenological-hermeneutical approach. Data were collected through in-depth semi-structured interviews and analyzed with systematic text condensation. Findings: Five women and five men with a mean age of 59.9 years and varying types of AF were included. The analysis resulted in four themes: 1. Balancing life with AF, 2. uncertainty as a companion in contacts with the hospital, 3. need to understand what is wrong with me, and 4. putting the heart in the right hands. Those patients with severe symptoms of AF wished to keep in contact with the hospital specialists to help feel less uncertainty. Across the participants, there was a trend toward reduced social and physical activity as a strategy to avoid provoking AF. Conclusion: Individualized patient education and access to health specialists play a critical role in how patients experience their capabilities in managing the challenges of everyday life with AF and persistent AF symptoms.","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"10784535251361079"},"PeriodicalIF":0.9,"publicationDate":"2025-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0