Creative NursingPub Date : 2024-02-01Epub Date: 2024-01-30DOI: 10.1177/10784535241228527
Kalli Stilos
{"title":"Promoting Self-Care in Palliative Care: Through the Wisdom of My Grandmother.","authors":"Kalli Stilos","doi":"10.1177/10784535241228527","DOIUrl":"10.1177/10784535241228527","url":null,"abstract":"<p><p>In the post COVID-19 pandemic period, targeted efforts are needed more than ever to improve frontline nurses' well-being. In the field of palliative care, there is recognition of the importance of self-care, but the concept itself remains nebulous, and proactive implementation of self-care is lacking. Reflective writing has been noted to have positive impacts on health care providers' well-being. This piece brings to light the author's interest and work in reflective writing, sharing a personal account that provides a source of happiness and an opportunity to better understand her palliative care practice. Beyond the individual level, organizations are also encouraged to invest in their nurses' overall well-being.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"87-90"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643275","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}
Creative NursingPub Date : 2024-02-01Epub Date: 2024-01-30DOI: 10.1177/10784535241228522
Leslie N Pitts, Brittany Woods, Morgan Polen, Lynn S Nichols, Sigrid Ladores
{"title":"Transcending Limitations: A Phenomenological Exploration of How Hygge Practices Enrich the Lived Experiences of Adults with Cystic Fibrosis.","authors":"Leslie N Pitts, Brittany Woods, Morgan Polen, Lynn S Nichols, Sigrid Ladores","doi":"10.1177/10784535241228522","DOIUrl":"10.1177/10784535241228522","url":null,"abstract":"<p><p>Hygge practices embody joy, peace, mindfulness, coziness, and conviviality. Cystic fibrosis (CF) is a progressive condition with complex therapies and physical limitations. Little is known about how hygge practice may impact individuals living with CF. A qualitative study explored how adults with CF use hygge practices to promote wellness and cope with their disease. A purposive network sample of 15 adults with CF who utilized hygge practices completed semistructured audio-recorded telephone interviews. Recordings were transcribed and analyzed using Colaizzi's thematic analysis approach. Results reveal that hygge practices influenced individuals' aesthetics, attitudes, and activities, deeply impacting the physical and emotional experience of living with CF. Incorporating hygge into CF care may improve psychological well-being and quality of life for members of this community.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"74-86"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643276","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}
Creative NursingPub Date : 2024-02-01Epub Date: 2024-02-06DOI: 10.1177/10784535241228582
Louisa Krueger
{"title":"Employing a Risk Assessment Tool for Shared Decision-Making in Breast Cancer Screening.","authors":"Louisa Krueger","doi":"10.1177/10784535241228582","DOIUrl":"10.1177/10784535241228582","url":null,"abstract":"<p><p><b>Background:</b> The existing guidelines for breast cancer screening incorporate assessing individual risk but contain no universally recommended risk assessment tool in the primary care setting. <b>Local Problem:</b> A family planning program utilizing nurses and nurse practitioners for assessment, education, and referral lacked a risk assessment tool for assessing breast cancer risk. <b>Methods:</b> A breast cancer risk assessment tool was implemented in practice. <b>Interventions:</b> The interventions involved assessing the patient's risks, providing education on risk reduction strategies, and determining the need for clinical breast exams and referrals for mammography. <b>Results:</b> The study demonstrated a clear correlation between the number of breast cancer risks identified and the extent of education provided to patients based on their specific risk profiles (0 vs. 1.5 risks; 2 vs. 4.6 educational components). Among patients under age 35, 80% opted for a clinical breast exam, while 100% of patients age 40 and above agreed to both clinical breast exams and referrals for mammography after discussing individual risks. <b>Conclusions:</b> The use of a breast cancer risk assessment tool provided an evidence-based foundation for the shared decision-making conversation between patient and nurse/provider on risk reduction. The discussion included current evidence on the risk versus benefit of age-based screening options for breast cancer, allowing for an informed decision made jointly between the patient and provider.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"21-28"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139698924","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}
Creative NursingPub Date : 2024-02-01Epub Date: 2024-01-22DOI: 10.1177/10784535241226494
Misako Nagata, Patricia Liehr
{"title":"An Evolving Structure of Nature Immersion: Roots in Nightingale's Vital Power.","authors":"Misako Nagata, Patricia Liehr","doi":"10.1177/10784535241226494","DOIUrl":"10.1177/10784535241226494","url":null,"abstract":"<p><p><b>Background:</b> In Florence Nightingale's view, vital power resides in both earthy materials and human nature and is an essential element of health. Vital power is defined as a health force that manifests in states of <i>being while doing</i> in nature to generate well-being, but little is known about the generative process of vital force. <b>Purpose:</b> This secondary study explored the vital power of children who experienced well-being while doing in nature. <b>Methods:</b> Using a framework of the Nature Immersion Model, directed content analysis of parental reflections on their children's vital power experiences sought to explore patterns of <i>being while doing</i> in nature observed in association with parental reports of: (a) change in their children's well-being and (b) qualities of vital power evident in parental descriptions of those changes in well-being. <b>Conclusions:</b> The essence of vital power encompassed feelings of a life-spark, natural energy that prompted a healing shift. <b>Implications for Practice:</b> Linkage between a middle-range Theory of Nature Immersion and Nightingale's perspective adds a new avenue for integrating the spiritual-physical-mental dimension of self during creative nursing praxis.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"41-50"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139521009","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}
Creative NursingPub Date : 2024-02-01Epub Date: 2024-02-02DOI: 10.1177/10784535241228523
Ernest J Grant
{"title":"Starting a New Revolution in Nursing.","authors":"Ernest J Grant","doi":"10.1177/10784535241228523","DOIUrl":"10.1177/10784535241228523","url":null,"abstract":"<p><p>The onset of COVID-19 and the murder of George Floyd shed light on social justice inequities, disparities in health care and the continuing rise of racism within society. Studies conducted by the American Nurses Foundation also revealed acts of racism within the nursing profession. The creation of the National Commission to Address Racism in Nursing and the American Nurses Association's issuance of an apology through its Racial Reckoning work have begun a revolution within the nursing profession to address this phenomenon. This commentary will provide a brief overview of collaborative initiatives currently underway and address ways in which nurses can do their part to obliterate racism from the nursing profession.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"7-11"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673654","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}
Creative NursingPub Date : 2024-02-01Epub Date: 2024-02-02DOI: 10.1177/10784535241229448
James H Johnson, G Rumay Alexander
{"title":"Confronting the Nursing Profession's Workforce Challenges: Embracing Iceberg Demographics.","authors":"James H Johnson, G Rumay Alexander","doi":"10.1177/10784535241229448","DOIUrl":"10.1177/10784535241229448","url":null,"abstract":"<p><p>U.S. Supreme Court rulings on reproductive rights and affirmative action inadvertently present the nursing profession with a propitious opportunity to capitalize on the nation's rich mosaic of iceberg demographic identities-inherited and acquired traits that may not be visibly apparent-to address imminent challenges such as worker shortages and other perplexities within the workplace milieu.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"58-64"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673652","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}
Creative NursingPub Date : 2024-02-01Epub Date: 2024-02-13DOI: 10.1177/10784535241229146
Cassandre V Horne
{"title":"Acculturation and Mental Health: A Scoping Review.","authors":"Cassandre V Horne","doi":"10.1177/10784535241229146","DOIUrl":"10.1177/10784535241229146","url":null,"abstract":"<p><p><b>Background:</b> Acculturative stress theory and the healthy immigrant paradox provide conflicting frameworks from which to study the mental health of immigrant groups. This scoping review aims to provide clarity on the mental health effects of acculturation. <b>Review Question:</b> How are anxiety, depression, and stress expressed in the adolescent and adult children of immigrants? <b>Method:</b> Considering various generational classifications, 1333 articles were screened and 25 articles were selected. This review highlights the presentation of cultural stress and its mental health effects in the children of immigrants ranging from 13 to 28 years of age. <b>Conclusions:</b> Social support is necessary as these children and young adults work to reconcile different worldviews. There is a need for a multifaceted approach to health care that incorporates the development of culturally appropriate responses to stressors. Collaboration among health practitioners growing in cultural competency can assist this population not only in the development of coping strategies, but also in self-actualization. The conflicting results found in this review suggest a need for more work in the area of acculturation stress, to grow the understanding of health practitioners within various cultural groups in order to transform mental health clinical practice.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"29-36"},"PeriodicalIF":0.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139731020","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}
Creative NursingPub Date : 2024-02-01Epub Date: 2024-02-04DOI: 10.1177/10784535241229461
Mona Lee, Kim Cook
{"title":"Career Pathway Strategies That Reduce Barriers for Nontraditional Nursing Students.","authors":"Mona Lee, Kim Cook","doi":"10.1177/10784535241229461","DOIUrl":"10.1177/10784535241229461","url":null,"abstract":"<p><p>Everyone recognizes the current nursing scarcity, but not everyone recognizes the need for a diverse nursing workforce to adequately serve patients whose social determinants of health include racism, racial bias, and reduced access to care. This article explores how building innovative partnerships between health-care providers and nursing institutions to advance the incumbent workforce can increase capacity and reduce staff burnout. Such partnerships can drive a culture of employee engagement through the development of career pathways while reducing barriers for nontraditional nursing students in advancing their credentials. This article reports on a strategy to address the nursing shortage and to increase the diversity of the nursing workforce through a licensed vocational nurse-to-registered nurse partnership between a school of nursing and a Federally Qualified Health Center.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"51-57"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681934","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}
Creative NursingPub Date : 2024-02-01Epub Date: 2024-02-13DOI: 10.1177/10784535241228546
Katie Boston-Leary, Olga Yakusheva
{"title":"It's Time! The Path for Nursing Reimbursement Reform.","authors":"Katie Boston-Leary, Olga Yakusheva","doi":"10.1177/10784535241228546","DOIUrl":"10.1177/10784535241228546","url":null,"abstract":"<p><p>Since the COVID-19 pandemic, nurses and nurse leaders are increasingly vocal about chronic understaffing and the impact the staffing crisis continues to have on nurses' well-being and patient outcomes. The American Nurses Association's Nurse Staffing Task Force addressed the importance of staffing standards as a critically needed step toward improving patient and population health outcomes. Against the backdrop of ongoing nursing shortages, hospital leaders have been hesitant to embrace staffing ratios, expressing concerns about their ability to hire and retain sufficient nursing staff, as operational revenue margins remain thin and nursing labor is costly. This article explicates structural issues within the current nursing reimbursement model that harms hospitals' business case for investments in nurse staffing and work environments. We argue that nurses must advocate for nursing reimbursement reform to increase the nursing workforce and improve nurse staffing and work environments. Such reform is necessary to support sustained hospital investments, financial philosophies, and approaches to meaningfully address and improve nurse staffing.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"37-40"},"PeriodicalIF":0.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139731021","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}