{"title":"Playfulness and the \"Bloco-Vira Vira\" as Care-Educational Technology for Pressure Injury Prevention: An Experience Report in a Hospital Unit.","authors":"Carini Alves Freitas de Almeida, Mayane Gabrielle Borges Salzani, Talitha Barbosa Saraiva, Jennefer Pereira Correa, Lara Arcipreti Boel Souza","doi":"10.1177/10784535261441325","DOIUrl":"10.1177/10784535261441325","url":null,"abstract":"<p><p>ObjectiveTo report the development and initial implementation of the low-cost \"Bloco Vira-Vira\" intervention carried out by nurses from a hospital unit of a tertiary care hospital in Brazil on pressure injury prevention.MethodThis is an Experience Report (Report of Project) on the implementation of the \"Bloco Vira-Vira,\" (a Brazilian Carnival theme and march), in a care-educational technology utilizing playfulness to help prevent pressure injury. The intervention was applied to high-risk, highly dependent patients in a tertiary hospital unit in São Paulo, Brazil, with 19 beds, during March 2025.ResultsAmong eligible patients, the intervention achieved 100% acceptance by the patients and/or their companions approached. The playful strategy, focused on reinforcing position changes, was noted as a motivating and pleasant way to raise awareness, resulting in greater adherence and participation of the patient/family, as demonstrated by monitoring the position change chart. The experience fostered multidisciplinary team unity and collective responsibility.ConclusionsThe \"Bloco Vira-Vira\" proved to be a feasible, low-cost, and creative approach that reinforces the importance of health education and the responsibilities of the multidisciplinary team related to skin protection. It serves as a model for engaging patients and professionals in preventive care.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"252-258"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730733","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 : 2026-05-01Epub Date: 2025-11-03DOI: 10.1177/10784535251390928
Sabrina D Ehmke, Heather Hedin, Jennifer Marr
{"title":"The Utilization of a Community Nursing Internship to Support School Nurses in Rural School Districts: A Qualitative Thematic Exploration of Interns' Experiences.","authors":"Sabrina D Ehmke, Heather Hedin, Jennifer Marr","doi":"10.1177/10784535251390928","DOIUrl":"10.1177/10784535251390928","url":null,"abstract":"<p><p>School nurses play a crucial role in promoting health and well-being within school communities. Their responsibilities include direct patient care, care management, health teaching, disease prevention, and mental health treatment. As the point of entry into the health-care system for children and families, school nurses address the full spectrum of health needs, and their roles are critical to student success. To increase exposure to school nursing and provide hands-on experience for nursing students, a deliberate internship was instituted for the 2021-2022 academic year. A qualitative evaluation of the intern's narratives examined the impact of the program, and the findings illustrated the power of experiential learning to foster interns' knowledge of school nursing. The 2024 School Nursing Practice Framework led interns in direct care, chronic disease management, and health promotion. These experiences reinforced the role of school nurses in facilitating public health and student well-being. This project underscores the importance of integrating school nursing internships into nursing education to expand the nursing workforce and prepare graduates for comprehensive health care. Policymakers must invest in school nurse workforce development, fund school health programs, and offer incentives for careers in school nursing. Strengthening these efforts establishes health equity and enhances student success, demonstrating the value of community-based, practice-informed nursing education.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"205-213"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145440047","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 : 2026-05-01Epub Date: 2026-03-29DOI: 10.1177/10784535261437075
Ibrahim Aqtam, Mustafa Shouli, Ahmad Ayed
{"title":"\"We Are More Than Caregivers; We Are Witnesses\": A Qualitative Study of Palestinian Nurses Navigating Dual Roles as Health-Care Providers and Survivors of Systemic Violence.","authors":"Ibrahim Aqtam, Mustafa Shouli, Ahmad Ayed","doi":"10.1177/10784535261437075","DOIUrl":"10.1177/10784535261437075","url":null,"abstract":"<p><p>AimTo explore the lived experiences of Palestinian nurses navigating their professional duties while simultaneously being survivors of the same systemic violence affecting their patients.DesignA qualitative study using Interpretive Phenomenological Analysis (IPA).MethodsIn-depth, semi-structured interviews were conducted with 21 registered nurses from three governmental hospitals in the West Bank and Gaza. Data were analyzed using systematic IPA procedures, guided by frameworks of structural violence and <i>sumud</i> (steadfastness). Credibility was established through prolonged engagement, member checking, and peer debriefing.ResultsAnalysis revealed three themes: (1) The Inextricable Link, describing the collapse of professional distance through shared trauma; (2) The Weight of Bearing Witness, highlighting the psychological and political burden of documenting systemic violence; and (3) <i>Sumud</i> as Clinical Practice, redefining resilience as collective resistance where caregiving becomes a political and moral act.ConclusionPalestinian nurses embody a dual identity that transcends conventional models of moral distress, revealing nursing practice as inherently politicized under occupation. Supporting these nurses requires moving beyond individual resilience interventions to dismantle the oppressive structures that create their reality.Implications for the ProfessionThe findings challenge Western models of detachment and individualized resilience. Health-care systems must recognize the political dimensions of nursing in conflict zones and support nurses not only as caregivers but as human rights witnesses deserving protection, platforms for testimony, and solidarity in advocacy for structural change.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"182-193"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576487","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 : 2026-05-01Epub Date: 2026-03-25DOI: 10.1177/10784535261437130
Ahtisham Younas, Amara Sundus, Younas Masih
{"title":"Critical Approaches for Nursing Research: Critical Qualitative Research.","authors":"Ahtisham Younas, Amara Sundus, Younas Masih","doi":"10.1177/10784535261437130","DOIUrl":"10.1177/10784535261437130","url":null,"abstract":"<p><p><i>Creative Nursing</i> Volume 32 Issue introduced a new series on Critical Approaches for Nursing Research, with the intention of helping nurse researchers design and conduct research inquiries that are better suited for promoting health equity and dismantling structural inequalities. Critical research, which questions claims of objectivity and exposes the sociohistorical nature of knowledge, remains underutilized in nursing. This second editorial in the series offers an overview of critical qualitative research, its underlying principles, and practical considerations. The next editorials in this series will focus on critical mixed methods research and queer methods.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"303-306"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516629","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 : 2026-05-01Epub Date: 2025-08-12DOI: 10.1177/10784535251367416
Safa A Al-Ashram, Asma'a S Abu Abed, Sanaa Abujilban, Khadejah F Mahmoud, Rania Abdel Rahman, Lina Mrayan
{"title":"The Effect of Antenatal Depression on Perinatal Outcomes among Jordanian Women: A Cross-Sectional Study.","authors":"Safa A Al-Ashram, Asma'a S Abu Abed, Sanaa Abujilban, Khadejah F Mahmoud, Rania Abdel Rahman, Lina Mrayan","doi":"10.1177/10784535251367416","DOIUrl":"10.1177/10784535251367416","url":null,"abstract":"<p><p><b>Background:</b> Antenatal depression is one of the most common pregnancy complications that might influence perinatal outcomes. Current studies in Jordan focus on the prevalence of and predictive factors for antenatal depression. There is a gap in understanding its impact on labor, delivery, and neonatal health indicators. <b>Purpose:</b> To compare perinatal outcomes between two groups of pregnant women in Jordan, one group whose members have been diagnosed with antenatal depression and one group whose members did not have that diagnosis. <b>Method:</b> A cross-sectional descriptive comparative design was used to collect data from pregnant women attending the obstetric and gynecologic department and clinics at a medical center in Amman, Jordan. Consecutive sampling was used to recruit a total of 785 participants. <b>Results:</b> About 15% (n = 121) of the women screened positive for antenatal depression, defined as an Edinburgh Postnatal Depression Scale (EPDS) score of 13 or higher. The results indicated that women with antenatal depression had a significantly longer first stage of labor than women who did not have depression. The neonates of women without depression had significantly higher Apgar scores at 1 and 5 min than those of women with antenatal depression symptoms. <b>Conclusion:</b> This study highlights the significant impact of antenatal depression on labor duration and neonatal outcomes among Jordanian women. <b>Implications:</b> Policymakers in health-care systems can use these results to prioritize mental health screening as a component of routine care of obstetric and gynecologic health-care models.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"293-302"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823203","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 : 2026-05-01Epub Date: 2026-02-09DOI: 10.1177/10784535261419563
Barbara Badanta, María González-Cano-Caballero, Giancarlo Lucchetti, Rocío de Diego-Cordero
{"title":"The Use of Photovoice as a Teaching Strategy for Nursing Students: A Scoping Review.","authors":"Barbara Badanta, María González-Cano-Caballero, Giancarlo Lucchetti, Rocío de Diego-Cordero","doi":"10.1177/10784535261419563","DOIUrl":"10.1177/10784535261419563","url":null,"abstract":"<p><p><b>Background:</b> University education has shifted from being professor-centered to student-centered, through the use of new methodological strategies, one of which is Photovoice, which can be especially useful for nursing students. <b>Aims:</b> Review the current evidence on the use of Photovoice as a teaching method for nursing students. <b>Methods:</b> A scoping review of articles published in peer-reviewed journals about use of Photovoice as an educational strategy was conducted using the databases PubMed, Scopus, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, and Web of Science, with no restrictions on language or date of publication. From a total of 343 articles found in the search process, 18 were included for final analysis. <b>Conclusion:</b> Photovoice can be a valuable educational strategy for nurse students, particularly when a holistic student-centered approach that can elicit not only knowledge but also perceptions, attitudes, empathy, community sense, and skills is desired.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"214-223"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151293","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 : 2026-05-01Epub Date: 2026-04-02DOI: 10.1177/10784535261439175
Jacqueline Kayler DeBrew
{"title":"Adult Day Centers as Partners in Baccalaureate Nursing Dementia Education.","authors":"Jacqueline Kayler DeBrew","doi":"10.1177/10784535261439175","DOIUrl":"10.1177/10784535261439175","url":null,"abstract":"<p><p>This pilot study explored how adult day centers can serve as transformative clinical learning environments for nursing students to learn dementia care. Fourteen students in an accelerated Bachelor of Science in Nursing program participated in two clinical experiences at community-based memory care centers and then submitted reflective journals. Guided by Mezirow's Transformative Learning Theory, analysis revealed that students reported finding the experiences meaningful, challenging their prior assumptions about dementia, and enhancing their empathy for both individuals with dementia and their caregivers. Themes identified were Positivity, Appreciation for Caregivers, Communication Skill Development, and Understanding the Stages of Dementia. By observing the lived experience of people with dementia in a relaxed, community setting, student feedback challenged the prevailing clinical norms that privilege acute care and simulation. The findings suggest that adult day centers can be powerful sites for deep learning in nursing education.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"246-251"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596088","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 : 2026-05-01Epub Date: 2026-02-24DOI: 10.1177/10784535261419507
Jana Křivková, Jiří Šimek, Maria Cassar, Pavel Leden
{"title":"Intensive Care Nurses' Attitudes Toward Organ and Tissue Donation after Circulatory Death: Qualitative Study.","authors":"Jana Křivková, Jiří Šimek, Maria Cassar, Pavel Leden","doi":"10.1177/10784535261419507","DOIUrl":"10.1177/10784535261419507","url":null,"abstract":"<p><p><b>Background:</b> Organ and tissue Donation after Circulatory Death (DCD) is increasingly practiced in most health systems. The attitudes of the health-care workforce who participate in DCD remain understudied. This research study reports the attitudes of ICU nurses toward the process of organ and tissue procurement from DCD donors. <b>Design and Methods:</b> Drawing upon the principles of interpretative phenomenology, this qualitative study involved eight ICU nurses with direct experience of DCD donor care. Interviews were conducted between 2016 and 2023. Data interpretation used the Meaningful, Interpretative, Relational, Authentic, Contextualized, Linked, Emic (MIRACLE) framework, providing deeper insight into nurses' experiences and enabling thick description. <b>Results:</b> The data were systematically collected and analyzed through a repeated cyclical process involving open and axial coding. The analysis of the collected data revealed four themes: (1) Nurses' Attitudes toward Transplantation<i>,</i> (2) Procedure for Organ and Tissue Procurement from DCD Donors<i>,</i> (3) Ethical Aspects of the DCD Process<i>,</i> and (4) Family and Lay Public Perspectives<i>.</i> Nurses viewed DCD positively but noted limited experience. Terminal extubation emerged as the most ethically and emotionally sensitive phase. Participants reported communication challenges with families, especially when patients' wishes were unknown, and highlighted a gap in the public's awareness of the legal and procedural aspects of the DCD process. <b>Conclusion:</b> Culturally and spiritually sensitive communication, institutional support, and ethically grounded training are key to improving DCD implementation. Enhancing education for both nurses and the public is essential in view of the role that ICU nurses play in DCD processes.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"233-245"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286169","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 : 2026-05-01Epub Date: 2026-04-30DOI: 10.1177/10784535261446357
Louisa Krueger, Tai Sims, Sabrina Ehmke, Lynn Kuechle, Norma Krumwiede, Kelly Krumwiede, Stacey Van Gelderen, Sue Bell, Sandra Richardson, Dennis Demedts, Dang Tran Ngoc Thanh, Rorisang Machailo, Amporn Nueangjaknak, Ni Komang Ari Sawitri, Ni Ketut Guru Prapti, Andrés Camargo-Sánchez, Kiyoko Kamibeppu, Shiho Murayama, Teresa Gutiérrez-Alemán, Hans-Peter de Ruiter
{"title":"The Societal Health & Nursing Framework: Integrating Sociology, Ethics, and Social Determinants into Nursing Practice.","authors":"Louisa Krueger, Tai Sims, Sabrina Ehmke, Lynn Kuechle, Norma Krumwiede, Kelly Krumwiede, Stacey Van Gelderen, Sue Bell, Sandra Richardson, Dennis Demedts, Dang Tran Ngoc Thanh, Rorisang Machailo, Amporn Nueangjaknak, Ni Komang Ari Sawitri, Ni Ketut Guru Prapti, Andrés Camargo-Sánchez, Kiyoko Kamibeppu, Shiho Murayama, Teresa Gutiérrez-Alemán, Hans-Peter de Ruiter","doi":"10.1177/10784535261446357","DOIUrl":"10.1177/10784535261446357","url":null,"abstract":"<p><p>This paper introduces the Societal Health & Nursing Framework as a sociologically informed approach that expands nursing's focus from individual patients and families to the broader societal conditions influencing health and illness. Grounded in sociology, public health ethics, social determinants of health, intersectionality, and socioecological models, the framework offers nurses a shared language and structure to address upstream drivers of health inequities. Nursing practice is increasingly shaped by social, political, and economic forces that extend beyond individual clinical encounters. Although the International Council of Nurses Code of Ethics affirms nurses' responsibility to promote human rights, health equity, and social justice, these ethical commitments are not consistently translated into everyday practice or education. By situating health within cultural and structural contexts, the Societal Health & Nursing Framework provides a unified vocabulary and conceptual foundation to promote holistic, culturally responsive care and strengthens nursing's role in advocacy, policy engagement, and global citizenship. Integrating this framework into nursing education and practice reinforces nursing's social mandate to advance health equity and societal well-being.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"165-174"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788776","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 : 2026-05-01Epub Date: 2026-04-13DOI: 10.1177/10784535261439991
Nina Sivertsen, Tahlia Johnson, Larissa Taylor, Ali Gumillya Baker, Tirritpa Ritchie, Grete Mehus, Janne Isaksen Engnes, Kristal Matthews, Sharon Watts, Mohammad Hamiduzzaman, Susan Smith
{"title":"Teaching for Truth: A Descriptive Qualitative Study of a Classroom Strategy for Teaching Health Students to Recognise the Weight of Colonisation in First Nations Health.","authors":"Nina Sivertsen, Tahlia Johnson, Larissa Taylor, Ali Gumillya Baker, Tirritpa Ritchie, Grete Mehus, Janne Isaksen Engnes, Kristal Matthews, Sharon Watts, Mohammad Hamiduzzaman, Susan Smith","doi":"10.1177/10784535261439991","DOIUrl":"10.1177/10784535261439991","url":null,"abstract":"<p><p>BackgroundThis study investigated an innovative pedagogical strategy aimed at embedding cultural safety and First Nations perspectives within tertiary nursing education.MethodGrounded in cultural co-teaching, this approach uses the principle of Two-Eyed Seeing to address the historical exclusion of Aboriginal and Torres Strait Islander peoples from the Australian tertiary education and health sector. A descriptive qualitative approach combined with thematic analysis identified that students developed an enhanced understanding of colonisation on First Nations health.ResultsFour themes were identified: History Beyond the Coloniser's Story; Power, Empowering, and Possibilities; Connecting Art Interpretations to Clinical Practice; and The Past is in the Present - Culture in Care. The findings highlight the effectiveness of the community-led, arts-based, and reflective teaching strategies in nurse education.ConclusionThe co-teaching model enabled students to reconcile Western and First Nations worldviews, fostering respectful and inclusive learning. This research contributes to the growing evidence base for First Nations-led curriculum design in health education.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"279-292"},"PeriodicalIF":2.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678720","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}