Creative NursingPub Date : 2026-02-01Epub Date: 2025-10-31DOI: 10.1177/10784535251390034
Stephen McKenna Lawson, Dean Whybrow, Hywel Thomas, Ian Beech, Alex Nute
{"title":"Hierarchies of Need: A Systematic Review of Resilience, Challenge, and Change in the Global Nursing Workforce During the First Two Years of the COVID-19 Pandemic.","authors":"Stephen McKenna Lawson, Dean Whybrow, Hywel Thomas, Ian Beech, Alex Nute","doi":"10.1177/10784535251390034","DOIUrl":"10.1177/10784535251390034","url":null,"abstract":"<p><p><b>Background:</b> Nursing was critical to global health care delivery during the COVID-19 pandemic. Nurses everywhere experienced an extreme tension between public appreciation and personal distress. These experiences are ubiquitous in nursing research conducted across the world between 2020 and 2022. Despite holding profound value for future clinicians, policymakers, and wider society, these stories already appear absent in the collective memory. <b>Review Question:</b> To synthesize available qualitative and quantitative research about nurses' experiences of resilience, challenge, and change during the first two years of the COVID-19 pandemic. <b>Type of Review:</b> Mixed-methods systematic review. <b>Methods:</b> The review followed a convergent integrated approach with multiple reviewers involved at each stage. <b>Results:</b> A total of 59 studies were eligible for analysis. Coding of results revealed a similarity to Maslow's expanded hierarchy of needs, which was used as a framing device for findings. The greater portion of recorded experiences expressed needs for safety, belonging, and esteem. <b>Conclusions:</b> The findings contained common and conflicting stories. Taken as a whole, the nursing experience during early COVID represents a powerful, compassionate counter-narrative to contemporary political dystopianism. <b>Implications:</b> Nurses need to leverage their critical importance to health-care delivery for improved work security, sociocultural recognition, and political influence.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"58-68"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423501","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 : 2026-02-01Epub Date: 2026-01-28DOI: 10.1177/10784535261418923
Marty Lewis-Hunstiger
{"title":"Survival, Soft Skills, and Sociology.","authors":"Marty Lewis-Hunstiger","doi":"10.1177/10784535261418923","DOIUrl":"10.1177/10784535261418923","url":null,"abstract":"<p><p>In <i>Creative Nursing 2026</i>, we explore the multifaceted relationship between nursing and sociology, a field rich with opportunities for critical analysis and theoretical development. Our first two issues represent distinct yet interconnected approaches that illuminate the social dimensions of health, illness, and health-care delivery. This first issue, Sociology of Nursing, focuses on the nursing profession itself as a social phenomenon, examining nursing's professionalization process and its position within the broader health-care system. Different facets of soft skills in nursing care, and caring as a foundational component of human survival, as well as the continuing impact of the COVID-19 pandemic, are strongly present in this journal issue.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"32 1","pages":"4-7"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144592","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 : 2026-02-01Epub Date: 2026-01-09DOI: 10.1177/10784535251410279
Nadia Prendergast, Priscilla Boakye, Grace-Camille Munroe, Ola Abanta Thomas Obewu
{"title":"Telling Our Stories of Yesterday and Today, and Creating a New Tomorrow: Black Nurses in Canada.","authors":"Nadia Prendergast, Priscilla Boakye, Grace-Camille Munroe, Ola Abanta Thomas Obewu","doi":"10.1177/10784535251410279","DOIUrl":"10.1177/10784535251410279","url":null,"abstract":"<p><p><b>Background:</b> At the 69th session of the General Assembly of the United Nations (UN), a call was made for a 10-year global recognition of the contributions given by Black communities in sustaining a thriving global economy (UN, 2014). The historical lack of acknowledgment of these contributions has led the UN to extend this time of recognition. In collaboration with a nursing institution and a Black scholarship institution, the preservation of the roles of retired Black nurses as agents of change was reborn through a celebratory event that would showcase their contributions and influence on current change. <b>Aim:</b> This event demonstrated the relevance of intergenerational relationships to enhance a deeper understanding of Black Canadian nurses working within Canada's health care. <b>Method:</b> Through intergenerational dialogs, retired nurses, current practicing nurses, and student nurses shared their experiences using oral traditions of storytelling, making it a powerful strategy in shaping the future of nursing. The event provided qualitative insights into their lived experiences to an audience of more than 150 people, encompassing three generations. <b>Results:</b> Informed by Black feminist thought, this event demonstrated how, despite the challenges faced, Black nurses foster an agency of building community capacity and community resilience while nurturing community solidarity. <b>Conclusion:</b> This article shares key features of the event and demonstrates how partnering with Schools of Nursing and Black scholarship institutions can give birth to a flourishing health-care system that can aid in dismantling anti-Black racism while promoting care ethics through intergenerational dialogs. This article also uses art illustrations to demonstrate the celebration of the multifaceted roles the retired nurses depict as what is commonly referred to as \"Community Other Mothers.\"</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"106-111"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145946123","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 : 2026-02-01Epub Date: 2025-06-30DOI: 10.1177/10784535251352109
Bhanu Priya, Susan Konda, Rashmimala Pradhan
{"title":"Evaluating the Occurrence of Phlebitis With Use of Peripheral Intravenous Cannulas and Its Associated Risk Factors in Postoperative Patients.","authors":"Bhanu Priya, Susan Konda, Rashmimala Pradhan","doi":"10.1177/10784535251352109","DOIUrl":"10.1177/10784535251352109","url":null,"abstract":"<p><p><b>Background:</b> This study conducted at the Institute of Medical Sciences and Sum Hospital in Bhubaneswar, Odisha, India aimed to assess the occurrence of and risk factors for phlebitis with use of peripheral intravenous cannulas (PIVCs) among postoperative patients. <b>Methods and Materials:</b> A prospective cohort study design involved a purposive sample of 330 postoperative patients aged 18 or older with peripheral intravenous cannula-associated phlebitis (PICP) who were admitted to the male and female surgical wards. Data collected included patient demographics, medical diagnoses, admission details, and PICP characteristics. Observations using the visual infusion phlebitis (VIP) scale were conducted at 96-hr intervals to monitor PICP complications. <b>Result:</b> There was a suggestive association between PICP scores and cannula indwelling time, dressing material, and the presence of HIV/AIDS. Findings suggest that patients with compromised immune systems require specialized care strategies to minimize complications associated with the use of PICPs. <b>Conclusion:</b> The results of this study could enhance nurses' preparedness to prevent and to promptly treat PICPs, reducing costs and patient discomfort by identifying complications and risk factors.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"122-130"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531102","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 : 2026-02-01Epub Date: 2025-06-25DOI: 10.1177/10784535251351382
Reza Saidi, Haydeh Heidari
{"title":"Design, Implementation, and Evaluation of a Pediatric Fever Management Program for Nursing Students: A Complex Mixed-Methods Study.","authors":"Reza Saidi, Haydeh Heidari","doi":"10.1177/10784535251351382","DOIUrl":"10.1177/10784535251351382","url":null,"abstract":"<p><p><b>Aim:</b> Fever is a common symptom in children. However, nurses' and parents' knowledge regarding fever management is lower than expected. This study was conducted to develop a pediatric fever management program for nursing students in a pediatric internship course. <b>Method:</b> A complex mixed-methods study with four phases: Qualitative phase, developing a pediatric fever management plan, teaching it to nursing students, and interviewing students and parents of children with fevers who were hospitalized in the pediatrics unit, about the plan. Questionnaire development phase, designing a questionnaire to evaluate the opinions of students regarding the fever management plan. Quantitative phase, administering the questionnaire to nursing students. Mixed-methods phase, integrating and interpreting the qualitative and quantitative results. <b>Findings:</b> Three themes were identified: improving self-management ability, behavior change, and improving practices. Most participants completely agreed that the fever management plan paid enough attention to parents' needs, led to practice modifications and behavioral changes in parents, and was satisfactory. <b>Conclusion and Implications for Practice:</b> A pediatric fever management plan improved the knowledge, self-management ability, and practices of nursing students and parents of children with fevers. Health-care managers can use these results to enhance the quality of care provided for children with fevers.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"131-140"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487051","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 : 2026-02-01Epub Date: 2025-12-19DOI: 10.1177/10784535251406330
Tomomi Hidaka, Yasuko Hosoda
{"title":"Exploring Preceptors' Metacognition in Novice Nurse Instruction: A Qualitative Descriptive Study.","authors":"Tomomi Hidaka, Yasuko Hosoda","doi":"10.1177/10784535251406330","DOIUrl":"10.1177/10784535251406330","url":null,"abstract":"<p><p><b>Background:</b> The education of preceptors, who support novice nurses in adapting to the workplace and developing their practical skills, is an important topic. Lack of preceptor preparation is an issue. <b>Purpose:</b> Investigate the specific content of preceptors' metacognition in novice nurse instruction. <b>Methods:</b> A qualitative descriptive design involving semi-structured interviews with 15 preceptors at four hospitals in Japan. Preceptors were asked to explain their own behaviors, thoughts, and feelings in a typical instructional episode. A verbatim transcription was analyzed by qualitative content analysis. <b>Results:</b> Three categories were identified from the preceptors' responses: Monitoring of Instruction, Regulation of Instruction, and Self-Assessment. All preceptors described using metacognition. <b>Conclusions:</b> Metacognition is useful for improving preceptors' instructional approaches and for their own development. In order to ensure good instruction of novice nurses, preceptors should consider themselves and their instruction abilities objectively before, during, and after the instruction process, and adapt to the situation. These findings provide important insights for preceptor development programs internationally.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"85-94"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795386","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 : 2026-02-01Epub Date: 2025-08-17DOI: 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":"10.1177/10784535251361079","url":null,"abstract":"<p><p><b>Background:</b> 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. <b>Aim:</b> The aim of this study was to gain increased knowledge of how patients with AF experience their encounters with health-care professionals. <b>Method:</b> 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. <b>Findings:</b> 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. <b>Conclusion:</b> 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.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"112-121"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","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}
Creative NursingPub Date : 2026-02-01Epub Date: 2025-09-03DOI: 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":"<p><p>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.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"39-50"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","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}
Creative NursingPub Date : 2026-02-01Epub Date: 2025-08-12DOI: 10.1177/10784535251363586
Bobbi Shatto, Geralyn Meyer, John Taylor, Yahia Aldhamari, Priya Seth, Madison Maas
{"title":"Factors Associated with New Nurse Turnover.","authors":"Bobbi Shatto, Geralyn Meyer, John Taylor, Yahia Aldhamari, Priya Seth, Madison Maas","doi":"10.1177/10784535251363586","DOIUrl":"10.1177/10784535251363586","url":null,"abstract":"<p><p><b>Background:</b> Job persistence among nurses is essential for optimal, safe functioning of the health-care system. Though the acute effects of the COVID-19 pandemic have abated, first-year nurse turnover remains high. <b>Purpose:</b> To determine the best ways to encourage new nurses to stay in their positions, we must first understand why they are leaving. <b>Methods:</b> We did a multi-state survey of RNs newly licensed in 2021 about their perceptions of patient safety culture, grit (the combination of passion and perseverance), professional satisfaction, and intention to leave during their first year of practice. <b>Conclusions:</b> Half of the respondents left their first position during the first year. Perceptions of patient safety, grit, and levels of professional satisfaction were significantly correlated with turnover intention. <b>Implications for Practice:</b> Both health-care and academic institutions must create cultures in which new nurses feel safe, supported, able to give quality patient care, and able to communicate openly.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"77-84"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823196","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}
{"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":"<p><p><b>Background:</b> 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. <b>Aim:</b> To explore the perceived barriers and facilitators encountered by CIs in supervising nursing students during clinical placements. <b>Method:</b> 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. <b>Results:</b> Twelve CIs participated. The analysis generated six themes; three themes (Mentorship<i>,</i> Relationships and Learning Processes<i>,</i> and Improvement of Learning Processes) represented facilitators and three (From Boomers to Zoomers<i>,</i> Aspects of Crisis within the Profession<i>,</i> and Managing Student Learning) represented barriers. The categorization into barriers and facilitators was applied after theme generation to facilitate interpretation. <b>Conclusion:</b> 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.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":" ","pages":"95-105"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","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}