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Global Qualitative Nursing Research

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https://www.readbyqxmd.com/read/30574532/-we-tie-up-the-loose-ends-homecare-nursing-in-a-changing-health-care-landscape
#1
Line Melby, Aud Obstfelder, Ragnhild Hellesø
During the last decades, the work of homecare nurses has been affected by several changes, including an aging population, the decentralization of health care, nursing recruitment crises and the scarcity of public resources. Few scholars have analyzed how these changes have impacted homecare nursing. In this article, we describe and discuss aspects of homecare nurses' work, with specific focus on nurses "organising work." We outline three phenomena that are increasingly occurring: (a) homecare nurses are frequently involved in negotiating care level and, consequently, what kind of care the patient will receive; (b) homecare nurses' clinical practice has become increasingly advanced; and (c) and homecare nurses play an important role in coordinating care among interdependent actors...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/30547056/application-in-the-world-of-understanding-researchers-experiences-of-participation-in-reflective-dialogues
#2
Linda Nyholm, Susanne Salmela, Lisbet Nyström
The aim of this study was to describe researchers' experiences of participation in reflective dialogues through a hermeneutic application research approach. The aim was also to describe their perspectives on application, that is, the inner appropriation and application of theory into practice and vice versa. Twenty-one clinical coresearchers and four scientific researchers participated in reflective dialogues in a project on ethical sustainable caring cultures, in which an application research approach was used...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/30547055/nurses-and-care-workers-perception-of-care-quality-in-japanese-long-term-care-wards-a-qualitative-descriptive-study
#3
Noriko Yamamoto-Mitani, Yumiko Saito, Manami Takaoka, Yukari Takai, Ayumi Igarashi
Despite the growing importance of long-term care for older adults, there has been limited attention to its quality assurance issues in Japan. To start planning the initiation of continuous quality improvement in long-term care hospitals, we explored how nurses and care workers themselves perceived current approaches to quality assurance and improvement on their ward. We interviewed 16 licensed nurses and nine care workers, transcribed and analyzed data using qualitative content analysis techniques, and derived six categories: keeping clients alive is barely possible, the absence of a long-term care practice model, the lack of quality indicators, long-term care hospitals as places for castaways, client quality of life as a source of satisfaction , and conflict between staff and client well-being ...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/30480041/nurses-perspectives-on-lean-redesigns-to-patient-flow-and-inpatient-discharge-process-efficiency
#4
Francesca M Nicosia, Linda G Park, Caroline P Gray, Maayan J Yakir, Dorothy Y Hung
As hospitals around the world increasingly face pressure to improve efficiency, "Lean" process improvement has become a popular approach to improving patient flow. In this article, we examine nurses' perspectives on the implementation of Lean redesigns to the inpatient discharge process. We found that nurses experienced competing demands and tensions related to their time and professional roles and responsibilities as a result of Lean. Four main themes included (a) addressing the needs of individual patients, while still maintaining overall patient flow; (b) meeting discharge efficiency targets while also achieving high patient satisfaction scores; (c) "wasting time" to save time; and (d) the "real" work of providing clinical care versus the "Lean" work of process improvement...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/30480040/-a-two-glass-of-wine-shift-dominant-discourses-and-the-social-organization-of-nurses-substance-use
#5
Charlotte A Ross, Sonya L Jakubec, Nicole S Berry, Victoria Smye
We undertook an institutional ethnography utilizing the expert knowledge of nurses who have experienced substance-use problems to discover: (a) What are the discourses embedded in the talk among nurses in their everyday work worlds that socially organize their substance-use practices and (b) how do those discourses manage these activities? Data collection included interviews, researcher reflexivity, and texts that were critically analyzed with a focus on institutional features. Analysis revealed dominant moralistic and individuated discourses in nurses' workplace talk that socially organized their substance-use practices, subordinated and silenced experiences of work stress, and erased employers' roles in managing working conditions...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/30450366/challenges-when-translating-and-culturally-adapting-a-measurement-instrument-the-suitability-and-comprehensibility-of-materials-sam-cam
#6
Catarina Wallengren, Kristina Rosengren, Richard Sawatzky, Joakim Ohlen
There is evidence that low suitability and comprehensibility of printed education materials (PEMs) affects patients' and relatives' ability to read and comprehend information. However, few instruments measure the suitability of written information, and none exist in the Swedish language. The aim was to describe the translation and adaptation of the Suitability and Comprehensibility of Materials (SAM+CAM) instrument into the Swedish language and health care context and to explore challenges related to this process...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/30397637/a-ricoeur-inspired-approach-to-interpret-participant-observations-and-interviews
#7
Charlotte Simonÿ, Kirsten Specht, Ingrid Charlotte Andersen, Kirsten Kjær Johansen, Charlotte Nielsen, Hanne Agerskov
In-depth knowledge of what it means to patients to receive health care services is crucial to the development of adequate protocols for nursing. Qualitative research allows us to gain important insight into what is experienced by and meaningful to patients. The French philosopher Paul Ricoeur's thoughts have inspired qualitative researchers to conduct various forms of analysis and interpretation that increase our knowledge of ways of being-in-the-world. This article describes and discusses how a specific approach to derive in-depth knowledge of patients' lived experiences can be taken...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/30349869/a-mind-body-skills-course-among-nursing-and-medical-students-a-pathway-for-an-improved-perception-of-self-and-the-surrounding-world
#8
Marja van Vliet, Miek C Jong, Mats Jong
Despite increased recognition of self-care and self-awareness as core competences for health care professionals, little attention is paid to these skills during their education. Evidence suggests that a Mind-Body (MB) skills course has the potential to enhance self-care and self-awareness among medical students. However, less is known about the meaning of this course for students and how it affects their personal and professional life. Therefore, we examined the lived experiences with an MB skills course among Dutch medical and Swedish nursing students...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/30306099/selecting-a-grounded-theory-approach-for-nursing-research
#9
Shaminder Singh, Andrew Estefan
Grounded theory is a commonly used research methodology. There are three primary approaches to grounded theory in nursing research: those espoused by Glaser, Strauss and Corbin, and Charmaz. All three approaches use similar procedures, yet there are important differences among them, which implies that researchers need to make careful choices when using grounded theory. Researchers new to grounded theory need to find the most appropriate approach that fits their research field, topic, and researcher position...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/30151418/client-or-volunteer-understanding-neoliberalism-and-neocolonialism-within-international-volunteer-health-work
#10
Oona St-Amant, Catherine Ward-Griffin, Helene Berman, Arja Vainio-Mattila
As international volunteer health work increases globally, research pertaining to the social organizations that coordinate the volunteer experience in the Global South has severely lagged. The purpose of this ethnographic study was to critically examine the social organizations within Canadian NGOs in the provision of health work in Tanzania. Multiple, concurrent data collection methods, including text analysis, participant observation and in-depth interviews were utilized. Data collection occurred in Tanzania and Canada...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/30116766/pursuing-the-mission-how-homeless-veterans-manage-chronic-disease
#11
Jillian Weber, Rebecca C Lee, Donna Martsolf
The purpose of this study was to describe and explain the process by which homeless veterans manage their chronic health problems. In the United States, over 550,000 people experience homelessness on any given night. Of these, over 11% are veterans of the military, many whom suffer from at least one chronic disease. Study participants included male homeless veterans with at least one chronic health problem recruited at a Veterans Affairs emergency department, a homeless shelter, and a soup kitchen. Semi-structured interviews with 32 veterans from the Vietnam/post-Vietnam era were audio-recorded, verified, and coded resulting in a theory entitled "pursuing the mission," which describes and explains four ways (deferring, exploring, embarking, embracing) they manage their chronic health problems...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/30116765/a-relational-perspective-on-social-support-between-bereaved-and-their-networks-after-terror-a-qualitative-study
#12
Kari Dyregrov, Pål Kristensen, Atle Dyregrov
The aim of this study is to increase the understanding of social network support after traumatic deaths and, by demonstrating the complexities of such encounters, to highlight whether such support may be totally beneficial. A phenomenological dynamic and relational perspective was applied to 22 in-depth interviews with parents bereaved as a result of the 2011 terror attack in Norway. Three main themes were identified in respect of interactional support processes: (a) valued support, (b) stressful experiences, and (c) interactive barriers...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/30038949/a-cyclic-model-describing-the-process-of-sustaining-meaningfulness-in-practice-how-nurses-continue-working-at-one-home-care-agency
#13
Maiko Noguchi-Watanabe, Noriko Yamamoto-Mitani, Yukari Takai
This study aimed to elucidate the experiences of home care nurses who had continued working a single agency, to gain insight into the prevention of premature turnover. We adopted a grounded theory approach to qualitative exploration of the experiences of 26 Japanese nurses working in a home care agency, using semistructured interviews and participant observation. Nurses' experience progressed through three phases: "encountering difficulty," "enjoying the fruitfulness," and "becoming dissatisfied...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/30014004/using-video-reflexive-ethnography-to-engage-hospital-staff-to-improve-dementia-care
#14
Lillian Hung, Alison Phinney, Habib Chaudhury, Paddy Rodney
In this article, we discuss how video-reflexive ethnography may be useful in engaging staff to improve dementia care in a hospital medical unit. Seven patients with dementia were involved in the production of patient-story videos, and fifty members of staff (nurses, physicians, and allied health practitioners) participated in video-reflexive groups. We identified five substantial themes to describe how video-reflexive groups might contribute to enacting person-centered care for improving dementia care: (a) seeing through patients' eyes, (b) seeing normal strange and surprised, (c) seeing inside and between, (d) seeing with others inspires actions, and (e) seeing with the team builds a culture of learning...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/30014003/-they-should-be-asking-us-a-qualitative-decisional-needs-assessment-for-women-considering-cervical-cancer-screening
#15
Brianne Wood, Virginia L Russell, Ziad El-Khatib, Susan McFaul, Monica Taljaard, Julian Little, Ian D Graham
In this study, we examine from multiple perspectives, women's shared decision-making needs when considering cervical screening options: Pap testing, in-clinic human papillomavirus (HPV) testing, self-collected HPV testing, or no screening. The Ottawa Decision Support Framework guided the development of the interview schedule. We conducted semi-structured interviews with seven screen-eligible women and five health care professionals (three health care providers and two health system managers). Women did not perceive that cervical screening involves a "decision," which limited their knowledge of options, risks, and benefits...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/29623287/safe-surgery-checklist-patient-safety-teamwork-and-responsibility-coequal-demands-a-focus-group-study
#16
Elin Thove Willassen, Inger Lise Smith Jacobsen, Sidsel Tveiten
The use of World Health Organization's (WHO's) Safe Surgery checklist is an established practice worldwide and contributes toward ensuring patient safety and collaborative teamwork. The aim of this study was to elucidate operating room nurses' and operating room nursing students' experiences and opinions about execution of and compliance with checklists. We chose a qualitative design with semistructured focus group discussions. Qualitative content analysis was conducted. Two main themes were identified; the Safe Surgery checklists have varied influence on teamwork and patient safety, and taking responsibility for executing the checks on the Safe Surgery checklist entails practical and ethical challenges...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/29568793/experiences-of-head-and-neck-cancer-patients-in-middle-adulthood-consequences-and-coping
#17
Kathryn Grattan, Catherine Kubrak, Vera Caine, Dan A O'Connell, Karin Olson
The head and neck cancer (HNC) rate is rising among the middle-aged adult population. This trend has been attributed primarily to human papillomavirus exposure. An HNC diagnosis and its complex treatments may trigger life-changing physical, emotional, and social consequences. An interpretive descriptive study was conducted to describe the experiences of a purposive sample of 10 middle-aged adults who had experienced HNC. Two main themes were identified: consequences of HNC and coping with HNC. Subthemes of consequences of HNC included: voicelessness; being or looking sick; shifts in family dynamics; and sexual practices, sexual feelings, and stigma...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/29568792/what-are-the-perceptions-experiences-and-behaviors-of-health-care-providers-after-implementation-of-a-comprehensive-smoke-free-hospital-policy
#18
Kerrie E Luck, Shelley Doucet
The aim of this study was to explore the perceptions, experiences, and behaviors of health care providers (HCPs) after the implementation of a comprehensive smoke-free policy. This qualitative descriptive study, using semi-structured interviews, was conducted with 28 HCPs working in a Canadian hospital. Four overarching themes emerged from the analysis including (a) greater support for tobacco reduction, (b) enhanced patient care and interactions, (c) improved staff morale, and (d) some barriers still exist...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/29568791/usefulness-of-image-theater-workshops-for-exploring-dilemmas-in-diabetes-self-management-among-adolescents
#19
Frank Kupper, Louk W H Peters, Sarah M Stuijfzand, Heleen A A den Besten, Nicole M C van Kesteren
Diabetes treatment involves a demanding self-management regime that is particularly challenging to adolescents. There is a need for qualitative research into the specific contexts in which adolescents attempt to balance self-management demands with the needs and desires of adolescent life. This study investigates the usefulness of image theater, a participatory form of theater using the body as an expressive tool, to articulate these dilemmas in daily life contexts. We performed a qualitative analysis of two image theater workshops with 12- to 18-year-old adolescents living with diabetes...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/29410976/working-to-full-scope-the-reorganization-of-nursing-work-in-two-canadian-community-hospitals
#20
Karen MacKinnon, Diane L Butcher, Anne Bruce
Work relationships between registered nurses (RNs) and practical nurses (LPNs) are changing as new models of nursing care delivery are introduced to create more flexibility for employers. In Canada, a team-based, hospital nursing care delivery model, known as Care Delivery Model Redesign (CDMR), redesigned a predominantly RN-based staffing model to a functional team consisting of fewer RNs and more LPNs. The scope of practice for LPNs was expanded, and unregulated health care assistants introduced. This study began from the standpoint of RNs and LPNs to understand their experiences working on redesigned teams by focusing on discourses activated in social settings...
January 2018: Global Qualitative Nursing Research
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