Background: Major depression affects psychosocial functioning and reduces quality of life. Although CWB is often endorsed for health benefits, scientific evidence remains limited. Aim: To explore experiences of nine patients with depression who participated in a program offering Cold-Water Bathing (CWB) within a caring context. Methods: A qualitative design and. In-depth interviews were conducted and transcripts were analyzed using systematic text condensation. Findings: The analysis identified a main theme, describing CWB as an existential window of joy and quality of life. Constructive aspects emerged through five interpretive themes: revitalizing the self with energy and vitality, sensing nature as poetic, balancing through a palette of emotions, socializing through pleasure and challenges, and recovering from depression within a medication-free frame. Conclusion: This study contributes to the development of innovative, nature-based, holistic approaches in mental health care for patients with depression.
Background: Coordination and transitional care are significant focus areas in nursing. A cross-sectoral virtual 4-party meeting (V4M) was established to coordinate and promote quality of care for patients with complex multimorbidity. Aim: To investigate how elderly patients with complex multimorbidity assess their participation in V4M and the impact on everyday life. Method: Qualitative individual first-person interviews with eight patients and three relatives, who had taken part in V4M before discharge from the hospital. The interviews took place up to three months after discharge. Results: Overarching theme, Power and Self-Determination, described how participation fostered control, recognition, and influence. Three themes emerged: Cognition and mastery, Relation and involvement, and Planning and follow-up, followed by seven subthemes: Clarification and influence, Help and independence, Understanding, Dialog, Meeting the GP, Flexibility and visibility, and Shattered expectation. Conclusion: V4M enhances coordination and patient empowerment in transitional care when professionals are prepared and responsive. Sustainable impact requires follow-up and cross-sectoral collaboration.
Background: Patients receiving home healthcare services have complex needs with increasing frailty, demanding high competencies. Previous research shows that nurses in home healthcare have an uncomplete knowledge of and lack competence to assess frailty. There is a lack of research on simulation-based teaching to enhance competence. Aim: To explore the experience of nurses in home healthcare services with simulation-based teaching as competence enhancement on frailty in older people. Method: The study had an explorative design with a qualitative approach. Focus group interviews with nine nurses from a district municipality were used to collect data. Findings: The simulation provided new knowledge, leading to increased awareness of frailty. Systematic and innovative tools were needed to meet the rising demands on nurse competence. Conclusion: There is a need for increased competence among nurses in home healthcare in the assessment and mapping of frailty. Simulation-based teaching was a good competence-enhancing combination.
Background: Growing demand for healthcare will intensify the need for specialized competence in hospitals, where advanced practice nurses (APNs) may play an important role; however, research on APNs in medical wards remains limited. Aim: To explore nurses' and physicians' reflections on the APN's role in medical wards when caring for patients with complex health conditions. Method: Qualitative method with two focus groups (N=15, nurses and physicians at the medical ward), analyzed using Braun and Clarke's thematic analysis. Findings: with a "top-level function" in medical wards, 3) APNs as a resource for competence and collaboration, and 4) the APN role requires organizational anchoring. Conclusion: APNs can support the management of complex patient situations at medical wards, strengthen the professional environment, and promote patient safety through competence development. A precise role description is required to achieve the role.
Background: Despite global acceptance for the importance of clinical learning in nurse education there is limited evidence for the scope of hours needed to ensure learning outcomes. Aims: To explore how organisation and the scope of clinical hours impact students' learning. Method: Cross-sectional survey with open-and close-ended questions. Results: Responding students (N=169/42%) had mixed opinions of five-day clinical weeks and five-week clinical periods but agreed that two consecutive placements and combined learning approaches promoted learning. Academic assignments during clinical periods, and weeks of self-directed learning were considered unhelpful. Rather, students emphasized the importance of involvement in daily work and nursing care, one learning approach at a time, support and feedback, and time to prepare, reflect and seek knowledge relevant for placement wards. Conclusion: Our results, and limited evidence of how organisation and the scope of clinical hours impact nursing student's learning underscore a need for more knowledge.
Background: Unsuccessful resuscitation attempts are an aspect of the cardiac arrest team's role. Nevertheless, the psychological impact of witnessing patients' death, can lead to healthcare worker burnout. This study aims, to explore the cardiac arrest team's experiences with "The Pause" (one minute of silence) after unsuccessful resuscitation in in-hospital cardiac arrests. Method: A deductive content analysis, based on focus group interviews led to the Findings: Promoting unity and equality within the team, Adding value and respect for human life, Reinstating human values within the organization, Closure and a better transition Barriers against "The Pause". Conclusion: "The Pause" offers an opportunity for healthcare professionals to acknowledge the gravity of patient death and prioritize their own emotional well-being. By fostering a respectful and supportive work culture, this practice can mitigate the negative psychological impact of such events. Nevertheless, perceived vulnerability remains a key barrier to implementation.
Background: Nurse practitioner (NP) is a national initiative to improve health care services in the municipal health service. Utilization of the competence depends, among other things, on facilitation from the organization and the managers. Aim: To gain knowledge of how managers in the municipal health service experienced having an NP and how they utilized this increased competence. Method: Qualitative, descriptive research design. The material from ten individual interviews with managers in the municipal health service was analyzed using reflexive thematic analysis. Results: The managers experienced that NP strengthened the health service. However, implementing NP was challenging, and the managers needed more information and involvement. Conclusion: The organization must work systematically for successful implementation and utilization of the NP competence. Leaders and organizations need more information and exchange of experiences for better utilization of the competence and to develop role models. Educational institutions have the potential for contributing to the exchange of experience and information.
Background: The healthcare system is rapidly evolving, making nursing pivotal in ensuring patient outcomes and overall quality of care. NSOs have gained substantial attention for evaluating the impact of nursing interventions on patient health and informing clinical and policy decision-making. Aim: This scoping review aims to map existing research on NSOs to gain a comprehensive understanding of how nursing practices are assessed in hospital settings. Methods: This review will follow the Joanna Briggs Institute (JBI) guidelines for scoping reviews and be reported according to the PRISMA extension for scoping reviews (PRISMA-ScR). The protocol is reported in line with Prisma-P. Discussion: Findings will provide researchers and clinicians, with an enhanced understanding of NSOs and contributing to improved patient care, sustained high-quality nursing practices and further research, contributing to e.g. the identification of NSOs that can be employed in economic evaluations. Trial registration: Open Science Framework. Registration number: osf.io/9WJ8E
Background: Nursing shortage and a growing patient population place a critical responsibility on nurse leaders to recruit nurses and promote innovation and professional development, making them vital in enhancing clinical education quality in hospitals. However, knowledge regarding their engagement and positionings in this area remains limited. Aim: This study investigated the positioning of hospital nurse leaders in clinical education, exploring their engagement strategies to addressing recruitment and retainment challenges. Method: Participant observation was conducted across seven bachelor conferences, followed by focus group interviews with 12 nurse leaders. Findings: Three themes regarding the nurse leaders' positionings emerged: Blurred responsibility for clinical education, Recruiter, and Guarantor of professional quality. Conclusion: This study highlights the complex roles of nurse leaders in clinical education. While they acknowledge their responsibilities, their engagement varies with shifting positioning strategies. As recruiters and guarantors of quality, nurse leaders strive to improve nursing education and foster supportive learning environments.
Background: Recruiting and retaining healthcare professionals in mental health care is crucial, and gaining increased knowledge about what they receive for themselves in interactions with patients is needed. Aim: The study aims to describe what healthcare professionals receive on their behalf, in interactions with mentally ill patients, contributing to remaining in their positions. Method: A qualitative design was employed. The participants were nine health professionals with a bachelor's degree. Individual interviews were used to collect data and analyzed through a thematic analytical process. The SRQR checklist was used. Results: The analysis resulted in three themes: 1) Being challenged yourself, 2) being affirmed yourself, and 3) becoming acquainted yourself. Conclusion: The study concludes that what healthcare professionals receive themselves in interactions with mentally ill patients, providing a basis for remaining in their positions, is a capacity to engage in interactions associated with a more dynamic professional identity and meaning perspectives.
