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The process of life adjustment in patients at onset of glioma who are receiving continuous oral anticancer drug: A qualitative descriptive study

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International Journal of Nursing Sciences 2019年第2期6卷 134-140页

作者： Koji Amano Kumi Suzuki Faculty of Nursing Doshisha Women's College of Liberal ArtsKyotoJapan Faculty of Nursing Osaka Medical CollegeOsakaJapan

Objective: Patients with malignant gliomas have to adjust their daily lives because of the threat of impending death and declining abilities.Thus,clarifying the process of life adjustment in such patients would help them lead a normal life.To clarify the process of life adjustment in patients at the onset of glioma,who continuously receive oral anticancer drug.Methods: The study institution consisted of two designated cancer centers.Semi-structured interviews were conducted with 10 patients,and the data were analyzed using the Modified Grounded Theory Approach of Kinoshita (M-GTA).Results: As a core category representing the process of life adjustment in patients at the onset of glioma,"trials and errors for self-fulfillment even in a limited lifespan" was extracted.Patients began "seeking information about the unfamiliar life-threatening disease," and "imaging their uncertain lives after the disease and the resulting disability" while "conducting repeated trials and errors to establish coping methods according to their abilities." When facing difficulties in such trials and errors,they reported "losing self-confidence due to unexpected limitations." However,they regulated their feelings by "resigning themselves to their unchangeable reality." Contrarily,as "functional improvement enhanced their motivation to recover," they attempted to promote functional recovery and organized their daily lives in "fulfilling their desires in their limited lifespan." Conclusion: The process of life adjustment in patients with malignant gliomas involved identifying a way of living despite limited lifespan.To ensure appropriate nursing care for patients at the onset of glioma,it is important to help them establish coping methods in accordance with their abilities.

关键词： Adjustment Life Malignant glioma Patients Qualitative study

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Explaining the dimensions of specific competence in training specialist nurses in multiple sclerosis:a Qualitative study

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Frontiers of Nursing 2022年第3期9卷 311-317页

作者： Banafshe Samari Efat Sadeghian Mahtab Sattari Bahman Aghaie Hamadan University of Medical Sciences Hamadan ***Iran Chronic Diseases(Home Care)Research Center Hamadan University of Medical SciencesHamadan ***Iran Department of Midwifery School of Nursing and MidwiferyHamadan University of Medical SciencesHamadan ***Iran Department of Medical-Surgical Nursing Faculty of NursingQom University of Medical SciencesQom ***Iran

Background:The complexity of multiple sclerosis(MS)due to psychological,emotional,physical,family,and social dimensions complicates the care of these patients.MS patients need hospitalizations and long-term care to treat and control the progression of the disease.Therefore,the competence of caring for MS patients is one of the important issues in clinical nursing.Objective:To explain the dimensions of competence in caring for MS patients.Methods:This study is a qualitative descriptive study using conventional content analysis method.Field notes and semi-structured face-to-face interviews were conducted on 12 specialist nurses of MS and 3 MS patients from the neurology ward.Participants were selected through purposeful sampling.Data analysis was performed using the approach of Zhang and Wildemuth by continuous comparison simultaneously with data collections.Results:Data analysis led to the extraction of 2 categories with 5 subcategories.The first category is“unlearned care competence,”with the subcategories as psychological-emotional resilience,psychological skills,and excellent communication skills.The second category is“specialized technical competence,”with the subcategories as up-to-date pathological knowledge and expertise in clinical procedures.Conclusions:Identifying the competencies of nurses of MS patients is important for educating nurses to provide qualified care and improve MS patient satisfaction.Nursing managers can empower nurses in non-technical areas such as in-service psychology courses and improve professionalism in caring for MS patients by promoting communication and specific clinical skills.

关键词： competence multiple sclerosis nurse patients Qualitative study

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Progressive exhaustion:A Qualitative study on the experiences of Iranian family caregivers regarding patients undergoing hemodialysis

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International Journal of Nursing Sciences 2018年第2期5卷 193-200页

作者： Shahriar Salehitali Fazlollah Ahmadi Ali Hasanpour Dehkordi Kobra Noorian Malek Fereidooni-Moghadam Kouroush Zarea Nursing Department Faculty of Nursing&MidwiferyShahrekord University of Medical SciencesShahrekordIran Nursing Department Faculty of Medical SciencesTarbiat Modares UniversityTehranIran Nursing and Midwifery Care Research Center Faculty of Nursing and MidwiferyIsfahan University of Medical SciencesIsfahanIran Nursing Care Research Center in Chronic Diseases Ahvaz Jundishapur University of Medical SciencesAhvazIran

Objective:The aim of this study was to explore the burden of care for patients undergoing hemodialysis from the experiences of family caregivers.Methods:In this Qualitative study,a content analysis approach was used for data collection and analysis.Participants were 16 family caregivers selected through purposive sampling from four medical education centers affiliated with Ahvaz Jundishapur University of Medical Sciences,Iran.Semi-structured interviews were held to collect data.Results:Four categories were developed as follows:‘care challenges’,‘psychological vulnerabilities’,‘the chronic nature of care’and“care in the shade”.The categories led to the development of the main theme of‘progressive exhaustion’experienced by the family caregivers during the provision of care to patients undergoing hemodialysis.Conclusion:Family caregivers have a significant role in the process of patient care,and this role leads them to progressive exhaustion;therefore,the overall health of the caregivers should be taken into account and more attention should be paid to their quality of life,social welfare,and satisfaction level.

关键词： Family caregivers Hemodialysis Progressive exhaustion Qualitative study

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Patient tracking in earthquake emergency response in Iran： A Qualitative study

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World Journal of Emergency Medicine 2017年第2期8卷 91-98页

作者： Nahid Tavakoli Mohammad H Yarmohammadian Reza Safdari Mahmoud Kcyvanara Health Management and Economics Research Center Isfahan University of Medical Sciences Isfahan Iran Health Information Management Tehran University of Medical Sciences Tehran Iran Social Determinants of Health Research Center Isfahan University of Medical Sciences Isfahan Iran

BACKGROUND: After a disaster, all victims have to be rapidly and accurately identified for locating, tracking and regulating them. The purpose of this study was to summarize people's experiences that how the patients were tracked in past earthquake disasters in Iran.METHODS: A Qualitative study was carried out in 2015. This was an interview-based Qualitative study using content analysis. The interviewed people included physicians, nurses, emergency medical technicians, disaster managers, Red Crescent Society' first responders and managers. Participants were identified using a snow ball sampling method. Interviews were audiotaped, transcribed, coded, and entered into MAXQDA(version 10) for coding and content analysis.RESULTS: Three main themes and seven categories including content(recoding data), function(identification of victims, identification of the deceased, informing the patients' relatives, patients' evacuation and transfer, and statistical reporting), technology(the state of using technology) were identifi ed that showed the patient tracking status in past earthquakes in Iran.CONCLUSION: Participants believed that to identify and register the data related to patients or the dead, no consistent action plan was available. So developing a consistent patient tracking system could overcome this issue and improve patient safety.

关键词： Patient tracking Emergency response Qualitative study Earthquake

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Perceptions of nurses in Japan toward their patients' expectations of care: A Qualitative study

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International Journal of Nursing Sciences 2017年第1期4卷 58-62页

作者： Mayumi Uno Tomomi Tsujimoto Tomoko Inoue Yamato University Health Faculty of Nursing Osaka Japan Osaka University Graduate School of Medicine Division of Health Sciences Osaka Japan

Objectives: This study aimed to investigate ideal nurse involvement based on the expectations of patients.Data on conflicts between nurses and patients were obtained.The patient situation involved standard nursing treatment,rather than acute phase or palliative care.Methods: Questionnaires were distributed among senior nurses attending a series of trainings in 2012 and 2013.The nurses were requested to return their completed questionnaires within two weeks.We ensured the effectiveness of the interview process to obtain accurate answers.The sample comprised 240 head nurses and assistant head nurses who were asked to respond anonymously to 57 questions about non-acute (stable) psychiatric or physical nurse-patient scenarios.qualitative data analysis was conducted using these responses.Results: We received 41 completed responses (response rate =17.1%).The expectations of patients and their families were reflected in five categories,namely,inference,empathic understanding,listening attitude,individual treatment,and reliable skills and explanations.Inference was independently categorized as a particularly strong characteristic of Japanese patients' expectations.Conclusions: Nursing care in situations where conflicts or misunderstandings may arise can be improved by encouraging nurses to be attentive to the moods,feelings,and expectations of patients and their families.The findings from this study can improve the quality of Japanese nursing care with regard to sensing (inferring) and reacting to the expectations of patients.

关键词： Emotions Empathy Humans Nurse-patient relations Patient care Qualitative study

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A Qualitative study of the psychological processes in patients with post-herpetic neuralgia

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Frontiers of Nursing 2020年第4期7卷 379-384页

作者： Jun Wu Zhi-Lan Yang School of Nursing Shanxi University of Chinese MedicineTaiyuanShanxi 030619China

Objective:To understand the psychological process of patients with post-herpetic neuralgia(PHN)and provide references for the psychological management of PHN.Methods:The objective sampling method was used to conduct semi-structural in-depth interviews on 10 PHN patients,and Colaizzi’s phenomenological analysis method was used for data analysis.Results:According to the different pain durations of PHN patients,the patients were divided into three stages and five themes were extracted:the need for strong pain relief,the helpless tolerance of pain,the self-feeling burden,the need for health education,and the positive response to pain.Conclusions:PHN has complex psychological activities,so it is necessary to pay attention to the psychological process of patients and take effective psychological measures to intervene negative psychology so that patients can actively cope with the pain.

关键词： post-herpetic neuralgia chronic pain psychological process psychological experience self-perceived burden Qualitative study

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Resilience in new nurses:a Qualitative study

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Frontiers of Nursing 2020年第2期7卷 161-168页

作者： Lei Lyu Ling-Yan Xu Min Liu Guo-Hong Li Anhui Polytechnic University WuhuAnhui 241000China Department of Emergency Women's Hospital School of Medicine Zhejiang UniversityHangzhouZhejiang 310006China Department of Surgery Yancheng City No.1 People's HospitalYanchengJiangsu 224600China Medical School of Southeast University NanjingJiangsu 210000China

Objectives:To explore the resilience experience of new nurses and how new nurses develop and apply resilience strategies to cope with the difficulties during the transition period.Methods:A descriptive qualitative research method was on data acquired using data semi-structured interviews with 12 new nurses aged 20-26 years whose working time was more than 12 months but less than 24 months.Results:Analysis of the data could determine participants adopting resilience strategies to withstand difficulties and challenges in transition period.This period consisted of three main phases:"self-protection,""undertaking challenges,"and"planning future."The first-line nurse managers'feedback and flexible shift scheduling paid a vital part in promoting the resilience development of new nurses.Conclusions:Recognizing the importance of understanding and developing the resilience of new nurses in the transition period could greatly reduce the turnover rate and alleviate the shortage of nurses in global nursing workforce.

关键词： new nurses resilience transition period Qualitative study role transformation

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Core competencies and perceived training needs of nurses in the background of Internet plus nursing service:a qualitative descriptive study

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Frontiers of Nursing 2024年第2期11卷 181-190页

作者： Qiang-Hui-Zi Zhang Wei-Wei Liu Zhen-Zhen Cheng School of Nursing Capital Medical UniversityBeijing 100069China Department of Orthopedics Peking University Shougang HospitalBeijing 100043China

Background:The Internet plus nursing service program is being piloted in China,which has become a new home nursing service model led by nurses.To enable safe and effective homecare service delivery,nurses working in the program need a high level of competency.However,the content of these core competencies and the training needs of nurses for Internet plus nursing services are still unknown.Aim:To describe nurses’perceptions of core competencies and training needs to work in the Internet plus nursing service program,thereby providing a reference for the development of training programs.Methods:A qualitative descriptive study using semi-structured interviews was conducted on 15 nurses with experience of working in the Internet plus nursing service program.Interviews were audio-recorded and transcribed verbatim,and the data were analyzed using thematic analysis.Results:Core competencies involved comprehensive assessment competence,direct care practice competence,health education and consulting competence,risk estimation and response competence,and communication competence.Training needs involved complex operational items,knowledge of chronic disease management,professional communication,risk identification and response,nursing standards,norms,and procedures,and utilization of information technology.Conclusions:The training system may be developed based on nurses’core competencies and their training needs to promote professional development of the Internet plus nursing service.

关键词： core competence Internet plus nursing service nursing Qualitative study training needs

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Facilitating and hindering factors of community nurses'emergency and critical care treatment abilities:A Qualitative study

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World Journal of Clinical Cases 2024年第18期12卷 3453-3460页

作者： Wen-Lin Cheng Rui Li Yan Song Fei-Hu Qian Si-Yuan Sha Shuang-Yuan Song School of Nursing Beihua UniversityJilin 132013Jilin ProvinceChina Department of Nursing Tongren Hospital Shanghai Jiao Tong University School of MedicineShanghai 200335China

BACKGROUND This study adopts a descriptive phenomenological approach to investigate the facilitators and barriers of community nurses'abilities in managing critical and emergency conditions.With the transition of healthcare systems to the community,the evolution of nursing practices,and the attention from policies and practices,community nurses play a crucial role in the management of critical and emergency conditions.However,there is still a lack of comprehensive understanding regarding the factors that promote or hinder their capabilities in this area.AIM To understand the facilitators and barriers of community nurses in managing critical and emergency conditions,exploring the fundamental reasons and driving forces influencing their treatment capabilities.METHODS This study utilized the destination sampling method between May 2023 and July 2023.It employed a descriptive phenomenological approach within qualitative research methodologies.Through objective sampling,17 community nurses from 7 communities in Changning District,Shanghai,were selected as the study subjects.Semi-structured interviews were conducted to gather data,which were subsequently organized and analyzed using Colaizzi's seven-step analysis method,leading to the extraction of final themes.RESULTS The barrier factors identified from the interviews encompassed three topics:resource allocation,professional factors,and personal literacy.The facilitators comprised three themes:professionalism,management attention,and training and continuing education.We identified that the root causes of the barriers included the lack of practical treatment experience among community nurses,insufficient awareness of self-directed learning,and limited knowledge and technical proficiency.The professional quality of community nurses and management attention serve as motivation for them to enhance their treatment abilities.CONCLUSION To enhance the capability of community nurses in treating acute and critical patients,it is recommended to bolster training specifically tai

关键词： Community nurse Acute and critical illness Promoting factors Obstacle factors Qualitative study

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Exploring Barriers to Implementation of Smoking Policies: A Qualitative study on Health Professionals from Three County-Level Hospitals

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Biomedical and Environmental Sciences 2008年第3期21卷 257-263页

作者： JUN-FANG WANG SHAO-JUN MA CUI-ZHU MEI XUE-FANG XU CHUN-PING WANG GONG-HUAN YANG Institute of Basic Medical Sciences Chinese Academy of Medical Sciences and School of Basic Medicine Peking Union Medical College Beijing 100005 China Union School of Public Health Peking Union Medical College Beijing 100005 China Chinese Center for Disease Control ＆ Prevention Beijing 100050 China

Objective This study was to identify factors limiting the implementation of smoking policies in county-level hospitals. Methods We conducted qualitative interviews （17 focus groups discussions and 6 one-to-one in depth interviews） involving 103 health professionals from three target county-level hospitals. A combination of purposive and convenience sampling was used to recruit subjects and gain a broad range of perspectives on issues emerging from ongoing data-analysis until data saturation occurred. The transcripts were analyzed for themes and key points. Results The main themes that emerged suggested that both smokers and non-smokers viewed smoking very negatively. However, it was clear that, underlying this acceptance of the health risks of smoking, there was a wide range of beliefs. Most of the health professionals pointed out that, as smoking was legal, addictive, and influenced by social norms, currently it was almost unrealistic to expect all smokers to give up smoking or not to smoke in the hospitals. Furthermore, they were concerned about the potentially detrimental effects of providing counseling advice to all smokers on the interpersonal relationship among colleagues or between doctors and patients. In addition, low level of employee participation influenced the sustainable implementation of smoking policies. Conclusions Simply being aware of the health risks about smoking did not necessarily result in successful implementation of the smoking policies. Application of comprehensive intervention strategies such as implementing smoking policies in public places at the county level, creating supportive environments, promoting community participation, and conducting health education, may be more effective.

关键词： Qualitative study Tobacco use Smoking policy HP attitudes

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