Clarke's Method Research Articles

Experiences of mutuality between Chinese lung cancer patients and family caregivers during chemotherapy: a qualitative study.

This qualitative study aims to deeply understand the emotional experiences of mutuality relationships between lung cancer patients undergoing chemotherapy and their caregivers, providing insights for developing cancer-related mutuality interventions. Using a qualitative research method with semi-structured interviews, 15 pairs of patients and their caregivers from the Department of Respiratory Medicine at the Affiliated People's Hospital of Xuzhou Medical University were selected as subjects. Data were qualitatively and inductively analyzed using Braun and Clarke's thematic analysis method. Five themes and fourteen sub-themes were extracted from the experiences and interactions between patients and caregivers: reciprocity and mutual support (support provided by patients to caregivers, support provided by caregivers to patients), challenges (lack of communication, difficulty in adaptation, role changes, economic burdens), change and adaptation (living with the disease, social support), negative outcomes (increased burden on caregivers, disruption of social activities and family relationships), and intervention needs (need for disease knowledge, humanistic care, communication skills). The findings of this study provide healthcare professionals with information on the mutual support and challenges faced by chemotherapy patients and their caregivers in coping with cancer. This information aims to facilitate culturally-based psychological interventions, enhance mutuality, improve quality of life, and promote the entire family's adaptation to the disease.

Leadership and Climate Change Mitigation: A Systematic Literature Review

This systematic literature review (SLR) explores leadership and climate change mitigation in cities. In doing so, it investigates explicit meanings of leadership, enablers of leadership, and leadership similarities and differences across regions. The review utilized three databases on 8 March 2024—Scopus, ProQuest, and Web of Science—curating an initial 496 results, resulting in 30 studies in the final analysis, using a two-reviewer screening process to limit bias and ensure consistency of approach. Inclusion criteria included English-language peer-reviewed articles over a ten-year period. The timeframe used was limited to January 2014 to December 2023 (10 years) to focus on the lead up to and post-implementation of the Paris Agreement. Further, empirical and conceptual studies were included to provide readers of this review with a thorough understanding of leadership work completed since 2014. Exclusion criteria included any studies that focus on adaptation measures and forms of leadership where the focus is on the private business, state, or national level, including leadership and climate change mitigation outside the influence of the local government. The study highlights five distinct meanings of leadership using the Braun and Clarke method of thematic analysis. It found leadership themes related to people (e.g., mayors), policy (e.g., ambitious climate plans), ideas (e.g., new concepts), collective action (e.g., motivating others), and mobilizing power (e.g., through regulations). The enablers of leadership included polycentricity, social capital influences, co-creational and mayor leadership, climate governance, and multi-actor coordination. This review segments the studies based on the findings from the literature, which focus on three continents (North America, Europe, and Asia) with a distinct difference in the meaning and enablers of leadership based on region. The 30 articles shared similarities in content, such as strong mayoral influence, but also had some distinct differences, such as how leadership is enacted based on leveraging market mechanisms, policy, and horizontal and vertical coordination. Finally, research gaps were identified, such as the scant focus on leadership and climate change mitigation in the Global South, to enable future research. Limitations of this study include the utilization of three databases, a focus on only English-language peer-reviewed articles, and a strong climate change mitigation focus.

Preparing for Clinical Placements and Transition to Practice With Objective Structured Clinical Examinations: A Qualitative Study of Family Nurse Practitioner Students

AimThis study aimed to explore recent Family Nurse Practitioners (FNP) graduates’ perceptions of Objective Structured Clinical Examinations (OSCE) simulation on competency development. BackgroundOSCEs are a method to educate and assess competency-based behaviors but lack FNP-specific research. Understanding learner perceptions of behavior change can influence OSCE utilization in FNP education. MethodsThis qualitative phenomenological study explored the lived experiences of nine recent FNP graduates from U.S. programs participating in formative OSCEs. A constructed theoretical framework inclusive of Kolb's Experiential Learning Theory and Miller's Pyramid of Professional Competence Framework was used with modified Braun and Clarke's thematic analysis method to analyze the interview data. ResultsFour themes emerged: Becoming competent and “making it stick,” Design impacts reactions and learning, “dress rehearsal” for clinical experiences, and Establishing routines for practice. ConclusionThrough OSCEs, learners developed competencies and confidence to support clinical experiences that continued into their early FNP practice. Learner insight demonstrated the importance of evidence-informed simulation pedagogy to prepare them for scope-specific practice.

A qualitative investigation into the digital competencies and food sustainability knowledge employers require of graduates in the food industry across Europe

The food industry is experiencing a profound shift toward sustainability, defined by a growing emphasis on responsible sourcing, reducing environmental impact, and promoting social and economic well-being(1). This shift impacts food and nutrition graduate employability and the diverse skillsets required for success in this evolving industry. Skills including digital literacy and the ability to leverage technology for sustainable practices are increasingly valuable in the food industry. Food companies need graduates with the knowledge, abilities, and mindset to support these objectives as they work to incorporate sustainable practices into their operations. Graduates entering the food industry job market must be equipped with a solid understanding of sustainability principles and the ability to apply them in practical contexts(2). The aim of this study was to investigate the digital competencies and food sustainability knowledge, employers require of graduates in the food industry.This study was part of a joint Erasmus KA2 European-funded project (2022-1-IE01-KA220-VET000087508 Digitalisation of Sustainable Health Education). In-depth semi-structured, audiorecorded focus groups were conducted with 24 employers in the food industry across project partner countries in Poland (n = 10), Ireland (n = 6), and Lithuania (n = 8). Interviews were transcribed and thematically analysed, using the Braun and Clarke method(3,4)whereby the data were coded, and themes identified.Three main themes were identified across the compiled data, these included: (1) perception of graduate preparedness for employability, (2) digital competence of graduates, and (3) food sustainability. The first theme highlighted that graduates from food and nutrition programmes are generally well prepared for employment in the food industry. There are a diverse array of industry roles on offer for graduates with employers reporting ‘on-the-job’ training as an integral part of graduates onboarding experience and career progression. The vast majority of participants felt graduates are currently meeting digital competency expectations when first entering the workforce however as digital competency is ever evolving it is essential to stay up to date. All employers highlighted sustainability as a key priority of their business however, there was no single common understanding for the term sustainability identified within the data. This finding emphasises the complexity of developing food and nutrition curricula that align to industry needs.This study has highlighted the complex nature of the food industry and the need for graduates to possess a diverse skill set. It is evident that employment in the food industry requires a combination of technical expertise, digital competencies, and an understanding of sustainability practices. To ensure that food and nutrition graduates have the skills needed to succeed in this changing sector, collaboration between educational institutions and industry stakeholders, is a priority to ensure sector specific training and continuous professional development.

Capturing Potential Interventions for the Empowerment of Older People and Informal Caregivers in Transitional Care Decision-Making: A Qualitative Study Using Focus Groups.

To capture older people's, informal caregivers' and health professionals' ideas on potential interventions for empowering older people and informal caregivers in transitional care decision-making. A descriptive qualitative design was adopted. The study was conducted between February and May 2022 in the region of Flanders, Belgium, as part of the TRANS-SENIOR consortium's collaborative research. Data were collected using focus groups, including older people, informal caregivers and healthcare professionals involved in any physical relocation of the older person across home, hospital or nursing home settings. Thematic data analysis was performed based on Braun and Clarke's six-step method. A total of 40 people participated in the focus groups. Four main themes were identified, which describe ideas on how to empower older people and informal caregivers in transitional care: Providing clear and timely information, preparing people for what is to come, person-centredness and providing professional and peer support for informal caregivers. Healthcare (professionals) should facilitate older people's and informal caregivers' empowerment in transitional care decision-making by setting them at the core and inception of the decision-making process. While informal caregivers support their loved ones in decision-making processes, they should also be supported and monitored for burdensome issues. Multicomponent, well-planned and personalised interventions are needed to empower older people and informal caregivers in transitional care decision-making. The ideas raised by all stakeholders who participated in this study can inform these interventions. Adhered to consolidated criteria for reporting qualitative research checklist. Organisations advocating for the interests of older people and informal caregivers played a pivotal role in shaping the TRANS SENIOR project. Furthermore, the study benefitted from the collaborative input of AGE Platform Europe, which amplified the voices and representation of older people during the project design phase.

Possible Health Benefits and Risks of DeepFake Videos: A Qualitative Study in Nursing Students.

"DeepFakes" are synthetic performances created by AI, using neural networks to exchange faces in images and modify voices. Due to the novelty and limited literature on its risks/benefits, this paper aims to determine how young nursing students perceive DeepFake technology, its ethical implications, and its potential benefits in nursing. This qualitative study used thematic content analysis (the Braun and Clarke method) with videos recorded by 50 third-year nursing students, who answered three questions about DeepFake technology. The data were analyzed using ATLAS.ti (version 22), and the project was approved by the Ethics Committee (code UCV/2021-2022/116). Data analysis identified 21 descriptive codes, classified into four main themes: advantages, disadvantages, health applications, and ethical dilemmas. Benefits noted by students include use in diagnosis, patient accompaniment, training, and learning. Perceived risks include cyberbullying, loss of identity, and negative psychological impacts from unreal memories. Nursing students see both pros and cons in DeepFake technology and are aware of the ethical dilemmas it poses. They also identified promising healthcare applications that could enhance nurses' leadership in digital health, stressing the importance of regulation and education to fully leverage its potential.

대학상담센터 내담자의 조기종결 경험에 대한 질적 연구

This study aimed to find out what factors led to the dropout of college counseling center clients and the impact of dropout on the clients. In-depth interviews were conducted with 11 clients who experienced dropout before the 10th session at the university counseling center, and the data were analyzed using Braun and Clarke's Thematic Analysis method. Four themes, 10 sub-themes, and 26 units of meaning emerged from the data analysis. The themes were 'distrust and anxiety about counseling', 'inappropriate behavior of counselors', 'low counseling competence of counselors', and 'negative perceptions of counseling'. In the dropout experience of university counseling center clients, inappropriate counselor behavior and low counselor competence were found to be the main factors that led to dropout. In addition, the consequences of dropout include rejection of counseling and negative perception changes. The significance of this study is that it discussed the problems and development plans for college counseling centers through the experiences of dropout of college counseling center clients, and presented basic data on them. This will provide a basis for the development of effective counseling and training in the practice of college counseling. Finally, limitations of this study and suggestions for further research were discussed.

Understanding the Wellbeing Needs of First Nations Children in Out-of-Home Care in Australia: A Comprehensive Literature Review.

Despite the increasing overrepresentation of Aboriginal and Torres Strait Islander (hereafter respectfully referred to as First Nations) children living in out-of-home care (OOHC) in Australia, little is known about their wellbeing needs. This comprehensive literature review aimed to identify these needs and the features of care required to meet them. MEDLINE, CINAHL, Scopus, Informit, PsycINFO, and Embase databases and relevant grey literature were searched from inception to December 2023 for articles presenting qualitative accounts and perspectives relevant to the wellbeing needs of First Nations children in OOHC. These included reports from First Nations children in OOHC; First Nations adults with lived experience of OOHC; carers, caseworkers, and organizational stakeholders; and First Nations community members with relevant lived and/or professional experience. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and Braun and Clarke's reflexive thematic analysis method for data analysis. Thirty-five articles (19 peer-reviewed, 16 grey literature) met the inclusion criteria. Our analysis revealed six wellbeing needs of First Nations children in OOHC: Being seen, being heard; a sense of stability; holistic health support; social and cultural connections; culturally safe OOHC providers; and preparedness for transitioning out of care. A range of features of OOHC were also identified as critical for supporting these needs. Our findings suggest that First Nations children in OOHC have unique wellbeing needs in addition to safety, security, and health. Attention to the development and maintenance of social and cultural connections is an important concern that must be addressed by OOHC providers (caseworkers and organizations) and carers and supported by OOHC policy and the associated systems in Australia as part of providing culturally safe and supportive care.

Flat Foot based on Clarke's Angle Method and Overweight among Medical Students of Universitas Airlangga

Highlights: Being overweight can be one of the causes of flat foot. A person with flat feet may experience pain in the medial malleolus area and discomfort when tiptoeing. Abstract Introduction: A flat foot is an arch deformity, and being overweight is one of the risk factors. It can cause problems such as fatigue, pain in the ankle and back, foot pain (especially during long walks or sports), and disturbances in balance and walking patterns. This study aimed to examine the relationship between flat feet (measured using Clarke's angle) and overweight students at the Faculty of Medicine, Universitas Airlangga. Methods: This study used an observational analytic design with a cross-sectional method, gathering primary data directly from the research sample. The data were analyzed using the International Business Machines Corporation (IBM) Statistical Package for the Social Sciences (SPSS) version 26. Results: Of the 56 samples meeting inclusion criteria, most cases of flat foot occurred in males. A total of 36 research subjects were overweight or obese, evenly split between females and males. Among the 112 samples, 19 had flat feet, and 93 did not. Chi-square test analysis indicated a highly significant p-value (0.001, p < 0.05), suggesting a significant relationship between flat feet and overweight. Conclusion: There was a significant relationship between flat feet (measured using Clarke's angle) and overweight. The majority of subjects in this study were overweight based on body mass index (BMI), and most had a non-flat foot arch type. All cases of flat foot were found in subjects with overweight BMI.

The beliefs and practices used to promote physical and mental health in youth who identify as lesbian, gay, bisexual, transgender, intersex, or queer plus (LGBTIQ+) experiencing housing insecurity: An integrative review.

The purpose of this integrative review was to explore the beliefs and practices used to promote physical and mental health among youth ages 18-25 years, identifying as LGBTIQ+ experiencing housing insecurity. The approach used strategies described by Whittemore and Knafl. Peer-reviewed, published research articles in English were identified using eight electronic databases. Eighteen research reports using qualitative, quantitative, and mixed methods were identified. Articles were evaluated for quality using the American Association of Critical Care Nurses Evidenced-Level Hierarchy evaluation tool. Data were analyzed and synthesized using Braun and Clarke's method. Four themes related to the purpose were extracted: pervasive experiences of stigma and discrimination, constantly attuned to navigating risks, inconsistent engagement in health information and care, and inner strength developed through personal and community experiences. There are strong implications for future research, public health nursing practice, and health policy. Public health nurses should incorporate social determinants of health (addressing harmful social processes such as homophobia and racism) as well as a strength-based upstream approach in research, education, and health care practices. More research must also be done to assess engagement in physical and mental health information and care.

Locked-in syndrome: A qualitative study of a life story.

Locked-in syndrome (LIS) is characterized by tetraplegia, anarthria, paralysis of cranial nerves, and facial musculature, with the preservation of consciousness and cognitive abilities, as well as vertical eye movements and eyelid movements, hearing, and breathing. Three types of LIS are distinguished: classic, incomplete, and total. The aim of the present study was to describe the life history of a person with LIS, as well as the wife's experience and perspective of this life history. A qualitative life history study was conducted with two participants: a 54-year-old man diagnosed with LIS and his 50-year-old wife. Data were collected through interviews and autobiographical documents submitted by the participants and analyzed following Braun and Clarke's method of inductive thematic analysis. Five main themes were identified: (1) how to understand and overcome the new situation; (2) the process of care and rehabilitation; (3) communication; (4) writing as a way of helping oneself and others; and (5) personal autonomy and social participation. The participants valued the support of their friends and family in the acceptance stage of the new situation, giving special importance to the communication skills and medical attention received after diagnosis.

An Exploratory Study on Non-Contact Nursing Experiences of Clinical Nurses during the COVID-19 Pandemic

This study aimed to understand the non-contact nursing experiences of clinical nurses during the COVID-19 pandemic. A qualitative research design applying thematic analysis was used. The participants were purposive sampled from three institutes: a tertiary hospital, a general hospital, and a residential treatment center in Seoul. Data were collected between December 2021 and January 2022 through individual in-depth interviews with 12 clinical nurses. The data were analyzed using Braun and Clarke's method to identify the meaning of the participants' experiences. During the COVID-19 pandemic, the fields where the participants performed non-contact nursing included intensive care units and isolation wards of hospitals, a residential treatment center, and home cares. Their tasks in non-contact nursing commonly involved remote monitoring using digital devices or equipment, consultation and education. From their experiences performing tasks in these fields, the four theme clusters and nine themes were derived. The four theme clusters are as follows: (1) Confusion of nursing role; (2) Conflict due to insufficient support system; (3) Concern about the quality of nursing; (4) Reflection on the establishment of nursing professionalism. This study highlights the necessity for institutionalizing professional nursing areas, nursing education, and practical support by clarifying the purpose and goals of non-contact nursing and developing nursing knowledge through frameworks.

Cancer-related pain experienced in daily life is difficult to communicate and to manage - for patients and for professionals.

The aim of this study was to gain qualitative insight into cancer patients' experiences, explanations, and management strategies regarding their cancer-related pain (CP). Seventeen patients with CP were interviewed using a semi-structured interview approach. Braun and Clarke's thematic analysis method was used to analyze the transcribed interviews. The patients all participated in cancer rehabilitation courses arranged by the research clinic at The Danish Knowledge Centre for Rehabilitation and Palliative Care. Three themes were identified: (1) Explaining CP: Patients found it difficult to explain how they experienced their pain. They lacked words, and they frequently used invasive metaphors such as "Pain feels like a heart attack" (2). Strategies and barriers to the management of CP: Initiatives provided by healthcare professionals (HCPs) were perceived as insufficient, and the patients missed guidance in both pharmacological and non-pharmacological approaches to pain management. Several saw medicine as unnatural for their body, and they focused on side effects and the medicine affecting their quality of life. (3) Responsibility for managing CP: A lack of responsiveness from the HCPs and taking on responsibility for pain management were experienced by several of the patients. The patients expressed uncertainty about whom to contact for help with the management of their CP. The patients' difficulties in explaining, understanding, and communicating their pain and pain management contributed to insufficient pain management. They were also uncertain about who had the responsibility to help them to achieve pain relief. These results share the evidence drawn from studies on patients with chronic non-cancer pain. This qualitative study highlights the need for having more focus on a common language and shared understanding between patients and HCPs. It also underpins the importance of HCPs to assume their responsibility to help patients manage their pain conditions.

Exploring the inequalities experienced by health and care workforce and their bases - A scoping review protocol.

Planning for investment in human resources for health (HRH) is critical to achieve Universal Health Coverage (UHC) and establish a sustainable health system. Informed planning warrants a better understanding of the health labour market (HLM) to tackle a variety of health and care workforce challenges: from addressing critical supply shortage, to ensuring optimal skills mix and distribution, and addressing motivation and performance challenges. Scant evidence around the overall role of socioeconomic and cultural factors like gender, race, marital status, citizenship (migrant) status, workplace hierarchy etc. in determining workforce composition, deployment, distribution, retention, un- and underemployment, sub-optimal work environments and other factors in the 'HRH crisis' warrants further exploration. This scoping review protocol aims to map and present the available evidence on inequalities experienced by health and care workforce, the socio-economic, cultural and other bases of these inequalities, and their outcomes/ consequences. PubMed, Web of Science, CINAHL and SCOPUS will be used to identify relevant literature. All types of published study designs in English language will be included if they discuss any inequality experienced by any category of health and care workers. Elaborate keyword categories for health and care workers and inequalities context have been developed, tested and reduced to the near-final search string. Eligible articles will be charted using the Joanna Briggs Institute checklist. The sample data extraction chart in JBI manual will be used as a basic skeleton with fields added to it to serve the needs of the scoping review. Descriptive analysis will be performed, depicting basic frequencies. While no further analysis has been advised in the JBI and PRISMA protocol, thematic analysis will be undertaken; following the Braun and Clarke's method with some modification and open coding as suggested by Maquire and Delahunt.

Korean Nursing Students' Experiences of Virtual Simulation Programs Replacing In-Person Mental Health Nursing Practicum during the COVID-19 Pandemic.

This qualitative study explored the experiences of nursing students whose clinical practice in mental health nursing had been substituted with virtual simulation programs due to the COVID-19 pandemic. The participants were ten nursing students who had undergone a virtual simulation program-centered practice, replacing the traditional clinical practice in mental health nursing and previous clinical practice in mental health nursing. The data were collected through in-depth individual interviews from January to February 2021. Following Braun and Clarke's method, the thematic analysis identified five themes and ten sub-themes. The five themes included the following: (1) lack of vibrancy in the actual clinical setting, (2) limited direct and indirect practical experience, (3) performing diverse roles in a virtual setting, (4) learner-directed practicum, and (5) sense of relief due to a safe virtual practicum environment. The participants recognized the limitations of the practice, particularly regarding communication with patients with mental disorders in the virtual simulation program. However, their perception of nursing underwent a positive change through the indirect clinical practice experience. Accordingly, it is necessary to develop a platform for the mental health nursing practicum that can easily interact with clients and to establish a hybrid practice that combines the clinical practice and virtual simulation practice.

How Community-Based Health and Social Care Professionals Support Unpaid Caregivers: Experiences From One Health Authority in Ontario, Canada.

In Ontario, Canada, rising rates of caregiver distress have been the 'canary in the coal mine' for a health system out of balance with the needs of an ageing population. Community-based health and social care professionals are well placed to play an important role in the caregiver support process; however, a gap has remained in the understanding of if and how caregiver support strategies are operationalized or experienced by community service providers (CSPs). The goal of this study was to describe how CSPs interpreted policy and how those interpretations may enable their work in supporting unpaid caregivers. Using a qualitative constructionist design, we interviewed 24 participants and reviewed 92 publicly available documents. Braun and Clarke's method of thematic analysis was used for analysis strategy. Four overarching themes were identified: (1) community care as a priority, (2) sidewalk accountability, (3) creative care planning through partnerships, and (4) challenges to care delivery. We found that the importance of caregivers to the health system was reflected in organizational policy and strategy. There is an opportunity to improve health outcome for caregivers and the population alike through strong leadership and a clear shared vision. Our findings also suggested that social capital was a significant factor in enabling providers in their work, leveraging long-standing relationships, and accumulated local knowledge to implement highly creative care plans.

The anatomy of safe surgical teams: an interview-based qualitative study among members of surgical teams at tertiary referral hospitals in Norway

BackgroundIn spite of the global implementation of surgical safety checklists to improve patient safety, patients undergoing surgical procedures remain vulnerable to a high risk of potentially preventable complications and adverse outcomes. The present study was designed to explore the surgical teams’ perceptions of patient safety culture, capture their perceptions of the risk for adverse events, and identify themes of interest for quality improvement within the surgical department.MethodsThis qualitative study had an explorative design with an abductive approach. Individual semi-structured in-depth interviews were conducted between 10/01/23 and 11/05/23. The participants were members of surgical teams (n = 17), general and orthopedic surgeons (n = 5), anesthesiologists (n = 4), nurse anesthetists (n = 4) and operating room nurses (n = 4). Middle managers recruited purposively from general and orthopedic surgical teams in two tertiary hospitals in Norway, aiming for a maximum variation due to gender, age, and years within the specialty. The data material was analyzed following Braun and Clarke’s method for reflexive thematic analysis to generate patterns of meaning and develop themes and subthemes.ResultsThe analysis process resulted in three themes describing the participants’ perceptions of patient safety culture in the surgical context: (1) individual accountability as a safety net, (2) psychological safety as a catalyst for well-being and safe performance in the operating room, and (3) the importance of proactive structures and participation in organizational learning.ConclusionsThis study provided an empirical insight into the culture of patient safety in the surgical context. The study highlighted the importance of supporting the individuals’ competence, building psychological safety in the surgical team, and creating structures and culture promoting a learning organization. Quality improvement projects, including interventions based on these results, may increase patient safety culture and reduce the frequency of adverse events in the surgical context.

The experience of good mentoring focused on overcoming turnover intention among millennial nurses.

Millennials are emerging as a prominent demographic in the nursing workforce. It is necessary to create an environment that harmonizes the advantages of each generation in a nursing workforce in which various generations coexist. As the importance of mentoring programs for millennial nurses grows, it is believed that the effectiveness of mentoring to support millennial nurses can be enhanced by identifying the attributes of good mentors as perceived by nurses. This study aimed to explore the attributes of good mentors according to millennial nurses in the nursing workforce with a focus on overcoming turnover intention problems. Four focus group interviews were conducted to collect data, which were subsequently analyzed using Braun and Clarke's thematic analysis method. A descriptive qualitative design involving 22 millennial nurses employed at a tertiary hospital, Hospital A, in Seoul, Republic of Korea was utilized. Four themes emerged from the analysis: the concept of a significant others, the presence of a driving force to endure, the importance of a guide to a harmonious life, and the value of a partner for growth. The participants themselves identified these themes. To prevent turnover intention among millennial nurses, mentors should employ diverse strategies, and institutional supports are crucial. Furthermore, since it is unrealistic to expect all ideal mentor characteristics to be present in one person, mentor development education is also necessary. This information is valuable for designing mentor development programs and for establishing a solid framework for effective mentoring programs.

Engaging, Binding and Retaining Nurses: The Success Formula of an Exemplary Ward.

Nurse staffing remains an ongoing issue in healthcare worldwide. However, a Dutch urology ward has hardly any staffing difficulties. Nevertheless, it remains challenging to grasp what exactly is the success formula of the ward. Investigating a practical example of a successful ward will facilitate a deeper understanding of the application of current knowledge. Furthermore, novel concepts offer potential solutions to current problems. There is a need of putting the knowledge into practice. The objective is to identify the factors that contribute to the success of the urology ward in engaging, binding, and retaining nurses, to provide practical insights and opportunities for other wards. The Dutch Model for Excellent Care forms the basis of a prospective, qualitative research study with focus groups. Twelve nurses were divided into three focus groups, based on work experience. They were asked about why they love working on the ward. Analysis was performed using Braun and Clarke's method for thematic analysis. Emerged themes were presented, substantiated by quotes. Four themes and twelve subthemes became apparent: (a) Supportive structures: nursing governance, professional development, and quality of leadership. (b) Optimal work environment: working with skilled nurses, a professional relationship with physicians and professional autonomy. (c) Team culture: feeling seen, good ambiance, and equality. (d) Specialty of urology: variation in work, workload, and the type of patient. Nurses are uniquely positioned to provide invaluable insight into their needs. They illuminated the crucial importance of fostering a work environment that prioritizes both professional as well as personal needs.

반려동물을 상실한 중년여성 1인 가족의 상실경험에 대한 주제분석

This study was conducted to examine the experiences of loss and the emotional and psychological aspects of coping in middle-aged women in single-person households who have lost their pets. The subjects of the study were three middle-aged women in single-person households, and data obtained through semi-structured interviews were analyzed using Brawn & Clarke's (2006) thematic analysis method. The analysis revealed three central themes and eight sub-themes: 'A New Version of My Family,' 'Complex Emotions Experienced After Loss,' and 'The Process of Coping with Pet Loss.' This study is significant for its qualitative analysis of the deep inner experiences of middle-aged women in single-person households who have experienced the death of their pets. However, it is recommended that future research could explore pet loss experiences in various age groups, as individuals may perceive and cope with death differently based on their developmental stages. Additionally, analyzing characteristics based on gender would also be beneficial.