Experiences Of Nurses Research Articles

A complex behaviour change intervention delivered by dental nurses: mixed-methods fidelity assessment of the RETURN intervention

IntroductionBehaviour change interventions delivered in dental settings could be useful in reducing oral health inequalities. Pragmatic randomised controlled trials testing interventions, however, are vulnerable to problems with internal and external validity. Intervention fidelity strategies are helpful to address methodological problems and to provide scientific assurances about trial results. This paper sets out the intervention fidelity assessment of the RETURN intervention which was delivered in dental settings to promote planned dental visits.MethodsThe assessment was guided by the National Institutes of Health Behaviour Change Consortium intervention fidelity framework domains of training and delivery. A mixed-methods design was selected, using quantitative data collected during intervention delivery training, together with qualitative observations (n = 58), interviews (n = 13) and audio-recordings of intervention delivery sessions (n = 472). Data were analysed separately using descriptive statistics and multiple logistic regression for the quantitative data and reflexive thematic analysis for the qualitative data. Data were integrated to provide a comprehensive fidelity assessment.ResultsDental nurses were successfully trained to deliver the RETURN intervention; training was successfully standardised, and skills drift minimised. Training presented challenges, and not all nurses achieved competency sign-off to deliver the intervention independently. Nurse characteristics such as dental nursing experience, wider trial procedures and confidence were all found to impact training success. The RETURN intervention was judged to have been delivered with high levels of fidelity, despite few interventions reaching the pre-determined fidelity threshold. Fidelity levels of between 75% and 85% were achieved across intervention domains. Interventionist, intervention dose and intervention topic (dental visiting barrier) were all found to have a relationship with fidelity levels.ConclusionsDental nurses can be trained to deliver a brief behaviour change intervention alongside their usual clinical roles, and this can be delivered with a high degree of intervention fidelity. The results from this fidelity assessment provide assurances about the scientific validity of the RETURN trial results. Recommendations about the suitability of dental nurse interventionists within future dental trials are discussed.Trial registrationISRCTN 84666712. Registered on 12/04/2021.

Emergency Nurses' Perceptions and Experiences in Managing Acute Pain in Critically Ill Adult Patients: A Qualitative Study.

The aim of this study was to examine the perceptions and experiences of emergency nurses managing acute pain in critically ill patients. Qualitative descriptive study. Non-participant observations (n = 46, 157 h across 10 shifts) and semi-structured interviews (n = 30) were conducted at two Australian metropolitan emergency departments from November to December 2020. Transcribed data were analysed using reflexive thematic analysis. The qualitative analysis yielded three main themes and eight subthemes: (i) being in the resuscitation area in which participants detail learning to work in the resuscitation area; influences in managing critically ill patients and confidence in acute pain management; (ii) prioritising pain management identified the challenges in optimising pain management and balancing departmental demands; and (iii) between being and doing and how nurse-patient interactions and care behaviours impacted on optimising pain management and comfort in the resuscitation area. Emergency nurses were primarily responsible for the continuity of patient care and optimisation of pain control for critically ill patients. Confidence in managing acute pain in critically ill patients was variable. While nurses actively sought ways to provide a reassuring presence and comfort to critically ill patients, this was limited by unpredictable workloads, availability of staff and communication challenges. These study findings may assist in the development of policy and formal education of emergency nurses transitioning into the resuscitation area and the management of acute pain in critically ill patients. Pain is under-assessed and managed in critically ill patients, and this could stem from emergency nurses' practices. The findings could inform interventions to enhance pain management and practices. No patient or public contribution. This study adhered to the COREQ criteria.

Fatigue and coping strategies among Chinese night-shift nurses: a cross-sectional study

BackgroundNight-shift work is a crucial component of nursing but is associated with significant fatigue, which may impact both nurse well-being and patient safety. Understanding the levels of fatigue and the coping strategies employed by nurses can help develop effective interventions. This study aimed to assess the fatigue levels of Chinese night-shift nurses and explore commonly used anti-fatigue strategies.MethodsA cross-sectional study was conducted in Zhejiang Province, China, using the Occupational Fatigue Exhaustion/Recovery Scale (OFER) questionnaire. The survey assessed acute and chronic fatigue levels, fatigue recovery, and anti-fatigue strategies among nurses. Statistical analysis was performed using SPSS 26.0.ResultsAmong the 371 valid responses, chronic fatigue levels (66.41 ± 24.17) were higher than acute fatigue levels (57.31 ± 15.61). Nurses with higher education levels reported lower acute fatigue, while older, more experienced nurses and those working in higher-grade hospitals had lower chronic fatigue. Common coping strategies included naps (63.88%) and stimulant consumption (54.72%), with coffee (45.37%) and milk tea (23.28%) being the most popular drinks.ConclusionOur findings indicate that Chinese night-shift nurses experience substantial fatigue, especially chronic fatigue, which is influenced by factors including education, age, clinical experience, exercise frequency, and hospital grade. Although personal coping strategies are common, they fall short in mitigating fatigue, underscoring the need for comprehensive interventions that combine individual and organizational measures.Clinical trial numbernot applicable.

Italian nurses abroad: insights into motivations, challenges, and opportunities.

Nursing migration to other countries has led to a reduction in the nursing workforce in Italy, resulting in increased workload and burnout for remaining staff. To evaluate the perceptions and experiences of Italian nurses who decided to work abroad. A cross-sectional study was conducted using an ad hoc online questionnaire. This study explored the perceptions and experiences of 244 Italian nurses working abroad. The primary motivations included personal growth, economic dissatisfaction in Italy, and exposure to new cultures. Most participants worked in Europe, particularly England and Germany. Although 71% found the documentation process straightforward, 23% faced adjustment challenges, often citing cultural differences and language barriers. Nurses abroad reported high job satisfaction (mean score=135.13), linked to better salaries and career opportunities. Most participants (93%) recommended working abroad but emphasised systemic reforms in the Italian healthcare system, including competitive salaries, recognition of qualifications, and improved recruitment processes, to retain skilled nurses and prevent 'brain drain'. The Italian healthcare system must learn from the successful models adopted abroad to improve working conditions and counter the migration of skilled professionals. Beyond economic incentives, this study highlights the need for greater recognition of nurses' roles, both socially and professionally. Improving work environments and fostering respect and empowerment can reduce migration and ensure the sustainability of healthcare services while preparing future generations to deliver high-quality care.

Management of a pediatric patient with rapidly progressive glomerulonephritis and cutaneous mucormycosis: a case report

Mucormycosis is a highly invasive and rare opportunistic infection caused by mucor fungi, characterized by challenging diagnosis and rapid disease progression. It predominantly affects patients with compromised immune systems due to various reasons, such as kidney failure, long-term use of antibiotics or corticosteroids. We recently successfully treated a pediatric patient with rapidly progressive glomerulonephritis accompanied by severe cutaneous mucormycosis. To our knowledge, this is the first reported case of rapidly progressive glomerulonephritis nephritis accompanied by dermatophytosis in a pediatric patient. In this case, we share our management experience, including special nursing experience. Cutaneous mucormycosis progresses quickly and is difficult to diagnose and treat, especially in children with compromised immune function, warranting high vigilance from clinicians and nursing staff. Early diagnosis and targeted treatment are crucial for improving the prognosis of patients. Therefore, once there is a suspicion of a mucormycosis infection, we recommend the early application of various testing methods such as fungal culture, skin biopsy and genetic testing in order to to promptly confirm the diagnosis.

Experiences of critical care nurses infected with COVID-19 in a Saudi Academic Hospital.

Coronavirus disease 2019 (COVID-19) has severely impacted nursing services, with thousands of ICU nurses infected with potentially fatal respiratory infections. Saudi Arabian studies suggest psychological implications, with loneliness and social isolation linked to higher depression and anxiety levels. Pandemic preparedness should focus on workforce protection and mental well-being promotion. This study aimed to understand the experiences of critical care nurses in Saudi Arabia who contracted COVID-19, with the goal of formulating recommendations to empower them, increase resilience, and help the profession thrive post-pandemic. This study used an exploratory, descriptive, and contextual approach, conducting unstructured interviews with 11 Critical Care Unit (CCU) Registered Nurse (RN) who contracted COVID-19, and analysing the data using Colaizzi's seven-step method. Three themes emerged from the data: (1) physical isolation led to loneliness and psychological separation, lacking emotional support and freedom of choice; (2) reintegration into the work environment increased stress and loneliness and (3) Coronavirus disease 2019 exposure provided essential insight into patient care and increased awareness of adaptive skills. These themes highlight the challenges participants faced during the pandemic. This research study indicated the experiences of ICU nurses who contracted COVID-19, revealing feelings of loneliness, depression and stress. Despite reintegration into their work environment, these feelings persist.Contribution:The study indicates that nurses in social isolation or quarantine also require open communication, social interaction, personal autonomy and emotional support to boost their resilience and mental health, and to increase their job satisfaction.

Lived Experiences of ICU Nurses Caring for Critically Ill Patients Infected with COVID-19: A Phenomenological Study in Thailand

Lived Experiences of ICU Nurses Caring for Critically Ill Patients Infected with COVID-19: A Phenomenological Study in Thailand

The Illness Experience of Nurses Who Become Patients: A Phenomenological Study.

To explore the phenomenon of nurse-patient's illness experience. A multicentre phenomenological qualitative study was conducted in Italy. A convenience sample of nurses with an acute illness experience, requiring at least one hospitalisation of ≥ 3 days, was enrolled. Semi-structured interviews were conducted. Data were transcribed verbatim and analysed according to Giorgi's descriptive method. Ethics committee approval was obtained for this study. The COnsolidated criteria for REporting Qualitative research checklist guided the study reporting. Eleven interviews were conducted from August 2022 to July 2023. The essential structure 'being on the other side of the fence' and six common themes, 'role reversal', 'expanded awareness', 'professional identity', 'emotional swing', 'having experienced it on their own skin' and 'reframing the healthcare context', were identified. Nurses' awareness of the healthcare system and pathways related to their professional background at the onset of their illness experience turns into an expanded awareness of the illness experience in itself, having it 'lived on their own skin'. When nurses return from the 'other side of the fence' to their professional role this new awareness triggers a more compassionate and cognizant relationship with patients and colleagues. This study highlights the lived experience of nurses who became patients, showing characterising elements of 'being on the other side of the fence' and the potential of this experience for expanding nurses' awareness of other patients' experiences under their care. Nurse-patients' illness experience may be instrumental to reinforce nurses' awareness, empathy and any positive attitude or practice devised to improve patient's illness experiences and patient centred care in hospitals. Nurses participated as interview respondents.

Evolving Global Migration Trends: Post-Migration Experiences of Iranian Dentists Attempting to Obtain Credential Recognition in Canada

As global migration continues to expand, the diversity of migrant populations increases. This includes a growing number of highly educated individuals from lower-income countries who face significant economic and mental health challenges in attempting to integrate into new communities. Despite extensive education and experience, their expertise is often unrecognized, with many resorting to unskilled labor alternatives. While substantial research exists on the immigration experiences of physicians and nurses, little is known about other professionals, such as dentists. This case study seeks to gain an in-depth understanding of the post-migration experiences of Iranian-trained dentists in Canada, identifying barriers and facilitators to their successful integration. Using a qualitative approach, this study is based on eleven interviews with dentists trained in Iran who recently immigrated to Canada. Semi-structured interviews were conducted via Zoom in English. A thematic analysis was performed using the 2021 Dedoose software program. Barriers to successful integration were categorized into two main themes: “socio-cultural” and “institutional” impediments. The findings show that participants faced significant challenges integrating into Canadian society. Beyond the many socio-cultural obstacles, the negative economic and mental health impacts of attempting to navigate the credential recognition system were substantial, largely due to what appears to be a systematic and institutionalized bias against foreign-trained individuals built into the credentialing system. As a result, their skills often remain underutilized, benefiting neither themselves nor their new country. Findings will inform policy and practice and propose practical recommendations that include reducing institutional barriers for credential assessment, providing mental health support, and offering financial support during assessment of international education.

Undergraduate nursing students' personality and learning effectiveness in high-fidelity simulation education.

Undergraduate nursing students' personality and learning effectiveness in high-fidelity simulation education.

Understanding the Lived Experience of Nurses: A Mixed-Methods Study of Resilience and Burnout.

During COVID-19, organizations accommodated an increase in critically ill and isolated patients. Rapid changes to workload and the environment consumed daily operations, causing an unrelenting strain on nurses. This study explored the lived experience of nurses during a pandemic event. Additional objectives were to determine the levels of individual resilience and burnout. This cross-sectional survey used a convergent mixed-methods design. Descriptive and inferential statistics were used to summarize and test differences in resiliency and burnout scores. Constant comparative analysis was used to analyze qualitative responses. The Brief Resilient Coping Scale indicated medium resilient copers (mean, 15.7 [SD, 2.52]). There was no correlation between burnout and Brief Resilient Coping Scale (r = 0.186). Four themes were identified: (1) mental, physical, and emotional toll; (2) constant change; (3) perceptions of leadership; and (4) burnout. No correlation was found between coping ability and burnout. Nursing burnout was associated with the ongoing tolls, constant change, and leadership challenges.

Risk Factors Associated with Psychological Health and Workload among Clinical Nurses

Background: Nurses are exposed to various occupational stressors that can negatively impact their psychological health and well-being. This cross-sectional study aimed to identify individual and occupational risk factors associated with psychological health and workload among Iranian clinical nurses. Materials and Methods: A cross-sectional study was conducted on 131 nurses at a teaching and training hospital in Semnan, Iran, from April to October 2020. Data were collected through self-reported questionnaires assessing psychological health, mental health exhaustion, workload levels, and demographic information. Descriptive statistics and Spearman’s correlation were used to analyze the data. Results: Approximately half of the participants reported moderate symptoms of psychological health problems. Higher rates of psychological health issues were observed in emergency, gynecology, and internal medicine units. Younger nurses and those with less experience were more likely to report negative feelings toward their job. Extended working hours (12 hours) were associated with increased workload. Significant positive correlations were found between sub-dimensions of psychological health and workload. Conclusions: The findings suggest that work environment stressors, such as extended working hours and heavy workloads, are associated with job dissatisfaction and exhaustion among clinical nurses. To improve the psychological health and job satisfaction of nurses, it is essential to implement organizational strategies such as reducing overtime work and providing flexible work schedules, particularly for experienced nurses.

Knowledge, Attitude and Practice Concerning Central Line-Associated Bloodstream Infection Prevention Among ICU Nurses in China: A Multicenter, Cross-Sectional Study.

Globally, there has been a general decline in the occurrence of central line-associated bloodstream infection (CLABSI). Still, CLABSI remains a common healthcare-associated infection in the ICUs of hospitals in developing countries. The aim of the study was to assess knowledge, attitude and practice among ICU nurses in China concerning CLABSI prevention. A multicentre, cross-sectional study was designed. A self-designed questionnaire, informed by a literature review and expert consultation, was utilised to assess the knowledge, attitude and practice of ICU nurses. The widely used electronic data collection tool in China, known as the Wen Juan Xing platform, facilitated data gathering via the internet. A total of 989 ICU nursing staff from 22 large tertiary public hospitals in China completed the online survey between 1 May 2024 and 30 June 2024. The proportion of ICU nurses with good (≥ 80% accurate response) knowledge, attitude and practice was 31.14%, 45.50% and 89.99%, respectively. ICU nurses' knowledge and attitude were mainly influenced by their age, ICU experience and professional level, meanwhile, their practice differences were found by their gender and educational level. In addition, nursing programs or processes, previous training experience and whether need more information were significantly associated with nurses' knowledge, attitude and practice. In summary, Chinese ICU nurses demonstrated inadequate levels of knowledge and attitude towards CLABSI prevention. Study findings suggest that arranging training in refreshing, taking advantage of experienced nurses' leading roles and changing safety culture might be useful in enhancing ICU nurses' knowledge, attitude and practice. The results of this research imply that the government, nursing associations and hospitals themselves should provide tailored training programs, improve safety culture and explore dynamic assessment methods to promote optimal knowledge, attitude and practice relevant to CLABSI prevention among ICU nurses in China.

Experiences of nurses in patient adherence to antiretoroviral therapy in Mpumalanga, South Africa.

Human immunodeficiency virus (HIV) is a global health pandemic. Mpumalanga is a province with a high burden of HIV or acquired immunodeficiency syndrome (AIDS). Antiretroviral (ARV) therapy should be initiated for all HIV-positive patients. Monitoring of patients' adherence to ARV therapy is important to ensure continued viral suppression. The study aimed to report on the experiences of primary health care (PHC) nurses in monitoring patients' adherence to ARV therapy in PHC facilities in Mpumalanga, South Africa. Six PHC clinics in a district in Mpumalanga were purposively selected. Employing a qualitative, exploratory, descriptive research design, 12 PHC nurses were interviewed in 2023. The data were coded, categorised and clustered into themes and categories. Ethical considerations and measures to ensure trustworthiness were adhered to. The findings revealed four themes: PHC nurses' experience in monitoring patients' adherence to ARV therapy in PHC facilities, experience of external challenges influencing patient's adherence to ARV therapy, experiences in internal challenges that influence patients' ARV therapy adherence, and the consequences of non-monitoring and poor adherence. Non-adhering patients were seen to be the greatest challenge. More awareness regarding the central chronic medicine dispensing and distribution (CCMDD) programme and the development of guidelines on the support of PHC nurses and patients are recommended.Contribution:The findings of the study may guide recommendations to assist PHC nurses, PHC management and policy makers at large to address challenges in the monitoring and adherence of patients on ARV therapy.

Experience of Cardiovascular Care Unit (CVCU) Nurses in Implementing Person Centered Care

Background: Nurses in the Cardiovascular Care Unit (CVCU) have a key role in delivering Person Centered Care (PCC), which focuses on respecting patient preferences and improving care quality. Despite its importance, the implementation of PCC still faces several challenges in clinical practice. Objective: This study aimed to explore the experiences of CVCU nurses in implementing Person Centered Care in a hospital setting. Method: A qualitative research design with a phenomenological approach was used. Six nurses working in the CVCU were selected through purposive sampling. Data were collected using semi-structured interviews and analyzed through thematic analysis based on Colaizzi’s method. Results: The study identified five main themes: (1) Satisfaction with nursing care, (2) Involvement of patients and families, (3) Communication and collaboration between nurses and doctors, (4) Suboptimal communication patterns between nurses and patients, and (5) Time management and workload. Discussion: The findings indicate that PCC contributes to greater satisfaction in nursing care delivery. However, several barriers, such as limited communication and workload issues, need to be addressed. These insights can inform strategies for broader PCC implementation across different hospital wards. Hospital management should support this process by addressing potential obstacles and facilitating a supportive environment for PCC.

Improving Neonatal Abstinence Syndrome Outcomes and Nurse Experiences: Integrating Responsive Bassinets With Eat, Sleep, Console.

The COVID-19 pandemic disrupted our practice of outpatient methadone weaning for pharmacologic management of infants with neonatal abstinence syndrome (NAS), resulting in increased average length of stay (ALOS). In response, we integrated a responsive Bassinet (SNOO), into our Eat, Sleep, Console (ESC) care model. Our primary aim through this quality improvement work was to explore whether integration of SNOO within our ESC care model had an impact. Using quality improvement methodologies, a retrospective chart review was conducted for neonates admitted to the NICU for NAS from December 2020 to September 2022 (N =109). Study inclusion criteria were primary diagnosis of NAS, birth gestational age ≥35weeks, and absence of other co-morbid diagnoses. Neonates were organized into two groups based on date of bassinet implementation. An online survey was sent to 76 NICU nurses 6months post-implementation. Outcome measures included ALOS, number of sleep-related "yes" scores (indicating poor sleep), and nurse experience. Of 109 infants, 13 met inclusion criteria ALOS declined by 17.38% (P=.57), and "yes" scores decreased by 41.72% (P=.52). Nurses reported an average of 2.43hours saved per 12-hour shift. The addition of SNOO as a non-pharmacologic intervention within ESC care models for infants with NAS may lead to a decreased average length of stay, improved infant sleep, and improved nursing experience (such as time savings).

The experience of nurses when providing care across acts that may be perceived as death hastening: A qualitative evidence synthesis.

Nurses can be involved in interventions that they perceive as hastening death. These interventions may intentionally cause death, as in the case of assisted dying or result in death as an unintended consequence, such as when life-sustaining treatment is withdrawn. There is increasing evidence regarding nurses' experiences of providing care in these separate contexts. However, it remains less clear whether parallels exist in experiences across various acts that nurses might consider death hastening. To synthesise qualitative research findings on the lived experiences of nurses when involved with acts that may be perceived as death hastening. A qualitative evidence synthesis utilising thematic synthesis. An initial search of CINHAL, PsychInfo and Medline was undertaken in December 2022 and updated in August 2024. Papers were quality assessed using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research. Twenty-three papers were included in the review. An overarching theme linked to the emotional labour required to provide care was developed. Three sub-themes influence emotional labour: (1) experiencing personal and professional conflicts, (2) the provision of 'normal(ised)' care and (3) perceptions of palliative care as a proxy for hastening death. This synthesis demonstrates that nurses experience significant emotional labour across acts that may be perceived as death hastening. The level of emotional labour is influenced by nurses' uncertainty of the ethical and moral status of these interventions and navigating these uncertainties alongside colleagues, patients and those important to them during care delivery.

Perceptions and Experiences of Continuity of Care (COC) Nurses in Lower Limb Fracture Patients: Phenomenological Approach

Background: Traffic accidents remain a major public health concern globally, particularly in developing countries like Indonesia, which ranks among the highest in road traffic-related mortality. Indonesia, as one of the fourth most populous countries in the world, is at greater risk for increased mortality from traffic accidents. Lower limb fractures are frequently associated with considerable morbidity and lengthy hospital stays. Purpose: This study identifies the perceptions and experiences of continuity of care (COC) nurses in lower limb fracture patients. Methods: This research utilizes a descriptive qualitative model with a phenomenology approach. Researchers recruited respondents after obtaining ethical clearance and an approval letter from West Sulawesi Provincial Hospital. In this study, 5 participants were determined according to the inclusion criteria set by the researcher. The data collection process was carried out by conducting a Focus group Discussion (FGD) for 40–60 minutes. During the FGD, the researchers used FGD notes and field notes. The analysis in this study used content analysis. Results: This study explored nurses' perceptions and experiences of continuity of care (COC) fracture patients in the lower extremity. This study identified four themes, namely, continuity of care (COC) in fracture patients, perceived physical discomfort, support needs in ambulating, and support for improving nurse competency. Conclusion: The implementation of COC can be a solution to the physical discomfort experienced by patients. Nurse support, family support, interprofessional support, and hospital support are needed so that COC can be implemented properly to improve musculoskeletal recovery and sustainable independence in lower limb fracture patients. The hope of the participants, in addition to motivation and the availability of tools for ambulation exercises, should be provided in the surgical room, especially in the treatment room for patients with musculoskeletal system disorders.

Developing nursing and allied health professional leaders: the wider impact of a professional development initiative on leadership.

Effective leadership is necessary across healthcare systems to ensure person-centred safe and effective care delivered by a workforce that is empowered to flourish. Similarly, research is essential to underpin evidence-based clinical practice to optimise the quality of care provided. It is important to develop the capacity and capability of the healthcare workforce to become effective clinical and research leaders; however, there are challenges. The creation of fellowship programmes such as the Director of Nursing and Allied Health Professions (AHPs) Fellowship was inspired by this need to support the skill development of these clinicians. To report the experiences of nurses, midwives and AHPs (NMAHPs) completing the Director of Nursing and AHP Fellowship programme; a 1-year development programme focussing on leadership, research and quality improvement. To describe the broader impact of the fellowship on NMAHP leadership. To consider the implications of the fellowship on the fellows and the wider organisation and healthcare system. The evaluation consisted of surveys and focus groups with fellows and mentors supporting them. These included clinical mentors, academic mentors, quality improvement advisors and improvement partners. The following four themes were identified from the survey and focus group data: leadership development, networking and relationships, collaborative working and communication.Fellows' development within the programme translated into multiple clinicians securing new job roles in clinical leadership positions, and key learning has been incorporated into future iterations of the programme. High-quality patient care relies on the support of research and implementation of evidence-based practice. Investment in the leadership of clinicians is key to promoting a culture of high-quality patient care and evidence-based practice. The Director of Nursing and AHP fellowship contributes to the development of nurses and AHPs implementing national priorities optimising patient care.

The impact of the Kermanshah earthquake experiences of Iranian nurses as rescuers: a qualitative study

BackgroundOver the past few years, Iran has experienced several earthquakes. The literature has highlighted the significant role played by Iranian nurses in the Kermanshah earthquake. However, few studies have been conducted to investigate nurses’ responses to disasters. This study aimed to explore the impacts of rescue experiences on nurses who cared for the injured following the Kermanshah earthquake.MethodThis is a qualitative study utilizing a conventional content analysis approach, following the Granheim and Landman framework. Sixteen nurses with experience in caring for earthquake survivors in Kermanshah were selected using a purposeful sampling method. Data were collected through in-depth semi-structured interviews, with ethical considerations applied at all stages of the research. MAXQDA software (version 10) was employed to assist in managing the data.ResultsThe study included 16 nurses: nine females (56.25%) and seven males (43.75%). The mean age of the participants was 34.13 ± 5.78 years, and the mean work experience was 10.75 ± 5.3 years. Following the coding of the interviews, 274 initial codes were extracted. These codes were merged to form 17 subcategories, five categories, and two main themes. The main themes were (i) Positive impacts (professional maturity, and the emergence of a new horizon in the meaning of life) and (ii) Negative impacts (psychological trauma, a decline in professional performance, and spiritual despair).ConclusionIn the context of this type of care, nurses experience dual impacts: on one hand, it uplifts their personal lives and professional performance, while on the other hand, it poses significant threats to them.