Experiences Of Nurses Research Articles

Commentary: A rapid evidence assessment on prevention and reporting in nurses experiences of workplace violence.

Commentary: A rapid evidence assessment on prevention and reporting in nurses experiences of workplace violence.

Experience of the COVID-19 Pandemic in the Care of Patients with Predominantly Antibody Deficiencies (PADs)-A Qualitative Study with Perspectives from Both Patients and Nurses.

Background/Objectives: One of the risk groups during the COVID-19 pandemic was people with predominantly antibody deficiencies (PADs) that have a compromised immune system. In the absence of evidence and clinical experience, there were challenges for patients in their daily life and for staff in counseling during this time. Therefore, the aim of this study was to explore the experiences of PAD patients and nurses during the COVID-19 pandemic. Methods: Focus group interviews with patients (n = 12) and nurses (n = 12) were performed separately, which were then analyzed using content analysis. Results: The daily life of PAD patients was affected during the pandemic, with concerns about becoming seriously ill. Social isolation and adherence to recommendations by the majority of the Swedish population resulted in patients feeling infectiously healthier during this period. The rapid transition of specialist care to telemedicine care encounters was an important measure taken to address patients' concerns and questions according to both patients and nurses. In addition, patients expressed a need for a coordinated care plan to facilitate access to integrated care. Conclusions: The high level of trust for authorities in Sweden was related to the high compliance with the recommendations, which reduced the spread of the infection. The role of specialized care is an important support for PAD patients, which was particularly evident during the pandemic. Information transfer to a specific risk group, such as people with PADs, is important and can usefully be coordinated by their specialist clinic. Telemedicine meetings are an important complement for people with PADs and need to be further elaborated. Also, there is a need to clarify how to better coordinate primary and specialized care.

Experiences of Surgical Nurses in Patient Care During Earthquake 2023 in Turkey: A Disaster Management Study.

This study aims to qualitative examine the patient care experiences and roles of surgical nurses affected by the major earthquake that occurred in Kahramanmaraş on February 6, 2023, in the city of Osmaniye. Using a qualitative descriptive design, face-to-face individual interviews were conducted with 12 surgical nurses. The interviews were recorded, transcribed verbatim, and thematically analyzed. The study complies with the Standards for Reporting Qualitative Research (SRQR) guidelines. The main findings of the study encompass the themes of care of traumatized patients, challenges in work life, and work life and organization. Nurses play a crucial role in disaster relief planning, intervention, and recovery processes, and there is a need for further examination of their experiences to shape and improve future practices in disaster management and patient care.

Investigation of Pressure Injuries With Visual ChatGPT Integration: A Descriptive Cross-Sectional Study.

This study aimed to assess the performance of Visual ChatGPT in staging pressure injuries using real patient images, compare it to manual staging by expert nurses, and evaluate its applicability as a supportive tool in wound care management. This study used a descriptive and comparative cross-sectional design. The study analysed 155 patient pressure injury images from a hospital database, staged by expert nurses and Visual ChatGPT using the National Pressure Injury Advisory Panel guidelines. Visual ChatGPT's performance was tested in two scenarios: with images only and with images plus wound characteristics. Diagnostic performance was evaluated, including sensitivity, specificity, accuracy, and inter-rater agreement (Kappa). Expert nurses demonstrated superior accuracy and specificity across most pressure injury stages. Visual ChatGPT performed comparably in early-stage pressure injuries, especially when wound characteristics were included, but struggled with unstageable and deep-tissue pressure injuries. Visual ChatGPT shows potential as an artificial intelligence tool for pressure injury staging and wound management in nursing. However, improvements are necessary for complex cases, ensuring that artificial intelligence complements clinical judgement. Visual ChatGPT can serve as an innovative artificial intelligence tool in clinical settings, assisting less experienced nurses and those in areas with limited wound care specialists in staging and managing pressure injuries. The STROBE checklist was followed for reporting cross-sectional studies in line with the relevant EQUATOR guidelines. No patient or public contribution.

Experience of nurses in identifying delirium among cancer patients: A qualitative study

Background: Information about how nurses screen for delirium in cancer patients can provide insights into improving recognition. This study aimed to investigate the experiences of nurses while identifying delirium in cancer patients. Methods: The study's design was qualitative, using thematic analysis. Data were gathered via a focus group discussion with ten nurses from two oncological wards of Nursing and Health Research Universitas Riau, Pekan Baru Riau, Indonesia. The focus group discussion lasted roughly 90 minutes. Participants provided feedback on their experiences with assessment in delirium through semi-structured and open-ended questions. Data collection occurred in September 2023 at two oncology wards. Data analysis in this phenomenological research used the Collaizzi method to describe the meaning of an experience identified through the important themes of a phenomenon consisting of seven stages. Results: Categories, subcategories and themes were constructed. Experiences of nurses in identifying delirium among cancer patients were identified i) delirium, agitation and confusion are almost similar (the term delirium is not well known, and the type of delirium is not familiar); ii) tools for assessing delirium are needed (the tool does not exist and is unknown, used clinical experiences supported by laboratory testing); and iii) nurses can play an important role in identifying delirium (important role in assessing delirium, advising to prevent delirium among healthcare professionals). Conclusion: Nurses who work in oncology wards need to know more about delirium screening since they play an important role in early detection and treatment. Therefore, appropriate knowledge and measurement tools are required to identify delirium earlier among cancer patients.

Beyond Borders: A Longitudinal Study of Nepali Nurses' Dreams, Realities, and the Pursuit of a Global Career.

The global migration of nurses, particularly from developing nations like Nepal, is a complex tapestry woven with threads of ambition, sacrifice, and resilience. This longitudinal qualitative study followed the journeys of 17 Nepali nursing graduates, some who embarked on international careers and others who chose to remain in their homeland. Their narratives challenge simplistic notions of "brain drain," revealing a dynamic interplay of evolving motivations, unexpected opportunities, and the bittersweet realities of pursuing dreams abroad. The study uncovers a stark contrast between the idealized vision of working in "modern, first-world hospitals" and the lived experiences of migrant nurses, highlighting the emotional toll of cultural adjustment and the often-unmet expectations related to financial gains and professional advancement. Yet, amidst these challenges, nurses demonstrated remarkable adaptability, leveraging language acquisition, mentorship, and community building as strategies for integration and resilience. The study also sheds light on the unexpected paths to fulfillment found by those who remained in Nepal, challenging the prevailing narrative that migration is the sole route to success. These findings underscore the urgent need for comprehensive policies and support systems that address both the structural factors driving migration and the individual needs of nurses, fostering a more equitable and sustainable global healthcare workforce.

Iranian perioperative nurses' lived experiences of moral distress: A phenomenological study.

The present study was performed with the aim of exploring the experiences of moral distress among perioperative nurses in Iran, specifically focusing on their encounters with anaesthetised patients. Despite its significance, this issue has received limited attention from researchers. A phenomenological study based on Van Manen's six-research-activities approach was employed in this study. The phenomenon was perioperative nurses experience of moral distress. Perioperative nurses in two general hospitals in Iran were purposefully invited as participants. Semi-structured individual interviews were performed using open-ended questions, and two focus groups were conducted. Interviews were recorded using a digital sound recorder and typed word for word upon the participant's consent. Thematic analysis was performed by hermeneutic phenomenological reflection. Lived experiences of perioperative nurses of moral distress were derived from three main themes: psychological confusion, low self-esteem, and struggle to look after oneself. The findings of the present study revealed that perioperative nurses experienced moral distress as a negative feeling which threatens their humanity and professional work. Understanding this experience can empower nurses to uphold their values and encourages managers and researchers to intervene to reduce moral distress.

Becoming a Sexual Assault Nurse Examiner.

There is a shortage of sexual assault nurse examiners (SANEs) across the United States, especially in medically underserved communities. The purpose of this study was to describe the lived experiences of nurses on their journey before and after becoming a SANE. A qualitative descriptive research design was used in this study. A semistructured interview was conducted among 10 nurses who completed SANE training from a medically underserved community. Perceptions of being valued and supported and programme rigour influenced trainees' commitment to complete the SANE programme. Misconceptions about the role changed as trainees were immersed in the training. Being isolated and underutilized from the health care delivery system and the broader medico-legal system were faced by SANEs after completing SANE training. Continuous use of telemedicine, continued funding for SANE training and greater emphasis on the legal aspect of the role during training are recommended by SANEs. Trainees' experiences during SANE training influence programme retention and completion. To fully build the capacity of SANEs in the community, an infrastructure and a system must be developed to embrace and integrate new SANEs into the broader medico-legal system so they can perform in the role they are trained for. The study's findings have implications for policies in compelling medico-legal and political systems to help build SANE capacity in the community, especially in medically underserved regions. Likewise, continuous input and involvement of trainees in the training implementation are critical to SANE programme retention. This study provides some of the lessons learned in the training and education of nurses to become SANEs, which could be helpful to clinical educators wanting to establish a SANE programme, as well as factors that can lead to the decline of SANE capacity after so much investment has been made to it.

Can large language models assist with pediatric dosing accuracy?

Medication errors in pediatric care remain a significant healthcare challenge despite technological advancements, necessitating innovative approaches. This study aims to evaluate Large Language Models' (LLMs) potential in reducing pediatric medication dosage calculation errors compared to experienced nurses. This cross-sectional study (June-August 2024) involved 101 nurses from pediatric and neonatal departments and three LLMs (ChatGPT-4o, Claude-3.0, Llama 3 8B). Participants completed a nine-question survey on pediatric medication calculations. Primary outcomes were accuracy and response time. Secondary measures included seniority and group membership on accuracy. Significant differences (P < 0.001) were observed between nurses and LLMs. Nurses averaged 93.14 ± 9.39 accuracy. Claude-3.0 and ChatGPT-4o achieved 100 accuracy, while Llama 3 8B was 66 accurate. LLMs were faster (15.7-75.12 seconds) than nurses (1621.2 ± 8379.3 s). The Generalized Linear Model analysis revealed task performance was significantly influenced by duration (Wald χ² = 27,881.261, p < 0.001) and interaction between relative seniority and group membership (Wald χ² = 3,938.250, p < 0.001), with participants achieving a mean total grade of 91.03 (SD = 13.87). Claude-3.0 and ChatGPT-4o demonstrated perfect accuracy and rapid calculation capabilities, showing promise in reducing pediatric medication dosage errors. Further research is needed to explore their integration into practice. Key Message Large Language Models (LLMs) like ChatGPT-4o and Claude-3.0 demonstrate perfect accuracy and significantly faster response times in pediatric medication dosage calculations, showing potential to reduce errors and save time. Addition to Existing Literature This study provides novel insights by quantitatively comparing LLM performance with experienced nurses, contributing to the understanding of AI's role in improving medication safety. Impact The findings emphasize the value of LLMs as supplemental tools in healthcare, particularly in high-stakes pediatric care, where they can reduce calculation errors and improve clinical efficiency.

Characteristics of Psychiatric Mental Health Nurse Practitioners and their perceived educational preparation for practice.

Characteristics of Psychiatric Mental Health Nurse Practitioners and their perceived educational preparation for practice.

Reproducibility of the Manchester Triage System: a multicentre vignette study

BackgroundWhile several studies have evaluated the performance of the Manchester Triage System (MTS), none have specifically examined its accurate application by triage nurses and its association with clinical outcomes. This...

A qualitative study exploring the experiences of nurses delivering bacillus Calmette-Guérin therapy.

Intravesical bacillus Calmette-Guérin (BCG) is an effective treatment for preventing recurrence and progression of non-muscle-invasive bladder cancer; however, patients often withdraw early from the treatment. Nurses have an integral role in delivering and overseeing treatment. The aim of this study was to explore nurses' perspectives on the factors that contribute to patients successfully completing BCG treatment. Three focus group interviews were conducted with nurses working at different hospitals in Norway. The empirical material was analysed using reflexive thematic analysis. The identified themes were 'relationship and continuity', 'knowledge and overview' and 'managing side effects'. The study reveals several areas that nurses experience as contributing to patients completing their BCG treatment. The study also sheds light on how to improve practice through improved nurse training and optimalisation of interdisciplinary collaboration with urologists in order to assess and manage side effects in a more standardised way.

Effect of absorbent continence product design on handling time and caregiver physical posture: ergonomic evaluation.

The design of absorbent continence products is important to family caregivers, because it can simplify pad changes, save time and improve lower back posture. However, the ergonomic design of many products has not received sufficient attention. The study aimed to assess the time required for handling three types of absorbent continence products and evaluate physical stress on the hand-arm and back-head areas of the participants in both the lying and standing position from an ergonomic perspective. Twenty-one non-professionals without prior nursing experience in Germany participated in the study. Objective data, including the time required to apply, change and remove the products three times, the duration of harmful postures, and the subjective evaluation of the products according to ergonomic criteria were investigated. There were significant differences between two application positions (lying down versus standing) for all products. Handling the products with the patient in a standing position was faster, requiring less stressful postures and fewer hand grips. Objective data showed that MoliCare® premium Elastic was the quickest product to handle and had the shortest duration of unfavourable postures. The MoliFlex (Belted) ranked second in terms of harmful postures, whereas the MoliCare premium Slip performed slightly better than the Belted product in the duration of change in the lying down position. In the design of absorbent continence products, it is important to consider that comfort and quality are important not only for patients but also for family caregivers. Choosing the correct continence product can minimise the time and physical effort required for product handling.

Professional benefits perception among pediatric nurses: a cross-sectional survey.

The perception of professional benefits is a critical determinant of job stability and work efficacy among healthcare professionals. This perception can directly influence patient care quality, nurse job satisfaction and retention, as well as overall organizational efficiency. The current understanding of how pediatric nurses perceive their professional benefits is limited. This study aimed to elucidate the status and determinants of professional benefit perception among pediatric nurses to inform evidence-based clinical care. We conducted a survey of pediatric nurses at our hospital from September 1, 2024, to November 26, 2024. Participants were selected using a convenience sampling method. The Nurses' Professional benefit perception Scale was employed to assess professional benefit perception. Pearson correlation and multiple linear regression analyses were utilized to identify factors influencing professional benefit perception. These statistical methods were chosen due to their suitability for examining relationships between continuous variables and for controlling potential confounding factors in the regression model. A total of 366 pediatric nurses participated in the study. The mean score of professional benefit perception was (108.26 ± 17.32). Pearson correlation analysis revealed significant positive associations between professional benefit perception scores and several demographic and professional variables. Specifically, age (r = 0.517), years of experience in pediatric nursing (r = 0.604), educational level (r = 0.564), professional title (r = 0.559), marital status (r = 0.623), and average monthly income (r = 0.647) were all significantly correlated with professional benefit perception scores. Further analysis using multiple linear regression identified these variables as significant predictors of professional benefit perception scores, collectively accounting for 57.20% of the variance (R² = 0.572). This indicates that a substantial portion of the variation in professional benefit perception can be explained by these demographic and professional factors. The perceived level of professional benefits among pediatric nurses is found to be moderate. It is recommended that nursing administrators develop targeted intervention strategies based on the identified influencing factors. Such strategies may include enhancing professional development opportunities, improving financial compensation, and fostering a supportive work environment.

Utilisation of robots in nursing practice: an umbrella review

BackgroundThe provision of nursing care across the globe is confronted with a range of challenges, including the surge in the older persons population which amplifies the reliance on nursing services and exacerbates the shortage of nurses worldwide. A possible solution could be the broader implementation of robotics in nursing practice. Therefore, this umbrella review aimed to assess and synthesise systematically reviewed evidence on the utilisation of robots in nursing practice.MethodsAn extensive search of nine relevant databases was conducted for research syntheses. We included reviews that reported the experiences of nurses, perceived benefits and challenges of using robots in nursing practice in all care settings and published between the years 2012 and 2022. A supplementary search was conducted in October 2024 using the same criteria. Quality appraisal, data extraction and syntheses were carried out according to Joanna Brigg’s Institute’s guidelines for undertaking umbrella reviews. The protocol of this umbrella review was registered on PROSPERO prior to the commencement of the review (Registration ID CRD42022361835).ResultsThirteen reviews (representing 558 studies) were included following the quality appraisal. The evidence was summarised in narrative form with supporting quotes from the reviews. The findings were grouped into categories, which were further categorised into three main synthesised findings: ‘Documented experiences of nurses in using robots’, ‘perceived benefits of using robots’ and ‘perceived challenges of using robots’. To the best of our knowledge, this is the first umbrella review that synthesised evidence on the experiences and perceptions of nurses regarding the use of robots. This umbrella review has limitations as it is not the primary source of evidence, relying on the quality of the included reviews and studies.ConclusionsEvidence shows that there is a perception that robots can support nurses in their work. However, there is not enough experiential evidence from nurses who work with robots in practice to support this. There are also perceived challenges that are of concern to nurses, particularly in relation to liability, ethical dilemmas and patient safety. The authors have no competing interests to declare in the conduct of this review.

Abuse and Disrespect in Obstetric Care in the United States: A Qualitative Descriptive Study of Nurse Experiences.

This qualitative descriptive study of the experiences of US labor and delivery nurses follows the World Health Organization's call to address abuse and disrespect of women in maternity care. The majority of research about abuse and disrespect for childbearing women has been conducted in Africa, Asia, and Europe, but the US is unique as a high-income country with largely capitalist or privatized health care. The objective of this study was to gain knowledge about abuse and disrespect in hospital-based maternity care in the US from the perspective of labor and delivery nurses. Using a qualitative descriptive methodology, online data collection followed by optional interviews, we solicited the experiences of labor and delivery nurses regarding their experiences with patients being treated unethically in obstetric care. Content analysis was used to interpret the data into themes. One hundred sixty-eight (N = 168) participants provided written examples of unethical treatment they had witnessed in their professional experience, and 7 interviews were conducted. Four major themes were identified: Violation of the Trust that We are Going to Keep You and Your Baby Safe; Assault; Stripping a Patient of Autonomy; and Failure of the Hospital to Provide Safe Conditions for Birth. People within the healthcare system are aware of abuse and disrespect, but it is often hidden by stakeholders who have conflicting interests. Perpetrators of abuse and disrespect are people and systems. More research is necessary to quantify and address the problems from within the healthcare system.

Visualising the voices of nursing: a co-designed video capturing the lived experiences of nurses in Northern Ireland during the COVID-19 pandemic

BackgroundNurses were at the forefront of managing the COVID-19 pandemic. In response, the Royal College of Nursing in Northern Ireland commissioned a longitudinal qualitative survey using the Cognitive Edge SenseMaker® tool to capture nurses’ experiences of delivering care from April 2020 to March 2021.AimTo explore the effect of a co-designed video based on the findings of SenseMaker®, of the lived experience of nurses in Northern Ireland during the 2020/2021 global pandemic.MethodQuotes were selected from the SenseMaker® report of nurses’ (n = 676) which conveyed the experiences of nurses during COVID-19. Three co-design workshops were conducted. The first covering the plan for extraction of data from the SenseMaker® report, the second content development and script writing and the third covering feedback and revisions. The video was filmed and edited in the Drama Studies, School of Arts, English and Languages, Queen’s University Belfast. The live launch event took place in the Royal College of Nursing conference venue on 8th February 2024. Data to gauge the effect of the video were gathered via audience participation, MS Teams Version 1.7. chat participation, Mentimeter poll and MS forms survey. The link for the video and survey was accessible via the School of Nursing and Midwifery, Queens University Belfast website after the launch event. The findings were analysed using systematic text condensation using NVivo version 1.6. The study was approved by the Faculty of Medicine, Health and Life Sciences research committee at Queen’s University Belfast following peer review (REC Reference: MHLS 23_100).ResultsTwenty-eight participants completed the survey; 30 participants attended the live event. Overall, 93% (n = 26) of participants confirmed that the video-based monologues effectively conveyed the emotional perspective and lived experiences of nurses during the COVID-19 pandemic. Four themes emerged - personal reflection and emotional effect, connection and solidarity amidst disappointment, moral injury and resentment, lessons learned and the need for change.ConclusionWider dissemination of the co-created video-based narratives, with focus on advocacy to policy makers, is needed to prioritise the emotional well-being of nurses and other professionals. There is potential in using video-based monologies to facilitate positive change and better support for professionals, including nursing students in future crises. Further research is needed to assess the broader effect of such healthcare-related research methodologies.

Exploring Post-Anaesthesia Care Unit Nurses' Experiences Post Participation in a Delirium Care for Older People Education Intervention: A Qualitative Study.

To explore the learning experiences of post-anaesthesia care unit nurses after their participation in a delirium care for older people education intervention. Post-operative delirium is a common, yet major complication for people 65 years or older who have undergone surgery. Yet, post-operative delirium in older people continues to go undetected, has delayed detection or is entirely misdiagnosed. Inadequate delirium recognition and management is in part due to the lack of knowledge, competence and confidence of post-anaesthesia care unit nurses caring for older people. Multimodal education opportunities significantly contribute to nurses' improved knowledge, skills, confidence and competence in delirium care, as well as improvements in patient clinical outcomes. However, knowledge of which aspects of the learning experience that make the most impact to post-anaesthesia care unit nurses' clinical practice is limited. Qualitative descriptive design. Post-anaesthesia care unit nurses participated in a four-module multimodal delirium education intervention, which was co-designed by expert clinicians and tailored to the contextual needs of post-operative care. Nurses who participated in the educational intervention were invited to submit their completed learner workbooks. Qualitative data (n = 66 learner workbooks) were collected via 12 open-ended learner workbook questions. Content analysis of 655 open-ended participant responses generated three categories and seven sub-categories: gains in knowledge (Category 1), emotional responses to learning (Category 2) and clinical practice changes (Category 3). Multimodal education interventions are beneficial for post-anaesthesia care unit nurses caring for older people with delirium. Learning outcomes include changes in knowledge, attitudes and clinical practices. The use of simulation-based education is particularly impactful on positive learning experiences of post-anaesthesia care unit nurses. Nurse educators are encouraged to utilise simulation-based education to enhance nurses' knowledge, competence and confidence of caring for older people with delirium.

The Lived Experience of Nurses in Conserving the Dignity of Patients With Life-Limiting Illnesses.

To explore the experiences of nurses in maintaining the dignity of patients with life-limiting illnesses. A phenomenological study was conducted with 15 purposively selected nurses who provide care for patients with life-limiting illnesses. Colaizzi's naturalistic phenomenological approach was utilized to analyze the data. The study followed the COREQ guidelines for qualitative research reporting. Three themes emerged: (1) Establishing a therapeutic environment, (2) Respecting the humanity of patients, and (3) Strengthening the spirituality of patients. Building trust, providing compassionate care, and motivating patients are integral to establishing a therapeutic environment. Nurses emphasized enhancing patients' spirituality by encouraging religious rituals and supporting positive interpretations of illness from religious perspectives. Creating a therapeutic environment is fundamental to dignified care. In addition, humanized care and spirituality are critical components of providing dignified care. These findings have implications for nursing practice, education, and policy, highlighting the need to integrate dignity into nursing care through humanized and spiritual/religious support.

Experience of Nurses with Educator Role in Selected Hospitals of Indonesia: Phenomenological Study.

Competence of nurse educators in several countries is still unclear. In fact, nurse educators have a role in improving the knowledge and skills of nurses and students so that they can provide nursing services in a variety of situations. Moreover, absence of competency list attributed to lack of recognitions and various terminologies, which also less logical. This study aims to explore the perceptions and experiences of nurse educators in exercising their educational competencies in hospitals. This study uses a qualitative method of phenomenological study approach. The research was carried out in two hospitals: Universitas Indonesia Hospital and Persahabatan Central General Hospital, involving sixteen nurse educators. Thematic analysis was conducted to identify recurring patterns and themes in the data. The thematic analysis revealed five overarching themes: 1) Requirements to become a nurse educator, 2) Specific competencies needed for nurse educators, 3) Unclear nurse educator programs, 4) Nurses' perceptions of professionalism and managerial support, and 5) Expectations for clear career paths for nurse educators. This study underlines the existence of nurse educators' expectations for a clear career path. The importance of clear qualifications to become a nurse educator. Nurse educator programs also require support from hospital management.