Integrative Review Of Qualitative Studies Research Articles

Learning-Oriented Leadership in Organizations: An Integrative Review of Qualitative Studies

Recent societal challenges highlight the importance of learning in organizations. Nurturing employee learning requires leaders who prioritize learning-oriented leadership. While many studies have used qualitative methods to study how this leadership is performed in daily work, there have been no previous attempts to synthesize this body of research. This paper presents a framework based on a review of 38 qualitative papers on how leaders facilitate workplace learning. The framework identifies two elements of leadership: direct leadership behaviors, which involve supporting, educating, making demands, and role modelling, and indirect leadership behaviors, which facilitate learning through building a learning climate, influencing work organization, freeing up resources for learning, and encouraging knowledge dissemination. The review finds that situational factors shape learning-oriented leadership, and that this leadership involves the deployment of activities located on a planned-spontaneous continuum to facilitate learning. Longitudinal studies across professional groups and contexts will deepen our understanding of this concept.

Exploring Different Aspects of Nursing Leadership: An Integrative Review of Qualitative Studies

Context: Leadership is the process of influencing people to achieve common goals. In all nurses' roles, leadership is emphasized since nurse leaders' attitudes influence nurses’ job satisfaction and retention and, consequently, the quality of care. Objective: This study aimed to explore the scientific literature concerning different aspects of leadership in nursing. Methods: This is an integrative review of qualitative studies in which four electronic databases (Medline, PubMed, Scopus, and Google Scholar) were searched. Articles published in the last ten years (2013 - 2022) were searched by titles using the descriptors "qualitative," "leadership," and "nursing" linked by the Boolean Operator AND. The search carried out in July 2022 was not limited by the publication language. A total of 63 studies were identified, and 11 original primary research articles were included. The quality of articles was assessed using the Critical Appraisal Skills Program (CASP). Qualitative content analysis was performed to analyze the obtained data. Results: The results were organized into three categories: (1) the importance of nursing leadership and leaders' roles; (2) ethical leadership; and (3) nursing leadership education. Personal characteristics of nurse leaders and leadership skills were indicated as factors influencing staff nurses’ attitudes and reflecting on the quality of care. Training in nursing leadership since the early years of nursing education is essential for future nursing leaders. Conclusions: Nurse leaders influence other team members and patients; consequently, nursing leadership impacts the quality of care. Therefore, training on leadership should be addressed in nursing schools in undergraduate and postgraduate courses and health institutions through continuing education.

Ethical dilemmas experienced by nurses while caring for patients during the COVID-19 pandemic: An integrative review of qualitative studies.

AimThis study aimed to identify ethical dilemmas faced by nurses while caring for patients during the COVID‐19 pandemic.BackgroundNurses express several concerns during disease outbreaks, some of which are related to ethical dilemmas.EvaluationIt is an integrative review in which four databases were searched. Critical appraisal tools and PRISMA guidelines were used. Content analysis was performed to analyse the obtained data.Key issuesA total of 14 studies were identified. The results are presented into four categories: concerns with beneficence–nonmaleficence; awareness of need for autonomy; challenges to justice; and coping with ethical dilemmas.ConclusionWhile caring for patients during the COVID‐19 pandemic, nurses often put their own health and that of their families at risk. The ethical dilemmas faced by nurses are mainly caused by the lack of Protective Personal Equipment (PPE), shortages of medical supplies and personnel and the uncertainties that permeate an environment threatened by a new and highly contagious disease such as COVID‐19.Implications for nursing managementThis review provides information that can inspire nurse managers working during the COVID‐19 pandemic to support and empower nurses to act in accordance with ethical principles, which is important in order for nurses to protect themselves while providing efficient and effective care.

Parents' Perceptions of Emerging Adults With Congenital Heart Disease: An Integrative Review of Qualitative Studies.

As the primary caregivers for children with congenital heart disease (CHD), parents' perceptions are important for emerging adults to achieve independence. This integrative review of qualitative studies aimed to describe parents' perceptions of emerging adults with CHD. Seven electronic databases were searched. Data extraction and quality assessment were performed. A meta-synthesis was conducted to inductively develop essential themes from five included studies. Three essential themes encompassing the parents' perspective of emerging adults with CHD were: (1) concerns about emerging adults' ability to be independent; (2) concerns about emerging adults' future; and (3) impact of disease on family. The themes depicted parents' concerns and worries about their children's ability to successfully achieve independence, especially in disease self-management and life goals. This review highlights parents' concerns about their emerging adult children's independence. Understanding these concerns allows for developing interventions to facilitate emerging adults' independence and ease parents' worries.

The lesbian, gay, bisexual and transgender communities' mental health care needs and experiences of mental health services: An integrative review of qualitative studies.

INTRODUCTION: The lesbian, gay, bisexual and transgender (LGBT) communities are a minority population that experience a range of health disparities, including mental health. Because these groups have higher rates of mental disorder than the general population it is, therefore, pertinent to identify their specific mental health needs and their experiences when accessing mental health care. To identify the mental health needs of the LGBT communities and their experiences of accessing mental health care. An integrative review of qualitative studies was conducted. A total of fourteen studies were selected for this review. The studies identified that participants' experiences of accessing mental health care were related to (a) experiencing stigma and (b) staff's lack of knowledge and understanding of LGBT people's needs. They identified a need for mental health care that promotes the principles of equity, inclusion and respect for diversity. The LGBT communities while not a homogenous group, face unique challenges when dealing with their mental health needs. Services that promote health equity and self-acceptance are important for this group. It is vital that mental health nursing education incorporate models that promote equity, inclusion and respect for diversity regarding this group of people.

Mother-Adolescent Daughter Communication about Sex: Integrative Review

As sexual issues are taboo, it is considered inappropriate to discuss them directly and openly, especially communication about sex between mothers and daughters. Therefore, it is necessary to learn how communication between mothers and daughter about sexual topics can be improved to increase safe sexual behaviors. The purpose of this study is to understand the communication about sex between mothers and their adolescent daughters by conducting an integrative review of qualitative studies. An integrative review of qualitative research studies from 2000 to 2017 was undertaken. Systematic literature searches were carried out on electronic databases for journal articles and doctoral dissertations with full text focusing on mother-adolescent daughter communication about sex. Data was synthesized using thematic analysis. Seven qualitative articles were included in the synthesis, and five recurring themes were identified: 1) Mothers’ attitudes towards talking about sex with daughters 2) Feelings of daughters towards sexual communication with mothers 3) The first-time mother starting to talk about sex with her daughter 4) Contents of sexual communication and 5) Successfulness of communication. Results suggest future research in developing programs to provide communication about sexual matters between mothers and their daughters effectively, including consideration of different cultures and social contexts, is necessary. Keywords : mother-daughter communication, communication about sex, integrative review Address Correspondence to author: Lakkhana Chainok, RN Faculty of Nursing, Thammasat University 99 Klong1, Khlong Neung, Khlong Luang, Pathumthani 12121, Thailand. email: lakkhana014@nurse.tu.ac.th Received: March 23, 2018 Revision received: April 20, 2018 Accepted after revision: July 6, 2018 BKK Med J 2018;14(2): 121-127. DOI: 10.31524/bkkmedj.2018.09.020

Experience of Parents Caring for Their Children with Thalassemia: Challenges and Issues for Integrative Review

This integrative review aimed to synthesize the experience of parents caring for their children with thalassemia. An integrative review of qualitative studies was conducted regarding the experience of parents caring for their children with thalassemia, and MEDLINE, PsycINFO, SCOPUS, and CINAHL databases were searched from January 1st, 2009 to March 1st, 2018. Five studies involving participants were included. Children with thalassemia affect their parents’ lives and perspectives. The six themes identified comprised: concern about children in the future, social death and stigmatization, absent support network, psychological distress, frustration with treatment, and the need for good coping strategies. This integrative review was designed to provide a better understanding of the experience of parents caring for their children with thalassemia. From the core themes, this integrative review led to an evidence-based practice for supporting and managing their condition effectively. Further studies should focus on how to support parents taking care of children with thalassemia. Keywords : parents’ experience, children with thalassemia, integrative review DOI: 10.31524/bkkmedj.2019.02.018

The Burden of Caregivers due to Stroke Patients Living at Home: Integrative Review

An integrative review is an internationally accepted approach that is often used foridentifying, analyzing, reporting, interpreting and drawing the theme conclusions frommultiple studies. This study aimed to synthesize perspectives of the burden upon strokecaregivers. Data were collected from international databases. Qualitative studiesreported the perceptions of the caregivers in caring for persons who had suffered a stroke.The search was limited to the English language; journal articles; age groups includedall adults; quantitative studies or irrelevant articles were excluded. Eight articles relevantto the objective were included. The identified data were extracted from the results in theeight relevant sections and then ATLAS.ti 8 Software was used for the analysis of thequalitative studies. The results of this study were synthesized into three main themes:(1) the level of the caregiver burden; (2) the environmental factors of the burden, and(3) the related illnesses from the burden. Conclusion: The integrative review of qualitativestudies about the burden endured by stroke caregivers arranged unique insights into thestroke caregiver perceptions and extracted their expressions of behavior into three themesabout the burden. These findings could serve as a basis for creating a program to reducethe burden of stroke caregivers.

Experiência paterna no primeiro ano de vida da criança: revisão integrativa de pesquisas qualitativas

As transformações sociais têm suscitado a reflexão sobre o papel paterno e apontado para novas paternidades, caracterizadas pelo envolvimento mais efetivo do pai no cotidiano familiar e nos cuidados com a criança. A presente revisão integrativa de pesquisas qualitativas teve como objetivo sintetizar as evidencias da literatura sobre a experiência paterna ao longo do primeiro ano de vida da(o) filha(o), com atenção às questões de gênero. Vinte e três artigos integram este estudo. Observou-se que os pais vivenciaram interações positivas com seus bebês e, ainda, almejaram mais tempo e espaço para se dedicarem à família. No entanto, a desigualdade entre os gêneros, a contínua exigência da provisão financeira do lar e sua inaptidão para o momento da amamentação impediram que houvesse maior envolvimento paterno. Concluiu-se que o movimento das novas paternidades faz-se presente na vivência do pai e as tendências contemporâneas de gênero são desafios no apoio à parentalidade.

Recovering the self in schizophrenia: an integrative review of qualitative studies.

In this paper we review qualitative research on recovery from schizophrenia and summarize how persons' daily activities and experiences reflect mechanisms of recovery of the self. We begin by describing examples of persons' daily activities, suggesting that they have in common a stance labeled by E. Corin (1990) as positive withdrawal, representing negotiation of distance from the social milieu. We note that positive withdrawal may foster the creation of larger life frames, representing broad mechanisms through which to reconsider and ultimately recover a durable sense of self. We suggest that these mechanisms are not specific to people with schizophrenia, and briefly discuss implications of these ideas for models of outpatient treatment.