This study aimed to identify the behavioral determinants influencing the integration of physical activity into the care pathway of postmenopausal women with hormone receptor-positive breast cancer. It specifically addressed the following research question: What are the main barriers and facilitators, from both patient and healthcare professional perspectives, that influence the integration of physical activity into routine care? This qualitative study was based on the Theoretical Domains Framework and the Capability, Opportunity, Motivation - Behavior (COM-B) model. Semi-structured interviews were conducted and the analysis was guided by these frameworks, complemented by inductive thematic analysis, to capture nuanced insights in this clinical context. Barriers for patients include misconceptions, fatigue and difficulties with autonomous PA practice, while healthcare professionals emphasize the need for practical training and clear protocols. Key enablers included early physical activity assessment, personalized and playful interventions, peer support, and the emerging role of advanced practice nurses in structuring care transitions. Digital tools show promise for sustainable engagement when co-designed with patients and integrated into therapeutic relationships. The study identifies concrete levers for integrating physical activity into oncology care, combining behavioral frameworks with nursing science to better understand clinical realities. These findings provide practical guidance for developing sustainable strategies and reinforce the need for person-centered, coordinated approaches to make physical activity a fully recognized component of breast cancer care.

This study explores how passivization and negation function as ideological positioning markers of gendered ideology in Margaret Atwood’s The Handmaid’s Tale (1985). The study has three interrelated objectives: first, to investigate how the grammatical structures of passivization and negation linguistically encode and reinforce gendered subordination and power asymmetries in The Handmaid’s Tale; second, to analyze the ways in which the employment of passivization and negation reflect and sustain patriarchal ideology in the discourse of the novel; and third, to explore how Atwood’s strategic use of passivization and negation provides discursive spaces for resistance and identity reassertion within the female narrative voice. The study draws on two analytical strands, critical discourse analysis and systemic functional grammar, to examine selected extracts from the novel. A qualitative textual analysis method is employed, focusing on patterns of passive constructions and negation in the discourse of the selected novel. This study has analytical and theoretical findings. Analytically, it reveals that passivization operates as a grammatical mechanism of control, concealing male or institutional agency and naturalizing female subjugation, and that negation constructs ideological boundaries by defining women’s identities through prohibition and absence. This, in turn, indicates that the use of passivization and negation in the selected novel contributes effectively to sustaining gendered ideology. Theoretically, this study contributes to the field of feminist linguistics by linking literary and discourse-analytic approaches to decipher the function of language as a tool of control and empowerment in gender-related contexts.

ABSTRACT Species identification is fundamental in science education, deepening understanding of biodiversity and taxonomy while fostering inquiry skills like observation and classification. Ants are well-suited for this purpose due to their diversity and ecological importance, though their subtle morphological differences make identification challenging. To address this, we developed Ant and their Friends (AntFID), a digital identification tool designed to support ant species identification and exploration of ant-myrmecophile relationships. This study presents the AntFID’s design and experimentally evaluates its effectiveness across three dimensions: educational impact, usability, and perceived affordances. A mixed-method experiment was conducted with 63 non-biology majors randomly assigned to an experimental group using AntFID (EG; N = 31) or a control group using generic Internet resources (CG; N = 32). AntFID significantly enhanced identification accuracy, efficiency, and understanding of ants and myrmecophiles. Participants with lower initial proficiency showed greater gains in identification skills, benefiting from the tool’s scaffolded support. Participants in the EG also reported more positive learning perceptions and rated the interface as usable and aligned with established design principles. Analysis of qualitative interview data revealed six perceived affordances illustrating how learners engaged with the tool. This study underscores the potential of well-designed digital tools like AntFID to meaningfully support ant science learning.

Journalists covering war are exposed to grave risk which can cause mental health difficulties. To determine the long-term psychiatric health of journalists who covered wars in Afghanistan and the Middle East between September 2001 (following 9/11) and 2013 (waning of the Arab Spring uprisings). Observational, qualitative study involving journalists from CNN, The New York Times, the Washington Post, the Associated Press and National Public Radio. Data collected via study website and Zoom interviews. Of 324 journalists identified, 202 (62.3%) were traceable. Of these, 16 (4.9%) were deceased, 156/186 (83.9%) consented and 30/186 (16.1%) declined participation. Of 156 journalists who provided psychometric data, 99 (63.4%) agreed to interview. Duration of exposure to and severity of risk were recorded. Psychometric data included the General Anxiety Disorder seven-item scale, the nine-item Patient Health Questionnaire, the PTSD Checklist for DSM-5 and the Structured Clinical Interview Schedule for DSM-5 to elicit 12-month and lifetime prevalence of psychiatric diagnoses. One hundred and twelve (71.8%) were male, mean age was 57.0 (s.d. = 9.75) years and 77/156 (49.4%) spent more than 3 years in war zones. Time in a war zone correlated with risk severity (r = 0.476, p < 0.001). Lifetime and 12-month prevalence of post-traumatic stress disorder (PTSD) 27%/6%; major depression 34%/8%; any anxiety disorder 28%/11%; alcohol use disorder 34%/4%; acute stress disorder 6%/0%; dissociative disorder 2%/0%. Severity of risk predicted lifetime PTSD only (odds ratio 2.55, 95% CI: 1.27-5.14, p = 0.009). Counselling was available to 63/156 (40.4%) journalists while covering conflict. Journalists who covered wars in Afghanistan, Iraq and elsewhere that began after 9/11 have a high lifetime prevalence of PTSD, major depression, any anxiety disorder and alcohol use disorder; 12-month prevalence for PTSD and any anxiety disorder remains elevated, albeit less so. War journalism is hazardous, and risk severity predicts PTSD, highlighting the importance of therapy availability.

ABSTRACT Research collaborations between university scholars and K-12 educators have grown in recent decades, largely due to their ability to disrupt the top-down traditions of educational research and develop authentic practices informed by teachers’ knowledge. However, in-depth inquiry is needed to determine how those collaborations unfold at an interpersonal/relational level. In this self-reflexive qualitative study, we explored how our research team navigated strengths and tensions in an ongoing partnership with secondary science educators. A theme of ‘if it’s helpful’ (encouraging but not forcing) was apparent in our approach to both soliciting and responding to teachers’ ideas. We analyze how this theme may influence the balance of building a flexible and reciprocal project that supports a clear purpose while still producing deliverable materials. We connect our contextual analysis to the broader constraints and possibilities of co-design and action research, advocating for more researcher-teacher collaborations that are humble, self-reflexive, and cognizant of the challenges and power relations inherent in any partnership. This study may implicate co-design and action research alike by acknowledging common tensions and challenges but not treating these as necessarily failures.

Despite biomedical explanations for diseases being increasingly accepted in sub-Saharan Africa, traditional African explanatory models of illness remain widespread. This study sought to understand local explanatory models for illness and patient experiences with different traditional health practitioners (THPs) among a population of rural women in Limpopo, South Africa. This was a cross-sectional qualitative study in which eighty-two in-depth interviews were conducted, and the data were thematically analysed. Study findings indicate that 68% of participants believed illnesses can be caused by bewitchment, and these diseases were often considered too taboo to even be discussed. High percentages of participants also believe that THPs can cure illnesses that medical doctors cannot treat. Additionally, several illnesses were identified related to traditional practices and cultural beliefs, which can only be cured traditionally, via THPs. While the hospital/clinic is often first approached, its failure to resolve illness can often be seen as a sign of the spiritual origin of the ailment. This study is a pre-context for more research around biomedical/traditional medicine collaborations.

Job rotation among Moroccan radiographers: A qualitative study.

Interpersonal communication in clinical supervision: A qualitative study with nursing educators.

The process of addressing fundamental needs by nursing students during internship: A qualitative study.

Women's experiences of massage during childbearing: A Swedish qualitative interview study.

The experience of neck pain in people with migraine: A qualitative study.

Enhancing clinical communication skills through podcast-based scenario dialogues and shadow play: A mixed-methods study in multilingual nursing education.

Nepali school teachers' perceptions of child abuse in Dhulikhel municipality: A qualitative study.

Barriers and facilitators to implementing exercise therapy for nonspecific low back pain in China: A qualitative study using the consolidated framework for implementation research (CFIR).

Acceptability and feasibility of a midwifery intervention to promote active labour and decision-making: a qualitative study with women and nurse-midwives.

Grounded in a phenomenology framework, this qualitative case study interrogates the structural embedding of childhood trauma within the linguistic and phenomenological aspects of schizophrenia. It posits that traumatic experiences are not merely reflected in but actively reorganize communicative patterns, becoming grammatically and narratively encoded in psychotic discourse. A multilevel discourse analysis was applied to verbatim transcripts from two historical, publicly available recordings of a clinically diagnosed male patient: a structured clinical interview and an unstructured home visit. Employing a triangulation design, the analysis integrated patient narrative, clinician assessments, and familial observations. Coding was conducted through an iterative, deductive-inductive process focused on linguistic strata: syntactic structure, lexical semantics, narrative coherence, and dialogical dynamics. The analysis delineated a distinct psycholinguistic configuration indicative of trauma reorganization. Dominant themes include the following: (a) syntactic reenactment-rigid, persecutory interrogatives fossilizing victim-perpetrator frameworks; (b) lexical hypervigilance-a semantically constrained lexicon centered on violation and somatic threat; (c) narrative dissociation-abrupt thematic shifts and displaced trauma disclosures that disrupt autobiographical coherence; and (d) dialogical rupture-interlocutor-specific speech patterns reenacting attachment conflicts. These markers form a coherent, trauma-organized communicative system persistent across contexts. Trauma in schizophrenia may operate as a structural determinant of communication, not a comorbid overlay. Personalized, linguistically informed, trauma-focused interventions may reduce the accompanying interpersonal distress. We provide an outline for studying discursive markers to investigate therapies targeting trauma-derived syntactic and narrative frameworks. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Pipes as an engagement tool: qualitative findings from a crack equipment and harm reduction training intervention in England.

Development and validation of a social isolation assessment scale for older adults with chronic diseases.

Delayed patient isolation and associated factors during the mpox outbreak in Uganda, July-December 2024.

Treatments for human immunodeficiency virus (HIV) have advanced considerably and people living with HIV have longer life expectancies, yet many continue to experience stigma and discrimination. Our research examines HIV-related knowledge and attitudes in aged residential care (ARC) staff. Aged Residential Care facilities in one urban area in New Zealand were involved in (1) a staff survey, and (2) qualitative interviews with nurse managers. Survey questions included the HIV-K18 knowledge questionnaire scaled from 0 (low) to 13 (high), 30-item Health Care Provider Stigma Scale from 30 (low) to 180 (high), worry about HIV scaled from 4 (low) to 16 (high), and demographic characteristics. Analysis used multiple imputation and regression models accounting for clustering within facilities. Thematic analysis was employed for qualitative interviews. Eleven of 26 eligible facilities participated and 184 staff completed the survey. The mean knowledge score was 7.6 (SD 2.6), stigma 82.2 (SD 29.3), and worry 7.6 (SD 3.0). In adjusted analysis, higher education and experience caring for someone with HIV were favourably associated with higher HIV knowledge, which was in turn associated with a lower stigma score, which was in turn associated with less worry about HIV. Five nurse managers were interviewed. Most expressed hesitation in caring for someone with HIV; however, overriding this was acknowledgement of the importance of delivering good holistic care in a respectful manner. Ongoing professional development for ARC staff about HIV and increased collaboration between the HIV and ARC sectors at the organisational level could increase their HIV knowledge and improve their care for residents with HIV.