OBJECTIVE: To investigate the perceptions of family members (FMs) of patients with traumatic brain injury (TBI) and nurses on empowering support and its implementation during the acute phase within Finnish neurosurgical and neurological care in hospital settings, focusing on identifying similarities and differences in their viewpoints.
METHODS: Participatory qualitative descriptive study.
METHODS: Data were collected from seven FMs and 11 nurses using the World Café method in November 2019. An abductive approach was employed for data analysis, combining deductive interpretation within the conceptual framework of empowering support and inductive content analysis.
RESULTS: Four main themes were identified: (1) FMs\' diverse information and guidance needs of TBI, treatment and its impact on family life, (2) support based on empowering FMs in participation, competence and decision-making, (3) empowering FMs through collaborative nursing practices and interprofessional support, and (4) internal and external hospital support enhancing and promoting the empowerment of FMs.
CONCLUSIONS: The perceptions of FMs and nurses regarding empowering support were largely consistent, yet diverged in its implementation in nursing practice. Nurses play a crucial role in fostering the empowerment of FMs; however, further research is needed to explore the impact of organisational and community factors on the implementation of empowering support.
CONCLUSIONS: Our study contributes to advancing nursing practices by underscoring the necessity for a paradigm shift towards a family-centred approach. Furthermore, it emphasises the urgency for standardising nursing practices to ensure equitable access to empowering support for FMs, applicable across various care settings for patients with TBI.
UNASSIGNED: This review is part of a larger research project in which FMs of patients with TBI and nurses were involved in designing the project.
UNASSIGNED: This study was reported using the Consolidated Criteria for Reporting Qualitative Checklist for qualitative studies.

OBJECTIVE: To synthesize family members\' experiences and perspectives on advance care planning (ACP) in nursing homes.
METHODS: The thematic synthesis is reported following the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) statement. A systematic search of the APA PsycINFO, CINAHL Plus, Embase and PubMed databases is initially conducted in October 2022, and the search is updated in January 2024. Qualitative studies that presented family members\' quotes regarding advance care planning in nursing homes published in a peer-reviewed journal were included. Screening and data extraction were independently performed by two reviewers, and any discrepancies were resolved with the assistance of the third author.
RESULTS: A total of 1027 articles were identified, and 23 articles were included in the full-text review. Subsequently, a total of 17 studies were ultimately included, and 127 quotes were extracted and analysed. The main findings were categorized into three themes: (1) invitation to conversation and care, (2) the resident\'s surrogate and (3) nurses. Considering the importance of family members\' roles in ACP conversations in a nursing home setting, this study provided an in-depth understanding of family members\' perceptions and experiences of ACP by synthesizing qualitative studies. Family members\' lack of knowledge regarding the timing and pursuits of ACP was also identified.
CONCLUSIONS: The findings of this study provide synthesized qualitative evidence of family members\' perspectives on ACP, which can inform care and treatment in nursing homes. As this study synthesizes the experiences of family members in nursing homes about ACP, the findings of this study contribute to reflecting family members\' experiences and providing evidence for nursing home healthcare professionals.
UNASSIGNED: This study reports the experiences of family members in ACP nursing homes. The findings of this study contribute to reflecting family members\' experiences and building evidence for nursing home healthcare professionals.

UNASSIGNED: Bullying and lateral violence are prevalent phenomena within the nursing profession, exerting significant impacts on patient safety, the nursing profession and the organisation. The pivotal role of nurse leaders is paramount in both the prevention and resolution of these issues.
UNASSIGNED: The aim is to explore the level of awareness and knowledge of bullying and lateral violence of nurse leaders in a public hospital in Switzerland.
UNASSIGNED: A qualitative descriptive study has been conducted. Data were collected from February to August 2020 using semi-structured interviews and focus groups that were recorded and transcribed verbatim. Two researchers independently utilised Braun and Clarke\'s thematic analysis to code, categorise and synthesise the data. The sample of nursing middle-management leaders was purposive.
UNASSIGNED: The study involved 35 nurse leaders as participants. Through data analysis, 15 themes were identified, which were further grouped into five major themes: characteristics of the phenomena, facilitating and hindering factors, emotions/experiences, strategies and supports. The results highlighted that nurse leaders may have a lack of knowledge about these phenomena, leading to challenges in their identification. The awareness achieved by the nurse leaders highlighted their need to understand what they were \'fighting against\'.
UNASSIGNED: It is essential to consider the impact of these phenomena on employees\' well-being and their potential consequences for patient safety, quality of care and financial performance. A preventive approach by increasing nurse leaders\' competence in observing everyday working realities and identifying strategies for addressing bullying is required. Further research on the construction and implementation of specific interventions is essential, aimed at preventing and addressing these phenomena comprehensively.

BACKGROUND: Emotional labour (EL) can take a significant toll on nurses\' mental health and well-being and has serious implications for the retention of nurses in the workforce. Nurse educators have struggled to prepare novices to manage EL or find serviceable resources with which to do so within the body of nursing literature, which is dominated by essentially unhelpful narratives and is absent of the practical, real-world wisdom of elder nurses.
OBJECTIVE: This exploratory research study illuminated elder nurses\' experiential knowledge and beliefs of what is important for novices to learn about EL.
METHODS: Conventional Content Analysis (CCA) of qualitative survey data from 688 nurses with 20+ years of experience.
RESULTS: CCA generated descriptive categories and sub-categories: What the elders themselves learned as student nurses, and their advice to novices in the individual realm, (\"It\'s a Thing,\" healthy disengagement, supporting mental and physical well-being, reframing self-reproach), team realm (peer support, mentors), and institutional realm (structural barriers to mentors\' support of novices, building novices\' capacities for self-advocacy, resources to support health and well-being).
CONCLUSIONS: The elders\' data confronted and reframed legacy individuated narratives in the literature by supporting and contextualizing nurses\' emotional work. Elders advised novices that EL is a reality requiring concrete strategies to manage it throughout their practices. Elders extended their focus for management of EL beyond the individual to include peer support, mentorship, and the structural conditions in which nurses perform their EL, highlighting the need to empower nurses by building their capacity for self-advocacy of their workers\' rights.

The integration of trauma-informed and ethical frameworks in qualitative research concerning survivors of gender-based violence (GBV) within displaced communities is critical. These individuals often bear the weight of traumatic experiences compounded by displacement and associated hardships. Adopting a trauma-informed approach establishes a safe environment, prioritizing survivors\' well-being and respecting their agency and narratives, thereby fostering trust and reducing re-traumatization risks. Ethical considerations ensure the dignity, rights, and cultural sensitivities of participants are upheld, contributing to rigorous and humane research. This integration amplifies survivors\' voices and experiences, enhancing understanding and empathy. Trauma-informed approaches acknowledge the likelihood of trauma in individuals\' lives and prioritize safety without aiming to treat symptoms. Proficient interviewing skills aim to improve comfort, safety, and recall without avoiding challenging questions. Integration of trauma-informed principles across all interview phases is crucial, particularly for individuals experiencing various traumas simultaneously, such as displacement, violence, and ongoing conflict. Drawing from the authors\' experiences and existing literature, this paper advocates for a compassionate and empowering shift in qualitative research methodologies to better engage with survivors of trauma and GBV within displaced communities.

OBJECTIVE: To identify and summarize evidence on paediatric patient safety in a hospital setting from parents\' point of view.
METHODS: A mixed-methods systematic review.
UNASSIGNED: ID number CRD42023453626.
METHODS: PubMed, Scopus, ScienceDirect, the Cochrane Library and the Wiley database were searched in July 2023.
METHODS: Two researchers independently applied eligibility criteria, selected studies and conducted a quality appraisal. Data-based convergent synthesis and thematic content analysis were employed.
RESULTS: Twelve studies were included: eight qualitative research studies, two cross-sectional studies, one non-randomized experimental study and one mixed-methods study. The results were grouped into two themes-parental perceptions of inclusion in paediatric patient safety and parental perceptions of exclusion from paediatric patient safety-and comprised seven main subthemes: comfort in communication, parental engagement, communication difficulties, withdrawal from activity, uncertainty about available information and threats to patient safety.
CONCLUSIONS: Parents are willing to be engaged in care but require support from healthcare professionals, as they are often anxious about the condition of their children and actions they believe might be helpful. They need to be treated as valuable partners and be engaged in communication and decision processes.
CONCLUSIONS: The development and implementation of interventions involving parents in ensuring the safety of hospitalized paediatric patients should be of the utmost priority to healthcare organizations, as the common theme throughout the included studies was the need for improved communication with and recognition of parents as allies.
UNASSIGNED: The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist was followed.
UNASSIGNED: No Patient or Public Contribution.

UNASSIGNED: Atypical hemolytic uremic syndrome (aHUS) poses a significant health challenge due to its rarity and severity within the spectrum of thrombotic microangiopathy. Despite efforts to optimize and personalize health care for patients with aHUS, understanding the individual experiences, needs, and desires of patients with aHUS and their relatives remains limited.
UNASSIGNED: Here, we present a nationwide, exploratory, qualitative interview study with a direct content analysis approach. In-depth interviews and a 6-week evaluation were audio-recorded and conducted using a semistructured topic guide, based on the Institute for Positive Health (IPH) model.
UNASSIGNED: Analysis of 10 interviews involving 6 patients with aHUS and 13 relatives revealed the prevalence of long-term disease symptoms in adult patients, notably fatigue, which significantly impacted daily functioning. Moreover, the resilience demonstrated by patients and their relatives was noteworthy; however, the acute phase of aHUS and the unpredictable nature of disease recurrence could profoundly affect mental well-being. The emotional toll of aHUS is pervasive, with feelings of fear, guilt, and trauma persisting across disease phases in both patients and relatives. Challenges in medical care, including delays in diagnosis and the need for personalized and uniform protocols, were highlighted. Support was deemed crucial, indicating the necessity for enhancements in the accessibility to comprehensible disease information and psychological counseling. Finally, complexities surrounding genetic testing and carriership were discussed.
UNASSIGNED: This study underscores the profound, enduring, and multifaced impact of aHUS. The insights gleaned from the experiences and needs of patients with aHUS and their relatives could lay the foundation for development and implementation of more personalized innovations in aHUS health care.

OBJECTIVE: To investigate nursing/midwifery students, Clinical Mentors, Link Teachers and Head Nurses experiences within \"Dedicated Education Unit\" model in 6 European clinical placements and analyse the necessary elements for a powerful clinical learning environment.
METHODS: A multi-country, phenomenological, qualitative study.
METHODS: Focus group interviews were performed to identify the personal and organizational factors of importance for students and nurses/midwives.
RESULTS: Data analysis produced 4 main themes (1) Clinical placement organization, (2) students\' clinical knowledge and skill acquisition, (3) students, and nurses/midwives\' experiences within the DEU model and (4) factors for creating an effective learning environment.
CONCLUSIONS: A close educational-service collaboration, a realistic clinical placement planning, a focus on student learning process and an investment in professionals\' education and development among others, are elements to set up a powerful clinical learning environment.
UNASSIGNED: It is considered advisable and urgent to improve the working conditions of nurses/midwives and the learning environments of students as a strategy to alleviate the global shortage of nurses and respond to the increasingly demanding health needs of the population.
CONCLUSIONS: Due to the close relationship between students\' learning and features of the clinical environment nurse educators seek innovative models which allow students to manage patient care and their transition to professional practice. To implement new learning strategies, identifying students, nurses and midwives perceptions and suggestions is a powerful information to evaluate implementation process and outcomes.
UNASSIGNED: Our findings could help academic and clinical managers to meet the human and organizational requirements to create a successful learning environment in every student placement.

OBJECTIVE: To explore the health beliefs and health behaviours of older Vietnam-born people living with chronic disease in Western Australia.
METHODS: This study was designed as a focused ethnography guided by the interpretative research paradigm and Leininger\'s Theory of Culture Care.
METHODS: Data were collected through participant observation and interviews undertaken at participants\' homes in Western Australia over 7 months in 2019. Data were analysed using Wolcott\'s approach for transferring qualitative data, comprising three phases: description, thematic analysis and interpretation.
RESULTS: This study included 12 participants. The health perspectives and practices of older Vietnam-born Australians significantly reflected the traditional Vietnamese values. These included the stigma towards chronic disease as an inevitable consequence of ageing; self-blame thoughts about chronic disease causations and maintained traditional dietary practices. However, some aspects of their health behaviours such as beliefs and practices in traditional medicine, Western medicine and physical exercise reflected a blended approach combining both Vietnamese-oriented and Westernized-orientated practices. Individual factors were also identified as contributing to chronic disease self-care among participants.
CONCLUSIONS: This study emphasizes culture played a significant role in shaping the way that older Vietnam-born Australians believed and behaved while living with chronic conditions. However, it also indicates that culture is not a stationary concept, it evolves gradually and is socially constructed.
CONCLUSIONS: A better understanding of the health beliefs and practices of older Vietnam-born Australians is expected to contribute to the delivery of culturally safe and effective support for this population. The achievement of culturally safe care requires a systemic approach and collaboration of strategies across sectors.
UNASSIGNED: This study encompassed the contribution of 12 older Vietnam-born Australians who offered the researcher the privilege to enter their world and the staff of social care organization who opened the gate for the researcher to approach participants.

UNASSIGNED: The covid-19 pandemic has influenced children and parents worldwide. The pandemic has also been suggested to especially affect and exacerbate health anxiety (HA) symptoms in children and adolescents. However, there is limited understanding of the potential mechanisms challenges of families where parents themselves experience mental health issues such as high degree of HA symptoms.
UNASSIGNED: The aim of this study was to explore parental experiences of pandemic life in families with continuously high levels of HA symptoms during the covid-19 pandemic.
UNASSIGNED: Six parents, identified with high levels of HA symptoms, participated in qualitative individual semi-structured interviews. Interviews were analysed according to Interpretative Phenomenological Analysis principles.
UNASSIGNED: Three main themes emerged. Theme 1) \"Anxious children in a pandemic world\" explores how pandemic - independent child factors including anxious temperament may have influenced the child pandemic experience. Theme 2) \"Parental influences on child anxiety\" describes parental reflections on their possible influence on child anxious thoughts. Theme 3) \"Living with pandemic guidelines and restrictions\" demonstrates the varying parental experiences of interventions and how these may affect HA thoughts.
UNASSIGNED: Parents who themselves experience HA symptoms see their children, who also experience HA symptoms, to be particularly susceptible and vulnerable to both content and rhetoric of pandemic information. These children may however, experience school lockdown to be anxiety relieving. Parents who themselves have illness-related fears may not see themselves as perpetuating for their child\'s anxious thoughts.