Aim
To understand nurse resilience by integrating the qualitative research results on nurses’ resilience-related experiences.
Methods
We applied the seven steps of the meta-ethnographic process by Noblit and Hare (1988). Five databases (PubMed, EMBASE, Web of Science, CINAHL and PsycINFO) were used to search for relevant studies published from January 2011 to September 2021.
Results
Sixteen qualitative studies were included. The four themes of “self-development based on one’s inner self”, “fostering a positive attitude towards life”, “developing personal strategies for overcoming adversity” and “building professionalism to become a better nurse” illustrate that they want to improve their inner strength and develop themselves through self-examination.
Conclusion
In this study, we examined nurse resilience, and the results can provide fundamental conclusions useful for the development of an intervention study to improve nurse resilience.
The aim of this study was to analysis the concept of ego-integrity management in nursing homes residents. Methods: Walker and Avant's process of concept analysis was used in this study. Results: The defining attributes of the concept of ego-integrity management within nursing home residents included (a) overall process in life assessment of residents, (b) quality assessment of the relationship of residents with people around them, (c) inducing transcendental recognition in the residents and (d) use of the remaining psycho-social functional ability of the residents. In consideration of these defining criteria, antecedents to the concept of ego-integrity management include (a) longer period of stay in the nursing home, (b) expanding the role of nurses in long-term care laws, (c) emphasizing positive aspects and recognizing the need to increase the quality of life of elders, (d) close relationship between nurses and residents: psycho-social adjustment management. Consequences include a marked improvement in the quality of life of elder residents, decreased depression, reduced problem behavior, gerotranscendence, and a positive relationship to people around them including nurses. Conclusion: Nursing management in these homes to maintain residents' ego-integrity includes evaluation of residents' ego-integrity through objective observation, as well as planning appropriate interventions as needed.
Background
Palliative wound care is important for stability in terminal care. It addresses both the physical and psychological needs of patients and facilitates other aspects of terminal care. Appropriate competencies of nurses regarding palliative wound care can improve patient outcomes and raise their quality of life. The purpose of this study was to identify how wound care nurses structure the subjective frames regarding palliative wound care.
Method
This study utilized Q-methodology to analyze their subjective viewpoints. Forty nurses experienced in palliative wound care were asked to completely classify 35 Q-statements into a normal distribution shape. The PQ-Method program was used to conduct principal factor analysis and varimax rotation for data analysis.
Results
This study revealed 4 Q-factors of palliative wound care: “Focusing on care within the boundary of current patient demands,” “Comparing continuously the priorities on wound healing and disease care,” “Preparing and preventing from worsening via tracking care in advance,” and “Moving forward with a clear direction by confronting the declining condition.”
Conclusion
We hope that the results of this study are used in the development of nursing education that reflects professional perspectives of palliative wound care, thus helping to improve nursing competencies in palliative care.
The findings of this study give useful information to construct intervention program relating chronic pain, depression and chronic fatigue for the elderly.
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