International Journal of Qualitative Studies on Health and Well-Being最新文献

Introduction: Mental health issues among young people are increasingly concerning and affect nursing students. The academic environment is recognised as a source of stress, compounded by the demands of clinical settings during practical training. During clinical placements, students face emotionally challenging situations that may compromise their mental health and academic performance. It is the responsibility of nurse educators to implement strategies that help students develop the necessary skills for managing stress and anxiety, as well as effective coping and communication. A psychoeducational programme designed for this purpose is presented.

Aim: To explore the experiences of nursing students in participating in a psychoeducational program and its potential influence on the promotion of their mental health.

Method: A qualitative phenomenological study was conducted using semi-structured interviews with 11 nursing students who completed the psychoeducational programme. Data were analysed through thematic coding and phenomenological reduction.

Discussion: Key emerging superordinate themes included: My safe space: the group as support and help network; Seeing things differently: reflection and change; Confidence, safety, and self-esteem; Improvement in interpersonal relationships. The psychoeducational programme provided spaces for reflection and emotional support, contributing to a healthier clinical experience. The findings are consistent with previous studies highlighting the importance of early mental health interventions for students.

Conclusion: Implications for practice. Integrating psychoeducational programmes into clinical training may enhance emotional wellbeing and promote mental health among students.

Purpose: Shared wound care promotes collaboration between patients and healthcare professionals (HCPs) to improve wound management outcomes and enhance patient autonomy. Educational resources to support shared wound care are typically developed without the direct involvement of service users or HCPs, limiting their relevance, accessibility, and impact in community practice. This study aimed to co-produce an educational resource to support shared wound care in community settings by integrating the perspectives of both service users and HCPs.

Methods: A four-phase explanatory sequential mixed-methods design was employed involving an online survey, focus groups and semi-structured interviews to explore the experiences, needs and preferences of HCPs and service users. Semantic thematic analysis was used to analyse the data.

Results: Both groups prioritised clear information in a leaflet format about wound infection, wound dressing changes and the normal wound healing process to facilitate involvement in shared care tasks. Co-designing the educational resource ensured it was both clinically and contextually relevant, reflecting the real-world experiences of patients and clinicians.

Conclusions: Co-producing educational resources enhances their accessibility and applicability and supports continued engagement from service users in their own care, providing a model for collaborative resource development that aligns with person-centred and self-management principles in community healthcare.

Patient or public contribution: Service users with lived experience were involved in the conduct of this study.

Purpose: Spouses often assume the responsibility of caring for their partners in advanced age, given their intimate relationships. However, less attention has been given to understanding their unique needs during caregiving. This study aims to explore the spouses' experience of caring for a partner with frailty in older couples.

Method: An exploratory qualitative study was conducted through focus group interviews. The interviews were transcribed verbatim and analysed using qualitative content analysis.

Results: A total of 23 participants were interviewed in three focus groups. Their average age was 68.4 (SD 7.6) years, and the average duration of marriage or cohabitation was 43.2 (SD 13.4) years. Most of them were female (69.6%) and had a primary school education or lower (60.9%). Three categories were identified, namely, impacts of caregiving responsibilities, caregiving resources and coping strategies.

Conclusion: This qualitative study reveals that the caregiving experiences perceived by spousal caregivers are influenced by the availability of caregiving resources and appropriateness of individual coping skills for counteracting the impacts brought by the caregiving responsibilities for partners with frailty. It points to the need for multidimensional interventions that offer both psychological and practical support to spousal caregivers.

Purpose: The global shortage of healthcare professionals disproportionately affects low/middle income countries. Bangladesh is facing critical health workforce shortages, exacerbating workload and the risk of doctors' burnout. However, there is a lack of qualitative research into causes of occupational burnout in Bangladeshi doctors. This study investigated the factors contributing to burnout among Bangladeshi doctors.

Methods: An exploratory approach was employed using Reflexive Thematic Analysis with a Critical Realist approach. Fifteen semi-structured interviews were conducted with Bangladeshi doctors (general practitioners, cardiologists, surgeons, and paediatricians). Data were collected in English or Bangla and analysed using Atlas.ti version 24.

Results: Four themes were developed: (1) the postgraduate phase is a pressure pinch-point, (2) there is limited awareness of mental health issues and insufficient support, (3) high workload and competing demands, (4) unhelpful public attitudes and media narratives. Findings highlight structural, cultural, and organizational factors driving burnout.

Discussion: Addressing burnout in Bangladeshi doctors requires systemic and policy-level interventions. Mental health support, workload management strategies, and public awareness initiatives are critical to improving doctors' well-being and sustaining the healthcare workforce in Bangladesh. Overall, the study offers the first in-depth qualitative account of how intersecting structural and cultural pressures shape doctors' experiences of burnout in Bangladesh.

Purpose: This study synthesised qualitative findings from physical literacy (PL) interventions, focusing on participants' experiences and perceived outcomes. It also explored the key factors influencing these experiences and outcomes to inform future PL interventions.

Methods: A secondary data analysis was conducted using a meta-aggregative approach to review qualitative studies from a previously published systematic review (PROSPERO; registration number: CRD42020188926). Studies were included if they: (i) reported results from a PL intervention, (ii) reported participant perceptions, and (iii) were published in English. Studies that reported only quantitative outcomes were excluded, and mixed-methods studies were eligible only if they contained extractable qualitative findings. The data were extracted, synthesised, and categorised using the Joanna Briggs Institute System for the Unified Management, Assessment, and Review of Information.

Results: Following the ConQual approach, the overall quality, dependability, and credibility of the 12 included studies were scored as high. A total of 336 findings were aggregated into 95 sub-themes (i.e., categories), which were then categorised into 19 themes. As a result, three overarching themes (i.e., synthesised findings) were identified: program outcomes, factors influencing outcomes, and challenges with implementation.

Conclusions: Our synthesis highlights the holistic, context-sensitive nature of successful PL interventions, filling a notable gap in the predominantly quantitative PL literature. Tailoring programs to participant needs, proactively addressing logistical barriers, and continuing to foreground participant perspectives remain crucial for enhancing effectiveness and refining future intervention strategies.

Purpose: To explore adolescents' experiences with social media (SoMe) use from a salutogenic health-promoting perspective.

Methods: This qualitative study was based on five focus group interviews (27 adolescents) from two public senior high schools in Norway, (15-18 years). Interviews were analyzed using thematic analysis.

Results: SoMe-use was described as an important part of the adolescents` everyday life and a novel way to relate to the world. The identified main themes were: social support, self-esteem, and their interplay. They experienced social support via SoMe through communication, feeling unity, inclusion, and the establishment of a larger social network, thus preventing loneliness and promoting social belonging. Further, SoMe-use is important for their self-esteem by receiving and providing attention, acceptance, and confirmation. Social support promoted their self-esteem, which in turn enhanced their online self-expression, further reinforcing the social support.

Conclusions: These findings indicate that SoMe might be an important social arena for the development of adolescents' self-esteem and receiving social support. Further, it seems that there is an interplay between social support and self-esteem that might positively influence their identity, sense of coherence, and mental health. However, we need more in-depth knowledge about adolescents' experiences with SoMe-use from a salutogenic health-promoting perspective.

Background: Research on the Circle of Security Parenting (COSP) program is limited.

Aims: The current study was performed to map and synthesize the existing qualitative literature on parents' experiences of participating in the COSP to address gaps in the current knowledge base.

Methods: A scoping review was carried out. Sixteen qualitative studies with samples from well-baby clinics, community health care, child welfare services, specialist mental health care services for children, and specialist mental health care for adults were included in this review. The sample included 172 informants, mostly women.

Results: Thematic content analysis found three main themes and eight sub-themes. Theme 1: Parents' journey of self-reflection, self-development, learning and understanding of the parenting role. Sub-theme: (1a) COSP as a source of increased self-understanding and security in the parenting role, (1b) emotionally demanding processes for parents. Theme 2: COSP, a source of changes in the child and parent‒child relationship and interaction with others. Sub-theme: (2a) COSP assessed as having a positive impact on the child. (2b) COSP assessed as improving parent‒child interaction. (2c) COSP as a source of conflict resolution. Theme 3: COSP is assessed as positive, yet sometimes adaptations are needed. Sub-theme: (3a) Parents experience the COSP as useful for their everyday lives and recommend the program to other parents. (3b) Parents have comments and suggestions regarding the implementation of the COSP. (3c) The COSP is recommended by parents outside the target group, but adaptations are required.

Conclusions: The review shows that parents find the COSP intervention to have valuable potential as a health-promoting intervention, but the program should be used with careful consideration to non-target groups.

Background: Forensic psychiatric care involves balancing treatment and rehabilitation with strict legal and security requirements. Registered nurses play a central role in promoting health and supporting patients' everyday life in this context; however, their perspectives on health-promoting work within coercive institutional settings remain underexplored.

Aim: To explore registered nurses' experiences of promoting health and supporting everyday life in forensic psychiatric care.

Methods: A qualitative design with individual face-to-face semi-structured interviews was used. Fifteen registered nurses working in forensic psychiatric care in Sweden participated. The interview data were analysed using reflexive thematic analysis following Braun and Clarke, informed by relational perspectives on care and institutional power.

Results: Three interrelated themes were created: (1) Dialogue as a foundation for participation, (2) Everyday practice as a vehicle for recovery, and (3) Navigating paradoxes within restrictive care. Registered nurses described dialogue as foundational for building trust, fostering motivation, and enabling patient participation while simultaneously being shaped by coercive conditions and institutional constraints. Everyday practices, including physical activity, shared meals, and structured routines, functioned as concrete vehicles for recovery, yeat remanined embedded within secitity oriented frameworks. Nurses also described ongoing tensions between health promotion, medication related side effects, and institutional risk management.

Conclusions: This study suggests that registered nurses in forensic psychiatric care experience health promotion as relational, practical, and structurally constrained work within coercive institutional settings. Rather than functioning as a discrete intervention, health promotion appears as an embedded and negotiated aspect of everyday nursing practice. While registered nurses seek to foster participation and well-being, their efforts unfold within institutional arrangements primarily organised around security, risk management, and pharmacological stability. Strengthening organisational support and interprofessional collaboration may enhance the conditions for sustainable health-promoting practice in forensic psychiatric care.

Purpose: This study explores expert consensus on the benefits and future potential of generative artificial intelligence (GAI) in mental health care, using the Technology Acceptance Model (TAM) to interpret these perceptions.

Methods: A two-round Delphi study using a mixed-methods design was conducted with 15 purposively selected experts in psychiatry, clinical psychology, counselling, and digital mental health. Round 1 gathered open-ended responses that were thematically analysed to identify benefit and future-potential dimensions. In Round 2, experts ranked these dimensions, and consensus was assessed using Kendall's coefficient of concordance.

Results: Twenty-eight themes were identified across eight benefit dimensions, and 29 themes across eight future-potential dimensions. Statistically significant consensus was achieved for both benefits (W = 0.145, p = 0.034) and future potential (W = 0.152, p = 0.025). Accessibility and availability ranked as the most important current benefit, while AI as a collaborative and informative tool was prioritised for future application.

Discussion: Experts perceived GAI as a transformative adjunct to mental health practice, particularly in expanding access, supporting personalised care, and augmenting professional capacity. Adoption is contingent on usability, transparency, trust, and robust ethical governance to ensure equitable and human-centred integration.

Background: Friendship is recognized as vital for mental health and quality of life. It encompasses both protective and challenging aspects, constituting a relational and existential dimension in human life. Despite extensive research on the significance of friendship, less is known about how friendship is experienced in everyday life among individuals facing mental health challenges.

Aim: To explore the lived experiences of friendship as described by young people receiving follow-up from Youth FACT and peer support workers employed in these services.

Method: A hermeneutic phenomenological approach inspired by van Manen was employed. Semi-structured in-depth interviews with 7 young people (aged 15-18) and 7 peer support workers (aged 28-45) were analyzed. Analysis involved the selection of rich, experience-near descriptions, their transformation into experiential anecdotes, and reflective, interpretive exploration.

Findings and concluding remarks: Friendship reveals as a complex, living, existential phenomenon, integral, continuously in motion as dynamic processes beyond our control. Friendship offers possibilities without guarantees, unfolding through presence, vulnerability, movement, and freedom. Among young people and peer support workers in Youth FACT, our exploration show how layered meanings of friendship uncover uniquely in each encounter, protective for some, burdensome for others, and at times both within the same relationship and experience.