Journal of Education and Research in Nursing

Journal of Research in Nursing, Ahead of Print. <br/>

Journal of Research in Nursing, Ahead of Print. <br/>Background:Parenteral nutrition (PN) provides the body with essential nourishment through intravenous infusion. Home parenteral nutrition (HPN) has a significant impact on the lives of its users; however, very few studies explore the phenomenon of homecare nurse provided assistance for the management and administration of HPN.Method:The phenomenological approach, Reflective Lifeworld Research, was utilised. Data were collected through semi-structured interviews with five patients with intestinal failure. The analysis was performed according to the instructions of Reflective Lifeworld Research.Results:Four constituents were identified: (1) balanced nursing experience, (2) correct handling of procedures, (3) reversed expert roles and (4) the homecare nurse as a lifeline. Control was found to be the essence of the phenomenon, multi-faceted and characterised by the participants’ ambivalent feelings.Conclusion:The participants were ambivalent about receiving assistance from the homecare nurses. HPN is a complex treatment in which demands are placed on the homecare nurses’ competencies to deliver a high quality of care. The patients live with a constant fear of complications and hospitalisations. The participants felt compelled to perform control, monitoring the homecare nurses’ work, to ensure that errors did not occur. As more assistance was received from homecare nurses, the participants experienced a loss of control. However, the assistance did also give a sense of security, whereby the homecare nurse was perceived as a lifeline.From a sociological perspective, the need for control can be a result of the constant development of society, where greater demands were placed on citizens’ commitment and responsibility for their own treatment, prompting a larger need for individual control.

Journal of Research in Nursing, Ahead of Print. <br/>

Journal of Research in Nursing, Ahead of Print. <br/>Aim(s):(1) Identify and characterise the nursing contribution to impact case studies submitted to Research Excellence Framework (REF) 2021 across all Units of Assessment and compare this to those submitted to REF 2014; (2) Identify and characterise those impact case studies of relevance to nursing that did not include a nurse in the research team; (3) Compare the characteristics of impact case studies identified in Aim 2 with those that did include a nurse in the research team.Design:Desk-based analysis of REF2021 published data.Methods:We searched the REF2021 impact database with the term nurs* then sorted case studies into categories representing the involvement of nurses on the research team. We developed variables with which to examine the impact case studies (ICSs) and make comparisons.Results:One-fifth of ICSs involving a nurse researcher do not contribute to a visible body of ‘nursing research’ and is ‘hidden’ in other disciplines; research teams persistently fail to involve nurse researchers when researching topics of clear relevance to nurses and nursing.Conclusion:Our findings provide insight into two topics of importance for nursing research: reputation, and failure to benefit from transdisciplinarity.Impact:Benefit to nurse researchers from involvement in transdisciplinary research is still limited; some nursing research remains hidden.

Journal of Research in Nursing, Ahead of Print. <br/>Background:Clinical decision-making is an essential part of the nursing role and has implications for both patient care and nurses’ well-being.Aim:This study aimed to explore the relationship between nurses’ perceptions of clinical decision-making ability and moral distress across a nursing population, and the potential link to self-compassion and health-promoting behaviours.Methods:A self-report questionnaire was distributed to a sample of nurses (N = 152) from April to September 2022. The survey explored nurses’ perceptions of clinical decision-making ability, moral distress, physical activity, grazing, stress-eating, burnout and self-compassion.Results:Perceived clinical decision-making ability was associated with moral distress experience, and both self-compassion and grazing moderated this relationship, independently.Conclusion:Findings highlight the link between nurses’ perceptions of clinical decision-making ability and moral distress experience. Both eating behaviours and self-compassion influence the relationship between these two factors and identify potential areas that may support (and hinder) nurses’ well-being through clinical decision-making. These findings reinforce the importance of healthy eating habits and being self-compassionate to prevent moral distress arising as a result of clinical decision-making.