Journal of Education and Research in Nursing

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.

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

Journal of Research in Nursing, Ahead of Print. <br/>Background:Asthma is one of the most common chronic diseases in childhood.Aims:This study explores the experiences of participating in everyday activities among children with asthma.Methods:The study employed a qualitative design and was grounded in a hermeneutic-phenomenological approach. The data were collected through in-depth interviews with four children aged 9–12 diagnosed with asthma.Results:One theme was ‘heavy breathing stopping the body in motion’, and subthemes were as follows: ‘experiencing intrusive wheezing’, ‘calming one’s breath to participate’ and ‘being sick and refraining from participating’. Another theme was ‘help in everyday life and support to participate’, and subthemes were as follows: ‘taking the necessary asthma medicine’, ‘being understood and met as sick’ and ‘adapting one’s leisure activities’.Conclusions:To participate in everyday activities, children with asthma require insight into and an understanding of the importance of taking asthma medicine as recommended. They also need help in everyday life and support to participate in everyday activities. Children taking care of their own illnesses and listening to their bodies provide them with the greatest degree of participation in activities in their everyday lives. These findings represent an important contribution to the understanding of nursing care for children with asthma.

Journal of Research in Nursing, Volume 29, Issue 4-5, Page 283-284, August 2024. <br/>

Journal of Research in Nursing, Volume 29, Issue 4-5, Page 285-289, August 2024. <br/>Background:Refugee parents who fled conflicts suffered violence and traumas and face huge challenges in supporting the health and welfare of their children while in transit.Aims:To describe the development of a culturally competent and compassionate training and support package (TSP) for nurses, social and healthcare workers and volunteers, with a focus on parenting needs among unsettled refugees fleeing conflict.Methods:The multi-method approach included: a scoping review covering parenting needs of refugees fleeing conflict zones; collection of stories from refugee parents, healthcare workers and volunteers via a mobile application; discussions between team members; a piloted and evaluated curriculum.Results:High levels of family distress and deterioration of parental identity were identified. Informed by these results, the curriculum is articulated along 20 bite-sized learning units, covering four age stages of childhood as well as targeting adults’ well-being. Pilot training was evaluated positively, confirming feasibility and usefulness of the TSP.Conclusions:Unsettled refugee parents fleeing conflicts face psycho-social and practical difficulties negatively affecting their parenting skills. The care workforce should be trained in order to provide culturally competent and compassionate support to help these families. Open access digital platforms are promising as autodidactic and self-help tools among hard-to-reach populations.