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This study aimed to (1) gain an understanding of the experiences of IENs in providing cancer and end-of-life care; (2) explore their cultural beliefs and practices and analyse how their experiences, beliefs, and practices shape approaches to nursing care within this care context.
Hermeneutic inquiry.
Purposive and snowball sampling was used to recruit 11 IENs from South, East, and Southeast Asian regions working as registered nurses in Australian healthcare settings. Data were collected between June 2021 and May 2023 through semi-structured interviews that were audio-recorded and transcribed verbatim. Thematic analysis was used to analyse the data and identify patterns and themes.
Three major themes were identified: embodied beliefs and practices, tenets of care approaches, and professional adaptation and upskilling. The findings revealed that the personal and professional beliefs and practices of IENs were shaped by their own cultural heritage. These cultural values and practices were integrated into their care approaches despite the tensions and challenges of doing so.
In culturally diverse workplaces, nurses bring deeply rooted care values into their practice. These perspectives offer an important yet often overlooked opportunity to improve care through more inclusive and culturally responsive models.
This study identified how IENs' cultural beliefs and practices shape their nursing care delivery, revealing tensions that can arise in integrating these cultural values. While cultural differences are expected, the significance lies in how they are acknowledged, integrated, or ignored. The findings suggest that IENs may experience cultural dissonance when their values are not aligned with dominant care models, highlighting the need for more inclusive workplace practices and structural support to promote belonging, cultural humility, and mutual learning within the nursing profession.
The standards for reporting qualitative research guidelines were used.
No patient or public contribution.
Inguinal hernia repair is one of the most frequently performed operations in the paediatric population and can be performed according to two approaches: open or laparoscopic. At present, decisive evidence about the best treatment strategy is lacking and consequently, there is an ongoing debate about the most (cost-)effective treatment for the paediatric inguinal hernia. The aim of the Hernia Endoscopic oR opeN repair In chIldren Analysis—trial (HERNIIA2-trial) is to estimate the (cost-)effectiveness of the laparoscopic percutaneous internal ring suturing (PIRS) technique compared with open repair in children aged 0–16 years with a primary unilateral inguinal hernia.
A national multicentre randomised controlled trial will be performed including 464 children aged 0–16 years with a primary unilateral inguinal hernia. Patients will be randomised between the open or PIRS technique. The primary outcome is the number of reoperations within 2 years after primary surgery. Secondary outcome measures are: operative and postoperative complications, total duration of surgery, postoperative pain, length of admission, time to normal daily activities, cosmetic appearance of the scar, social and healthcare costs and health-related quality of life. Furthermore, cost-effectiveness will be assessed from a societal and healthcare perspective.
The protocol was approved by the ethics committee of the Amsterdam University Medical Hospital. Informed consent will be obtained by parents and, if possible, according to age, by patient. The study will be conducted according to the principles of the Declaration of Helsinki (2013) and in accordance with the Medical Research Involving Human Subjects Act (WMO) and Good Clinical Practice. Study findings will be disseminated through scientific publications, conferences and patient-friendly materials. The national study network of participating centres will facilitate rapid dissemination and implementation within the Netherlands and potentially abroad.
ClinicalTrials.gov PRS (ID NCT06451432).
Various instruments exist for assessing agitation and broader non-cognitive symptoms in dementia (NCSD). However, the feasibility and practicality of using these instruments in residential settings with people with advanced dementia have not been evaluated. The aim of our review is to identify the available evidence regarding tools for measuring (1) Agitation and (2) NCSD in people with advanced dementia in residential settings, in terms of use (feasibility and psychometric properties) in this population.
Literature searches will be carried out in Medline, Embase, CINAHL, PsycInfo, Scopus, Cochrane Database of Systematic Reviews and Cochrane Central Register of Controlled Trials. Grey literature databases and relevant websites will also be explored for guidance documents, task reports, etc. A three-stage screening process will be adopted and will include pilot testing of source selectors. Two reviewers will independently perform title and abstract screening, then full text screening, against the defined eligibility criteria. This scoping review protocol was registered with Open Science Framework (https://osf.io/p7g86).
Due to the nature of the scoping review, ethical approval is not required. Results will be disseminated in a peer-reviewed journal and at international conferences.
FreshRSS 