Search

Aim: To investigate the strategies used by nurse leaders to facilitate fundamental care delivery in their clinical area. Design: An interpretative qualitative design study reported in line with the Consolidated Criteria for Reporting Qualitative Research (COREQ). Methods: Twenty‐four self‐identified nurse leaders from across Australia were interviewed between November 2020 and April 2021 to discuss their strategies for facilitating fundamental care. Data was analysed using inductive thematic analysis. Results: Nurse leaders' experience of facilitating fundamental care produced two major themes, delivery of fundamental care (comprising three sub‐themes: valuing fundamental care, understanding and developing staff capacity and supportive relationships), and monitoring of fundamental care (including three sub‐themes: visibility in the clinical area, embedding fundamental care in the practice setting and specific direct actions). Conclusion: Facilitating fundamental care delivery is complex. This study highlighted the importance of nurse leaders' individual characteristics, and nurse leaders' ability to establish and maintain relationships alongside the role of informal and formal monitoring of fundamental care delivery. Impact Findings from this study build on existing research into fundamental care and contribute to our understanding of the role, characteristics and actions of nurse leaders to facilitate fundamental care. The results demonstrate the complexity and intricacy of nursing leadership to facilitate fundamental care, and that a dynamic 'thinking and linking' approach is required. The results show individualized practice which may create challenges for new nurse leaders seeking guidance, and for monitoring nurse leader activity. Further research is advocated to explore insights and tools to optimize nurse leaders' endeavours in facilitating fundamental care. Patient or Public Contribution: This study was designed using insights generated from patient and public involvement in nursing leadership and fundamental care. [ABSTRACT FROM AUTHOR]

Aims: To explore the role of ward‐based nurse managers in supporting nurses to undertake high‐quality fundamental care. Design: A qualitative study guided by the principles of interpretive description. Reported in accordance with Consolidated Criteria for Reporting Qualitative Research (COREQ). Methods: Nurse managers in three urban, publicly funded hospitals in Australia, Denmark and New Zealand, were invited to participate in group interviews to discuss how they support fundamental care in their clinical areas. Six group interviews were conducted between February 2017 and March 2020 involving 31 participants. Results: Six interrelated themes were identified: Difficulty expressing how to support the nurse—patient relationship;Establishing expectations for care delivery without clear strategies for how this can be achieved;Role modelling desired behaviours;Significance of being present to support care quality;The importance of engaging and supporting staff in their work; andRecognizing the challenges of prioritizing care needs. Conclusion: This study indicates that nurse managers are not universally clear in explaining how they support their staff to provide fundamental care. If fundamental care is not clearly understood and communicated in the nursing team, then there are risks that fundamental care will not be prioritized, with potential negative consequences for patient care. Nurse managers may benefit from additional resources and guidance to help them to support fundamental care delivery in their clinical areas. Impact: Previous research exploring fundamental care and missed care highlights the importance of the role of the nurse manager in influencing nursing care. This study demonstrates that though nurse managers have a passion for supporting their staff to deliver fundamental care, clear strategies to achieve this are not always evident. This study suggests that scholarship around leadership to promote and facilitate fundamental care is crucial to improving nursing practice and patient outcomes. [ABSTRACT FROM AUTHOR]

Literature on men's health help-seeking suggests that, consistent with hegemonic masculine ideals, men display a general preference for solution-focused interaction. Men's health services routinely orient to this preference, emphasising assistance in the form of practical advice. Little research, however, has examined the nature of actual interactions between men and health professionals. The present paper analyses interaction on a men's telephone relationship-counselling service, focusing on reasons for calling. We demonstrate some recurring interactional patterns relating to the helpline's institutional philosophy of solution-focused counselling. Specifically, callers routinely engaged in narrative reporting of relationship troubles rather than indicating that they were seeking advice; counsellors, however, routinely orientated to the role of advice- and information-provider, in addition to that of troubles-talk recipient. We examine the recurring interactional disfluencies around this reason-for-call talk, considering some consequences for institutional help-giving that arise from the assumption of a male preference for solution-focused healthcare. [ABSTRACT FROM AUTHOR]

Men's experiences with anxiety are under-researched and poorly understood. Existing research gives little indication of how men talk about anxiety in situ, and little is known about how men describe their experiences of anxiety. Online discussion forums provide an opportunity to conduct naturalistic observations of how men describe their experiences with anxiety without the influence of a researcher. Thematic analysis, informed by principles of discursive psychology, was used to examine 130 opening posts to an online anxiety discussion forum. One superordinate theme, where anxiety is constructed as a loss of control, was identified. Analysis of this overarching theme generated three themes relating to how posters described a loss of control: (a) anxiety as an immobilizing force, (b) anxiety as an independent entity, and (c) anxiety as a dualist construction of the self. Our analysis has clear implications for developing and improving interventions for men experiencing anxiety. [ABSTRACT FROM AUTHOR]

Although anxiety disorders are the most prevalent mental health disorder in Australia, little is known about men's anxiety help-seeking practices. This study investigates how male users of an online discussion forum accounted for engaging in troubles-telling in an online community. Posts on an online discussion forum written by men who identify as experiencing anxiety were analysed using discursive psychology, through the identification of four interpretative repertoires: (1) orienting to troubles-telling as their purpose for posting, (2) troubles-talk as a necessary form of self-help, (3) the online community as a last resort and (4) anxiety as a hidden, secret experience. Findings demonstrate how men reproduced hegemonic masculine ideals of strength, self-reliance and emotional stoicism, while also sharing their experiences of anxiety online. This research highlights the relevance of masculine social norms in understanding anxiety help-seeking practices, and also illustrates the value of online communities in offering support to men in need. [ABSTRACT FROM AUTHOR]

Despite its prevalence, men's anxiety is arguably under‐researched and poorly understood. The present study explores the reasoning provided by male posters to an online discussion forum about the source of their anxiety. Posts were collected from an Australian anxiety online discussion forum. This study utilises discursive psychology, informed by principles of membership categorisation analysis, to describe how age, occupation and family‐related identities can be invoked within common sense reasoning about the source of male anxiety. References to various identity categories were routinely employed by male forum posters in their representations of themselves, in order to describe the source of their anxiety in terms of a contrast between how they are, and how they should be. In examining accounts of anxiety and responses to those accounts, we can trace cultural knowledge about issues regarding men, masculinity and anxiety that those accounts make relevant. Findings illustrate how men's descriptions of the source of their anxiety should be understood as culturally bound and related to expectations and obligations associated with their social context and category memberships. By enhancing understandings of how men describe the source of their anxiety, this study offers insight into improving the identification and engagement of men experiencing anxiety in health services. [ABSTRACT FROM AUTHOR]

Although anxiety disorders are the most prevalent mental health disorder among Australian men, very little is known about men's experiences of living with, and seeking help for, anxiety. This article examines how male users of an online discussion forum for "anxiety" describe their anxiety in their opening posts. Of particular interest is how such descriptions attend to issues of authenticity and the types of support that men appear to be seeking online. Data were taken from one Australian online anxiety discussion forum over a 2-year period and were analyzed using thematic analysis, informed by principles of discursive psychology. The analysis demonstrates that authenticity of posters' anxiety is attended to in four main ways: (a) orienting to a diagnosis, (b) detailing the severity of their anxiety, (c) emphasizing the longevity of their anxiety, and (d) constructing themselves as trouble resistant. The findings suggest that the forum partially functions as a site for authentically anxious identities to be tested by forum users. A fifth theme relates to how those identities appeared to serve a particular function in terms of men's support-seeking behaviors on the forum. This article has clear practical implications for better understanding men's experiences of anxiety and their anxiety-related help-seeking preferences. [ABSTRACT FROM AUTHOR]