Background: Nurses play a crucial role as the primary global workforce providing health services throughout people's lives, addressing patient needs safely and effectively. Becoming a registered nurse requires a combination of high-quality education and clinical practice during clinical placements. Nursing teachers, who are part of higher educational institutions, are sometimes responsible for assessing the competencies of nursing students in clinical settings. However, there is limited research on the experiences of nursing teachers when it comes to assessing clinical practice. Aim: The aim of this literature review was to explore nursing teachers’ experiences in assessing nursing students in clinical practice. Methods: A systematic literature review was conducted following the guidelines set by Bettany-Saltikov and McSherry, and the findings were reported according to the PRISMA checklist. Four databases were utilised for the systematic search, and the methodological quality of selected articles was evaluated using the Mixed Method Appraisal Tool. Six original articles from four countries, published between 2014 and 2022, were included in the review. Findings: From this review, three categories emerged: Creating assessment situations as learning opportunities, Collaborating effectively during assessment situations, and Facing challenges in assessment situations. Discussion: Assessing students can be a complex responsibility for nursing teachers and requires various competencies. Conclusion: There is a need for support from educational institutions, as well as collaboration with clinical placements, to ensure fair assessments of nursing students’ clinical practice. More research is necessary to understand how nursing teachers address challenges and manage demanding assessment situations related to students’ clinical competence. © 2025 The Author(s).

Purpose: The present study aimed to provide insight into how adult survivors describe their experiences concerning health, lifestyle, and quality of life, considering the long-term impact of treatment for acute lymphoblastic leukemia (ALL) and allogeneic HSCT (a-HSCT) during their childhood. The research question focused on understanding the long-term effects of these treatments on survivors’ lives.

Methods: A descriptive and qualitative design was employed. Participants included eighteen individuals who had undergone a-HSCT for childhood ALL and were part of a national cohort diagnosed between 1985 and 2007. Data were collected through semi-structured telephone interviews, with questions assessing current health, quality of life, and the impact of childhood cancer experiences on their lifestyle. Interviews were transcribed verbatim and analyzed using an inductive approach and thematic analysis to identify key themes.

Results: The analysis revealed two overarching themes: “Challenges and adaptation in long-term survivorship” and “Uncertainty and doubts surrounding parenthood,” with five subthemes. Participants described ongoing existential struggles, both internal (maintaining health despite complications) and external (social participation difficulties). They also faced emotional distress related to infertility and doubts about their suitability as parents.

Conclusions: The study highlights the profound personal challenges faced by childhood ALL survivors treated with a-HSCT. These include managing long-term health complications and existential issues. Support for these individuals should be personalized, addressing medical, emotional, and existential needs to enhance their quality of life. Healthcare professionals at long-term follow-up clinics must address not only the medical but also the emotional and existential challenges faced by adult survivors of childhood cancer to improve their overall quality of life. © 2025 The Authors

Background and Aims: This study seeks to explore the experiences of adult survivors of childhood hematopoietic stem cell transplantation (HSCT), focusing on their health, lifestyle, and quality of life. It aims to understand the long-term impact of treatment for acute lymphoblastic leukemia (ALL) and allogeneic HSCT (a-HSCT) during childhood. The research question investigates how these treatments have affected the survivors’ lives in the long term.

Methods: A descriptive, qualitative approach was used. Eighteen participants who had undergone a-HSCT for childhood ALL were selected from a national cohort diagnosed between 1985 and 2007. Data were collected through semi-structured telephone interviews, which focused on their current health, quality of life, and the influence of childhood cancer on their lifestyle. The interviews were transcribed verbatim and analyzed using an inductive approach, with thematic analysis identifying key themes.

Results: Two main themes emerged from the analysis: “Challenges and adaptation in long-term survivorship” and “Uncertainty and doubts surrounding parenthood, ” with five subthemes. Participants described ongoing existential struggles, including internal challenges (such as managing health despite complications) and external challenges (such as difficulties with social participation). They also experienced emotional distress related to infertility and concerns about their ability to become parents.

Conclusions: This study highlights the significant personal challenges faced by childhood ALL survivors treated with a-HSCT, including managing long-term health complications and navigating existential issues. Support for these survivors should be individualized, addressing their medical, emotional, and existential needs to improve their quality of life. Healthcare professionals in long-term follow-up clinics must consider not only the medical but also the emotional and existential challenges faced by adult survivors of childhood cancer in order to enhance their overall well-being.

Background: Acute lymphoblastic leukemia (ALL) is the most prevalent childhood malignancy. To improve long-term health-related quality of life (HRQOL) in adult survivors of childhood ALL, more longitudinal studies are needed to assess outcomes and risk factors throughout treatment and survivorship. The aim of this study was to examine the long-term changes in HRQOL, self-efficacy, and social support among adult survivors of childhood ALL and to explore the temporal relationship between HRQOL, self-efficacy, and social support. Procedure: The study includes 148 adult childhood ALL survivors who responded to a questionnaire assessing HRQOL (SF36), self-efficacy (General Self-Efficacy Scale, GSE), and quantitative and qualitative social support (AVSI and AVAT in SS13) in 2012 and 2021. Changes in the HRQOL, GSE, and social support were calculated using paired t-tests. Bayesian path models were specified, and separate models were estimated for each relationship between GSE and AVSI, and AVAT and HRQOL. Cross-sectional associations, autoregressive effects within constructs over time, and cross-lagged effects between two variables over time were specified within each model. Results: The mean of six of the eight HRQOL dimensions, as well as quantitative and qualitative social support, deteriorated during the 9-year follow-up. Self-efficacy was unchanged. Temporal positive relationships were found between baseline GSE and the HRQOL dimension of social functioning, as well as between social support and the HRQOL dimensions of physical functioning, vitality, and mental health at follow-up. Conclusion: The findings highlight the importance of self-efficacy and social support as potential buffering factors for HRQOL in adult survivors of childhood ALL over time. © 2025 The Author(s). Pediatric Blood & Cancer published by Wiley Periodicals LLC.

Purpose: Adults who had acute lymphoblastic leukaemia (ALL) as children and were treated with allogeneic hematopoietic stem cell transplantation (aHSCT) may have been affected in their lives due to several long-term complications. From a clinical point of view, it is of interest to study how survivors describe their perceptions of their childhood today. The aim was therefore to describe how adults perceived their childhood and the influences of being treated for ALL with aHSCT as a child.

Method: Semi-structured telephone interviews were undertaken with 18 adults who had been treated for childhood ALL with aHSCT and were included in a national cohort of childhood ALL survivors, diagnosed between 1985 and 2007 at an age between 0 and 17 years. A phenomenographic analysis was used.

Results: Three categories emerged: Feeling different, Feeling security and Feeling guilty. The informants felt that they had been different from other children but had felt security with the healthcare professionals and in care. They felt guilty because both their siblings’ and parents’ lives had been affected, but at the same time many perceived that they and their family members had become closer to one another.

Conclusions: The results emphasised that adults who had been treated for childhood ALL with aHSCT were affected both in negative and positive ways during their childhood. This indicates the importance for early psychosocial care interventions directed to children during their treatment, but also the need for person-centred psychological care in long-term outpatient clinics. © 2024 The Authors. Published by Elsevier Ltd.

Background: Acute lymphoblastic leukemia (ALL) is the most common malignancy in childhood, but the prognosis has remarkably improved over the last 50 years in high-income countries, and thus, there is a focus on long-term health outcomes following survival and how to best provide health care support to adult long-term survivors of childhood ALL to prevent and handle potential health problems. Digital health interventions are promising to deliver feasible health promotion and prevention programs. This is particularly relevant for ensuring long-term follow-up in cases where continuous contact with oncology care may be disrupted. Moreover, these interventions are beneficial in reaching geographically dispersed target groups and overcoming the time constraints of everyday life that often hinder participation in such programs. Objective: This study aimed to fill the gaps in existing research on adult long-term survivors of childhood ALL and provide formative data that can inform the development of formalized follow-up services designed to meet the needs of these survivors in ways that align with their preferences for digital health interventions. Methods: In this cross-sectional national study, adult survivors (aged ≥18 years) of childhood ALL for over 10 years after diagnosis were compared to their siblings in terms of mental and physical health-related factors, including sleep, stress, anxiety, and depression (Depression Anxiety and Stress Scale 21 [DASS-21]); several dimensions of fatigue (Multidimensional Fatigue Inventory 20 [MFI-20]); work ability (Work Ability Index); chronic pain; and prevalences of diabetes, cardiovascular disease, headache or migraine, and rheumatic disease. Results: Overall, 426 of 855 eligible ALL survivors responded (mean age 30.9, SD 7.7 years), and they participated at an average of 24 (SD 6.9) years after ALL diagnosis. Siblings (n=135; mean age 31.5, SD 7.7 years) acted as controls. Sleep quality, sleep quantity, and mean work ability scores were significantly lower, and physical fatigue, reduced motivation, and reduced activity scores were higher in ALL survivors than in siblings. There were no significant differences between the groups in terms of BMI and prevalence of chronic pain, depression, anxiety, or stress. Physical and psychological complications were more frequent among adult ALL survivors who had received hematopoietic stem cell transplantation (HSCT) than among those who had not received HSCT. Conclusions: Our nationwide cross-sectional study addressed the scarcity of knowledge regarding the self-reported health outcomes of adult long-term survivors of childhood ALL. We highlighted significant disparities within this population and emphasized the potential of comprehensive digital interventions that target vitality, sleep quality, fatigue, and psychosocial well-being to enhance well-being and bolster the capacity for managing chronic health conditions in this target group. Such an intervention would align with the needs of this target group, which is a prerequisite for successfully incorporating technology into the daily lives of survivors of childhood ALL. © 2024 JMIR Publications Inc.. All rights reserved.

Insomnia is common among frail older people living in nursing homes. The aim of the study was to explore how frail older people with insomnia experience the use of a weighted blanket. The study was conducted in nine nursing homes in Sweden. A total of 19 people (4 men, 15 women) aged 67 years and older were included. The study had an inductive qualitative design. Consolidated Criteria for Reporting Qualitative Research (COREQ) was utilized as a checklist to ensure transparency and comprehensiveness and enhance reliability by guaranteeing that all relevant aspects of the research process are thoroughly documented. The semi-structured interviews were analyzed with qualitative content analysis. The results formed four categories: Experiencing proximity, which raised older people’s encounters with the weighted blankets; Changes in sleeping patterns, where older people encountered the weighted blanket’s influence in changing sleep patterns; Experiencing conditions for use, where frail older people experienced the right conditions; and Stimulating senses, where frail older people experienced changes in their senses. Frail older people experienced that weighted blankets could provide comfort, positively influence sleep patterns, and reduce anxiety. This intervention can be considered valuable and offers a possible alternative to medication for frail older people with insomnia. © The Author(s) 2024.

Background: Wellness is a holistic, multidimensional, and process-oriented property on a continuum. It has been used interchangeably with and is undifferentiated from concepts such as health and well-being without an in-depth clarification of its theoretical foundations and a reflection on its meaning. The concept of wellness is frequently used, but its definition remains unclear.

Aim: To conceptually and theoretically explore the concept of wellness to contribute to a deeper understanding in caring science.

Method: Rodgers' evolutionary concept analysis was applied to the theoretical investigation of data from publications of international origins. The focus was on antecedents, attributes, consequences, surrogate and related terms, and contextual references. A literature search was performed through a manual review of reference lists and an online search in CINAHL and PubMed via EBSCO, and in ProQuest. Abstracts were examined to identify relevant studies for further review. The inclusion criteria were peer-reviewed papers in English; papers published in scientific journals using the surrogate terms ‘wellness’, ‘health’, ‘health care’, and ‘health care and wellness’; and papers discussing and/or defining the concept of wellness. Twenty-six studies met the inclusion criteria.

Results: Based on the findings from this concept analysis, a definition of wellness was developed: ‘a holistic and multidimensional concept represented on a continuum of being well that goes beyond health’. Implications for nursing practice were correspondingly presented.

Conclusion: Wellness is defined as a holistic and comprehensive multidimensional concept represented on a continuum of being well, that goes beyond health. It calls attention by applying the salutogenic perspective to health promotion in caring science. It is strongly related to individual lifestyle and health behaviour and is frequently used interchangeably with health and well-being without an in-depth clarification of its theoretical foundation. © 2023 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science.

Objectives: Sleep problems are a common issue among frail older people living in nursing homes. Among other causes, these problems can be due to age-related changes and chronic medical conditions. Weighted blankets can be used as an alternative to medication in treatments aimed at improving the sleep of frail older people. This study aimed to investigate the effect of weighted blankets on sleep patterns in frail older people living in nursing home.

Methods: A quasi-experimental design was adopted. The study included 65 frail older people > 65 years of age who lived in nursing homes in southwestern Sweden. Sleep was measured using actigraphy, which helped monitor time in bed, total sleep time, sleep onset latency, wake after sleep onset, sleep efficiency (in per cent) and the number of nocturnal awakenings. Health was self-rated using the EuroQol visual analogue scale (EQ-VAS), and insomnia was self-rated using Minimal Insomnia Symptom Scale (MISS).

Results: Frail older people in nursing homes benefited from the use of weighted blankets to improve their sleep quality. Frail older people experienced fewer nocturnal awakenings and fell asleep faster. Weighted blankets also improved overall experience of health.

ConclusionS: Weighted blankets can improve the sleep quality and overall health of frail older people in nursing homes. More research is needed to understand the full effects of these blankets and establish individual guidelines for their use.