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To explore parents' experience when their children underwent emergence delirium during anaesthesia recovery.
A descriptive phenomenological qualitative study.
This descriptive phenomenological study was conducted at a medical center in Taiwan. Purposive sampling was employed, and a semi-structured interview guide was used to conduct in-depth interviews. Twelve parents whose children experienced emergence delirium were recruited after data saturation was reached. Data were collected between January and July 2024 and analysed using Colaizzi's seven-step method.
Parents underwent an unexpected journey characterised by emotional ups and downs when witnessing their child's emergence delirium. Four major themes were generated, including ‘unexpected chaos’, describing the disorienting situation parents experienced when confronted with their child's unfamiliar behaviours; ‘help beyond reach’, reflecting their inability to provide comfort despite being physically present; ‘a day of suffering’, highlighting the emotional overwhelm during the emergence delirium episode; and ‘appreciation after recovery’, illustrating their relief and gratitude once their child returned to baseline. These themes reveal the intense emotional fluctuations parents experience during this critical phase.
This study highlights the complex emotional fluctuations parents experience when facing their child's emergence delirium. The findings emphasise the need for anticipatory guidance and support strategies to better prepare parents and inform family-centred nursing practices.
This study addresses a gap regarding the emotional challenges experienced by East Asian parents when their child undergoes emergence delirium. The findings reveal complex parental distress shaped by internal worry and external social pressure in shared recovery spaces. These insights inform culturally sensitive care models, emphasising the importance of private environments and communication strategies that reduce parental stress and improve clinical support.
Two parents reviewed and provided feedback on the interview content and results, improving cultural relevance and clarity.
The study followed COREQ guidelines.
Early-onset dementia, also referred to as young-onset dementia, affects people younger than 65 years of age. A diagnosis of dementia is often not considered when patients with symptoms of cognitive decline are < 65 years old, often resulting in a delayed diagnosis. Therefore, family caregiving for persons with early-onset dementia may differ from caregiving for persons with other dementias.
To explain the caregiving trajectory for new family caregivers of persons with early-onset dementia before and after diagnosis of the disease.
This qualitative study was conducted from a grounded theory perspective.
Family caregivers of persons recently diagnosed with early-onset dementia were recruited from two medical centres in northern Taiwan by a combination of purposive and theoretical sampling to inform the theory explaining the caregiving trajectory. Data were collected with face-to-face semi-structured interviews. Interview data were analysed with constant comparative analysis; data collection and analysis ceased when theoretical saturation was reached. A total of 15 family caregivers were interviewed.
The core theme describing the trajectory of the caregiving process for new family caregivers of persons recently diagnosed with early-onset dementia was maintaining a dynamic balance, which involved three interacting elements: (1) emotional reactions, (2) multitasking and facing conflicts, and (3) continual adjustments. A diagnosis helped caregivers find a temporary balance, but when disease progression increased, new adjustments were required.
Maintaining dynamic balance allowed caregivers to cope with their emotions, juggle the responsibilities associated with their new role, and adjust to the progression of dementia.
The findings describe the process of maintaining a dynamic balance for family caregivers of a spouse or parent with early-onset dementia. The elements used to achieve caregiving balance could help mental healthcare nurses educate family caregivers on how to adjust communication and provide them with information on when more practical support is needed.
No Patient or public contribution.
COREQ (COnsolidated criteria for REporting Qualitative research).
To evaluate primary healthcare (PHC) nurses' knowledge, attitudes, and confidence in dengue-related practice and to identify predictors of confidence.
A multicenter cross-sectional survey.
The study was conducted from May to August 2024 with 488 PHC nurses from 85 PHC units across 21 provinces in Indonesia. Established questionnaires measuring knowledge, attitudes, and confidence in dengue-related practice were translated into Indonesian and psychometrically tested prior to use. Data were analysed using descriptive statistics, independent t-tests, Pearson's correlations, and multiple linear regression analysis with SPSS for Windows, version 27.0.
The mean knowledge score was 4.3 (SD = 1.3) out of 7, indicating insufficient knowledge. The mean attitude score was 28.4 (SD = 4.3) out of 35, reflecting generally positive attitudes toward dengue prevention. The mean confidence score was 19.1 (SD = 3.5) out of 25, suggesting moderate confidence in dengue-related practice. Higher education (B = 0.78), familiarity with national guidelines (B = 1.01), greater knowledge (B = 0.22), and more positive attitudes (B = 0.33) significantly predicted confidence levels. These predictors explained 23% of the variance in confidence scores.
PHC nurses demonstrated insufficient dengue-related knowledge, positive attitudes, and moderate confidence in clinical practice. Confidence was significantly associated with higher education, familiarity with national guidelines, greater knowledge, and more positive attitudes toward dengue prevention. These findings highlight the need to increase nurses' awareness and use of dengue national guidelines and to implement targeted professional development programs to enhance dengue management competence, although the use of convenience and snowball sampling may limit generalizability.
This study addresses the limited research on PHC nurses' confidence for dengue management. It found that higher education, guideline familiarity, knowledge, and attitudes significantly predicted confidence.
This study adhered to the STROBE checklist.
No patient or public involvement.
FreshRSS 