POOJA NURSING COLLEGE,

BHANDARA

ANNOTATED
BIBLIOGRAPHY
ON RESEARCH

SUBMITTED TO : SUBMITTED BY:

1. Work experience of breastfeeding nurses returning to work after maternity leave in

Liaoning Province of China: A qualitative study
Aim: With the implementation of China's three-child policy in 2021, the nurse population
faces an increase in the number of breastfeeding nurses returning to work after maternity
leave. This study aims to describe the work experience of breastfeeding nurses returning to
work after maternity leave. Design: A qualitative descriptive design. Methods: The data were
collected through semi-structured interviews with eight nurses and analysed through Braun
and Clarke's thematic analysis. Results: Three themes and nine sub-themes emerged from
the analysis of the interviews: changes in nurses (emotional changes, physical changes and
changes in work); needs for an improving work environment (needs for a supportive
workplace and nurse shortage); support for breastfeeding nurses (support from coworkers,
support from the manager, support from the organisation and own need for work).Public
Contribution: This study highlighted that breastfeeding nurses need an adjustment period
when they return to work after maternity leave. Successful breastfeeding requires support
from coworkers, managers and the organisation. In addition, workplace support for
breastfeeding and management for nurses needs to be improved.

2. The influence of psychological resilience and nursing practice environment on

nurses' moral courage: A cross-sectional study

To determine the relationship between psychological resilience, nursing practice

environment, and moral courage of clinical nurses and also the factors influencing moral
courage. Design: Cross-sectional study.Methods:586 nurses from a general hospital were
selected by convenience sampling method in January 2023. The general information
questionnaire, Nurses' Moral Courage Scale (NMCS), Resilience Scale, and Practice
Environment Scale (PES) were measured. Hierarchical linear regression analysis was used to
explore the influencing factors of clinical nurses' moral courage. Results: Nurses' average
moral courage score was 79.00 (69.00, 91.00). The nurses' moral courage was positively
correlated with psychological resilience and nursing practice environment. Multivariate
linear regression analysis showed that psychological resilience and nursing practice
environment entered the regression equation, accounting for 23.4% of the total variation.
Psychological resilience and nursing practice environment are the main factors affecting the
moral courage of clinical nurses. Nursing managers should conduct moral courage training,
develop a decent nursing practice environment, pay attention to the psychological emotions
of nurses, and actively build a safe, open, and supportive atmosphere for moral behaviour.

3. Health Management of Working Pregnant Nurses: A grounded theory study

Aim: To explore the recognition of pregnant nurses on how they managed their health
conditions to examine safe working strategies. Design :A qualitative study with a grounded
theory approach. Methods: Twenty-one nurses engaged in work during their pregnancy
were recruited and interviewed using a semi-structured questionnaire from January to June
2021. The data were analysed using a constant comparative method. Results: The core
category ‘duelling roles’ and the four other categories emerged. Pregnant nurses understand
the ‘weight of one’ of being a professional in the workplace. Therefore, despite their health
concerns, they struggle to complete their work as one team member to avoid
inconveniencing others. However, through experiencing various nursing situations, they
‘perceive one's limits’ of working as they had done before pregnancy and protect their
health and patients. Nevertheless, interactions with patients and their colleagues bring
‘delight in nursing’, which encourages them to continue working. Pregnant nurses thus
develop a ‘prioritizing the foetus’ working style to continue being nurses while protecting
their health. Implications for the Profession and/or Patient Care: These results provide
meaningful guidance in considering safe job retention strategies for pregnant nurses.
Sharing and developing the ‘prioritizing the foetus’ mindset and management skills gained
by the participants may be beneficial for the appropriate health management of pregnant
nurses. The study may also facilitate nursing managers' understanding of the experiences of
pregnant nurses and encourage them to consider reviewing nursing practices. Reporting
Method: The Consolidated Criteria for Reporting Qualitative Studies checklist was used to
ensure the quality of research reporting. Patient or Public Contribution: Members of the
nursing team were involved in the design, conduct and interpretation of the data in this
study.

4. A feeling of not being alone – Patients' with COPD experiences of a group-based self-
management education with a digital website: A qualitative study

To describe patients' with chronic obstructive pulmonary disease (COPD) experiences of

group-based self-management education with a digital website.Design:A qualitative
approach with a phenomenological method. Patients participating in an earlier study, with
self-experience of COPD as a special competence, were involved as research partners at the
design of this study.Methods:Eleven individual and two group interviews with five
participants in each group were conducted.Results:Group-based self-management
education with a digital website supports learning. Sharing experiences with others in
similar situations creates security and reduces the feeling of being alone. Based on
questions and discussion in the group, and through self-reflection, general information is
transformed into useful knowledge and understanding of one's own situation. COPD
information on the website provides an opportunity to gain knowledge continuously based
on needs that contributes to learning. This research has demonstrated that adapting
learning activities to individual learning styles increases sustainability of learning. Sharing
experiences reduces feelings of loneliness. It is therefore important to create spaces for
sharing experiences and in-depth reflection that support learning over time.
 5.Factors promoting and hindering resilience in youth with inflammatory bowel
disease: A descriptive qualitative study

To explore factors promoting and hindering resilience in youth with inflammatory bowel
disease (IBD) based on Kumpfer's resilience framework.Design:A descriptive qualitative
study design with an interpretative approach was used.Methods:Participants consisted of 10
youths with IBD from a tertiary hospital in Beijing (China) recruited using the purposive
sampling method. Data were collected by semi-structured interviews from December 2020
to March 2021. The directed content analysis was performed for data analysis.Results:Both
promoting factors and hindering factors could be divided into personal factors and
environmental factors. Thirteen themes were identified. The promoting factors included
acceptance of illness, strict self-management, previous treatment experience, life goals,
family support, medical support and peer encouragement. Stigma, lack of communication,
negative cognition, societal incomprehension, economic pressure and academic and
employment pressure were hindering factors.Conclusion:Health care professionals need to
develop greater awareness of factors, stemming from both the individual and the outside
world, that hinder or promote resilience in order to aid young patients with IBD. Building
targeted nursing measures to excavate the internal positive quality of patients, provide
external support and promote the development of resilience.