Intensive care units are stressful environments and can bring negative psychological outcomes among critical care nurses. The aim of the present study is to describe critical care nurses’ characteristics and perceptions of health in relation to sex, and also provide their description of a healthy and sustainable work environment in intensive care units using a person-centred practice framework. A cross-sectional design was employed with 136 participants who responded to a questionnaire. Descriptive statistics and qualitative content analysis were used. Regardless of sex, critical care nurses perceived their current health to be significantly lower than their health before the COVID-19 pandemic. They described effective staff relationships and a supportive organization as being essential for a healthy and sustainable work environment. Critical care nurses have recovered to their perceived pre-pandemic health to some degree. Well-functioning teams and a supportive organizational system might nurture a healthy and sustainable work environment.

This research projects study an ecosystem comprising public and private actors, along with supporting and regulating organization offering nature-based services to overcome health related issues such as mental illness, burnout and stress. These offerings are studied in a so-called quasi-market, where quality is not established by a public system but through a complex procurement process. The research project follows Eisenhardt (1989) theory development, model focusing on three dimensions: context (where), project governance processes (how), and the nature of project goals (what). The aim is to explore inter-organizational collaborative efforts to understand how goals and governance for procurement in quasi-markets could be specified. Our model verifies the movement of goals and governance processes within this ecosystem. Our paper offer evidence to distinguish between certainty and uncertainty, thereby contributing to development of more reliable estimates for future standards that can be used for estimating price and value of such services. Furthermore, we contribute with insights of health-based projects. The research question is: how inter-organizational collaborative efforts are fundamentally designed to handle dynamic (moving) goals and governance in the context of procurement within quasi-markets.

Despite overall improvements in general health, the prevalence of mental illness continues to rise, underscoring the need for innovative approaches to health promotion. This study examines how purpose-driven small and medium-sized enterprises (SMEs) design and develop nature-based interventions (NBIs) as social innovations to promote mental health. Using a case study approach, the research draws on data from workshops, semi-structured interviews, and expert stakeholder discussions involving 28 SME practitioners, eight public actors from social and healthcare sectors, nine entrepreneurs, and four experienced stakeholders. The analysis reveals that the successful development of NBIs depends on five core dimensions: accessibility, acceptance, affordability, meaningfulness, and knowledge. In addition, the study identifies a range of strengths, weaknesses, opportunities, and threats that SMEs encounter when navigating the complex landscape of NBI implementation. The findings highlight the potential of NBIs to complement traditional healthcare by fostering empowerment and supporting tailored recovery, while also offering strategic insights into the collaboration required for sustainable social innovation.

Aim: To examine parents' perceptions of care quality at child health centres. Specific objectives were to examine parents' perceptions of the care received and the subjective importance of such care. Furthermore, to examine the relationship between parents' sociodemographic characteristics and the perceptions of care quality.

Design: A cross-sectional study.

Methods: A random sample of parents of children born in Sweden in 2021 participated. Data were collected by the QPP-CHC questionnaire and analysed using descriptive and analytical statistics.

Results: The response rate was 19.4%. The targeted sample size of 210 participants was reached as 584 parents responded to the questionnaire. Parents' overall ratings of care quality at child health centres indicated optimal quality with mean values >3. However, various potential improvements areas were identified as needing additional information. These included dental care (m = 2.82), allergy prevention (m = 2.25), breastfeeding (m = 2.97), sleep (m = 2.83), the child's behaviour (m = 2.47) and the child's crying (m = 2.47). Also, parents rated suboptimal quality regarding that the care was based on healthcare routines rather than parental preferences and needs (m = 2.86). Parents born outside of the Nordic countries rated higher care quality than those born in the Nordic countries, as well as parents with a non-academic education.

Conclusion: Parents want information based on their preferences and needs. Parent's perceptions of areas for improvement are new and important knowledge for registered nurses at child health centres.

Implications for the Profession and/or Patient Care: The findings indicate that parents feel that insufficient attention is given to areas of care that they perceive as important. Parents' perspectives on the care quality at child health centres is an important component of quality work and might lead to improvements in the care quality at child health centres.

Reporting Method: The Strengthening the Reporting of Observational Studies (STROBE) checklist for cross-sectional studies was used to guide reporting.

Implications for policy and practice: The findings of this study suggests that parents feel that insufficient attention is given to areas of care that they perceive as important. Parents' perspectives on the care quality at child health centres provides important knowledge which can guide further development of care quality at child health centres. The findings indicate that a family-centred approach that integrates relational and routine-oriented nursing can be a way to ensure that the care is based on parents' preferences and needs.

Purpose: Providing perioperative care for children who express anxiety or react with negative anxiety-associated consequences can be a challenge. The use of premedication is established as an important intervention for young children before surgery, yet research into care providers’ experiences of premedication is limited. The aim of this study was to explore perioperative staff's experiences of premedication for preschool-age children.

Design: A descriptive inductive qualitative study was performed based on focus group discussions.

Methods: A purposive sample of a team from the operating department with experience in anesthetizing and caring for children in the perioperative period was interviewed in small focus groups: five preoperative and postoperative care nurses, five nurse anesthetists, and five anesthesiologists. The transcribed text was categorized using qualitative content analysis.

Findings: The content analysis revealed three themes: a matter of time, do not wake the sleeping bear, and on responsive tiptoes.

Conclusions: Care providers must adapt their work to the child's emotional state of mind and needs, allowing time for the child to trust and accept the premedication and for the premedication to reach its peak effect. Premedication provides light sleep preoperatively, which requires careful treatment of the child to avoid emotional reactions, and the postoperative path is most peaceful when the premedication supports a long duration of sedation. Our findings highlight the need for safety precautions and a permissive and flexible organization with the goal of achieving a smooth and safe journey for the child in the perioperative path.

Introduction: Challenges in mutual awareness in interprofessional collaboration (IPC) along with relational and cultural barriers among professionals disrupt flow and delay decision-making in trauma care. Thus, this study explores team behaviours within IPC in trauma teams during trauma alerts from the perspective of radiographers.

Methods: A qualitative approach was used with a critical incident technique (CIT) design applying interviews with radiographers within three hospitals in Sweden from May 2022 to May 2023. CIT analysis was conducted with an abductive approach, applying an IPC core competency framework.

Results: The results present collaborative requirements in trauma care from radiographers' perspective narrating a distribution of team behaviours within trauma team collaboration and fundamental skills in IPC. Behaviours within interprofessional values and ethics were the most reported incidents related to valuing radiographers' contributions to IPC in acute trauma care.

Conclusion: Exploring behaviour through critical incidents associated with core competencies of IPC highlights the importance of interprofessional values as a foundation for successful IPC in the trauma team. The results show deficiencies in inclusive behaviour, influenced by the hierarchical environment of IPC. Power imbalances in this setting are traced to differences in perceived value and shared understanding among team members, possibly rooted in professional identity and culture. A dedicated leader is argued, as the recognition of radiographers' scope of practice in trauma imaging, emphasising the significance of shared decision-making.

Clinical Implications: The findings highlight organisational and relational coordination challenges for optimising competencies in IPC. IPC's success requires reinforcing values and ethics by empowering members' contributions and shared decision-making. This involves clarifying and recognising responsibilities, particularly for radiographers, ensuring their role in trauma imaging is respected and integrated into decision-making.

Cold baths have been used in various cultures for centuries, with modern scientific interest growing over the past few decades. The aim of this phenomenological hermeneutic study was to explore the meaning of outdoor cold bathing of people who regularly engage in that practice. Nine people, seven women and two men aged 44 to 70, who regularly cold bathed in Sweden participated in the study. They were interviewed during the winter-spring of 2025. Participants described cold bathing as a powerful coping mechanism during periods of stress and life transition, often beginning in midlife when facing personal or professional challenges. Cold bathing was described as a powerful practice that not only challenges the body but also uplifts the mind, often becoming a valued ritual for both physical recovery and emotional renewal. Being in nature was an important part of the holiness of the experience.

Aim

The study aimed to examine factors associated with the perceived feeling of safety and postoperative recovery in patients who have undergone orthopaedic day surgery under regional anaesthesia.

Design

The design was quantitative, descriptive, and cross-sectional. The study participants comprised a consecutive sample (n = 209) of patients who underwent orthopaedic day surgery under regional anaesthesia.MethodsA questionnaire was sent to the home addresses of the study population approximately 3 weeks postoperatively. The questionnaire included the Feeling Safe During Surgery Scale (FSS), the Swedish version of the post-discharge surgical recovery scale (S-PSR), and questions concerning background variables. Multivariate regression models were used to examine the association of different variables with both feeling safe and postoperative recovery.

Results

The only factor associated with the feeling of safety was preoperative anxiety; higher levels of preoperative anxiety were associated with lower levels of perceived safety during surgery. The factors associated with postoperative recovery were the recovery process itself and the patient's feeling of safety. Higher levels of postoperative anxiety were associated with a lower level of postoperative recovery. Higher levels of perceived safety during surgery were associated with higher postoperative recovery.

Conclusion

The perceived feeling of safety in the perioperative period could not be explained by factors such as age, gender, or level of education. Based on the results of this study, postoperative recovery was associated with the perceived feeling of safety in the perioperative period. Anxiety in the perioperative period was associated with patients' perceived feeling of safety and their postoperative recovery. Thus, this study's results emphasise the importance of ensuring that people undergoing surgery feel safe to promote their recovery. Based on previous research, the nurse–patient relationship seems to be an important part of making patients feel safe, which ultimately affects their recovery.

Implications for the Profession/and or Patient Care

This study examines the association between perceived feeling of safety in the perioperative period and patients' postoperative recovery after undergoing orthopaedic day surgery under regional anaesthesia. Previous research has shown that the nurse–patient relationship and patients' possibilities to participate in their care are important for them to feel safe. This study further emphasises the importance of fostering relationships in the perioperative period and making patients an active part in decision-making, as it may positively impact their recovery. Creating a feeling of safety for the patient should be prioritised, as it benefits their perioperative experience and postoperative recovery.

Introduction

In Scandinavia, where severe trauma is rare but potentially life-threatening, trauma teams must maintain high performance despite infrequent activations. Although advancements in trauma care have reduced mortality, severe multi-trauma still carries a high mortality risk of death, requiring rapid, coordinated responses from teams of diverse professionals. This study explores the interdependence between various trauma team members, with a particular focus on how radiographers' roles are understood, integrated, and relied upon in trauma care.

Methods

A qualitative design was employed, with data collected from four Swedish hospitals through interviews and observations. Braun and Clarke’s reflexive thematic analysis method guided the iterative process to identify and generate patterns in the data.

Results

The analysis generated an overarching theme of Team integration through behavioural interdependence, along with three specific themes: (I) Collaborative interdependence: enhancing team synergy through dynamic role adaption; (II) Social interdependence: fostering trust through interpersonal relationships; and (III) Goal interdependence: aligning objectives for unified success.

Conclusion

The findings highlight the importance of team-enhancing behaviours to build high-performing trauma teams. Radiographers contribute through adaptive collaboration, technical expertise, and relational engagement. Equally important are the supportive behaviours of team members and leaders—such as clear communication, inclusion in decision-making, and recognition of radiographers' expertise—which enable radiographers to perform effectively. Clearly defined roles and shared objectives reinforce their value in trauma care.

Implications for practice

Effective team guidance and psychological safety are essential for improving team dynamics and outcomes. Regular, structured team reflections and joint exercises that include all professional roles, especially radiographers, and emphasise shared goals, shared knowledge, and mutual respect, can strengthen interdependence. This approach enhances team performance and supports safer, more efficient care.

Sauna bathing has gained increasing attention in medical and nursing research for its potential health-enhancing properties. It may be a valuable self-care practice for women, complementing conventional healthcare in prevention of diseases and promoting health and well-being. Since most studies focus on male participants, it is important to explore women's experiences with sauna bathing and its significance for their health and well-being. The aim of this study was to examine women's perceptions of sauna bathing and its impact on their health and well-being. A cross-sectional study was conducted using an online questionnaire comprising 17 items and four open-ended questions, which formed a subset of a larger questionnaire. A total of 384 women sauna users participated. Data was analyzed using descriptive statistics and qualitative content analysis. Women described a range of health and well-being experiences, with sauna bathing perceived as restorative and emotionally grounding, promoting improved sleep and reduced bodily pain, yet occasionally associated with social insecurity and counterproductive effects.