The International Journal of Emerging Trends in Medical Surgical Nursing (IJETMSN) is dedicated to publishing the most recent and innovative research in the field of medical-surgical nursing. Our current issues feature a selection of peer-reviewed articles that highlight the latest trends, findings, and advancements in this dynamic field.
Featured Articles in the Latest Issue
- Volume 2(Issue 2) JULY – DECEMBER 2025
Research Articles
Strengthening Applicability in Qualitative Nursing Research Using the Multi-Case Narrative Approach: A Methodological Insight
Vol.2(2); Pages:1-8. Published on October 2025
Abstract
The issue of generalisability has been contentious, but valuable in the context of qualitative research, particularly in profession such as nursing because evidence-based practice relies on the evidence that is generalizable to various real-world situations. The concept of the conventional qualitative approach to reach this goal is usually lost because their sample size is minimal and findings are case-specific. The Multiple Case Narrative (MCN) method that emerged as a part of a constructivist-narrative paradigm is a systematic way of improving the degree of generalisation without degrading the level of contextual richness. This article does a holistic review of the methodological procedure of the MCN approach, its analyses, and theories, and its potential as a qualitative research tool that allows case-to-case, analytical, and sample-to-population generalisation. Using an applied example in nursing, the paper demonstrates the four-step analysis process of MCN: initial, mapping, focused and theoretical analysis. By comparing and contrasting the available insights with other qualitative research methods, especially collective case study, case survey, meta-ethnography, the paper criticises the rigor and weaknesses of MCN. At the same time as being more rigorous in terms of the comparison it makes across cases, MCN allows the use of larger and more diverse sample sizes than a conventional case study, raising the possibility of a plausible generalisation. It helps through systematic identification of patterns, associations, systemic problems in the varied case stories keeping the voices of individual participants alive in them. Multiple case narrative research approach is useful in qualitative nursing research since it contributes to methodology. It increases the possibility of generalisation and facilitates the result in the production of analytically strong findings and practical relevance. Perhaps a wider use of MCN can assist in filling the gap between qualitative inquiry and the demands of the evidence-informed health practice and policy.
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Exploring Lived Narratives of Antidepressant Use and Withdrawal: A Qualitative Evidence Synthesis
Vol.2(2); Pages:9-17. Published on October 2025
Abstract
There has been a concurrently growing number of cases of depression coupled with an exponential increase in the prescriptions of antidepressants to tackle the situation all over the world. Even though they are widely used, several people have complained of poor efficacy of these drugs. Wholesome integration of individual experiences with antidepressants as well as discontinuation is unrepresented to a large extent in literature. Mental health nurses are in an excellent position to both facilitate and enhance the use and adherence to medication considering their wide participation in patient care. The purpose of this review was to understand the perceptions of people, who have been prescribed to take antidepressants, the perceptions about the prompting of the drug, the use throughout the day, and the withdrawal. A qualitative meta-synthesis was undertaken based on literature findings following exhaustive search of articles in Ovid MEDLINE, EMBASE, PsychINFO, and Cochrane with latest retrieval in May 2021. The reviewer then used the titles and abstracts to screen purposes, and the full-text utilized two independent reviewers to screen and retrieve data. Thematic synthesis has also been implemented to find out the common patterns and the appraisal of quality has also been done using the already identified criteria. A combination of 27 research articles that included 2,937 subjects were used. Four major themes were identified, i.e., lack of choice in the treatment, stigma of the biochemical explanations of depression, distorted sense of self during the medication taking period, and the difficult withdrawal process commonly called a rollercoaster.
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Approaches to Enhancing Respectful and Inclusive Surgical Care for Aboriginal and Torres Strait Islander Communities
Vol.2(2); Pages:18-26. Published on October 2025
Abstract
The gap between the health status of Indigenous and non-Indigenous Australians keeps on growing. The access to health care, especially surgical treatment, is among the factors persisting a health inequality among Indigenous Australians. Although the relationship between the health outcomes and improved patient experiences positively influences and an enhanced health outcome, there is scarce literature on such interventions on nursing activities to improve the health care treatment of Indigenous patients during perioperative treatment.This discussion paper examines culturally appropriate and evidence-based nursing interventions which can be used in the perioperative environment to enhance surgical experiences of the Indigenous patients. It was demonstrated that the forging of trust with Aboriginal and Torres Strait Islander patients through anaesthetic nursing practice and prescription of familial engagement is paramount to meeting any aspects of culturally safe care and embarking in positive patient experiences. Indigenous health liaison officers too were defined to be useful towards mitigating the cultural and communicational differences between health care giving and the Indigenous patients. Those results prove that individual nursing approaches applied during the process of providing perioperative care to Indigenous Australians can positively influence an experience of perioperative health care of Indigenous Australians and help them improve health outcomes of Indigenous Australians.In this regard, it is suggested that the perioperative nurses should embrace these strategies, but additional studies with regard to implementing an increased role of anaesthetic nurses in persuading family input and making referrals with Indigenous health liaison officers are required. These new holistic and patient-centred approaches should be assessed in such research in terms of their effects on health outcomes and experiences in Indigenous patients.
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Nurses’ Views on What Helps or Hinders Using Cognitive Support Strategies in Long-Term Psychiatric Hospitals
Vol.2(2); Pages:27-35. Published on October 2025
Abstract
Background: Despite the fact that Cognitive Adaptation Training (CAT) has demonstrated to be effective in helping people with severe mental illness (SMI), there is limited use of it in the usual provision of psychiatry. Objective: This paper investigated the issues that support or impede the process of CAT in long-term inpatient practice, namely the implementation of CAT in the view of the nursing staff. It also looked at the relationship between capability, opportunity, motivation and appraisal in com-b behavior change framework. Forty-six mental health nurses were interviewed with the help of Measurement Instrument for Determinants of Innovations (MIDI) and the questions developed specifically on the topic of CAT. Pearson correlation was used to examine relationships among important elements of behavior. This study describes nine important barriersmostly organizational level and 13 facilitators that were mostly associated to the intervention and the nurses. Mediocre correlations were obtained between capability and opportunity, capability and motivation and capability and appraisal. A close relationship was established between appraisal with motivation. Organizational challenges must be addressed, while strengths at the intervention and provider levels should be leveraged to enhance CAT adoption.
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Impact of Social Media on Teenagers
Vol.2(2); Pages:36-41. Published on October 2025
Abstract
New generation has begun to regard the Internet as obligatory. Now, most of the world population regularly makes use of the Internet. There are also more individuals getting a social media addiction as each day passes. Nowadays, social media has emerged as the playground of young generation. They spend most of their time on gaming, watching movies and meeting contacts on the internet. The main audience of these channels is represented by students, who apply the means to communicate with other people and stay informed about the latest novelties. There are also various negative impacts of social media to students. Social media has increased the tendency of mood swings among students.Students continuously engage in posting beautiful images of themselves and their fellow students since they are not comfortable with their physical aspects. Consequently, it is important to educate children on practicing good and sensible use of social media.
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Effectiveness of Video-Assisted Instruction in Minimizing Anxiety Among Coronary Angiogram Patients: Evidence from a Quasi-Experimental Study in Coimbatore
Vol.2(2); Pages:42-53. Published on November 2025
Abstract
Coronary angiography continues to be the most commonly utilized diagnostic and interventional technique for identifying coronary artery disease. Research has shown that over 80% of patients experience considerable preprocedural anxiety, primarily due to a limited understanding of the procedure and its possible outcomes (Shohani et al., 2020). To address this concern, video-assisted teaching has proven to be an effective educational strategy, enabling patients to develop a better comprehension of the procedure and significantly improving their satisfaction with the information received. Aim: The current study sought to assess the impact of video-assisted instruction on anxiety levels among patients scheduled for coronary angiogram at a selected hospital in Coimbatore, employing a quasiexperimental research approach. Methodology: A quasi-experimental research design was employed for this study, structured around Imogene King’s Goal Attainment Model, which served as the conceptual foundation. Sixty patients scheduled for coronary angiogram were recruited through a non-probability purposive sampling method and evenly allocated into two groups 30 participants in the experimental group and 30 in the control group. Baseline anxiety levels were assessed one day prior to the procedure using the Zung Self-Rating Anxiety Scale. Subsequently, the experimental group was provided with a structured video-assisted educational session, whereas the control group continued to receive routine pre-procedural care. The post-test anxiety assessment was carried out for both groups 30 minutes before the angiogram, utilizing the same standardized scale. Results: Among participants in the experimental group, the mean pre-test anxiety score of 60.9 ± 3.1 showed a significant reduction to 37.7 ± 5.7 during the post-test phase. The paired t-value of 22.26 (p < 0.001) confirmed a highly significant decline in anxiety following the video-assisted teaching intervention. Conversely, the control group recorded a pre-test mean score of 61.5 ± 2.1, which slightly increased to 62.8 ± 1.6 in the posttest, yielding a paired t-value of 2.94 (p = 0.006) indicating negligible improvement and suggesting that routine care alone was less effective in reducing anxiety. Conclusion: The study concluded that video-assisted teaching serves as an effective intervention for alleviating anxiety in patients undergoing a coronary angiogram.The intervention not only improved patients’ understanding of the procedure but also enhanced their psychological preparedness and satisfaction, highlighting the importance of structured educational support in clinical practice.
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