Nurse managers' role in providing high-quality palliative care is crucial for addressing the increasing demand in municipal care. This study aims to compile existing evidence on nurse managers' awareness of and competence in palliative care in municipal care settings. The systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations and was registered in PROSPERO (CRD42024559183). In total, 6289 articles were initially retrieved, and 489 additional articles were identified in the updated searches. A narrative synthesis was conducted. Eight studies met the inclusion criteria and three themes emerged from the narrative synthesis: (1) Conceptual grasp of palliative care, (2) Recognition of gaps and needs, and (3) Competence in fulfilling complex responsibilities. Nurse managers' understanding of palliative care along with identified gaps and priorities shaped their competence in managing complex responsibilities related to palliative care, where confidence influenced how they performed the responsibilities. The results pointed to a knowledge gap in the explored area. Future research is needed to explore nurse managers' perspectives on how they understand and perform their leadership role in relation to palliative care.

INTRODUCTION: As the Chinese immigrant population in European countries ages, it is important to gain a deeper understanding of Chinese immigrants' ageing processes from a life course perspective by recognising the complex interactions between social, cultural, and institutional constructs and dynamics. This article aimed at exploring how older Chinese immigrants in Europe handle everyday lives in respect to ageing from the perspectives of older Chinese immigrants, their relatives, and health/social care professionals.

METHODS: The study is registered in PROSPERO (CRD42023455411), and the PRISMA 2020 checklist guided the study. A qualitative systematic review was conducted through searches in the databases CINAHL, Embase, PsycINFO, Medline/PubMed, SocINDEX, Web of Science, and pearl search in Scopus (last search 3 September, 2023). Inclusion criteria were: (1) Studies about Chinese immigrants' everyday lives, living, and ageing, or studies focusing on their use of health/social care services, (2) Perspectives of Chinese immigrants in Europe, their relatives, and related health/social care professionals, (3) Qualitative peer- reviewed studies published in English, and (4) publications from 2000-2023. The initial search retrieved 842 publications. Seventeen publications were included and analysed through a thematic analysis.

RESULTS: The results presented the included studies' characteristics and four themes: Everyday life as an older adult mirrored the life lived, Work and working conditions as significant for ageing, Cultural complexes that shape social identities, Immigrants' social position as significant for encounters with health and social care professionals.

DISCUSSION: Older Chinese immigrants' everyday lives related to ageing were not only dynamically influenced by social, interpersonal, and institutional factors accumulated in their life trajectories, but reflected the process of constructing social and cultural identity in their new homeland. Future policies should promote culturally responsive healthcare, social services, and employment support to address the unique ageing experiences of older Chinese immigrants.

SYSTEMATIC REVIEW REGISTRATIONS: The systematic review has been registered on PROSPERO and the registration number is CRD42023455411.

Background: Ageing-in-place policies have increasingly shifted elder care responsibilities onto family members. Among older cohabiting couples, one’s partner’s illness significantly impacts the other’s daily life and well-being. Aim: To explore the responsibilities and strategies of caregiving partners in older cohabiting couples from the perspectives of cohabiting caregivers. Methods: A qualitative systematic literature review was conducted across seven databases, following PRISMA guidelines and registered in PROSPERO (CRD42025632103). Sixty-five studies were included based on predefined inclusion and exclusion criteria using Covidence. Quality was assessed using the Critical Appraisal Skills Programme (CASP) checklist for qualitative studies. Data were synthesised through descriptive numerical summaries and thematic analysis. Results: The studies, conducted in 20 countries, primarily used individual interviews for data collection. Three overarching themes emerged: (1) strategies directed towards the partner, (2) strategies to maintain personal identity and space, and (3) strategies for navigating formal care systems. Cohabiting caregivers often assumed daily responsibilities despite emotional and physical strain. They relied on both informal and formal support to care for their partner and preserve time for themselves. However, formal care involvement led to issues such as broken agreements and inadequate services. Conclusion: Older cohabiting caregivers constantly balance and adapt their caregiving roles in relation to their partner, themselves, and formal care providers. This shift in responsibility results in an often invisible, morally-driven labour that remains under-recognised in Ageing-in-place policies. The study highlights the need for policy frameworks and interventions that acknowledge caregivers’ moral labour, enhance the quality of formal care, and support caregiver autonomy. Clinical trial registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD42025632103, identifier (CRD42025632103).

BACKGROUND: Patients' adherence to antibiotic treatment and related prevention of AMR is significant. Understanding healthcare professionals' strategies for advising and educating patients in primary care settings is crucial.

AIM: From the perspectives of professionals and patients, to explore how physicians, pharmacists, and nurses educate patients about antibiotic use and antimicrobial resistance in primary care settings.

METHODS: A qualitative systematic literature review was conducted in MEDLINE, EMBASE, CINAHL Complete, Eric, SocINDEX, PsycInfo, Web of Science and Scopus. The study included 102 publications, followed PRISMA recommendations and was registered in PROSPERO (reg.no. CRD4202455761). The studies were screened and selected based on specific inclusion and exclusion criteria using Covidence. Quality appraisal followed the Critical Appraisal Skills Program (CASP) qualitative study checklist. Data were extracted, and the analysis consisted of a descriptive numerical summary analysis and a qualitative thematic analysis.

RESULTS: The analyzed studies spanned multiple countries and settings and included perspectives of primary care physicians, pharmacists, nurses and patients. Two main themes emerged: (1) Relationships between professionals and patients influenced educational strategies, showing that trust and rapport between healthcare professionals and patients played a crucial role in shaping educational strategies around antibiotic use; (2) The organizational structures challenged professionals in guiding and educating patients, highlighting how limited resources, time constraints, and system-level pressures hindered healthcare professionals' ability to provide consistent and effective education. Often, structural challenges led to not educating the patients on the risks of antibiotic misuse and antimicrobial resistance. The use of delayed prescriptions emerged as a strategy for improved AMR stewardship and to meet patients' expectations for antibiotic treatment, though it raised concerns about undermining professional responsibility and authority in ensuring appropriate antibiotic use.

CONCLUSION: Healthcare professionals' role in educating patients about antibiotic use and AMR in primary care settings was complex, with different challenges faced by nurses, pharmacists and primary care physicians. These challenges extended beyond the clinical level, including relational, social and structural factors. Power dynamics, trust issues, and time pressures often hindered effective education on antibiotic use. Addressing gaps in education on antibiotic use and AMR requires acknowledging these multifaceted challenges, with future efforts focusing on better supporting healthcare professionals in this context.

SYSTEMATIC REVIEW REGISTRATION: https://www.crd.york.ac.uk/prospero/, identifier CRD4202455761.

Children’s understanding of death, bereavement and grief develop through socialisation where picture books also may play a role. The study explores how children’s picture books published in China (2010–2024), communicated themes of death, bereavement and grief. A systematic search identified 321 relevant books, of which 47 met the inclusion criteria and were analysed using both descriptive and a Berger and Luckmann-inspired qualitative thematic approach. Three themes were constructed: ‘Nature as a framework for understanding death, bereavement and grief ‘, ‘Normalisation strategies of death, bereavement and grief’, and ‘Reinventing new relationships to the deceased’. Nature was depicted as a retreat and a medium for socialising children about death, bereavement, and grief. Grieving and bereavement were portrayed as complex processes, with external support and communal rituals emphasised as essential strategies, shaped by societal norms and rituals. Relationships with the deceased were often reinvented to continue bonds.

Introduction: Social media provides nurses with tools to share information, debate healthcare policy and practice issues, and engage in interpersonal interactions. Historically, also in Scandinavia, nurses’ trade unions have taken the lead in defining nursing as a profession and supporting nurses in ‘conducting good nursing’. However, it is unexplored how trade unions guide nurses in social media use.

Aim: To explore the explicitly formulated guidance documents provided by Scandinavian nurses’ trade unions, specifically focusing on how the trade unions guided nurses’ social media use.

Materials and methods: Trade union guidelines for social media use were searched on the Scandinavian nurses’ organisations’ websites. A textual discourse analysis inspired by Fairclough’s critical approach was conducted. The analysis considered three levels: the social practice level, focusing on connections between the texts and the surrounding society; the discursive practice level, focusing on the processes of production and distribution of the texts; and the textual level, capturing how grammatical formulations and single words work in the (re) construction of social structures.

Results: At the social practice level, the trade union documents guiding nurses’ social media uses were embedded in platfomised public communication, laws about confidentiality and data protection, and ethical codes for nurses. At the discursive practice level, the guidelines were constructed to support nurses’ social media uses in adhering to their profession’s ethical principles. The trade unions’ implicit and explicit representations of nurses blurred the distinction between nurses as professionals and nurses as private persons. At the textual level, the guidelines tapped into the potential risks of using social media and how nurses ought to act on social media. Unlike the Danish and Swedish trade unions, the Norwegian trade union did not develop specific guidelines for nurses’ social media use.

Conclusion: The guidelines emphasized risks stemming from social media use that did not adhere to the profession’s politically defined guidelines, norms, and values, although nurses’ conditions are already framed by the national legislations and ethical standards. The study advocates for the development of guidelines that support beneficial uses of social media in relation to nurses and the nursing profession.