Search Results (884)

Background and Objectives: Advanced practice nurses (APNs) play an increasingly important role in improving healthcare quality and outcomes. This systematic review synthesized evidence on APN roles and healthcare outcomes in Thailand. Methods: The review protocol was prospectively registered in PROSPERO (CRD420261331793). Four databases (PubMed, CINAHL, Scopus, and Thai Journals Online) were searched from inception to January 2026. Two independent reviewers performed study selection, data extraction, and methodological quality assessment using the Mixed Methods Appraisal Tool (MMAT, 2018) for mixed-methods studies and the Joanna Briggs Institute (JBI) critical appraisal checklists for quasi-experimental, analytical cross-sectional, and qualitative studies. A narrative synthesis was undertaken because of methodological heterogeneity. Results: Twenty studies were included, comprising eight quasi-experimental studies, six cross-sectional studies, four mixed-methods studies, one retrospective study, and one qualitative descriptive study. APNs performed diverse roles, including direct clinical care, care coordination, consultation, patient education, mentoring, and implementation of evidence-based practice. APN-led models of care were associated with favorable clinical outcomes, enhanced self-care and quality of life, increased patient and caregiver satisfaction, and reduced hospital length of stay and healthcare costs. Conclusions: The available evidence suggests that APN-led models of care may be associated with favorable patient, family, and health system outcomes in Thailand. However, these findings should be interpreted cautiously because the evidence was derived predominantly from non-randomized and observational studies, and the independent effects of APN practice could not always be isolated. Full article

Background: Primary healthcare centers are an essential component of disaster response systems, particularly in the Makkah Region of Saudi Arabia, where recurrent mass gatherings and environmental hazards increase the need for workforce readiness. Although nurses play a central role in frontline emergency response, evidence on disaster preparedness among primary healthcare nurses in Saudi Arabia remains limited. Objective: To assess the level of disaster preparedness among primary healthcare nurses in Makkah and examine demographic and professional factors associated with preparedness. Methods: A descriptive cross-sectional correlational study was conducted among 194 nurses working in primary healthcare centers in the Makkah Region. A multi-stage sampling approach was used in which 23 of 115 primary healthcare centers were randomly selected, followed by recruitment of eligible nurses through an online survey using non-probability methods. Disaster preparedness was measured using an adapted 68-item Disaster Preparedness Evaluation Tool covering biological and chemical preparedness, disaster response, family preparedness, disaster recovery, awareness and knowledge, communication and coordination, psychological preparedness, and training and participation. Results: Overall disaster preparedness was moderate to high (M = 3.84, SD = 0.75). The highest mean scores were observed for family preparedness (M = 4.56, SD = 1.11), biological and chemical preparedness (M = 4.32, SD = 0.95), and disaster response (M = 4.31, SD = 0.99), whereas training and participation had the lowest mean score (M = 2.65, SD = 0.54). Preparedness differed significantly by educational attainment, specialization, and years of experience, while no significant gender difference was observed. Correlations among preparedness dimensions were strong (r = 0.685–0.872), indicating that the measured preparedness domains were closely interrelated. Conclusions: Primary healthcare nurses in Makkah demonstrated generally favorable disaster preparedness; however, important gaps remain in training and participation, communication and coordination, and psychological preparedness. Strengthening simulation-based education, interdisciplinary drills, communication systems, and continuing professional development may improve frontline emergency readiness in primary care settings exposed to recurrent large-scale hazards. Full article

Pediatric oncology nursing is among the highest-intensity care specialties, exposing nurses to repeated child death and sustained emotional investment in family relationships. This occupational burden is a recognized psychosocial risk factor and a driver of compassion fatigue, burnout, and reported intention to leave, yet the organizational and educational determinants of this risk remain poorly captured by existing assessment approaches. This study investigated the lived experiences of nurses caring for terminally ill children in a pediatric onco-hematology unit and hospice ward in central Italy (N = 15), using a qualitative descriptive design, informed by a phenomenological sensibility to lived experience, supported by computer-assisted textual analysis. Structured face-to-face interviews were analyzed through thematic content analysis with stepwise replication, while quantitative textual analysis was performed using T-Lab software to map co-occurrence patterns among key lemmas, providing a frequency-based, semantically grounded picture of nurses’ representations of occupational risk. Seven themes emerged, including quality of nursing care, parental relationships, coping with a child’s death, and impact on personal and professional life. Findings showed that reported intention to leave was associated, in participants’ accounts, with absent psychological debriefing, cumulative emotional burden, inadequate end-of-life training, and a near-total absence of organizational vocabulary for peer-level support—a gap directly visible in the co-occurrence structure of nurses’ language. As a secondary aim, by combining qualitative depth with complementary lexical analysis of thematic patterns, this study also offers a methodological example of how psychosocial risk in high-intensity care settings can be assessed and translated into actionable indicators for organizational climate and workforce well-being. The findings inform concrete prevention strategies and policy recommendations for nursing education and occupational health, consistent with this Special Issue’s focus on methodological innovation for psychosocial risk assessment and public health policy design. Full article

Background/Objectives: Youth are increasingly engaged in mental health research, but many models remain consultative rather than participatory. We examined the Technology and Adolescent Mental Health Internship (TAMI) as an implementation-focused instrumental case study of a structured youth participatory action research internship for high school students recruited through schools serving Chicago’s West and South Sides. Methods: The case study included an embedded multimethod formative evaluation with participatory interpretation by a post-program youth advisory board (n = 8). In Year 3, 18 participants completed baseline surveys, and 16 provided matched pre–post surveys (matched survey completion = 89%). Measures included a study-developed five-item research-task self-efficacy indicator, post-program attitudes and intentions, and four open-ended items. We conducted one exploratory paired-samples t-test and an inductive descriptive content analysis. Results: In exploratory analyses, mean research-task self-efficacy scores increased from 21.8 (SD = 2.1) at baseline to 23.8 (SD = 1.4) post-program, t(15) = 4.09, p = 0.001, d_z = 1.02. Among the 15 respondents who responded to each of these post-program items, all reported being confident or very confident explaining youth mental health research, and all reported being at least somewhat likely to participate in future research, advocacy, or mental health activities. Participants described learning related to literature review, research design, ethics, data interpretation, and science communication. They recommended a longer program, additional applied practice, and more guest speakers. Conclusions: The TAMI was delivered within one program cycle and was viewed favorably by respondents. This case illustrates how youth-generated questions, adult scaffolding, collaborative interpretation, and youth co-authorship can be incorporated into a structured research internship. Larger, independent evaluations are needed to assess outcomes, sustainability, and transferability. Full article

Objective: Varicella zoster virus (VZV), a member of the Herpesviridae family, is known as the causative agent of chickenpox (varicella). Following primary infection, VZV can remain latent for life and may reactivate over time to cause herpes zoster (shingles). Advanced age, immunodeficiency, and certain chronic illnesses are major risk factors for the development of herpes zoster. To prevent herpes zoster, a live zoster vaccine was licensed in 2006, followed by a recombinant zoster vaccine with higher efficacy in 2018. In Türkiye, the recombinant zoster vaccine was licensed in 2024. Raising awareness among healthcare workers is important both for their own health and the safety of vulnerable patients. This study aimed to evaluate healthcare workers’ knowledge and awareness of herpes zoster infection and zoster vaccines across the country, as well as to determine the prevalence of prior herpes zoster infection among them. Methods: After obtaining ethical approval, a nationwide multicenter survey was conducted. A questionnaire was distributed to healthcare workers via an online link. Participation was entirely voluntary. The survey collected demographic information (age, sex, profession, years of experience) and included questions on knowledge of herpes zoster, history of zoster infection, symptoms and severity (if applicable), awareness of the zoster vaccine, and vaccination attitudes. Results: A total of 5180 healthcare workers participated, of whom 3505 were female. The participants ranged in age from 18 to 79 years (mean age: 34.24 ± 11.52). Regarding professions: 47.9% were physicians, 21.3% were nurses or midwives, 0.8% were dentists or dental technicians, and 30% were from other healthcare professions. Among participants, 54.4% had ≤10 years of professional experience, 20% had comorbidities, and 10.5% were using immunosuppressive medications. It was found that 9.6% had previously had herpes zoster, 8.8% had no knowledge of the disease, 39.6% were aware of the vaccine, and 20.1% were unwilling to pay for vaccination. Multivariate binary logistic regression analysis revealed that being a physician significantly increased the likelihood of having correct knowledge by 1.961 times compared to other professions (p < 0.001, CI: 1.608–2.392). Similarly, those who had heard of herpes zoster were 3.191 times more likely to answer correctly than those who had not (p = 0.011, CI: 1.650–6.172). Male gender was significantly associated with a lower likelihood of having accurate knowledge compared to females (p = 0.001, OR = 0.720, CI: 0.594–0.874). Conclusions: This study revealed that healthcare workers’ knowledge and awareness regarding herpes zoster and its vaccines are generally insufficient. The recent licensing of the vaccine in Türkiye may explain this, but it is critical for healthcare professionals to be more informed about risk groups and vaccination indications in order to enhance the effectiveness of preventive healthcare services. Given the potential for serious complications of herpes zoster in elderly and immunocompromised individuals, the importance of vaccination should be emphasized more strongly to healthcare workers. Furthermore, the finding that 20.1% of those aware of the vaccine were deterred by its cost highlights the need to improve vaccine accessibility. Economic barriers preventing healthcare workers from being vaccinated emphasize the importance of making the vaccine widely available through public support to protect both healthcare workers and patient safety. Full article

On behalf of the Canadian Association of Psychosocial Oncology, we are pleased to present the abstracts from the 2026 Annual Conference, titled “A New Horizon: Expanding the Access and Impact of Psychosocial Oncology”. The 41st Annual CAPO Conference was held in St. John’s, Newfoundland from 8 June 2026 to 9 June 2026. As we stand at a new horizon in psychosocial oncology, we recognize the unprecedented opportunities to expand both the access to and the impact of comprehensive cancer care. This conference will explore innovative strategies for breaking down traditional barriers that have historically limited access to psychosocial support, including geographic isolation, resource constraints, cultural disparities, and systemic inequities in healthcare delivery. This expansion of reach and influence represents not merely growth in service numbers, but a fundamental transformation in how we conceptualize, design, and implement patient-centered psychosocial care across diverse communities and care settings. We will explore scalable solutions that amplify impact while maintaining the deeply personal, human-centered approach that defines excellence in psychosocial oncology. From telehealth innovations and peer support networks to community-based interventions and integrated care models, this conference will showcase evidence-based strategies that expand our collective ability to support individuals and families navigating the cancer journey, wherever they may be. This conference brought together key stakeholders including multidisciplinary professionals from nursing, psychology, psychiatry, social work, spiritual care, nutrition, medicine, rehabilitation medicine, occupational health and radiation therapy for both adult and pediatric populations. Participants included clinicians, researchers, educators in cancer care, community-based organizations and patient representatives. Patients, caregivers and family members presented abstracts that speak to their role in managing cancer experiences and care. Over one-hundred and fifty (150) abstracts were submitted for presentation as symposia, 20 min oral presentations, 10 min oral presentations, 90 min workshops and poster presentations. We congratulate all the presenters on their research work and contributions. Full article

Background/Objectives: Children with cancer admitted to the pediatric intensive care unit (PICU) are at increased risk for post-intensive care syndrome (PICS-p) due to prolonged immobility, deep sedation, and severe illness. The ABCDEF bundle offers a framework for enhancing ICU care and patient recovery, but implementing all components in pediatric oncology patients is challenging. This study assesses the development and implementation of the BRAVE (Beginning Restorative Activities Very Early) initiative, specifically BRAVE2, to integrate the comprehensive ABCDEF bundle and a nurse-led mobility program, in collaboration with rehabilitation specialists, within a pediatric oncology intensive care unit. Methods: BRAVE2 was a quality improvement project conducted in a single pediatric ICU from 2022 to 2023. We analyzed ICU data to assess patient demographics, frequency of physical and occupational therapy (PT/OT) consultations, time to initial mobilization, and delirium screening rates (CAPD score of 9 or higher) for patients with ICU stays over 48 h. BRAVE2 addressed all elements of the ABCDEF bundle, including regular pain assessments, evaluation of spontaneous breathing readiness, sedation adjustments, delirium screening, early mobilization, and family engagement. Outcomes were monitored using statistical process control methods. Results: Of 140 patients, 117 (84%) remained in the ICU for more than 48 h. The delirium screening rate was 15.5%, consistently below the target of 30%. PT/OT consultations within 72 h occurred in 80.7% of patients, and early mobilization in 49.7% of patients, both below the 80% goal. However, 90.4% of patients with tracked mobility were able to ambulate during their ICU stay. No mobility-related safety incidents were reported. Conclusions: Rolling out a full ICU liberation plan in a pediatric oncology ICU is possible, and implementing a comprehensive one is feasible and sustainable despite challenges. Although therapist-led early mobilization did not meet targets, incorporating nurse-led mobility strategies and routine delirium screening has established a scalable model to enhance ICU care and support long-term recovery for these patients. Full article

The cumulative occurrence of workplace violence in nursing represents a growing challenge to workers’ health and the quality of care. This study aimed to analyze the prevalence, characteristics, and repercussions of workplace violence among nursing professionals in a tertiary university hospital. A cross-sectional, exploratory, and descriptive study was conducted with 573 nursing professionals using an electronic questionnaire for data collection. Descriptive and inferential analyses were performed using Pearson’s chi-square test with Bonferroni correction. Overall, 71.2% of participants reported ever experiencing workplace violence while working at the hospital, according to the questionnaire. Among those exposed, workplace bullying/intimidation (76.5%), verbal violence (49.8%), and psychological violence (43.9%) were the most frequently reported forms of violence. Physical violence (8.1%), sexual violence (5.6%), racial discrimination (9.1%), gender discrimination (6.4%), ageism (7.8%), and ableism (2.0%) were reported less frequently. Managers/supervisors (37.3%), patients’ family members or companions (29.4%), and coworkers (28.4%) were identified as the main perpetrators. Participants who experienced workplace violence reported adverse occupational and health-related outcomes, including medication use, psychological treatment, work absences, intention to resign (50.2%), and intention to leave the profession (42.6%). Underreporting was substantial, with only 33.7% of incidents being formally reported. Workplace violence was highly prevalent among nursing workers and was accompanied by self-reported adverse consequences for health, well-being, and professional performance. These findings underscore the need for effective institutional strategies aimed at preventing, monitoring, and addressing workplace violence in hospital settings. Full article

Context: Child-focused healthcare professionals serve as primary providers of both physical and psychosocial care to pediatric patients and their families. Consequently, they are exposed to substantial occupational and emotional challenges in the course of their practice. Objectives: This study examined the levels and multidimensional aspects of occupational stress, coping strategies, and resilience among healthcare professionals providing care to pediatric patients and their families in Greece. Methods: Socio-demographic characteristics, perceived occupational stress, coping strategies (WCQ), and resilience were assessed in a sample of 202 child-focused healthcare (physicians and nurses) and social care professionals (social workers, psychologists, and special education professionals) employed across a range of health and psychosocial services in Greece. Multiple linear regression analyses using the enter method were performed to examine the associations among resilience, occupational stress, and coping strategies while controlling for relevant demographic and occupational variables. Results: Social support was significantly associated with gender. Positive coping was associated with age, work experience, and the WCQ subscales Social Support, Daydreaming, and Avoidance. Avoidance coping was positively associated with profession and Daydreaming. Significant differences were also observed according to age, occupational stress, positive coping, social support, and resilience. Hierarchical multiple regression analysis demonstrated that, positive coping was independently and most strongly associated with resilience (p < 0.001), whereas work stress was independently and negatively associated with resilience (p = 0.001), with higher perceived stress corresponding to lower levels of resilience. Conclusions: The findings highlight the central role of positive coping in relation to resilience among child-focused healthcare professionals, while demonstrating the negative association between occupational stress and resilience. These results underscore the need for interventions that strengthen effective coping strategies, reduce work-related stress, and enhance resilience among healthcare professionals. They also identify important knowledge gaps and support the need for future research examining occupational stress, its long-term consequences, and the coping mechanisms and resilience among professionals working with children and families. Full article

Background/Objectives: The support of healthcare professionals can affect the improvement of cancer survivors’ self-management ability. Community nurses in charge of primary health care can play a positive role in the management of cancer survivors because they meet with cancer survivors in various areas and have basic knowledge of oncology. This study aimed to assess the educational needs and analyze the priorities of a cancer survivor nursing care education program for community nurses. Methods: An online survey was conducted on 164 nurses working in public health centers in South Korea from 5 February to 24 February 2024. A 25-item questionnaire was used to measure community nurses’ perceived knowledge and perceived importance of cancer survivor care. The educational needs analysis was conducted using the Borich needs assessment and the Locus for Focus model. Results: The highest priority content areas were as follows: economic support and related insurance systems, second primary cancer screening, physical rehabilitation after cancer treatment, diet and nutrition, complications of cancer treatment, returning to work, physical and mental problems of a cancer patient’s family, and providing training materials and information on cancer. Conclusions: The results suggest that community nurses’ educational needs extend beyond direct clinical care to include care coordination and resource-linkage roles. Because these priorities were based on nurses’ perceived educational needs rather than needs grounded in clinical practice, future educational programs should be developed to address these needs while also strengthening community nurses’ clinical reasoning competencies. Full article

Background/Objectives: In rural settings, work, family, and environmental conditions are closely intertwined, requiring Primary Health Care to recognize care needs arising from productive work and everyday family responsibilities. This study aimed to analyze overall and domain-specific levels of perceived workload related to agriculture/fishing and family involvement in the household among rural and small-scale fishing workers, examine associated factors, and discuss analytical implications for nursing care organization in Primary Health Care. Methods: This cross-sectional study was conducted in three island territories in Rio Grande, southern Brazil, following the STROBE guidelines. Data were collected using a structured questionnaire on sociodemographic, family, and occupational characteristics and the NASA Task Load Index (NASA-TLX), applied separately to assess workload related to agriculture/fishing and family involvement in the household. Results: The sample included 146 rural and small-scale fishing workers. Perceived workload could suggest high in both dimensions, with higher levels in agriculture/fishing (mean 84.0 ± 16.5; 89.7% high/very high) than in family involvement in the household (mean 76.1 ± 24.5; 75.4% high/very high). Agriculture/fishing workload perceived could suggest highest scores for overall effort level, temporal demand, and physical demand, whereas family involvement could suggest highest scores for performance-related workload and overall effort level. In the adjusted model, agriculture/fishing perceived workload may be associated with longer daily working time (b = 1.69; 95% CI: 0.82 to 2.56; p < 0.001) and shorter rest time during work (b = −0.05; 95% CI: −0.08 to −0.01; p = 0.011). Perceived workload related to family involvement in the household may be associated with monthly income up to two minimum wages (b = 19.90; 95% CI: 7.78 to 32.10; p = 0.001). The adjusted R² values were 17.3% and 6.7%, respectively. Conclusions: Perceived workload appears to be related to high levels in both productive and family household contexts. The findings might contribute to providing analytical support for future discussions on nursing care organization in Primary Health Care, potentially by considering working conditions, family responsibilities, and territorial context when discussing care needs among rural and small-scale fishing workers. Full article

Background/Objectives: Chemotherapy-related fatigue (CRF) affects 50–80% of children receiving chemotherapy and significantly impairs quality of life. Despite the family-centered care framework guiding pediatric oncology practice, evidence on parent-delivered, home-based non-pharmacological interventions for CRF remains limited. This study aimed to evaluate the effect of a parent-delivered warm-water foot bath on CRF in children aged 7–12 years undergoing chemotherapy. Methods: A two-arm parallel randomized controlled trial (NCT06529484; October 2024–May 2025) was conducted at a university hospital pediatric hematology–oncology outpatient clinic. Sixty-one children with stage 3–4 Non-Hodgkin Lymphoma (intervention, n = 29; control, n = 32) were randomized using computer-generated allocation and sequentially numbered, opaque, sealed envelopes. Following structured family education, parents delivered nightly foot baths (38–40 °C, 20 min) at home for 7 consecutive days after chemotherapy administration. Adherence and fidelity were monitored via a daily WhatsApp communication protocol. Fatigue was assessed daily using the Oncology Nursing Society Visual Fatigue Scale (ONS-VFS; primary outcome) and pre/post analysis using the Pediatric Oncology Fatigue Assessment Scale (child and parent forms). Reporting followed CONSORT 2025. Results: Median ONS-VFS scores declined significantly over the 7 days in both groups (Friedman p < 0.001 for each), from 5 (Day 1) to 2 (Day 7); between-group comparisons showed no statistically significant differences on any day (all p > 0.05). On the Pediatric Oncology Fatigue Assessment Scale, no between-group differences favored the intervention; a single child-report subscale difference favored the control group and is most plausibly attributable to multiple comparisons. Adherence was complete (100%), no adverse events occurred, and all 61 participants completed the protocol. Conclusions: A parent-delivered foot bath is a safe, feasible, and well-accepted family-centered nursing intervention, with complete adherence and no adverse events. This trial was not powered to detect between-group differences and did not demonstrate superiority over standard care; adequately powered trials are needed to determine efficacy. Full article

Background/Objectives: Therapeutic education for children and adolescents with Type 1 Diabetes Mellitus (T1DM) is a continuous and essential process in the effective management of the disease. These programs consider the unique characteristics and developmental needs of each child or adolescent, aiming to empower them to take responsibility for their disease self-management, improve quality of life, and prevent complications. The purpose of this systematic review was to evaluate the impact of therapeutic education in children and adolescents with T1DM on self-management of their disease. Methods: International bibliography was reviewed using electronic databases such as PubMed, Cochrane Library, and Scopus. Key words such as “Therapeutic Education”, “Type 1 diabetes”, “children”, “self-management”, “glycemic control”, and “educational programs” in combination with Boolean operators (AND, OR) were used in English language to search for studies conducted during 2014–2024. Results: A total of 23 studies met the inclusion criteria. Most reported improvements in glycemic control, though not all showed statistically significant reductions in glycated hemoglobin (HbA1c). Enhanced treatment adherence and increased diabetes-related knowledge were common outcomes. Combined educational approaches incorporating psychoeducational interventions demonstrated greater effectiveness in promoting self-management. Digital tools, such as Continuous Glucose Monitoring (CGM), further supported adherence. Quality-of-life improvements were noted but were not always sustained long-term. Parental involvement appeared to improve children’s confidence in disease management. The critical role of interdisciplinary diabetes care teams, particularly nurses’ role, was also highlighted. Conclusions: Therapeutic education appears to support self-management among children and adolescents with T1DM, particularly when programs are individualized, family-centered, multidisciplinary, and supported by psychosocial or technological components. However, effects on glycemic control were not consistent across studies, and further research is needed to confirm long-term outcomes. Full article

Background/Objectives: Spiritual care is a core component of holistic paediatric palliative care, yet nurses often feel insufficiently prepared to address the spiritual and existential needs of seriously ill children and their families. This systematic review aimed to explore nurses’ experiences of providing spiritual care to seriously ill and dying children in paediatric palliative care settings and to identify the factors that facilitate or hinder its provision. Methods: A systematic review was conducted in accordance with PRISMA 2020. CINAHL, PubMed, Web of Science and SAGE were searched for English-language qualitative, quantitative and mixed-methods studies published up to November 2025. Study quality was assessed using JBI critical appraisal checklists, and the findings were synthesised thematically following Thomas and Harden. Results: A total of 228 records were identified, of which ten studies met the predefined inclusion criteria. The thematic synthesis identified one overarching theme—nurses’ engagement with spirituality while caring for seriously ill and dying children—supported by two sub-themes: managing emotional responses and maintaining professional, family-centred support. Conclusions: Nurses recognise spiritual care as essential in paediatric palliative care but often lack the competence and institutional support to provide it consistently. Education should prioritise spiritual assessment, developmentally appropriate communication, ethical boundaries, reflective practice and structured debriefing. Full article

Background: While the consumer experience of psychosis has received significant attention in Western research, a substantial gap exists regarding the experiences of women in the Kingdom of Saudi Arabia (KSA). In this context, religious, cultural, familial, and gender-specific factors uniquely shape the experience of psychosis, help-seeking behaviors, and recovery. This study aimed to explore the lived experiences of Saudi women with psychosis across three phases: first-episode onset, hospitalization or follow-up, and community living after discharge. Methods: This hermeneutic phenomenological study, guided by van Manen’s methodology, employed all six lifeworld existentials: lived space, lived body, lived time, lived self-other, lived thing, and lived cyborg. Semi-structured interviews were conducted with 21 women diagnosed with psychosis at two hospitals in Riyadh, KSA. Data collection included 13 audio-recorded interviews and eight documented via field notes, supplemented by creative methods such as drawings, poems, and written texts analyzed using van Manen’s vocative method. All Arabic data were professionally translated and verified for accuracy. Results: Three overarching themes emerged. First, women’s lived experiences of first-episode psychosis highlighted the process of understanding causes and developing insight during onset. Second, experiences during admission and follow-up revealed the impact of clinical encounters, nursing care, and the critical need for therapeutic healing spaces. Third, living with psychosis in the community emphasized the complexities of medication adherence, family dynamics, and the pursuit of recovery through education, employment, and religious practice. Conclusions: The participants articulated user-based recovery perspectives, including empowerment, shared decision-making, and hope, which contrasted sharply with the service-based approaches they received. Culturally specific stressors and pervasive stigma shaped every phase of their journey. To the authors’ knowledge, no prior study has examined this population using a hermeneutic phenomenological framework; these findings provide a women-focused, culturally situated evidence base for developing gender-specific recovery models and enhanced discharge planning within the KSA mental health system. Full article