Evidence map›Paper›PMID 42366575›Full record

ArticleJournal of nursing management2026

Invisible Care: Nurses' Lived Experiences of How the Practice Environment Shapes Nurse-Patient Relationships.

Miriam Pereira-Sánchez, Amparo Zaragoza-Salcedo, Mónica Vázquez-Calatayud, Maribel Saracíbar-Razquin

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Miriam Pereira-SánchezFaculty of Nursing, University of Navarra, C/ Irunlarrea 1, 31008, Pamplona, Navarra, Spain, unav.edu.ORCID https://orcid.org/0000-0002-5868-3479
Amparo Zaragoza-SalcedoFaculty of Nursing, University of Navarra, C/ Irunlarrea 1, 31008, Pamplona, Navarra, Spain, unav.edu.ORCID https://orcid.org/0000-0003-4438-9663
Mónica Vázquez-CalatayudInnovation for a Person-Centred Care Research Group, Faculty of Nursing, University of Navarra, Pamplona, Navarra, Spain, unav.edu.ORCID https://orcid.org/0000-0003-1073-4668
Maribel Saracíbar-RazquinFaculty of Nursing, University of Navarra, C/ Irunlarrea 1, 31008, Pamplona, Navarra, Spain, unav.edu.ORCID https://orcid.org/0000-0001-5545-2563

Funding

Universidad de Navarra 2018-25
6 · The paper itself

Abstract

aimTo explore how the nursing practice environment shapes nurse-patient relationships, identifying key organizational challenges and opportunities for nursing management and policy.

designA qualitative hermeneutic phenomenological design was used to explore the lived experiences of nurses in a hospital setting.

methodsData were collected through in-depth, face-to-face interviews and analyzed using Van Manen's hermeneutic phenomenological method. Data saturation was reached after 20 interviews.

resultsThe findings reveal that nurse-patient relationships are fundamentally shaped by organizational and structural conditions that systematically constrain the relational dimension of nursing practice. Nurses experienced a persistent tension between their professional commitment to person-centered care and an organizational context that prioritizes task completion over relational engagement. Five themes were identified: (1) organizational culture fails to adequately recognize the relational essence of nursing; (2) environmental factors constrain team dynamics and nurse-patient relationships; (3) ambiguity in patient assignment undermines continuity of care; (4) limited time availability hinders meaningful patient engagement; and (5) high nurse-patient ratios erode the conditions for relational care.

conclusionMeaningful nurse-patient relationships are structurally shaped by the practice environment. Strengthening nursing leadership, promoting professional autonomy, and redesigning organizational policies are essential to sustaining person-centered care and improving patient outcomes.

Indexed as

Nurse-Patient RelationsNursesWorkplaceAdultAttitude of Health PersonnelFemaleHermeneuticsHumansInterviews as TopicLeadershipMaleOrganizational CulturePatient-Centered CareQualitative Researchnurse-to-patient relationshipsnursing leadershipnursing workloadorganizational culturepatient-centered carepractice environment

Identifiers

PMID42366575
PMCPMC13311201

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.