Evidence map›Paper›PMID 42892307›Full record

ArticleInternational journal of circumpolar health2026

Sustaining nursing practice in Greenland: insights from a positive deviance study on motivation, resilience, and holistic care in arctic healthcare.

Carsten Juul Jensen, Anna Kleist Egede, Louise Lennert Olsen, Lene Seibæk

Abstract read
In one paragraph

Article in International journal of circumpolar health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Carsten Juul JensenInstitute of Health and Nature, Nurse Education Ilisimatusarfik (University of Greenland), Greenland.
Anna Kleist EgedeQueen Ingrid's Hospital, Nuuk, Greenland.
Louise Lennert OlsenQueen Ingrid's Hospital, Nuuk, Greenland.
Lene SeibækInstitute of Health and Nature, Nurse Education Ilisimatusarfik (University of Greenland), Greenland.ORCID 0000-0002-2396-8669

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health disparities in the Arctic remain substantial, with Inuit populations experiencing shorter life expectancy and higher morbidity than global averages. Nurse shortage exacerbates these challenges, and Greenland continues to rely on nurses from other countries. Despite these constraints, health outcomes have improved over time, including increased life expectancy, enhanced diabetes care, and better child growth indicators. To sustain professional well-being and retention in the Greenlandic nursing workforce, this study explores how nurses deliver high-quality care under constrained conditions, and what motivates them to remain in healthcare using a positive deviance framework. Ethnographic fieldwork was conducted across five Greenland regions, involving participant observations and interviews with nurses and students across professional roles. Across backgrounds and seniority, nurses demonstrated a shared passion for their work, with patient encounters central to practice. Resilient communities, shaped through collaboration and humour, supported creative problem-solving and a strong sense of responsibility, extending from individual patients to healthcare and society. Nurses sustain their practice through patient-centred values, community resilience, improvisational competencies, and commitment to societal well-being. Using a positive deviance perspective, insights from effective nursing practices can inform nursing education and Arctic healthcare, improving patient care, job satisfaction, staff retention, and long-term cost efficiency.

Indexed as

Holistic NursingMotivationResilience, PsychologicalAdultArctic RegionsFemaleGreenlandHumansInuitMaleGreenlandjob motivationNursing practicepositive deviancesustainable health

Identifiers

PMID42892307
PMCPMC13686202

What OpenQuestion holds

Textmetadata
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.