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Jeppesen E, Schmidt AA, Skjødt CK, Hybschmann J, Gjærde LK, Thestrup J, Hansson H, Sørensen JL. Educational programmes for paediatric healthcare professionals in patient- and family-centred care. A scoping review. Eur J Pediatr 2024; 183:2015-2028. [PMID: 38430279 PMCID: PMC11035470 DOI: 10.1007/s00431-024-05455-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Revised: 01/05/2024] [Accepted: 01/25/2024] [Indexed: 03/03/2024]
Abstract
To identify and describe educational programmes in patient- and family-centred care for paediatric healthcare professionals. This scoping review was conducted and reported according to the JBI Manual for Evidence Synthesis and the PRISMA guideline. The databases searched included MEDLINE (PubMed), PsycINFO, CINAHL, Scopus, Cochrane, and Embase. Inclusion criteria were experimental, observational and qualitative studies about educational programmes on patient- and family-centred care for paediatric healthcare professionals. Exclusion criteria were reviews and non-peer-reviewed literature. Two reviewers independently screened and extracted the data using Covidence. Of the 13922 records identified, 49 articles met the inclusion criteria. There was a large variety of educational programmes, half of which were interdisciplinary, that mainly targeted nurses and doctors. The median number of participants was 51 (range 7 to 1411). The predominant target population was children with chronic disabilities and neonatal intensive care units, and only one programme specifically targeted adolescents. The median duration was one day (range 5 min to 3.5 years). Development of competencies was the most common objective. We identified 12 different educational content areas. Content mainly focused on communication and relational competencies, including partnership, which involved shared decision-making, mutual agenda setting, and negotiation of a plan. Many kinds of educational strategies were found but experiential learning through simulation and roleplay was used most. Conclusion: A large variety of educational programmes in paediatric patient- and family-centred care exist. Educational content mainly focused on communication and relational competencies. Experiential learning including roleplay and simulation was the most used educational strategy. What is Known: • Delivery of patient- and family-centred care improves parental satisfaction of care but requires clinicians have a certain attitude towards involving the child and parents in a healthcare partnership as well as advanced triadic communication skills. Little is known about how this attitude, and more broadly, patient- and family-centred care, can be facilitated through education and training. What is New: • This scoping review found a wide array of programmes.. Workshops with simulation or roleplay was the most frequent educational strategy. The programmes, which typically targeted nurses and doctors, chiefly focused on basic and advanced communication and relational competencies, including partnership, which involved shared decision-making and negotiation of plans.
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Affiliation(s)
- Elisabeth Jeppesen
- Mary Elizabeth's Hospital - Rigshospitalet for Children, Teens and Expecting Families, Copenhagen University Hospital - Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark.
- Juliane Marie Centre, Copenhagen University Hospital -Rigshospitalet, Copenhagen, Denmark.
- Department of Respiratory Medicine, Copenhagen University Hospital - Bispebjerg and Frederiksberg, Copenhagen, Denmark.
| | - Anne Aarslev Schmidt
- Juliane Marie Centre, Copenhagen University Hospital -Rigshospitalet, Copenhagen, Denmark
- Department of Pediatric Surgery, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark
| | - Camilla Kriegbaum Skjødt
- Juliane Marie Centre, Copenhagen University Hospital -Rigshospitalet, Copenhagen, Denmark
- Department of Pediatric Surgery, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark
| | - Jane Hybschmann
- Mary Elizabeth's Hospital - Rigshospitalet for Children, Teens and Expecting Families, Copenhagen University Hospital - Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark
| | - Line Klingen Gjærde
- Mary Elizabeth's Hospital - Rigshospitalet for Children, Teens and Expecting Families, Copenhagen University Hospital - Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark
- Juliane Marie Centre, Copenhagen University Hospital -Rigshospitalet, Copenhagen, Denmark
| | - Jakob Thestrup
- Mary Elizabeth's Hospital - Rigshospitalet for Children, Teens and Expecting Families, Copenhagen University Hospital - Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark
| | - Helena Hansson
- Juliane Marie Centre, Copenhagen University Hospital -Rigshospitalet, Copenhagen, Denmark
- Department of Paediatrics and Adolescent Medicine, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark
- Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Jette Led Sørensen
- Mary Elizabeth's Hospital - Rigshospitalet for Children, Teens and Expecting Families, Copenhagen University Hospital - Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark
- Juliane Marie Centre, Copenhagen University Hospital -Rigshospitalet, Copenhagen, Denmark
- Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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Woods MA, Hampton D, Okoli CTC, Heath J, Moreland G. Pilot Study Focused on Knowledge, Attitudes, and Health Access Behaviors of Psychiatric-Mental Health Nurses Regarding Suicide Prevention. J Am Psychiatr Nurses Assoc 2024:10783903241247216. [PMID: 38653730 DOI: 10.1177/10783903241247216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/25/2024]
Abstract
OBJECTIVE: The purpose of this pilot study was to evaluate the effect of a web-based education module on the knowledge, attitudes, and ratings of willingness to access help related to suicide prevention in psychiatric-mental health nurses. METHODS: A quasi-experimental pretest-posttest design was employed. Registered nurses from two academic health center units and a 239-bed Psychiatric Hospital were invited to participate. Scores on knowledge of suicide risk and prevention, attitudes, subjective norms, perceived behavioral control, and intent to seek help upon experiencing suicidal ideations were obtained before and after administering a 25-min web-based training. RESULTS: Twenty-nine participants completed the pre-survey, web-based education module, and post-survey. Significant increases from baseline in the scores on knowledge, attitudes, subjective norms, and intentions related to help-seeking behaviors for nurse suicide prevention were noted. Perceived behavioral control median scores increased but were not statistically significant. More than 40% of the participants reported having experienced suicidal thoughts. CONCLUSIONS: Further study is needed to determine contributors to this higher rate. Understanding the effectiveness of strategies to reduce nurse suicide can provide insights into building better nurse suicide prevention programs.
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Affiliation(s)
- Marc A Woods
- Marc A. Woods, DNP, MSN, RN, NEA-BC, UK Healthcare, Lexington, KY, USA
| | - Debra Hampton
- Debra Hampton, PhD, MSN, RN, NEA-BC, CENP, FACHE, FAONL, University of Kentucky, Lexington, KY, USA
| | - Chizimuzo T C Okoli
- Chizimuzo T. C. Okoli, PhD, MPH, MSN, PMHNP-BC, APRN, NCTTP, FAAN, Eastern State Hospital and University of Kentucky, Lexington, KY, USA
| | - Janie Heath
- Janie Heath, PhD, APRN-BC, FAAN, FNAP, FAANP, University of Kentucky, Lexington, KY, USA
| | - Gwen Moreland
- Gwen Moreland, DNP, RN, NEA-BC, UK Health care, Lexington, KY, USA
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Wiwaranukool P, Chan RJ, Yates P. The Effects of an Educational Intervention on Exercise Advice Behaviors of Thai Oncology Nurses. Semin Oncol Nurs 2023; 39:151453. [PMID: 37336680 DOI: 10.1016/j.soncn.2023.151453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2023] [Revised: 05/01/2023] [Accepted: 05/17/2023] [Indexed: 06/21/2023]
Abstract
OBJECTIVE To evaluate an educational intervention based on the Theory of Planned Behavior to increase oncology nurses' exercise advice behaviors. METHODS A single-group, quasi-experimental repeated measures design study was used with 124 oncology nurses in a Thai cancer institute. The educational intervention included preeducation self-directed activities for 1 hour, a 2-hour group education session, and posteducation outreach contact 1 week later. The outcome measures, including the Theory of Planned Behavior constructs, exercise knowledge, and self-reported exercise prescription behaviors, were collected at three time points: Time 1 (2 weeks preintervention), Time 2 (immediately preintervention), and Time 3 (2 weeks after the intervention). CONCLUSION Results indicated a statistically significant increase in scores after the intervention for all outcomes, including the Theory of Planned Behavior constructs (overall P value <.001), exercise knowledge (β = 2.99, P < .001), and exercise prescription behaviors: asking (odds ratio [OR] = 12.98, P < .001), assessing (OR = 6.20, P < .001), referring (OR = 4.10, P < .001), and writing exercise advice (OR = 11.52, P < .001). Additionally, verbal counseling behavior was performed by all participants, and therefore, the odds for verbal counseling were not reported. Structural equation modeling analysis demonstrated that attitudes and perceived behavioral control explained 41% of the variance in exercise advice intention. Perceived behavioral control and intention also explained 20% of the variance in self-reported exercise advice behaviors. IMPLICATIONS FOR NURSING PRACTICE Attitudinal and perceived behavioral control constructs should be a focus of attention to improve health care professionals' exercise advice behaviors. More focused research is required to examine whether patients engage in and follow the exercise advice provided by oncology nurses.
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Affiliation(s)
- Porawan Wiwaranukool
- Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
| | - Raymond J Chan
- Caring Futures Institute, Flinders University, Bedford Park, South Australia, Australia;; Cancer and Palliative Care Outcomes Centre, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Patsy Yates
- Cancer and Palliative Care Outcomes Centre, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia
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Zengin Akkus P, Ilter Bahadur E, Coskun A, Koken G, Karahan S, Ozmert EN. Family-centred service: Perspectives of paediatric residents from a non-Western country. Child Care Health Dev 2020; 46:275-282. [PMID: 31984522 DOI: 10.1111/cch.12753] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 01/10/2020] [Accepted: 01/11/2020] [Indexed: 11/30/2022]
Abstract
OBJECTIVES The concept of family-centred service (FCS), which is recognized as the standard of paediatric health care, emerged from Western countries, and integration of FCS can be challenging especially in non-Western countries. This study aims to explore family-centred behaviours of paediatric residents and their perspectives on FCS being trained in a non-Western country before and 6 months after an educational workshop. It was hypothesized that the workshop will increase the awareness of paediatric residents regarding FCS and improve their self-reported family-centred practices. STUDY DESIGN Ninety-nine residents who are in a 4-year paediatric residency program were included. A 2-hr interactive workshop was conducted for all participants. The measure of processes of care for service providers was used to measure self-reported family-centred practices of paediatric residents, and a study specific questionnaire was utilized to understand their perspectives towards FCS prior to and 6 months after the workshop. RESULTS There were statistically significant increases in the measure of processes of care for service providers scores suggesting improvements in self-reported family-centred practices of participants 6 months after the workshop. Moreover, the percentage of participants describing themselves as knowledgeable and competent increased. Viewpoints of paediatric residents on the implementation of FCS and several challenges perceived by participants were highlighted. CONCLUSION This is the first study conducted in a non-Western country exploring perspectives of paediatric residents towards the implementation of FCS and measuring their self-reported family-centred practices before and after an educational workshop. The study revealed that although a 2-hr interactive workshop improved the self-reported family-centred practices of participants, they still found FCS challenging.
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Affiliation(s)
- Pinar Zengin Akkus
- Department of Pediatrics, Division of Developmental Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Evin Ilter Bahadur
- Department of Pediatrics, Division of Developmental Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Aysenur Coskun
- Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Gizem Koken
- Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Sevilay Karahan
- Department of Biostatistics, Hacettepe University Faculty of Medicine, Ankara, Turkey
| | - Elif Nursel Ozmert
- Department of Pediatrics, Division of Developmental Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey
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Bagnasco A, Aleo G, Timmins F, Begley T, Parissopoulos S, Sasso L. The need for consistent family-centred support for family and parents of children admitted to paediatric intensive care unit. Nurs Crit Care 2019; 22:327-328. [PMID: 29164785 DOI: 10.1111/nicc.12327] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Annamaria Bagnasco
- Associate Professor of and Nursing and Education Coordinator, Department of Health Sciences, University of Genoa, Genoa, Italy
| | - Giuseppe Aleo
- Lecturer of Scientific English, Department of Health Sciences, University of Genoa, Unità Operativa Formazione e Aggiornamento, Genoa, Italy
| | - Fiona Timmins
- Associate Professor of Nursing, School of Nursing and Midwifery, Trinity College Dublin, Ireland
| | - Thelma Begley
- Assistant Professor, School of Nursing and Midwifery, Trinity College Dublin, Ireland
| | - Stelios Parissopoulos
- Social Anthropologist, Lecturer of Nursing, Department of Nursing, Technological Educational Institute (T.E.I.) of Athens, Greece
| | - Loredana Sasso
- Associate, Professor of Nursing, Department of Health Sciences, University of Genoa, Genoa, Italy
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Foster M, Whitehead L. Family centred care in the paediatric high dependency unit: Parents' and Staff's perceptions. Contemp Nurse 2017; 53:489-502. [PMID: 29173077 DOI: 10.1080/10376178.2017.1410067] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
AIM This study explored parent and staff perceptions of family centred care (FCC) within a paediatric high dependency in one New Zealand hospital. BACKGROUND FCC is a partnership approach to healthcare delivery where the child's treatment is aligned to the family's needs. Despite widespread endorsement of FCC, variations between parents and staff in healthcare settings continues to be evident. METHOD A descriptive qualitative cross-sectional design was used with a convenience sample where written responses for one open ended question from 91 parents and 66 staff resident with their child or working within a paediatric high dependency unit in New Zealand. RESULTS The parents' responses generated three themes (family, treatment and relationships) and the staff's responses generated two themes (family and treatment). CONCLUSION Whilst there were similarities in describing the meaning of family centred care between parents and staff, their views on the central focus of this differed.
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Affiliation(s)
- Mandie Foster
- a School of Nursing and Midwifery , Edith Cowan University , 270 Joondalup Drive, Building 21, Joondalup , WA 6027 , Australia
| | - Lisa Whitehead
- a School of Nursing and Midwifery , Edith Cowan University , 270 Joondalup Drive, Building 21, Joondalup , WA 6027 , Australia.,b Centre for Postgraduate Nursing Studies , University of Otago , Christchurch , New Zealand
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Boztepe H, Kerimoğlu Yıldız G. Nurses perceptions of barriers to implementing family-centered care in a pediatric setting: A qualitative study. J SPEC PEDIATR NURS 2017; 22. [PMID: 28198079 DOI: 10.1111/jspn.12175] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2016] [Revised: 10/05/2016] [Accepted: 01/16/2017] [Indexed: 11/28/2022]
Abstract
PURPOSE This was a qualitative study conducted to explore the views of nurses regarding the practice of family-centered care (FCC). DESIGN AND METHODS Eighteen nurses working in different units of a children's hospital in Turkey were included in the study. In-depth interviews were conducted with the nurses to obtain detailed information about their perspectives on FCC activities. RESULTS Two main themes emerged from the data, each with subthemes. The first theme pertained to the nurses' opinions on FCC, and the second theme included their views on parents' participation during nursing rounds. PRACTICE IMPLICATIONS This study indicated that nurses had positive views of FCC activities and that they recognized the need for the family's continuing presence in the child's life, which were important findings. However, they stated that families' cultural characteristics were an obstacle. Therefore, to better implement this model, nurses should not only understand the model conceptually but also understand the rights, roles, and responsibilities of parents. To practice FCC appropriately, nurses need to have sufficient resources, appropriate education, and support from their managers.
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Affiliation(s)
- Handan Boztepe
- Assistant Professor, Pediatric Nursing Department, Nursing Faculty, Hacettepe University, Ankara, Turkey
| | - Gizem Kerimoğlu Yıldız
- Research Assistant, Pediatric Nursing Department, Florence Nightingale Nursing Faculty, Istanbul University, Istanbul, Turkey
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