1
|
Ehk S, Petersson S, Khalaf A, Nilsson M. Nurses' experiences of integrating the salutogenic perspective with person-centered care for older people in Swedish nursing home care: an interview-based qualitative study. BMC Geriatr 2024; 24:262. [PMID: 38500060 PMCID: PMC10946094 DOI: 10.1186/s12877-024-04831-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Accepted: 02/20/2024] [Indexed: 03/20/2024] Open
Abstract
BACKGROUND Even though there has been a cultural change within residential aged care to a more person-centered care, there remain improvements to be made for a more consistent way of working. Using a salutogenic approach along with person-centered care is a potential way to promote it. This study aimed to describe nurses' experiences of combining person-centered care with a salutogenic approach at a nursing home for older people. METHODS Nine nurses, specially trained in salutogenesis and Sense of coherence, were individually interviewed using a semi-structured interview approach. Data was analysed through qualitative content analysis. RESULTS The nurses experienced that the residential aged care was improved by using salutogenesis and Sense of coherence as a complement to person-centered care. Core aspects of person-centered care were thereby promoted, as the resources of the older persons were emphasized, and aged care became more holistic. In addition to improved residential aged care, the results indicate that this manner of working also contributed to enhanced work satisfaction of the care personnel themselves. CONCLUSIONS The results suggest that a salutogenic approach facilitates the implementation of person-centered care by focusing on the older persons' resources and maintaining health. The organization needs to prioritize training staff in salutogenesis and person-centered care, as it supports working toward a common goal and benefits both the older persons and the staff.
Collapse
Affiliation(s)
- Sofia Ehk
- Faculty of Health Sciences, Kristianstad University, SE-291 88, Kristianstad, Sweden
| | - Sara Petersson
- Faculty of Health Sciences, Kristianstad University, SE-291 88, Kristianstad, Sweden
| | - Atika Khalaf
- Faculty of Health Sciences, Kristianstad University, SE-291 88, Kristianstad, Sweden
- Department of Nursing, Fatima College of Health Sciences, Ajman, United Arab Emirates
| | - Marie Nilsson
- Faculty of Health Sciences, Kristianstad University, SE-291 88, Kristianstad, Sweden.
| |
Collapse
|
2
|
Jaastad TA, Ueland V, Koskinen C. Nursing students' movement toward becoming a professional caring nurse. Nurs Ethics 2024:9697330241238343. [PMID: 38491783 DOI: 10.1177/09697330241238343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2024]
Abstract
BACKGROUND Previous research mainly focuses on how to support nursing students in caring for the patient and on educators' views of students' development as professional caring nurses. Against this background, it is important to further investigate nursing students' perspectives on what it means to become a professional caring nurse. RESEARCH AIM This qualitative systematic review study aims to identify and synthesize nursing students' perceptions on the meaning of becoming a caring nurse. RESEARCH DESIGN AND DATA SOURCES Systematic data searches were conducted by using the electronic databases MEDLINE (Ovid), CINAHL (EBSCO), Academic Search Premiere (EBSCO), and Philosopher`s Index. In total, 13 studies met the inclusion and quality criteria. The articles were analyzed by a systematic review and a thematic synthesis according to Thomas and Harden. ETHICAL CONSIDERATION The study followed good ethical practice guidelines outlined in the Northern Nurses' Federation. FINDINGS The analysis resulted in eight descriptive themes and finally in three analytical themes: Becoming is to get in touch with one's inner ethic or ethos, Becoming is a movement between courage, understanding, and being touched, and Becoming is strengthened through caring role models and a learning culture. CONCLUSIONS Becoming a professional caring nurse is seen as an ongoing movement toward a deeper understanding of oneself and one's being and bearing. This movement is enabled when nursing students have a sense of self-awareness, courage to stand in their vulnerability, and reflect on their responsibility, caring attitude, and inner values and ethics. The force of becoming is that the attention is directed beyond self to care for and feel empathy for others in a caring manner. Becoming is released through a caring relationship, external confirmation, and good role models. A lack of external support in the movement can potentially prevent the students from becoming a professional caring nurse.
Collapse
|
3
|
Solheim K, Hegg Reime M, Eide LSP. How Do Persons Who Inject Drugs Experience Care From Nurses in Hospital Settings? A Qualitative Study. Glob Qual Nurs Res 2024; 11:23333936241240795. [PMID: 38577493 PMCID: PMC10993672 DOI: 10.1177/23333936241240795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Revised: 03/04/2024] [Accepted: 03/05/2024] [Indexed: 04/06/2024] Open
Abstract
People who inject drugs (PWID) are at increased risk of acute and chronic health outcomes and in need of in-hospital healthcare services. This study aims to give insight into how PWID experience care from nurses in hospital settings. We used a qualitative descriptive design and applied reflexive thematic analysis to 11 individual semi-structured interviews with PWID. Our analysis generated the following main themes: (1) diminishment and distance-always just a drug addict, (2) gratitude-equal care not taken for granted, and (3) vulnerability-already carrying a heavy burden. Our findings reveal a complex, nuanced narrative regarding participants' experiences of nursing care and highlight the importance of enhancing knowledge, understanding, empathy, and communication skills when nurses encounter PWID. Our research suggests that patients' vulnerability resulting from previous experiences defined their perception of quality of care. Insight from this study provides valuable knowledge about how to enhance nursing care for PWID.
Collapse
Affiliation(s)
| | - Marit Hegg Reime
- Western Norway University of Applied Sciences, Bergen, Hordaland, Norway
- Lovisenberg Diaconal University College, Oslo, Norway
| | - Leslie S. P. Eide
- Western Norway University of Applied Sciences, Bergen, Hordaland, Norway
| |
Collapse
|
4
|
Larsson F, Engström Å, Rysst Gustafsson S, Strömbäck U. Feeling Safe in the Perioperative Period: Experiences from Patients Undergoing Orthopedic Day Surgery. SAGE Open Nurs 2024; 10:23779608241258562. [PMID: 38828401 PMCID: PMC11140583 DOI: 10.1177/23779608241258562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2023] [Revised: 04/11/2024] [Accepted: 05/14/2024] [Indexed: 06/05/2024] Open
Abstract
Introduction Day surgery is often preferred by patients, but it can pose challenges in self-management after discharge. In addition, patients undergoing orthopedic surgery report poorer rates of postoperative recovery than patients undergoing general surgery. Understanding patients' perceptions of feeling safe while undergoing surgery facilitates individualized care and is important since it may affect their recovery. Objective The aim of this study was to describe patients' perceptions of feeling safe in the perioperative period when undergoing orthopedic day surgery under regional anesthesia. Methods The design was qualitative and descriptive. Data were collected through a cross-sectional questionnaire containing open-ended questions. Qualitative content analysis with an inductive approach was used for data analysis. Participants' characteristics were presented descriptively. The study population consisted of a consecutive sample of 97 patients who had undergone orthopedic day surgery under regional anesthesia between March and October 2022. Results The categorization process resulted in the development of two categories describing participants' experience of perioperative feelings of safety when undergoing orthopedic day surgery: having someone near and having a sense of control. The results indicate that the relationship between patients and staff and the perceived feeling of control and participation are factors influencing patients' perception of feeling safe in the perioperative period. Conclusions In perioperative care, nurses play a vital role in fostering patients' sense of safety by establishing relationships. This ensures that patients can be actively engaged in their own care. Patients also need access to professional and competent staff who strives to add a personal touch and considers their perspective. Since patients undergoing orthopedic day surgery might face a more demanding postoperative recovery than they had initially anticipated, further research is suggested to explore the association between a perceived feeling of safety and postoperative recovery.
Collapse
Affiliation(s)
- Fanny Larsson
- Division of Nursing and Medical Technology, Department of Health Science, Luleå University of Technology, Luleå, Sweden
| | - Åsa Engström
- Division of Nursing and Medical Technology, Department of Health Science, Luleå University of Technology, Luleå, Sweden
| | - Silje Rysst Gustafsson
- Division of Nursing and Medical Technology, Department of Health Science, Luleå University of Technology, Luleå, Sweden
| | - Ulrica Strömbäck
- Division of Nursing and Medical Technology, Department of Health Science, Luleå University of Technology, Luleå, Sweden
| |
Collapse
|
5
|
Roos AKØ, Skaug EA, Helgesen AK. The Importance of Being Taken Care of-Patients' Experience with the Quality of Healthcare in a Norwegian Hospital. NURSING REPORTS 2023; 13:1742-1750. [PMID: 38133120 PMCID: PMC10745341 DOI: 10.3390/nursrep13040144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2023] [Revised: 12/03/2023] [Accepted: 12/13/2023] [Indexed: 12/23/2023] Open
Abstract
As recipients of healthcare, patients provide invaluable contributions when assessing quality. The aim of this qualitative study was to explore and describe how patients experienced quality of care during their stay in a Norwegian hospital. In this study, 39 patients were interviewed. The data were analyzed via conventional content analysis. The results showed that patients' experiences of quality were associated with interactions with medical staff, while their physical surroundings had less of an impact. The quality of healthcare was described on a continuum from good to bad. Patients assessed quality positively when they felt they were taken care of. The feeling of not being taken care of provoked feelings of insecurity, resignation, being "overlooked", and inferiority. A prerequisite for patients to feel cared for was staff presence, which enabled and encouraged patients to share their thoughts. This required medical staff to have competency, interpersonal skills, and time accessibility. In addition, a culture that is person-oriented and not task-oriented was valued. From our study, we see the opportunity within healthcare systems to improve the quality of care by having staff engage in active listening, promote an environment of mutual respect, and encourage active participation from patients in their healthcare decisions and plans. This study was prospectively registered with the Norwegian Social Science Data Services on 9 July 2015 with registration number 44034.
Collapse
Affiliation(s)
| | - Eli-Anne Skaug
- Faculty of Health, Welfare and Organisation, Østfold University College, P.O. Box 700, 1757 Halden, Norway; (E.-A.S.); (A.K.H.)
| | - Ann Karin Helgesen
- Faculty of Health, Welfare and Organisation, Østfold University College, P.O. Box 700, 1757 Halden, Norway; (E.-A.S.); (A.K.H.)
| |
Collapse
|
6
|
Gaber SN, Klarare A, Mattsson E, Rosenblad AK. A comparison of perceptions of caring behaviours among women in homelessness, Registered Nurses and nursing students. Scand J Caring Sci 2023; 37:959-969. [PMID: 35187681 DOI: 10.1111/scs.13071] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 01/14/2022] [Accepted: 02/06/2022] [Indexed: 12/01/2022]
Abstract
BACKGROUND The population of women in homelessness in Europe is increasing and women in homelessness experience multiple healthcare needs. However, there is insufficient understanding about how perceptions of caring behaviours compare between women in homelessness as patients and nurses in their clinical practice. AIM This study aimed to investigate perceptions of caring behaviours among women in homelessness, Registered Nurses and nursing students. METHODS A cross-sectional design was used with convenience sampling to recruit groups of women in homelessness (n = 37), Registered Nurses (n = 92) and nursing students (n = 142) in Stockholm, Sweden. Between August 2019 and December 2020, data were collected through face-to-face interviews or online, using the Caring Behaviours Inventory-24 instrument. Data were analysed using descriptive statistics and group-comparing hypothesis tests. RESULTS Overall, women in homelessness' perceptions of caring behaviours were significantly lower than nursing students (p < 0.001), who in turn scored significantly lower than Registered Nurses (p < 0.001). The Knowledge and Skill domain had the highest score, and the Connectedness domain had the lowest score in all three groups. The ranking of the individual items according to score varied between the groups. However, all three groups had the highest score for the Knowing how to give shots, IVs, etc., item and the lowest score for the Helping the patient to grow item. CONCLUSION Healthcare providers and nurse educators should consider incongruences and congruences in caring behaviours to better prepare Registered Nurses and nursing students to contribute to increased health equity, and more targeted clinical practice for women in homelessness.
Collapse
Affiliation(s)
- Sophie Nadia Gaber
- Department of Health Care Sciences, Ersta Sköndal Bräcke University College, Stockholm, Sweden
- Department of Women's and Children's Health, Healthcare Sciences and e-Health, Uppsala University, Uppsala, Sweden
| | - Anna Klarare
- Department of Health Care Sciences, Ersta Sköndal Bräcke University College, Stockholm, Sweden
- Department of Women's and Children's Health, Healthcare Sciences and e-Health, Uppsala University, Uppsala, Sweden
| | - Elisabet Mattsson
- Department of Health Care Sciences, Ersta Sköndal Bräcke University College, Stockholm, Sweden
- Department of Women's and Children's Health, Healthcare Sciences and e-Health, Uppsala University, Uppsala, Sweden
| | - Andreas Karlsson Rosenblad
- Department of Medical Sciences, Division of Clinical Diabetology and Metabolism, Uppsala University, Uppsala, Sweden
| |
Collapse
|
7
|
Havana T, Kuha S, Laukka E, Kanste O. Patients' experiences of patient-centred care in hospital setting: A systematic review of qualitative studies. Scand J Caring Sci 2023; 37:1001-1015. [PMID: 37066838 DOI: 10.1111/scs.13174] [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: 01/29/2023] [Revised: 03/14/2023] [Accepted: 04/01/2023] [Indexed: 04/18/2023]
Abstract
BACKGROUND Patient-centred care (PCC) has been proposed as an appropriate approach for addressing current shifts in healthcare needs. Although the importance of PCC is generally recognised, PCC is poorly understood by patients in the hospital settings. OBJECTIVES To identify patients' experiences of PCC in hospital settings. METHODOLOGICAL DESIGN This systematic review followed the Joanna Briggs Institute's (JBI) guidance for systematic reviews of qualitative evidence and the PRISMA checklist for reporting systematic reviews. The search strategy included peer-reviewed qualitative studies published after 2010 in English or Finnish. The databases searched were SCOPUS, MEDLINE, CINAHL and Medic. Unpublished studies and grey literature were searched in MedNar. Ten qualitative studies were included, and their quality was assessed by two independent reviewers using JBI quality assessment criteria. The data were analysed using thematic analysis. SETTING AND PARTICIPANTS Studies were included if they had explored adult patient experiences of PCC in hospital settings. RESULTS A thematic analysis produced 14 subthemes which were grouped into five analytical themes: the presence of the professional, patient involvement in care, receiving information, the patient-professional relationship and being seen as a person. CONCLUSIONS AND IMPLICATIONS This review suggests that the implementation and provision of PCC in hospitals is incomplete and patients' involvement in their own care should be in the focus of PCC. The majority of patients experienced receiving PCC, but others did not. The need for improvement of patient involvement was strongly emphasised. Patients highlighted the importance of professionals being present and spending time with patients. Patients felt well-informed about their care but expressed the need for better communication. Meaningful patient-professional relationships were brokered by professionals demonstrating genuine care and respecting the patient as an individual. To improve the implementation of PCC, patient experiences should be considered in the development of relevant hospital care strategies. In addition, more training in PCC and patient-professional communication should be provided to health care professionals.
Collapse
Affiliation(s)
- Tiina Havana
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland
| | - Suvi Kuha
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence, Helsinki, Finland
| | - Elina Laukka
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence, Helsinki, Finland
| | - Outi Kanste
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland
- The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute Centre of Excellence, Helsinki, Finland
- Medical Research Center, Oulu University Hospital, Oulu, Finland
| |
Collapse
|
8
|
Stevenson-Baker S. Promoting person-centred care at the end of life. Nurs Stand 2023; 38:76-82. [PMID: 37743829 DOI: 10.7748/ns.2023.e12171] [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] [Accepted: 07/04/2023] [Indexed: 09/26/2023]
Abstract
Providing person-centred care that takes into account each patient's individual needs and priorities is crucial at the end of life. Nurses need to be aware of the main aspects of person-centred care, such as supporting shared decision-making, developing therapeutic nurse-patient relationships, and considering the patient's physical, psychological, social and spiritual needs. This article discusses the concept of person-centred care in the context of providing end of life care to patients and their families. It explains the benefits and barriers to providing person-centred end of life care, and outlines some of the areas that nurses and other healthcare professionals need to consider to promote effective care.
Collapse
Affiliation(s)
- Sara Stevenson-Baker
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, England
| |
Collapse
|
9
|
Fenizia E, Marchese C, Spina ML, Coppola L, Rostagno E, Castaing M, Rosa RDL, Saenz R, Fonte L, Longo A, Ricciardi C, Rizzo C, Cataldo AD, Russo G. Pediatric Version of the Nurse Caring Behavior Scale: A Cross-Sectional Study in Pediatric Hemato-Oncology Centers. J Nurs Meas 2023; 31:404-411. [PMID: 35793860 DOI: 10.1891/jnm-2021-0038] [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] [Indexed: 11/25/2022]
Abstract
Background and Purpose: Caring is an essential value in nursing, it's crucial in pediatric hemato-oncology: we tested the Nurse Caring Behavior Scale (NCBS) in this setting. Methods: The NCBS is a 14-item validated psychometric questionnaire: caregivers and nurses adapted versions were used. Descriptive statistics and exploratory factor analysis (EFA) were used. Results: The questionnaires were completed by 188 caregivers and 193 nurses. The two data sets were suitable for EFA and fitted with one-solution factor analysis; factor loading showed values >0.40 (>0.60 for caregivers). The mean scores were: 4.5 (range: 1-5) for caregivers and 4.7 (range: 1-5) for nurses. Conclusion: The two validated versions can be used on a wider nurses and caregivers sample and provide an instrument for the development of nursing protocols based on caring.
Collapse
Affiliation(s)
- Elisa Fenizia
- U.O.C. Emato-Oncologia Pediatrica, Azienda Ospedaliero Universitaria Policlinico "G. Rodolico-San Marco," Catania, Italy
| | - Chiara Marchese
- U.O.C. Emato-Oncologia Pediatrica, Azienda Ospedaliero Universitaria Policlinico "G. Rodolico-San Marco," Catania, Italy
| | - Milena La Spina
- U.O.C. Emato-Oncologia Pediatrica, Azienda Ospedaliero Universitaria Policlinico "G. Rodolico-San Marco," Catania, Italy
| | - Luigi Coppola
- U.O.C. Emato-Oncologia Pediatrica, Azienda Ospedaliero Universitaria Policlinico "G. Rodolico-San Marco," Catania, Italy
| | - Elena Rostagno
- Oncoematologia Pediatrica, IRCCS Azienda Ospedaliero Universitaria di Bologna, Italy
| | - Marine Castaing
- Registro dei Tumori di Siracusa e Provincia, Unità Sanitaria Locale, Siracusa, Italy
| | - Rosanna De La Rosa
- Área de Enfermería, Facultad de Ciencias de la Salud, Universidad Pública de Navarra, Grupo de Investigación Educación y Salud, Pamplona, Navarra, Spain
| | - Raquel Saenz
- Área de Enfermería, Facultad de Ciencias de la Salud, Universidad Pública de Navarra, Grupo de Investigación Educación y Salud, Pamplona, Navarra, Spain
| | - Leonardo Fonte
- U.O. di Onco Ematologia Pediatrica con Trapianto di Cellule staminali emopoietiche e midollo osseo dell'ARNAS Civico di Palermo, Italy
| | | | - Celeste Ricciardi
- U.O. Oncologia e Ematologia Pediatrica, Fondazione IRCCS "Casa del Sollievo della Sofferenza" San Giovanni Rotondo (FG), Italy
| | - Catia Rizzo
- U.O. Oncoematologia Pediatrica, Centro di Riferimento Regionale Azienda Ospedaliera "Pugliese Ciaccio," Catanzaro, Italy
| | - Andrea Di Cataldo
- U.O. Oncoematologia Pediatrica, Centro di Riferimento Regionale Azienda Ospedaliera "Pugliese Ciaccio," Catanzaro, Italy
- Dipartimento di Medicina Clinica e Sperimentale, Università di Catania, Catania, Italy
| | - Giovanna Russo
- U.O. Oncoematologia Pediatrica, Centro di Riferimento Regionale Azienda Ospedaliera "Pugliese Ciaccio," Catanzaro, Italy
- Dipartimento di Medicina Clinica e Sperimentale, Università di Catania, Catania, Italy
| |
Collapse
|
10
|
Elvén M, Holmström IK, Carlestav M, Edelbring S. A tension between surrendering and being involved: An interview study on person-centeredness in clinical reasoning in the acute stroke setting. PATIENT EDUCATION AND COUNSELING 2023; 112:107718. [PMID: 37001485 DOI: 10.1016/j.pec.2023.107718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Revised: 03/21/2023] [Accepted: 03/27/2023] [Indexed: 05/09/2023]
Abstract
OBJECTIVE To explore how stroke survivors experience and prefer to participate in clinical reasoning processes in the acute phase of stroke care. METHODS An explorative qualitative design was used. Individual interviews were conducted with 11 stroke survivors in the acute phase of care and analyzed using reflexive thematic analysis. RESULTS The analysis identified five themes: What's going on with me?; Being a recipient of care and treatment; The need to be supported to participate; To be seen and strengthened; and Collaboration and joint understanding. CONCLUSION Stroke survivors experience many attributes of person-centeredness in the acute phase of care but, according to their stories, their participation in clinical reasoning can be further supported. The tension between surrendering and the desire to be more actively involved in the care needs to be considered to facilitate participation in clinical reasoning. PRACTICE IMPLICATIONS Stroke survivors' participation in clinical reasoning in the acute phase can be facilitated by health professionals noticing signs prompting a shift towards increased willingness to participate. Furthermore, health professionals need to take an active role, sharing their expertise and inviting the stroke survivors to share their perspective. The findings can contribute to further develop person-centered care in acute settings.
Collapse
Affiliation(s)
- Maria Elvén
- School of Health, Care, and Social Welfare, Mälardalen University, Västerås, Sweden; School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
| | - Inger K Holmström
- School of Health, Care, and Social Welfare, Mälardalen University, Västerås, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | - Malin Carlestav
- Department of Neurology and Rehabilitation Medicine, Örebro University Hospital, Örebro, Sweden
| | - Samuel Edelbring
- School of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| |
Collapse
|
11
|
Goes M, Oliveira H, Lopes M, Fonseca C, Pinho L, Marques M. A nursing care-sensitive patient satisfaction measure in older patients. Sci Rep 2023; 13:7607. [PMID: 37165074 PMCID: PMC10172317 DOI: 10.1038/s41598-023-33805-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Accepted: 04/19/2023] [Indexed: 05/12/2023] Open
Abstract
As a novelty, this article proposes the empirical operationalization of an indicator sensitive to nursing care called patient satisfaction based on functional capacity and quality of life assessments. This was a descriptive cross-sectional study with a sample of 351 individuals aged 65 and older residing in the community. Data acquisition was performed using the structured interview method, employing a core set of 25 codes taken from the International Classification of Functioning, Disability, and Health and the WHOQOL-BREF instrument of the World Health Organization. Confirmatory factor analysis was used to infer the reliability and construct validity of the proposed model, involving three latent factors: functional capacity, quality of life, and patient satisfaction with nursing care received. The proposed model showed good reliability and construct validity, although it failed regarding discriminant validity between latent factors. The greatest statistically significant predictor of the patient satisfaction latent factor was the quality of life latent factor ([Formula: see text]), followed by the functional capacity latent factor ([Formula: see text]). The findings seem to suggest that patient satisfaction is an indicator that may be quantitatively measurable, with functional capacity and quality of life considered very significant predictors of patient satisfaction with the nursing care experience.
Collapse
Affiliation(s)
- Margarida Goes
- Comprehensive Health Research Center, Universidade de Évora, Évora, Portugal
- Escola Superior de Enfermagem São João de Deus, Universidade de Évora, Évora, Portugal
| | - Henrique Oliveira
- Instituto de Telecomunicações, Aveiro, Portugal.
- Instituto Politécnico de Beja, Beja, Portugal.
| | - Manuel Lopes
- Comprehensive Health Research Center, Universidade de Évora, Évora, Portugal
- Escola Superior de Enfermagem São João de Deus, Universidade de Évora, Évora, Portugal
| | - César Fonseca
- Comprehensive Health Research Center, Universidade de Évora, Évora, Portugal
- Escola Superior de Enfermagem São João de Deus, Universidade de Évora, Évora, Portugal
| | - Lara Pinho
- Comprehensive Health Research Center, Universidade de Évora, Évora, Portugal
- Escola Superior de Enfermagem São João de Deus, Universidade de Évora, Évora, Portugal
| | - Maria Marques
- Comprehensive Health Research Center, Universidade de Évora, Évora, Portugal
- Escola Superior de Enfermagem São João de Deus, Universidade de Évora, Évora, Portugal
| |
Collapse
|
12
|
Pakkonen M, Stolt M, Edvardsson D, Pasanen M, Suhonen R. Person-centred care competence and person-centred care climate described by nurses in older people's long-term care-A cross-sectional survey. Int J Older People Nurs 2023; 18:e12532. [PMID: 36918384 DOI: 10.1111/opn.12532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 02/08/2023] [Accepted: 02/25/2023] [Indexed: 03/16/2023]
Abstract
BACKGROUND Person-centred care requires that nurses are competent in this approach to care. There may be an association between person-centred care competence and person-centred care climate, but it has not been demonstrated in the literature. This is the justification for the survey study to gain staff's perceptions of such a relationship. OBJECTIVES The aim of this study was to analyse the levels and associations between person-centred care competence and the person-centred care climate as assessed by professional nurses in long-term care settings for older people. METHODS A descriptive cross-sectional survey design with cluster sampling was used to recruit professional nurses of different levels from six long-term care institutions for older people. Data were collected using the Patient-centred Care Competency scale (PCC) and the Person-centred Climate Questionnaire staff version (PCQ-S) in September 2021 and analysed with descriptive and inferential statistics. RESULTS The mean score on the PCC was rated at a good level of 3.80 (SD 0.45), and the PCQ-S was rated at a good level of 3.87 (SD 0.53). The correlation between PCC and PCQ-S total scores (r = .37, p < .001) indicated that person-centred care competence and person-centred care climate were associated. No associations were detected between nurses' educational levels and PCC (p = .19) or PCQ-S (p = .13) or in terms of age or work experience. CONCLUSIONS The results provide insights into competence and climate levels of person-centred care and preliminary evidence of an association between nurses' assessed competence in person-centred care and the perceived person-centred care climate in long-term care. Nurses' individual characteristics did not appear to affect the level of person-centred care competence or climate. In the future professional nurses of different levels could benefit from effective continuing education in person-centred care. This study design serving for the future intervention study registered to the ClinicalTrials.goc NCT04833153.
Collapse
Affiliation(s)
- Mari Pakkonen
- Department of Nursing Science, University of Turku, Turku, Finland
| | - Minna Stolt
- Department of Nursing Science, University of Turku, Turku, Finland.,Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - David Edvardsson
- School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia.,Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden
| | - Miko Pasanen
- Department of Nursing Science, University of Turku, Turku, Finland
| | - Riitta Suhonen
- Department of Nursing Science, University of Turku, Turku, Finland.,Turku University Hospital, Turku, Finland.,City of Turku, Welfare Services Division, Turku, Finland
| |
Collapse
|
13
|
Janerka C, Leslie GD, Gill FJ. Development of patient-centred care in acute hospital settings: A meta-narrative review. Int J Nurs Stud 2023; 140:104465. [PMID: 36857979 DOI: 10.1016/j.ijnurstu.2023.104465] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Revised: 01/29/2023] [Accepted: 02/09/2023] [Indexed: 02/17/2023]
Abstract
BACKGROUND Patient-centred care is widely recognised as a core aspect of quality health care and has been integrated into policy internationally. There remains a disconnect between policy and practice, with organisations and researchers continuing to offer definitions and frameworks to suit the operational context. It is unclear if and how patient-centred care has been adopted in the acute care context. AIM To understand the development of patient-centred care in the context of acute hospital settings over the past decade. METHODS A literature review was conducted in accordance with RAMESES standards and principles for meta-narrative reviews. Five databases (Medline, CINAHL, SCOPUS, Cochrane Library, JBI) were searched for full-text articles published between 2012 and 2021 related to patient-centred care in the acute care setting, in the context of nursing, medicine and health policy. Literature reviews and discussion papers were excluded. Articles were selected based on their relevance to the research aim. Descriptive and thematic analysis and synthesis of data were undertaken via an interpretivist process to understand the development of the topic. RESULTS One hundred and twenty four articles were included that reported observational studies (n = 78), interventions (n = 34), tool development (n = 7), expert consensus (n = 2), quality improvement (n = 2), and reflection (n = 1). Most studies were conducted in developed countries and reported the perspective of patients (n = 33), nurses (n = 29), healthcare organisations (n = 7) or multiple perspectives (n = 50). Key words, key authors and organisations for patient-centred care were commonly recognised and provided a basis for the research. Fifty instruments measuring patient-centred care or its aspects were identified. Of the 34 interventions, most were implemented at the micro (clinical) level (n = 25) and appeared to improve care (n = 30). Four articles did not report outcomes. Analysis of the interventions identified three main types: i) staff-related, ii) patient and family-related, and iii) environment-related. Analysis of key findings identified five meta-narratives: i) facilitators of patient-centred care, ii) threats to patient-centred care, iii) outcomes of patient-centred care, iv) elements of patient-centred care, and v) expanding our understanding of patient-centred care. CONCLUSIONS Interest in patient centred care continues to grow, with reports shifting from conceptualising to operationalising patient-centred care. Interventions have been successfully implemented in acute care settings at the micro level, further research is needed to determine their sustainability and macro level implementation. Health services should consider staff, patient and organisational factors that can facilitate or threaten patient-centred care when planning interventions. TWEETABLE ABSTRACT Patient-centred care in acute care settings - we have arrived! Is it sustainable?
Collapse
Affiliation(s)
- Carrie Janerka
- School of Nursing, Curtin University, Western Australia, Australia; Fiona Stanley Hospital, South Metropolitan Health Service, Western Australia, Australia.
| | - Gavin D Leslie
- School of Nursing, Curtin University, Western Australia, Australia; Fiona Stanley Hospital, South Metropolitan Health Service, Western Australia, Australia
| | - Fenella J Gill
- School of Nursing, Curtin University, Western Australia, Australia; Perth Children's Hospital, Child and Adolescent Health Service, Western Australia, Australia
| |
Collapse
|
14
|
Jiang W, Jiang J, Zhao X, Liu Z, Valimaki MA, Li X. Nurse and Patient Assessments of COVID-19 Care Quality in China: A Comparative Survey Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2717. [PMID: 36768083 PMCID: PMC9915960 DOI: 10.3390/ijerph20032717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 01/29/2023] [Accepted: 01/31/2023] [Indexed: 06/18/2023]
Abstract
During the COVID-19 pandemic, the quality of nursing care was a concern due to nurses' overwhelming workload. A cross-sectional design was conducted to compare perceptions between nurses and patients about the quality of nursing care for COVID-19 patients and to explore factors associated with these perceptions. Data were collected during the COVID-19 pandemic from 17 March to 13 April 2020 in five hospitals in Wuhan, China. Perceptions of care quality were assessed among nurses and patients using the Caring Behaviors Inventory. Nurses rated the quality of caring behaviors higher than patients. Both nurses and patients rated technical caring behaviors at high levels and rated the item related to "spending time with the patient" the lowest, while patients rated it much lower than nurses. Nurses' sex, participation in ethical training organized by the hospital, professional title, being invited to Wuhan, and length of working experience in years were significantly associated with nurses' self-evaluated caring behaviors. Moreover, inpatient setting and communication mode were significantly associated with patients' self-evaluated caring behaviors.
Collapse
Affiliation(s)
- Wenjing Jiang
- Department of Nursing, Zigong First People’s Hospital, Zigong 643000, China
- Xiangya School of Nursing, Central South University, Changsha 410013, China
| | - Jia Jiang
- West China School of Pharmacy, Sichuan University, Chengdu 610041, China
| | - Xing’e Zhao
- Department of Liver Transplantation, The Second Xiangya Hospital of Central South University, Changsha 410011, China
| | - Zina Liu
- Xiangya School of Nursing, Central South University, Changsha 410013, China
| | | | - Xianhong Li
- Xiangya School of Nursing, Central South University, Changsha 410013, China
| |
Collapse
|
15
|
Vitale E, Mea R, Chang YC. The Nursing-Home Care Quality Perceived Levels from Patients and Caregivers: An Explanatory Study. Patient Prefer Adherence 2023; 17:1237-1245. [PMID: 37193371 PMCID: PMC10182805 DOI: 10.2147/ppa.s409961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Accepted: 05/03/2023] [Indexed: 05/18/2023] Open
Abstract
Background The nursing essential mission was to satisfy patients' and caregivers' essential health-relating demand, thanks to communicational, interventional, assistance and helping skills through an appropriate approach which best satisfied both patients and their caregivers. To assess any differences in nursing-home care quality perceived levels both by patients and caregivers. Methods A cohort observational study was conducted from November 2022 to January 2023 using an online anonymous questionnaire for both patients and caregivers who received nursing-home care service. Results A total of 677 patients (43.4%) and caregivers (56.6%) were enrolled. Most interviewees benefited from the nursing-home care service less than 12 months (p = 0.014). Quality perceptions did not significantly vary from patients and caregivers (p > 0.05) for all the items proposed, with the exception of the nursing listening skills which was better assessed by caregivers than patients (p = 0.034). Conclusion Patients and caregivers perceived an average quality of nursing-home care, giving particular importance to some nursing skills, such as listening skills. The general quality of nursing care was however satisfying. Findings suggested more incisive action from health-care nurses to improve quality of nursing-home care and both patient and caregiver satisfaction.
Collapse
Affiliation(s)
- Elsa Vitale
- Centre of Mental Health Modugno, Local Health Authority Bari, Bari, Italy
| | - Rocco Mea
- Cardiovascular Department, San Carlo Hospital, Potenza, Italy
| | - Yun-Chen Chang
- School of Nursing and Graduate Institute of Nursing, China Medical University, Taichung, Taiwan
- Nursing Department, China Medical University Hospital, Taichung, Taiwan
- Correspondence: Yun-Chen Chang, School of Nursing and Graduate Institute of Nursing, China Medical University, No. 100, Section 1, Jingmao Road, Beitun District, Taichung, 406040, Taiwan, Tel +886 983503901, Email
| |
Collapse
|
16
|
Yan M, Zhi M, Xu Y, Hu L, Liu Y. Inpatient Satisfaction with Nursing Care and Its Impact Factors in Chinese Tertiary Hospitals: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16523. [PMID: 36554403 PMCID: PMC9778790 DOI: 10.3390/ijerph192416523] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Revised: 11/29/2022] [Accepted: 12/05/2022] [Indexed: 06/17/2023]
Abstract
AIMS To evaluate the level of patient satisfaction with nursing care in China's major tertiary hospitals, and to explore patient and hospital level factors associated with patient satisfaction, in order to provide policy implications for the evaluation and improvement of nursing care, toward a patient-centered healthcare system. BACKGROUND Patient satisfaction with nursing care has been designated as a key measure of the quality of nursing care and is one of the main focuses of the current healthcare improvement campaign in China. METHODS We participated in the 2021 China National Patient Survey and designed and administered a survey instrument with five domains, to evaluate patient satisfaction with nursing care among 24,971 inpatients from 143 tertiary hospitals across 31 provinces in China. Descriptive analysis and binary logistic regressions were utilized to assess the level of satisfaction and identify key factors related to nursing satisfaction. RESULTS The overall satisfaction level is high, but satisfaction with health guidance is relatively low. Patients' sociodemographic characteristics, including age, income, and education, are significantly associated with their satisfaction. Hospital characteristics, such as geographic location, type, and nurse-to-doctor ratio, significantly impact inpatient satisfaction with nursing care. Patients of hospitals in the eastern region, general hospitals, and hospitals with higher nurse-to-doctor ratios are more satisfied with nursing care. CONCLUSION More attention should be paid to equitably allocating healthcare resources among different regions, improving the management and competence of non-general hospitals, and strengthening the recruitment and retention of the nursing workforce. Moreover, patient characteristics should be considered when evaluating patient satisfaction across hospitals. Patient and Public Contribution: These findings will help us better understand patients' satisfaction regarding nursing care in Chinese tertiary hospitals and develop targeted interventions, to establish a patient-centered healthcare system.
Collapse
Affiliation(s)
| | | | | | - Linlin Hu
- Correspondence: (L.H.); (Y.L.); Tel.: +86-13661229049 (L.H.); +86-13522592907 (Y.L.)
| | - Yuanli Liu
- Correspondence: (L.H.); (Y.L.); Tel.: +86-13661229049 (L.H.); +86-13522592907 (Y.L.)
| |
Collapse
|
17
|
Montañés Muro MP, Ayala Calvo JC, Manzano García G. Burnout in nursing: A vision of gender and “invisible” unrecorded care. J Adv Nurs 2022; 79:2148-2154. [DOI: 10.1111/jan.15523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Revised: 10/22/2022] [Accepted: 11/23/2022] [Indexed: 12/12/2022]
|
18
|
Al-Saidat HM, Malak MZ, Alnawafleh AH. Patients' Perception of Quality Nursing Care and Services in Emergency Department in Jordan. Hosp Top 2022:1-10. [PMID: 36369913 DOI: 10.1080/00185868.2022.2144577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
Patients are the main users of every hospital service particularly the emergency department. Hence, patients' perception is one of the quality care measures. Thus, this study purposed to assess the patients' perception of quality nursing care and services in emergency department in Jordan. A cross-sectional, descriptive correlational design was adopted on a sample of patients who attended the emergency department (N = 427). Findings demonstrated that most of the health sectors in Jordan had a high level of patients' perception of quality nursing care and related emergency department services (M = 3.93, SD = 0.72). Furthermore, the private sector had the highest mean score (M = 4.18, SD= 0.70), while the government sector had the lowest mean (M = 3.11, SD= 0.38). The level of perception had positive relationship with income (r = 0.097; p < 0.05) and qualifications (r p.b = 0.093; p < 0.05). The number of visits showed a significant negative correlation with patients' perception level (r = - 0.095; p < 0.05). Thus, there is a need for improving the quality of nursing care and services in the emergency department at hospitals by strengthening the policy and enhancing the nursing services supporting system. Establishing plans to develop the infrastructures, equipment, physical environment, sanitation, and facilities in the emergency department to meet the patients' needs to enhance the quality of care and services are needed.
Collapse
Affiliation(s)
| | - Malakeh Z Malak
- Community Health Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan
| | | |
Collapse
|
19
|
Ahmed A, van den Muijsenbergh METC, Vrijhoef HJM. Person-centred care in primary care: What works for whom, how and in what circumstances? HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e3328-e3341. [PMID: 35862510 PMCID: PMC10083933 DOI: 10.1111/hsc.13913] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Revised: 04/29/2022] [Accepted: 07/04/2022] [Indexed: 06/10/2023]
Abstract
This rapid realist review aims to explain how and why person-centred care (PCC) in primary care works (or not) among others for people with low health literacy skills and for people with a diverse ethnic and socioeconomic background, and to construct a middle-range programme theory (PT). Peered reviewed- and non-peer-reviewed literature (Jan 2013-Feb 2021) reporting on PCC in primary care was included. Selection and appraisal of documents were based on relevance and rigour according to the Realist And Meta-narrative Evidence Syntheses: Evolving Standards (RAMESES) criteria. Data on context, mechanisms and outcomes (CMO) were extracted. Based on the extracted data, CMO configurations were identified per source publication. Configurations containing all three constructs (CMO) were included in the PT. The middle-range PT demonstrates that healthcare professionals (HCPs) should be trained and equipped with the knowledge and skills to communicate effectively (i.e. in easy-to-understand words, emphatically, checking whether the patient understands everything, listening attentively) tailored to the wishes, needs and possibilities of the patient, which may lead to higher satisfaction. This way the patient will be more involved in the care process and in the shared decision-making process, which may result in improved concordance, and an improved treatment approach. A respectful and empathic attitude of the HCP plays an important role in establishing a strong therapeutic relationship and improved health (system) outcomes. Together with a good accessibility of care for patients, setting up a personalised care plan with all involved parties may positively affect the self-management skills of patients. Good collaboration within the team and between different domains is desirable to ensure good care coordination. The coherence of items related to PCC in primary care should be considered to better understand its effectiveness.
Collapse
Affiliation(s)
- Anam Ahmed
- Panaxea b.vAmsterdamThe Netherlands
- Department of Primary and Community CareRadboud University Medical CentreNijmegenthe Netherlands
| | - Maria E. T. C. van den Muijsenbergh
- Department of Primary and Community CareRadboud University Medical CentreNijmegenthe Netherlands
- Department of Prevention and CarePharos: Dutch Centre of Expertise on Health Disparities, Program Prevention and CareUtrechtThe Netherlands
| | - Hubertus J. M. Vrijhoef
- Panaxea b.vAmsterdamThe Netherlands
- Department of Patient & CareMaastricht University Medical CenterMaastrichtThe Netherlands
| |
Collapse
|
20
|
Kim HR, Yang HM. Nursing experience during COVID-19 pandemic in Korea: a qualitative analysis based on critical components of the professional practice models. BMC Nurs 2022; 21:288. [PMID: 36316739 PMCID: PMC9623934 DOI: 10.1186/s12912-022-01072-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Revised: 09/30/2022] [Accepted: 10/10/2022] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Nurses have an essential role and responsibility to work at the forefront of patient care during the COVID-19 pandemic. Although the press and public have praised the dedication of nurses in the COVID-19 pandemic, there are several points to consider for nursing professional development. The purpose of this study is to collect the experiences of the nursing profession in the COVID-19 pandemic through interviews, seek improvements for the development of the nursing profession, and suggest directions for the future. METHOD This qualitative study adopts semi-structured interviews analyzing the nursing experience of the COVID-19 pandemic based on the professional practice models (PPMs). Ten nurses with at least two years of working experience and thorough work changes in the COVID-19 pandemic from various settings have participated in the study. RESULTS We identified thirty-nine problematic codes and nineteen improvement codes which mapped to 12 key concepts and corresponded to 6 constructs of the PPM model. CONCLUSION Nurses had to take on tasks beyond their duties in urgent situations, which restrained nurses from concentrating on their work. Clarifying working boundaries is fundamental for collaborative care and independent nursing practice. Collaboration and communication among healthcare workers based on mutual understanding can create a respectful working environment. Although there were many difficulties due to the uncertain situation, we can find that the nursing profession can make achievements through systematic and organizational support for sticking to the basics of nursing, securing technical expertise, cultivating critical thinking, and developing various professional attributes. In this way, the establishment of roles based on professional values and duties and the ascertainment of clear boundaries for nursing will ultimately help to improve the quality of patient care.
Collapse
Affiliation(s)
- Hye-Ryoung Kim
- grid.496515.a0000 0004 0371 6987College of Nursing, ShinHan University, Dongducheon-si, Republic of Korea
| | - Hwa-Mi Yang
- grid.440927.c0000 0004 0647 3386Nursing Department, Daejin University, 1007 Hoguk-ro, 11159 Pocheon-si, Gyeonggi-do Republic of Korea
| |
Collapse
|
21
|
Mimmo L, Hodgins M, Samir N, Travaglia J, Woolfenden S, Harrison R. 'Smiles and laughter and all those really great things': Nurses' perceptions of good experiences of care for inpatient children and young people with intellectual disability. J Adv Nurs 2022; 78:2933-2948. [PMID: 35451515 PMCID: PMC9544709 DOI: 10.1111/jan.15256] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Revised: 02/11/2022] [Accepted: 03/23/2022] [Indexed: 11/28/2022]
Abstract
AIM To understand what constitutes a good experience of care for inpatient children and young people with intellectual disability as perceived by nursing staff. DESIGN Interpretive qualitative study. METHODS Focus groups with clinical nursing staff from speciality neurological/neurosurgical and adolescent medicine wards across two specialist tertiary children's hospitals in Australia were conducted between March and May 2021. Data analysis followed interpretative analysis methods to develop themes and codes which were mapped to a conceptual model of safe care. RESULTS Six focus groups with 29 nurses of varying experience levels were conducted over 3 months. Themes and codes were mapped to the six themes of the conceptual model: use rapport, know the child, negotiate roles, shared learning, build trust and relationships, and past experiences. The analysis revealed two new themes that extended the conceptual model to include; the unique role of a paediatric nurse, and joy and job satisfaction, with a third contextual theme, impacts of COVID-19 pandemic restrictions. With the perspectives of paediatric nurses incorporated into the model we have enhanced our model of safe care specifically for inpatient paediatric nursing care of children and young people with intellectual disability. CONCLUSION Including perceptions of paediatric nurses confirmed the position of the child with intellectual disability being at the centre of safe care, where care is delivered as a partnership between nursing staff, child or young person and their parents/family and the hospital systems and processes. IMPACT The enhanced model offers a specialized framework for clinical staff and health managers to optimize the delivery of safe care for children and young people with intellectual disability in hospital.
Collapse
Affiliation(s)
- Laurel Mimmo
- Clinical Governance UnitThe Sydney Children's Hospitals NetworkSydneyNSWAustralia
- Population Child Health Research GroupSchool of Women's and Children's HealthFaculty of MedicineUniversity of New South WalesSydneyNSWAustralia
| | - Michael Hodgins
- Population Child Health Research GroupSchool of Women's and Children's HealthFaculty of MedicineUniversity of New South WalesSydneyNSWAustralia
| | - Nora Samir
- Population Child Health Research GroupSchool of Women's and Children's HealthFaculty of MedicineUniversity of New South WalesSydneyNSWAustralia
| | - Joanne Travaglia
- Centre for Health Services ManagementFaculty of HealthUniversity of Technology SydneySydneyNSWAustralia
| | - Susan Woolfenden
- Population Child Health Research GroupSchool of Women's and Children's HealthFaculty of MedicineUniversity of New South WalesSydneyNSWAustralia
| | - Reema Harrison
- Centre for Health Systems and Safety ResearchAustralian Institute of Health InnovationFaculty of Medicine, Health and Human SciencesMacquarie UniversitySydneyNSWAustralia
| |
Collapse
|
22
|
Mcharo SK, Bally J, Spurr S, Walker K, Peacock S, Holtslander L. Exploring nursing presence as experienced by parents in pediatric oncology. J Pediatr Nurs 2022; 66:86-94. [PMID: 35687929 DOI: 10.1016/j.pedn.2022.05.021] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Revised: 05/27/2022] [Accepted: 05/27/2022] [Indexed: 10/18/2022]
Abstract
BACKGROUND Nursing presence has been viewed as a valuable way to create therapeutic relationships and has been linked to better health outcomes for patients and families. However, whether nursing presence can be described and how parents in pediatric oncology experience this phenomenon remains unanswered. Therefore, the purpose of this study was to explore how parents of children with cancer describe and experience nursing presence. METHODS This study used Giorgi's phenomenological approach to explore nursing presence as experienced by parents of children with cancer. Ten participants from a pediatric oncology clinic in Canada were interviewed. Giorgi's approach was used to analyze these data. FINDINGS Based upon participants' descriptions, a structure of nursing presence emerged which included six constituent features: An attitude of presence, a source of encouragement, clinical experience and expertise, therapeutic communication, family involvement, and a sense of home away from home. Most notably, nursing presence as experienced by parents was characterized by the 'being' and 'doing' of presence which were equally important. CONCLUSION The experiences described by parents provided rich and nuanced insights into what it meant to experience nursing presence in a pediatric oncology setting. This study provides a structure for this meaning making and expounds on its constituent features, describing what nursing presence resembles when experienced by parents of children with cancer. PRACTICE IMPLICATIONS This study informs nursing practice, policy, and education in ways that are likely to enhance care and the subsequent well-being of pediatric oncology patients and families.
Collapse
Affiliation(s)
- Solomon K Mcharo
- University of Saskatchewan, College of Nursing, Saskatoon, SK S7N 5E5, Canada.
| | - Jill Bally
- University of Saskatchewan, College of Nursing, E4348 Health Sciences, Saskatoon, SK, Canada.
| | - Shelley Spurr
- University of Saskatchewan, College of Nursing, E4244 Health Sciences, Saskatoon, SK, Canada.
| | - Keith Walker
- University of Saskatchewan, College of Education, 3063 Education, Saskatoon, SK, Canada.
| | - Shelley Peacock
- University of Saskatchewan, College of Nursing, E4340 Health Sciences, Saskatoon, SK, Canada.
| | - Lorraine Holtslander
- University of Saskatchewan, College of Nursing, E4252 Health Sciences, Saskatoon, SK, Canada.
| |
Collapse
|
23
|
Delaney KR, Loucks J, Ray R, Blair EW, Nadler-Moodie M, Batscha C, Sharp DM, Milliken D. Delineating Quality Indicators of Inpatient Psychiatric Hospitalization. J Am Psychiatr Nurses Assoc 2022; 28:391-401. [PMID: 33190586 DOI: 10.1177/1078390320971367] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Assuring quality care is critical to the well-being and recovery of individuals receiving inpatient psychiatric treatment, yet a comprehensive map of quality inpatient care does not exist. AIMS To isolate and describe quality elements of inpatient psychiatric treatment. METHODS A survey queried psychiatric inpatient nursing leaders on what they considered to be critical elements of quality. The survey was emailed to 40 American Psychiatric Nurses Association members, and 39 individuals responded. In the survey, participants were asked to comment on the importance of six dimensions of quality as well as quality indicators used on their units. RESULTS Data from this survey indicate how thought leaders conceptualized quality of inpatient care. A unifying philosophy of care was endorsed as a quality element as was structure that affords staff available time on the unit-engaging with patients. While staffing levels were viewed as important, the respondents commented on the nuances between staffing and quality. Participants endorsed the importance of involving individuals in their treatment planning as well as tapping into patients' perspectives on the treatment experience. CONCLUSIONS The participants' responses compliment the quality literature and reinforce the need to develop a comprehensive map of quality elements. These elements interact in complex way, for instance, staffing, engagement, and teamwork is tied to the organizational structure and philosophy of care, which in turn facilitates consumer involvement in care. Thus, gauging the impact of quality on outcomes will demand consideration of the interaction of factors not just the linear relationship of one element to an outcome.
Collapse
Affiliation(s)
- Kathleen R Delaney
- Kathleen R. Delaney, PhD, PMH-NP, FAAN, Rush College of Nursing, Chicago, IL, USA
| | | | - Richard Ray
- Richard Ray, MS, RN, PMH-BC, Northwestern Memorial Hospital Stone Institute of Psychiatry, Chicago, IL, USA
| | - Ellen W Blair
- Ellen Blair, DNP, APRN, PMHCNS-BC, Hartford Hospital, Hartford, CT, USA
| | - Marlene Nadler-Moodie
- Marlene Nadler-Moodie, MSN, APRN, PMHCNS-BC, Scripps Mercy Hospital San Diego, CA, USA
| | - Catherine Batscha
- Catherine Batscha, DNP, RN, University of Louisville, Louisville, KY, USA
| | - David M Sharp
- David Sharp, PhD, RN, Mississippi College, Clinton, MS, USA
| | - Dani Milliken
- Dani Milliken, DHA, MS, BSN, RN, Children's Hospital of Orange County, Orange, CA, USA
| |
Collapse
|
24
|
Effectiveness of Home Care Interventions in Patients with Moderate to Severe Craniocerebral Injury Combined with Epilepsy. COMPUTATIONAL AND MATHEMATICAL METHODS IN MEDICINE 2022; 2022:3654181. [PMID: 35844443 PMCID: PMC9283062 DOI: 10.1155/2022/3654181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Accepted: 04/21/2022] [Indexed: 11/17/2022]
Abstract
Objective To investigate the effect of a home care model on coping style and quality of life of patients with postcranial surgery complicated by epilepsy. Methods One hundred and forty-four patients with postcranial surgery complicated by epilepsy admitted to our hospital from July 2017 to April 2018 were selected as study subjects and randomly divided into 63 cases each in the observation group and the control group. The control group was given nursing interventions including health education, psychological intervention, medication guidance, complication prevention, and follow-up management, while the observation group was jointly given collaborative family nursing interventions. At a follow-up of 6 months, indicators such as coping style, treatment compliance, and quality of life were compared between the two groups. Results Patients in the observation group had significantly higher problem solving, help seeking, and rationalization scores and significantly lower self-blame scores than the control group (P < 0.01); significantly higher treatment compliance than the control group (P < 0.01); and significantly higher social functioning, emotional well-being, and energy/fatigue scores than the control group (P < 0.01). Conclusion The home care model helps to promote the development of positive coping styles, improve treatment compliance, and improve the quality of life of patients after cranial surgery.
Collapse
|
25
|
Ahn S, Yi Y. Factors influencing mental health nurses in providing person-centered care. Nurs Ethics 2022; 29:1491-1502. [PMID: 35723256 DOI: 10.1177/09697330221089076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Mental health nurses advocate for patients through a person-centered approach because they care for people experiencing mental distress who tend to be limited to exercising their human rights and autonomy through interpersonal relationships. Therefore, it is necessary to provide high-quality person-centered care for these patients by identifying the influencing factors. AIM This study aims to identify the factors affecting mental health nurses in performing person-centered care for patients. RESEARCH DESIGN This study had a cross-sectional, descriptive-correlational survey design. PARTICIPANTS AND METHOD Nurses (N = 166) working at psychiatric wards in Korea completed an online questionnaire on moral sensitivity, attitudes toward people with mental illness, and person-centered care. The t-test and stepwise multiple regression analysis were used. ETHICAL CONSIDERATIONS Ethical approval for the study was obtained from the relevant ethics committee. FINDINGS Moral sensitivity was a significant factor correlating with the provision and perception of person-centered care. Attitudes toward patients had no effect on person-centered care. The predictor variables for the provision of person-centered care (R2 = 0.247) were moral sensitivity (β = 0.33), having a professional qualification (β = 0.19), marital status (β = 0.18), and closed ward (β = -0.15). The predictor variables for the perception of person-centered (R2 = 0.150) care were closed ward (β = -0.25), moral sensitivity (β = 0.23), and marital status (β = 0.18). DISCUSSION AND CONCLUSION Mental health nurses can strengthen person-centered care by improving moral sensitivity related to the ethical aspect of nursing and professional competence to address the complex needs of patients. Person-centered care needs to be applied more carefully in closed wards where human rights issues may arise. Through these efforts, the dignity of patients can be protected.
Collapse
Affiliation(s)
- Suyoun Ahn
- School of Nursing, 26716Hanyang University, Seongdong-gu, Korea
| | - Yeojin Yi
- School of Nursing, 26716Hanyang University, Seongdong-gu, Korea
| |
Collapse
|
26
|
Atashzadeh-Shoorideh F, Parvizy S, Hosseini M, Raziani Y, Mohammadipour F. Developing and validating the nursing presence scale for hospitalized patients. BMC Nurs 2022; 21:138. [PMID: 35655206 PMCID: PMC9161566 DOI: 10.1186/s12912-022-00896-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Accepted: 05/09/2022] [Indexed: 11/10/2022] Open
Abstract
Abstract
Aim
We developed and psychometrically tested the Nursing Presence Scale.
Background
Nursing presence is a foundation for professional nursing practice; therefore, it is critical to measure this concept.
Introduction
This instrument development study was designed to generate an itemized scale and psychometric testing using a sample of Iranian patients.
Methods
Based on both a concept development and literature review, and finally face and content validity 44-item draft scale was generated. During November 2018–2019, 774 patients were surveyed. Exploratory and confirmatory factor analyses were used to evaluate the scale’s construct validity; concurrent and predictive reliability of the nursing presence scale were also evaluated. We also examine the weighting to scale items.
Results
The analyses yielded a 36-item, 4-factor scale that adequately fit the data. Cronbach’s alpha coefficient for the whole instrument was 0.94. The intra class correlation coefficient was 0.91. Nursing Presence Scale scores were positively correlated with Revised Humane Caring Scale and predicted 25% of missed nursing care.
Conclusion
This 36-item has good reliability and validity, making it useful for measuring the current condition of nursing presence.
Implications for Nursing and Health Policy
Measuring the frequency of nursing presence allows for data-driven planning and upgrading the inpatient care services.
Collapse
|
27
|
Fonseca MI, Almeida D, Martins AP, Cerqueira M, Villar F, Martinez de Oliveira JM, Afonso RM. Sexual expression involving people with dementia living in long-term care facilities: staff's reactions. Int J Older People Nurs 2022; 17:e12474. [PMID: 35581722 DOI: 10.1111/opn.12474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Revised: 04/01/2022] [Accepted: 04/10/2022] [Indexed: 11/30/2022]
Abstract
This study aims to explore and compare the reaction of long-term care staff towards situations of sexual intercourse in which one or both partners have dementia. Participants were 538 staff members at 28 Portuguese long-term care facilities. Data were collected using a printed questionnaire with seven vignettes with situations related to the sexuality of LTCF residents. In this study, three of these vignettes were analysed with situations in which residents were having relationships in their bedrooms: (1) one male resident and one female resident; (2) two residents with dementia; (3) two residents, one of them with dementia. For each of the vignettes, participants are asked what they think their 'colleagues' would do in each vignette, i.e. 'What do you think most of your colleagues would do?' The results revealed that when sexual relationships involved both partners living with dementia, the most selected reaction was 'Comment on what happened with supervision or direction', which may suggest that the situation was perceived as difficult or problematic. The most restrictive reactions were most often chosen when only one partner had dementia. This study suggests the need to improve and provide training, so that staff have knowledge and strategies that allow people living with dementia to preserve their sexual rights in long-term care facilities.
Collapse
Affiliation(s)
| | - Daniela Almeida
- Department of Psychology and Education, University of Beira Interior, Covilhã, Portugal
| | - Ana Paula Martins
- Departament of Mathematics, Centre of Mathematics and Applications, (CMA-UBI), University of Beira Interior, Covilhã, Portugal
| | - Margarida Cerqueira
- School of Health Sciences, University of Aveiro, Portugal.,CINTESIS@RISE, UA, Aveiro, Portugal
| | - Feliciano Villar
- Department of Cognition, Development and Educational Psychology, University of Barcelona, Barcelona, Spain
| | | | - Rosa Marina Afonso
- Department of Psychology and Education, University of Beira Interior, Covilhã, Portugal.,Center for Health Technology and Services Research (CINTESIS, FM, UP), Porto, Portugal
| |
Collapse
|
28
|
Egger-Rainer A, Hettegger SM, Feldner R, Arnold S, Bosselmann C, Hamer H, Hengsberger A, Lang J, Lorenzl S, Lerche H, Noachtar S, Pataraia E, Schulze-Bonhage A, Staack AM, Trinka E, Unterberger I, Zimmermann G. Do all patients in the epilepsy monitoring unit experience the same level of comfort? A quantitative exploratory secondary analysis. J Adv Nurs 2021; 78:2004-2014. [PMID: 34837405 PMCID: PMC9299695 DOI: 10.1111/jan.15105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2021] [Revised: 09/22/2021] [Accepted: 11/04/2021] [Indexed: 11/28/2022]
Abstract
Aims To find out which variables may be associated with comfort of patients in an epilepsy monitoring unit. Design Exploratory, quantitative study design. Methods Data were collected from October 2018 to November 2019 in Austria and Southern Germany. A total of 267 patients of 10 epilepsy centres completed the Epilepsy Monitoring Unit Comfort Questionnaire which is based on Kolcaba's General Comfort Questionnaire. Secondary data analysis were conducted by using descriptive statistics and an exploratory model building approach, including different linear regression models and several sensitivity analyses. Results Total comfort scores ranged from 83 to 235 points. Gender, occupation and centre turned out to be possible influential variables. On average, women had a total comfort score 4.69 points higher than men, and retired persons 28.2 points higher than high school students ≥18 years. Comfort scores of younger patients were lower than those of older patients. However, age did not show a statistically significant effect. The same could be observed in marital status and educational levels. Conclusion When implementing comfort measures, nurses must be aware of variables which could influence the intervention negatively. Especially, high school students ≥18 years should be supported by epilepsy specialist nurses, in order to reduce uncertainty, anxiety and discomfort. But, since the identified variables account only for a small proportion of the inter‐individual variability in comfort scores, further studies are needed to find out additional relevant aspects and to examine centre‐specific effects more closely. Impact Nurses ensure patient comfort during a hospital stay. However, there are variables that may impair the effectiveness of the nursing measures. Our study showed that the experience of comfort was highly individual and could be explained by sociodemographic variables only to a limited extent. Nurses must be aware that additional factors, such as the situation in the individual setting, may be relevant.
Collapse
Affiliation(s)
- Andrea Egger-Rainer
- Institute of Nursing Science and Practice, Paracelsus Medical University, Salzburg, Austria.,Department of Neurology, Christian-Doppler Medical Centre, Paracelsus Medical University, Salzburg, Austria
| | | | - Raphael Feldner
- Department of Mathematics, Paris-Lodron-University of Salzburg, Salzburg, Austria
| | - Stephan Arnold
- Epilepsy Unit, Department of Neurosurgery, Schön Klinik Vogtareuth, Vogtareuth, Germany
| | - Christian Bosselmann
- Department of Neurology and Epileptology, Hertie-Institute for Clinical Brain Research, Eberhard-Karls University of Tübingen, Tübingen, Germany
| | - Hajo Hamer
- Department of Neurology, Epilepsy Center, University Hospital Erlangen, Erlangen, Germany
| | - Anna Hengsberger
- Department of Neurology 1, Kepler University Hospital, Johannes Kepler University Linz, Linz, Austria
| | - Johannes Lang
- Department of Neurology, Epilepsy Center, University Hospital Erlangen, Erlangen, Germany
| | - Stefan Lorenzl
- Institute of Nursing Science and Practice, Paracelsus Medical University, Salzburg, Austria
| | - Holger Lerche
- Department of Neurology and Epileptology, Hertie-Institute for Clinical Brain Research, Eberhard-Karls University of Tübingen, Tübingen, Germany
| | - Soheyl Noachtar
- Department of Neurology, Epilepsy Center, University of Munich Hospital, Ludwig-Maximilian University, Munich, Germany
| | | | | | | | - Eugen Trinka
- Department of Neurology, Christian-Doppler Medical Centre, Paracelsus Medical University, Salzburg, Austria.,Centre for Cognitive Neuroscience, Salzburg, Austria
| | - Iris Unterberger
- Department of Neurology, Innsbruck Medical University, Innsbruck, Austria
| | - Georg Zimmermann
- Department of Neurology, Christian-Doppler Medical Centre, Paracelsus Medical University, Salzburg, Austria.,Team Biostatistics and Big Medical Data, IDA Lab Salzburg, Paracelsus Medical University, Salzburg, Austria.,Department of Research and Innovation, Paracelsus Medical University, Salzburg, Austria
| |
Collapse
|
29
|
Johnsson A, Boman Å, Wagman P, Pennbrant S. Manoeuvring between interplay and context- an ethnographic study of social interaction in encounters between registered nurses, older patients and their relatives. BMC Nurs 2021; 20:232. [PMID: 34789256 PMCID: PMC8600746 DOI: 10.1186/s12912-021-00754-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Accepted: 10/28/2021] [Indexed: 11/13/2022] Open
Abstract
Background Social interactions between registered nurses, older patients and their relatives are essential and play a central role in developing a successful care relationship in healthcare encounters. How nurses interact with patients affects the patient’s well-being. Limited time and demands for efficiency influence the encounter and complaints from patients and relatives often concern social interactions. Therefore, the aim of this study was to explore the social interaction in encounters between registered nurses, older patients and their relatives at a department of medicine for older people. Methods The study has an ethnographic approach including participatory observations (n = 21) and informal field conversations (n = 63), followed by a thematic analysis with an abductive approach reflecting Goffman’s interactional perspective. Result The result revealed a pattern where the participants manoeuvred between interplay and context. By manoeuvring, they defined roles but also created a common social situation. Nurses led the conversation; patients followed and described their health problems, while relatives captured the moment to receive and provide information. Finally, nurses summarised the encounter using ritual language, patients expressed gratitude through verbal and non-verbal expressions, while relatives verbally confirmed the agreements. Conclusion The social interaction between registered nurses, older patients and relatives was shaped by a pattern where the participants manoeuvred between interplay and context. When all participants assume responsibility for the social interaction, they become active and listen to each other. The approach adopted by nurses is crucial, thus training in communication and social interaction skills are important. When the asymmetry due to imbalance, is reduced, less misunderstanding and a satisfactory care relationship can be achieved.
Collapse
Affiliation(s)
- Anette Johnsson
- Department of Health Sciences, University West, Gustava Melins Gata 2, SE-461 86, Trollhättan, Sweden.
| | - Åse Boman
- Department of Health Sciences, University West, Gustava Melins Gata 2, SE-461 86, Trollhättan, Sweden
| | - Petra Wagman
- Department of Rehabilitation, Jönköping University, Jönköping, Sweden
| | - Sandra Pennbrant
- Department of Health Sciences, University West, Gustava Melins Gata 2, SE-461 86, Trollhättan, Sweden
| |
Collapse
|
30
|
Rafii F, Nasrabadi AN, Tehrani FJ. The omission of some patterns of knowing in clinical care: A qualitative study. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2021; 26:508-514. [PMID: 34900649 PMCID: PMC8607894 DOI: 10.4103/ijnmr.ijnmr_75_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 10/14/2020] [Accepted: 07/17/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Providing holistic and humanistic care to patients requires a variety of factors. A care solely based on objective knowledge might be unsafe and of low quality. Using the patterns of knowing in an integrated manner and relative to the context of caring is one of the necessities for proving a holistic and efficient nursing care. This study aimed to explore the role of patterns of knowing in the formation of uncaring behaviors. MATERIALS AND METHODS The researchers used a qualitative research design for this study. Participants included 19 clinical nurses who attended semi-structured and in-depth interviews. In addition, theoretical and purposeful sampling methods were used in this research. Observation of caring processes in different hospital wards was another method used for collecting data. The data analysis was carried out according to conventional content analysis technique. RESULTS The study findings revealed five categories for the theme of "omission of some patterns of knowing" including omission of scientific principles, omission of therapeutic relationship, omission of ethics, omission of social justice, and omission of flexibility. CONCLUSIONS The omission of some patterns of knowing creates an ugly image of nursing and a negative outcome of caring as well.
Collapse
Affiliation(s)
- Forough Rafii
- Nursing Care Research Centre (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
| | - Alireza Nasrabadi Nasrabadi
- Department of Medical and Surgical, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Fereshteh Javaheri Tehrani
- Nursing Care Research Centre (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
| |
Collapse
|
31
|
Abu Sharour L. Translation and Validation of the Arabic Version of the Caring Nurse-Patient Interaction Scale-Patient Version (CNPI-23P). Cancer Nurs 2021; 44:E62-E67. [PMID: 31651463 DOI: 10.1097/ncc.0000000000000755] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Importantly, little is known about the cancer patients' perceptions about nurses' caring behaviors in Arab countries (Jordan specifically). This is mainly related to a lack of short Arabic instruments that measure nurse-patient interaction from a caring perspective. OBJECTIVE To translate and validate an Arabic version of the Caring Nurse-Patient Interaction Scale-Patient Version (CNPI-23P). METHODS The CNPI-23 was translated into Arabic using Brislin's model of translation. A cross-cultural adaptation and psychometric testing were used to collect the data from patients with cancer through a self-administered questionnaire, which included the Arabic version of CNPI-23P and demographic characteristics. Descriptive statistics, inferential statistics, and exploratory factor analysis were used. RESULTS One hundred fifty patients were recruited. A content validity involving experts and 20 patients indicated that the statements were clear, understandable, and in logical and easy order. Reliability analysis of CNPI-23P subscales ranged between 0.71 to 0.91 and 0.95 for the total Arabic version of CNPI-23P. Results of the exploratory factor analysis showed that the 23-item scale score reflecting 4 caring domains with Kaiser-Meyer-Olkin was 0.896, and Bartlett test of sphericity was significant (P < .001). CONCLUSION The Arabic version of CNPI-23P is reliable and valid and can be used in research, clinical, and educational settings in Arabic countries. IMPLICATIONS FOR PRACTICE The Arabic version of CNPI-23P may increase our understanding of cancer patients' perceptions about nurses' caring behaviors in Arab countries.
Collapse
Affiliation(s)
- Loai Abu Sharour
- Author Affiliation: Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman
| |
Collapse
|
32
|
Savundranayagam MY, Docherty-Skippen SM, Basque SR. Qualitative Insights into the Working Conditions of Personal Support Workers in Long-Term Care in the Context of a Person-Centered Communication Training Intervention. Res Gerontol Nurs 2021; 14:245-253. [PMID: 34292804 DOI: 10.3928/19404921-20210708-01] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The current study reports on qualitative insights into the working conditions of personal support workers (PSWs) in long-term care (LTC) homes within the context of a person-centered communication training intervention. PSWs (N = 39) employed at one of four LTC homes in southwestern Ontario, Canada, participated in a series of 1-hour focus groups before, during, and after a 2-week person-centered communication training program for formal caregivers of persons living with dementia (PLWD). Textual data from focus group conversations were coded and organized into themes following an interpretive description research design. Three overarching themes emerged related to the working conditions of PSWs in LTC: (1) dementia care is complex, (2) there is a lack of trained staff to provide person-centered dementia care, and (3) residents' families are not appropriately situated in residents' care circles. Four overarching themes emerged related to the impact of those working conditions: (a) PSW occupational burnout, (b) poor resident care, (c) frustrated and disengaged families, and (d) PSW job attrition. These findings offer LTC employers and administrators opportunities to ameliorate working conditions to better support person-centered dementia care. [Research in Gerontological Nursing, xx(x), xx-xx.].
Collapse
|
33
|
Pakkonen M, Stolt M, Charalambous A, Suhonen R. Continuing education interventions about person-centered care targeted for nurses in older people long-term care: a systematic review. BMC Nurs 2021; 20:67. [PMID: 33910557 PMCID: PMC8082917 DOI: 10.1186/s12912-021-00585-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Accepted: 04/15/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Person-Centered Care is often seen as an indicator of quality of care. However, it is not known whether and to what extent person-centered care can be enhanced by continuing education interventions in older people's long-term care settings. This systematic review aimed to analyze and synthesize the existing research literature about person-centered care-based continuing educational interventions for nurses working in long-term care settings for older people. METHODS Five databases were searched 6/2019 and updated 7/2020; PubMed (Medline), CINAHL, PsycINFO, Cochrane and Eric using the keywords person-centered car* OR person-centred car * OR patient-centered car* OR client-centered car* OR tailored car* OR resident-centered car* OR individualized car* AND older* OR elder* OR old person* AND Long-Term Care OR Nursing home OR 24-h treatment OR long-term treatment. Twenty-seven full texts from 2587 initially retrieved citations were included. RESULTS The continuing educational interventions found were divided into five themes: person-centered interventions focusing on medication; interaction and caring culture; nurses' job satisfaction; nursing activities; and older people's quality of life. The perspective of older people and their next of kin about the influence of continuing education interventions were largely absent. The background theories about interventions, the measurements taken, and the clarity around the building blocks of the continuing-care interventions need further empirical verification. The pedagogical methods used were mainly quite behavioristic mostly lectures and seminars. CONCLUSION Most of person-centered care continuing education interventions are effective. Still more empirical research-based continuing education interventions are needed that include learner-centered pedagogical methods, with measurable outcomes that consider the opinions of older people and their next of kin. Continuing educational interventions for nurses need to be further developed to strengthen nurse's competence in person-centered care, job satisfaction and for better quality of care.
Collapse
Affiliation(s)
- Mari Pakkonen
- Department of Nursing Science, University of Turku, Turku, Finland
| | - Minna Stolt
- Department of Nursing Science, University of Turku, Turku, Finland
| | - Andreas Charalambous
- Department of Nursing Science, University of Turku, Turku, Finland
- Department of Nursing Science, Cyprus University of Technology, Limassol, Cyprus
| | - Riitta Suhonen
- Department of Nursing Science, University of Turku, Turku, Finland
- Turku University Hospital, Turku, Finland
- City of Turku, Welfare Division, Turku, Finland
| |
Collapse
|
34
|
Mert S, Kersu Ö, Aydin Sayilan A, Baydemir C, Ilter G. Patients' and Nurses' Perceptions of the Quality of Nursing Care in Surgical Clinics: A Multicenter Study in Turkey. J Nurs Care Qual 2021; 36:188-194. [PMID: 33259464 DOI: 10.1097/ncq.0000000000000528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND The evaluation of the quality of nursing care by patients and nurses is important for improving care. PURPOSE The aim was to determine patients' and nurses' perceptions of the quality of nursing care in surgical clinics and influencing factors. METHODS The sample of this cross-sectional, descriptive, and comparative study consisted of 503 surgical patients and 308 surgical nurses. The data were collected between February 2018 and June 2019. RESULTS Characteristics of patients such as age, gender, complications, and nursing care scores, and the characteristics of the nurses such as being satisfied with the current clinic, their work experience in the clinic, and the number of daily surgical interventions affected the perceptions of care quality. CONCLUSIONS The study revealed that the patients' perceptions of the quality of care were lower than those of nurses, and some factors belonging to the patients and nurses negatively influenced the quality of care.
Collapse
Affiliation(s)
- Selda Mert
- Kocaeli Vocational School of Health Services, Kocaeli University, Kocaeli, Turkey (Dr Mert); Health Application and Research Hospital, Eskişehir Osmangazi University, Eskişehir, Turkey (Ms Kersu); Nursing Department, Kirklareli University School of Health Sciences, Kirklareli Turkey (Dr Aydin Sayilan); Department of Biostatistics and Medical Informatics, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey (Dr Baydemir); and Kocaeli University Research and Application Hospital, Kocaeli, Turkey (Ms Ilter)
| | | | | | | | | |
Collapse
|
35
|
Missel M, Bernild C, Westh Christensen S, Dagyaran I, Kikkenborg Berg S. The marked body - a qualitative study on survivors embodied experiences of a COVID-19 illness trajectory. Scand J Caring Sci 2021; 36:183-191. [PMID: 33734468 PMCID: PMC8251171 DOI: 10.1111/scs.12975] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Revised: 10/02/2020] [Accepted: 01/31/2021] [Indexed: 01/08/2023]
Abstract
Background Research on COVID‐19 has reported data on epidemiology and pathophysiology but less about what it means to be a person living through this illness. Research involving the patients’ perspectives may help to improve healthcare professionals' understanding of ways to support patients. Aims To gain in‐depth understanding of the meaning of a COVID‐19 illness trajectory from the patients’ perspective. Methods Fifteen participants who had undergone an illness trajectory due to confirmed COVID‐19 infection participated in individual qualitative interviews. Data collection, analysis and interpretation were inspired by Ricoeur’s philosophy and Merleau‐Ponty’s phenomenology of perception and embodiment has been applied as a theoretical frame. Findings Being infected with coronavirus is expressed as an experience in which the participants oscillate between relief, security, imprisonment and raw fear. A predominant focus on the physical dimensions of the diseased body was found in the encounters between patient and healthcare system, and distance may furthermore be a consequence of use of protective equipment. Stigma and fear of infection were also expressed. After COVID‐19, an overwhelming feeling of a door opening to freedom is perceived. However, the body is marked, and bears witness to decay from this insidious and frightening virus. The responsibility for assessing their bodily symptoms is placed with the individual patients themselves, who feel lonely and fearful and this keeps them indoors. Conclusions During a COVID‐19 illness, trajectory concerns about the unknown course of this disease are highlighted. Isolation is confrontational; however, a companionship between patients might emerge. The study shed light on an unavoidable gap between the patients and healthcare professionals due to the use protective equipment. After COVID‐19, the body is labelled as something others fear and become a symbol of awe and alienation for others.
Collapse
Affiliation(s)
- Malene Missel
- Department of Cardiothoracic Surgery, Centre for Cardiac, Vascular, Pulmonary and Infectious Diseases, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
| | - Camilla Bernild
- 2Centre for Cardiac, Vascular, Pulmonary and Infectious Diseases, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
| | - Signe Westh Christensen
- 2Centre for Cardiac, Vascular, Pulmonary and Infectious Diseases, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
| | - Ilkay Dagyaran
- Department of Infectious Diseases, Centre for Cardiac, Vascular, Pulmonary and Infectious Diseases, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
| | - Selina Kikkenborg Berg
- 2Centre for Cardiac, Vascular, Pulmonary and Infectious Diseases, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.,National Institute of Public Health, University of Southern Denmark, Odense, Denmark.,Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| |
Collapse
|
36
|
Ali L, Wallström S, Ekman I, Swedberg K, Fors A. Effects of person-centred care via telephone on self-efficacy in patients with chronic obstructive pulmonary disease: Subgroup analysis of a randomized controlled trial. Nurs Open 2021; 8:927-935. [PMID: 33570304 PMCID: PMC7877134 DOI: 10.1002/nop2.701] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Accepted: 11/04/2020] [Indexed: 01/20/2023] Open
Abstract
AIM To evaluate the effects of PCC in the form of structured telephone support on self-reported cardiac self-efficacy in patients with COPD. METHODS We enrolled 105 patients, aged ≥50 years, admitted to hospital and diagnosed with COPD from January 2015 to November 2016. The patients received usual care or PCC via telephone added to usual care. The Swedish Cardiac Self-Efficacy Scale comprising three dimensions (control symptoms, control illness and maintain functioning) was used as outcome measure. Data was collected at baseline, and at 3- and 6-month follow-ups. RESULTS At both the 3- and 6-month follow-ups, the intervention group improved significantly more than the control group in the control illness dimension (p = .012 and p = .032, respectively). No differences were found in the other two dimensions. CONCLUSIONS PCC in the form of structured telephone support increases patients' confidence in managing their illness and may be a feasible strategy to support patients in their homes.
Collapse
Affiliation(s)
- Lilas Ali
- Institute of Health and Care SciencesSahlgrenska AcademyUniversity of GothenburgGothenburgSweden
- Centre for Person‐Centred Care (GPCC)University of GothenburgGothenburgSweden
- Psychiatric DepartmentSahlgrenska University HospitalGothenburgSweden
| | - Sara Wallström
- Institute of Health and Care SciencesSahlgrenska AcademyUniversity of GothenburgGothenburgSweden
- Centre for Person‐Centred Care (GPCC)University of GothenburgGothenburgSweden
| | - Inger Ekman
- Institute of Health and Care SciencesSahlgrenska AcademyUniversity of GothenburgGothenburgSweden
- Centre for Person‐Centred Care (GPCC)University of GothenburgGothenburgSweden
| | - Karl Swedberg
- Institute of Health and Care SciencesSahlgrenska AcademyUniversity of GothenburgGothenburgSweden
- Centre for Person‐Centred Care (GPCC)University of GothenburgGothenburgSweden
- Department of Molecular and Clinical MedicineSahlgrenska AcademyUniversity of GothenburgGothenburgSweden
| | - Andreas Fors
- Institute of Health and Care SciencesSahlgrenska AcademyUniversity of GothenburgGothenburgSweden
- Centre for Person‐Centred Care (GPCC)University of GothenburgGothenburgSweden
- Research and Development Primary Health CareRegion Västra GötalandGothenburgSweden
| |
Collapse
|
37
|
Sousa H, Oliveira J, Figueiredo D, Ribeiro O. The clinical utility of the Distress Thermometer in non-oncological contexts: A scoping review. J Clin Nurs 2021; 30:2131-2150. [PMID: 33555631 DOI: 10.1111/jocn.15698] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Revised: 01/18/2021] [Accepted: 01/29/2021] [Indexed: 12/22/2022]
Abstract
AIMS To assess the clinical utility of the Distress Thermometer (DT) in non-cancer populations. METHODS The search was performed between the 6th and the 18th of April 2020, on the following databases: Web of Science (all databases included), Scopus and Science Direct. One last update was performed on 5 June 2020. The findings were reported using the PRISMA-ScR. RESULTS Fifty-three studies were included. Overall results indicated that this tool has been used in several contexts and populations (clinical and non-clinical). The DT is highly accessible, suitable and relevant for health professionals and/or researchers who aim to use it as a distress screening tool, particularly in patients with chronic physical conditions. Assumptions about its practicality and acceptability in non-oncology care should be made with caution since few studies have explored the psychometric qualities of this instrument, the completers' perceptions about completing the DT and the perceptions of health professionals who administer the tool. CONCLUSIONS This lack of information undermines conclusions about the overall clinical utility of the DT as a screening tool for distress in individuals who do not have cancer. IMPLICATIONS FOR PRACTICE Future research should aim to fill this gap and investigate the psychometric qualities of the DT through validation studies and, thus, increase the rigour of its application and clinical utility in non-oncological contexts.
Collapse
Affiliation(s)
- Helena Sousa
- Center for Health Technology and Services Research (CINTESIS.UA), School of Health Sciences, University of Aveiro (Campus Universitário de Santiago), Aveiro, Portugal
| | - Jaime Oliveira
- Department of Education and Psychology, Center for Health Technology and Services Research (CINTESIS.UA), University of Aveiro (Campus Universitário de Santiago), Aveiro, Portugal
| | - Daniela Figueiredo
- Center for Health Technology and Services Research (CINTESIS.UA), School of Health Sciences, University of Aveiro (Campus Universitário de Santiago), Aveiro, Portugal
| | - Oscar Ribeiro
- Department of Education and Psychology, Center for Health Technology and Services Research (CINTESIS.UA), University of Aveiro (Campus Universitário de Santiago), Aveiro, Portugal
| |
Collapse
|
38
|
Shamim S, Andresen YLM, Vind Thaysen H, Hovdenak Jakobsen I, Nielsen J, Kjaergaard Danielsen A, Konradsen H. Experiences of Patients Undergoing Bowel Preparation and Colonoscopy: A Qualitative Longitudinal Study. J Multidiscip Healthc 2021; 14:349-358. [PMID: 33603393 PMCID: PMC7887187 DOI: 10.2147/jmdh.s290166] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Accepted: 01/06/2021] [Indexed: 12/02/2022] Open
Abstract
Introduction Colonoscopy remains the reference standard for diagnosing and monitoring colorectal cancer and for diagnosis and surveillance of inflammatory bowel disease. However, there is a limited knowledge of the patients’ needs when undergoing colonoscopy and the challenges within in order to reduce the number of cancelled colonoscopies. The purpose of the study was to explore the experiences of undergoing bowel preparation and colonoscopy. Methods The study was designed as a qualitative longitudinal interview study with an inductive research approach. Patients were considered for inclusion consecutively and selected based on the following criteria of variation: way of referral for colonoscopy (outpatient or screening), age and gender. The interviews were analyzed using qualitative content analysis, and results reported according to COREQ guidelines. Results Based on the findings, three categories emerged: To weigh up participation, A greater challenge than expected, and Not so challenging after all. Throughout these categories, the experience of uncertainty was reported. Discussion The process of undergoing bowel preparation and colonoscopy was influenced by uncertainty due to insufficient information. There is a need to strengthen the patient-centered care by adjusting the information to patient’s needs to better support them in decision-making for participation, to better prepare them for the bowel preparation and to better prepare them for the procedure. In addition, it is vital that patients are provided with results of the colonoscopy that correspond to the timeframe specified in written information.
Collapse
Affiliation(s)
- Sara Shamim
- Department of Gastroenterology, Herlev and Gentofte University Hospital, Herlev, Denmark
| | | | | | | | - Jannie Nielsen
- Department of Gastroenterology, Herlev and Gentofte University Hospital, Herlev, Denmark
| | | | - Hanne Konradsen
- Department of Gastroenterology, Herlev and Gentofte University Hospital, Herlev, Denmark
| |
Collapse
|
39
|
Klarare A, Söderlund M, Wikman A, McGreevy J, Mattsson E, Rosenblad A. Caring Behaviors Inventory-24: translation, cross-cultural adaptation and psychometric testing for use in a Swedish context. HUMAN RESOURCES FOR HEALTH 2021; 19:11. [PMID: 33472634 PMCID: PMC7816459 DOI: 10.1186/s12960-020-00540-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Accepted: 11/23/2020] [Indexed: 06/12/2023]
Abstract
BACKGROUND Patients' health and wellbeing are promoted when nurses successfully conceptualize caring in clinical practice. Measuring caring behaviors can advance knowledge about caring and has potential to improve caring practices and the outcomes of care. The Caring Behaviors Inventory-24 (CBI-24) is an empirical instrument for measuring caring, developed to determine perceptions of caring among patients and nurses. Since the instrument was not available in Swedish, the aim of this study was therefore to translate into Swedish and cross-culturally adapt CBI-24 for a Swedish healthcare context, and to psychometrically analyze the Swedish version of CBI-24. METHODS The study used a traditional forward and back translation process in six stages: (1) two simultaneous translations by bilingual experts; (2) expert review committee synthesis; (3) blind back translation; (4) expert review committee deliberations; (5) pre-testing with cognitive interviews, and (6) psychometric evaluations. RESULTS The translation process was systematically conducted and entailed discussions regarding semantic, idiomatic, experiential and conceptual equivalence. The cognitive interviews generated thoughts and reflections, which resulted in adjusting three items of the CBI-24 SWE. For psychometric analyses, 234 persons answered the questionnaire. Results indicated acceptable overall model fit in the χ2-value for the confirmatory factor analysis, while for the heuristic goodness-of-fit indices, the comparative fit index (CFI) and the standardized mean square residual (SMSR) indicated good model fits, and the root mean square error approximation (RMSEA) indicated an acceptable fit. CONCLUSIONS CBI-24 SWE has been shown to be a psychometrically acceptable instrument for use in Swedish research contexts. Further studies regarding the clinical usefulness of the instrument may be in order. In particular, CBI-24 SWE should be evaluated among nurses in rural areas.
Collapse
Affiliation(s)
- Anna Klarare
- Department of Health Care Sciences, Ersta Sköndal Bräcke University College, Box 11189, 100 61, Stockholm, Sweden.
- Department of Women's and Children's Health, Clinical Psychology in Healthcare, Uppsala University, Uppsala, Sweden.
| | - Mona Söderlund
- Department of Health Care Sciences, Ersta Sköndal Bräcke University College, Box 11189, 100 61, Stockholm, Sweden
| | - Anna Wikman
- Department of Women's and Children's Health, Reproductive Health, Uppsala University, Uppsala, Sweden
| | - Jenny McGreevy
- Department of Dietetics, Region Sörmland, Nyköping, Sweden
- Centre for Clinical Research Sörmland, Eskilstuna, Sweden
| | - Elisabet Mattsson
- Department of Health Care Sciences, Ersta Sköndal Bräcke University College, Box 11189, 100 61, Stockholm, Sweden
- Department of Women's and Children's Health, Clinical Psychology in Healthcare, Uppsala University, Uppsala, Sweden
| | - Andreas Rosenblad
- Department of Medical Sciences, Clinical Diabetology and Metabolism, Uppsala University, Uppsala, Sweden
| |
Collapse
|
40
|
Ferri P, Stifani S, Morotti E, Nuvoletta M, Bonetti L, Rovesti S, Cutino A, Di Lorenzo R. Perceptions of Caring Behavior Among Undergraduate Nursing Students: A Three-Cohort Observational Study. Psychol Res Behav Manag 2020; 13:1311-1322. [PMID: 33380848 PMCID: PMC7769154 DOI: 10.2147/prbm.s279063] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Accepted: 11/11/2020] [Indexed: 12/14/2022] Open
Abstract
Introduction Increase in the knowledge of "caring science" among nurses plays a key role in ensuring a correct caring behavior towards patients. Caring training for students is a priority in nursing education, but unfortunately there are limited and conflicting studies which explore this outcome. The purpose of this observational study was to explore the perceptions of caring behaviors by nursing students during their clinical practice training in order to highlight if the level of caring behaviors changes as the nursing course progresses. Materials and Methods The Caring Behaviors Inventory-24 (CBI-24) was administered to 331 students, enrolled in the three years of an Italian Nursing Course, who accepted to participate in the study (89.2% response rate). The data were analyzed using SPSS software version 26.0 (SPSS Inc., Chicago, IL). Results The total mean score of CBI-24 was 4.82 in the first, 5.12 in the second and 5.26 in the third-year students. The CBI-24 dimensions "Responding to individual needs" and "Being with" obtained the highest scores among the students of the first year. At the end of the first year, our students were already able to perform expressive caring, whereas instrumental caring developed at a high level in the second and third years. We did not highlight any statistically significant difference between the two gender CBI-24 item scores. Conclusion In light of our results, we put in evidence that Nursing Degree Programme favours the development in students of both relational and technical components of caring behaviors. We hope that in future students' self-assessment of caring behaviors could be considered an educational outcome for Nursing Programme.
Collapse
Affiliation(s)
- Paola Ferri
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena 41125, Italy
| | - Serena Stifani
- School of Nursing, University of Modena and Reggio Emilia, Modena 41124, Italy
| | - Elena Morotti
- School of Nursing, University of Modena and Reggio Emilia, Modena 41124, Italy
| | | | - Loris Bonetti
- Nursing Research and Development Unit, Oncology Institute of Southern Switzerland, Bellinzona 6500, Switzerland
| | - Sergio Rovesti
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena 41125, Italy
| | - Anna Cutino
- Psychiatry, University of Modena and Reggio Emilia, Modena 41124, Italy
| | - Rosaria Di Lorenzo
- Psychiatric Intensive Treatment Facility, Mental Health and Drug Abuse Department of AUSL-Modena, Modena 41122, Italy
| |
Collapse
|
41
|
Brugnolli A, Debiasi M, Zenere A, Zanolin Professor ME, Baggia M. The Person-Centered Care Assessment Tool in Nursing Homes: Psychometric Evaluation of the Italian Version. J Nurs Meas 2020; 28:555-563. [PMID: 32737194 DOI: 10.1891/jnm-d-18-00090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND The Person-centered Care Assessment Tool (P-CAT) was developed as a self-reporting assessment scale for the healthcare staff ratings of the person-centeredness of their nursing practice. AIM This study investigates the psychometric proprieties of P-CAT tool in a sample of staff working in residential units for older people, in the North of Italy. METHODS Internal consistency and reliability were examined using the Cronbach's alpha coefficient. Exploratory factor analysis was used to evaluate construct validity, homogeneity analysis performed to evaluate internal homogeneity of the items and equidistance of item options, test-retest reliability examined by the Pearson correlation coefficient and the intraclass correlation (ICC) coefficient. The P-CAT score was standardized to a 100-point scale, the score differences among groups were compared with one-way ANOVA. RESULTS The exploratory factor analysis supported the construct validity of a two-factor solution. The mean standardized score of P-CAT was 67.3 (SD 12.8) and Cronbach's alpha was .79 for subscale 1 and .75 for subscale 2. The ICC coefficient was .87. CONCLUSION Reliability and homogeneity were satisfactory for the whole P-CAT tool (Cronbach's alpha ≥ .70). Test-retest reliability showed temporal stability of the scale (r Pearson .86, ICC .86). The Italian version of the P-CAT was found to be valid, reliable, and applicable for further research. Two subscales are recommended for the Italian version.
Collapse
Affiliation(s)
- Anna Brugnolli
- Center of Higher Education for Health Sciences, Trento, Italy
| | - Martina Debiasi
- Center of Higher Education for Health Sciences, Trento, Italy
| | | | | | | |
Collapse
|
42
|
Gabrielsson S, Tuvesson H, Wiklund Gustin L, Jormfeldt H. Positioning Psychiatric and Mental Health Nursing as a Transformative Force in Health Care. Issues Ment Health Nurs 2020; 41:976-984. [PMID: 32584618 DOI: 10.1080/01612840.2020.1756009] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
From the perspective of psychiatric and mental health nurses in Sweden, this discussion paper aims to position psychiatric and mental health nursing as a transformative force contributing to enforcing person-centered values and practices in health care. We argue the potential impact of psychiatric and mental health nursing on service user health and recovery, nursing student education and values, and the organization and management of health care. Psychiatric and mental health nursing is discussed as a caring, reflective, and therapeutic practice that promotes recovery and health. Implications for nursing education, research, management, and practice are outlined.
Collapse
Affiliation(s)
- S Gabrielsson
- Department of Health Sciences, Luleå University of Technology, Luleå, Sweden
| | - H Tuvesson
- Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden
| | - L Wiklund Gustin
- School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.,Department of Health and Care Sciences, UIT/The Arctic University of Norway, Tromsø, Norway
| | - H Jormfeldt
- School of Health and Welfare, Halmstad University, Halmstad, Sweden
| |
Collapse
|
43
|
Summer Meranius M, Holmström IK, Håkansson J, Breitholtz A, Moniri F, Skogevall S, Skoglund K, Rasoal D. Paradoxes of person-centred care: A discussion paper. Nurs Open 2020; 7:1321-1329. [PMID: 32802352 PMCID: PMC7424463 DOI: 10.1002/nop2.520] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Accepted: 05/04/2020] [Indexed: 12/30/2022] Open
Abstract
Aim Previous research has mainly focused on the advantages of PCC and less on its disadvantages. Hence, there is a need to further explore the recent research regarding PCC from both sides. Therefore, the aim of this paper is to elucidate the advantages and disadvantages of PCC. Design Discussion paper. Methods We searched relevant literature published January 2000-March 2018 in PubMed, Medline, CHINAL, Scopus and Web of Science. Results The results showed that PCC can contribute to improved health and well-being, improved mutual interaction in relationships, improved cost-effectiveness and improved work environment, while the disadvantages can involve increased personal and financial costs, exclusion of certain groups, increased personal and financial costs, exclusion of staff's personhood and unfairness due to empathy. An analysis of the existing literature on PCC showed paradoxes, which call for further investigation.
Collapse
Affiliation(s)
| | - Inger K. Holmström
- School of Health, Care and Social WelfareMälardalen UniversityVästeråsSweden
- Department of Public Health and Caring SciencesUppsala UniversityUppsalaSweden
| | - Jakob Håkansson
- School of Health, Care and Social WelfareMälardalen UniversityVästeråsSweden
| | - Agneta Breitholtz
- School of Health, Care and Social WelfareMälardalen UniversityVästeråsSweden
| | - Farah Moniri
- School of Health, Care and Social WelfareMälardalen UniversityVästeråsSweden
| | - Sofia Skogevall
- School of Health, Care and Social WelfareMälardalen UniversityVästeråsSweden
| | - Karin Skoglund
- School of Health, Care and Social WelfareMälardalen UniversityVästeråsSweden
| | - Dara Rasoal
- School of Health, Care and Social WelfareMälardalen UniversityVästeråsSweden
| |
Collapse
|
44
|
Poortaghi S, Salsali M, Ebadi A, Pourgholamamiji N. Accreditation of nursing clinical services: Development of an appraisal tool. Nurs Open 2020; 7:1338-1345. [PMID: 32802354 PMCID: PMC7424456 DOI: 10.1002/nop2.505] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Revised: 04/04/2020] [Accepted: 04/10/2020] [Indexed: 11/06/2022] Open
Abstract
Aim This study aimed to determine comprehensive and applicable indicators for assessing the quality of nursing clinical services. Design Methodological research. Methods The checklist was designed in three phases (conceptualization, item generation and item reduction). In the first phase, a qualitative study using conventional content analysis was performed to clarify the concept of accreditation of clinical nursing services. In the second phase, using the views of experts was obtained in phase 1 and then by a review of the literature, related items were extracted, and item pool was formed. In the last phase, validity and reliability of the checklist were examined. Result Based on three phases (Conceptualization, Item Generation and Item Reduction), the accreditation indicators of clinical nursing services were extracted in three dimensions including structure, process and outcome at two levels of organizational (including structural and outcome indicators) and individual performance appraisal (process indicators) in 19 main categories.
Collapse
Affiliation(s)
- Sarieh Poortaghi
- Department of Community Health NursingSchool of Nursing & MidwiferyTehran University of Medical SciencesTehranIran
| | - Mahvash Salsali
- School of Nursing & MidwiferyTehran University of Medical SciencesTehranIran
| | - Abbas Ebadi
- Behavioral Sciences Research CenterLife Style InstituteBaqiyatallah University of Medical SciencesTehranIran
| | - Nima Pourgholamamiji
- Nursing Care Research Center (NCRC)School of Nursing and MidwiferyIran University of Medical SciencesTehranIran
| |
Collapse
|
45
|
Le C, Ma K, Tang P, Edvardsson D, Behm L, Zhang J, Yang J, Fu H, Ahlström G. Psychometric evaluation of the Chinese version of the Person-Centred Care Assessment Tool. BMJ Open 2020; 10:e031580. [PMID: 32665340 PMCID: PMC7359066 DOI: 10.1136/bmjopen-2019-031580] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
OBJECTIVE This study aims to test a Chinese cross-cultural adaptation of the English version of the Person-Centred Care Assessment Tool (P-CAT) and evaluate its psychometric properties. DESIGN P-CAT was translated/back-translated using established procedures before the psychometric evaluation of the Chinese version was made. SETTING Two hospitals covering urban and suburban areas of Kunming in the Yunnan province of China. PARTICIPANTS 152 female hospital staff completed the survey. MAIN OUTCOME MEASURES Construct validity and reliability, including internal consistency and test-retest reliability, were assessed among a sample of hospital staff. RESULTS The factor analysis resulted in a two-component solution that consisted of two subscales. The corrected item-total correlations for all of the items ranged from 0.14 to 0.44, with six items not meeting the cut-off level for item-total correlation (>0.3). The Chinese P-CAT demonstrated strong reliability, with a Cronbach's alpha of 0.91-0.94 for the scales and a test-retest reliability coefficient of 0.88 for the overall scale scores. The intraclass correlation was 0.92 (95% CI 0.90 to 0.95). CONCLUSION P-CAT appears to be a promising measure for evaluating staff perceptions of person-centredness in Chinese hospital environments. The results show that P-CAT can be a useful tool for improving the quality of healthcare in terms of person-centred care in the Chinese context.
Collapse
Affiliation(s)
- Cai Le
- School of Public Health, Kunming Medical University in Kunming, Kunming, China
| | - Ke Ma
- Palliative Care, The Third People's Hospital of Kunming, Kunming, Yunnan, China
| | - Pingfen Tang
- School of Nursing, Kunming Medical University, Kunming, Yunnan, China
| | - David Edvardsson
- School of Nursing & Midwifery, College of Science, Health and Engineering, La Trobe University/Austin Health Clinical School of Nursing, Heidelberg, Victoria, Australia
| | - Lina Behm
- Faculty of Health Sciences, Kristianstad University College, Kristianstad, Sweden
| | - Jie Zhang
- Palliative Care, The Third People's Hospital of Kunming, Kunming, Yunnan, China
| | - Jiqun Yang
- Department of Palliative Care, The Third People's Hospital of Kunming, Kunming, China
| | - Haiyan Fu
- Department of Palliative Care, The Third People's Hospital of Kunming, Kunming, China
| | - Gerd Ahlström
- Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden
| |
Collapse
|
46
|
Stokes F, Palmer A. Artificial Intelligence and Robotics in Nursing: Ethics of Caring as a Guide to Dividing Tasks Between AI and Humans. Nurs Philos 2020; 21:e12306. [PMID: 32609420 DOI: 10.1111/nup.12306] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Revised: 03/26/2020] [Accepted: 05/17/2020] [Indexed: 11/30/2022]
Abstract
Nurses have traditionally been regarded as clinicians that deliver compassionate, safe, and empathetic health care (Nurses again outpace other professions for honesty & ethics, 2018). Caring is a fundamental characteristic, expectation, and moral obligation of the nursing and caregiving professions (Nursing: Scope and standards of practice, American Nurses Association, Silver Spring, MD, 2015). Along with caring, nurses are expected to undertake ever-expanding duties and complex tasks. In part because of the growing physical, intellectual and emotional demandingness, of nursing as well as technological advances, artificial intelligence (AI) and AI care robots are rapidly changing the healthcare landscape. As technology becomes more advanced, efficient, and economical, opportunities and pressure to introduce AI into nursing care will only increase. In the first part of the article, we review recent and existing applications of AI in nursing and speculate on future use. Second, situate our project within the recent literature on the ethics of nursing and AI. Third, we explore three dominant theories of caring and the two paradigmatic expressions of caring (touch and presence) and conclude that AI-at least for the foreseeable future-is incapable of caring in the sense central to nursing and caregiving ethics. We conclude that for AI to be implemented ethically, it cannot transgress the core values of nursing, usurp aspects of caring that can only meaningfully be carried out by human beings, and it must support, open, or improve opportunities for nurses to provide the uniquely human aspects of care.
Collapse
|
47
|
Cosentino C, Artioli G, Cervantes Camacho V, Pedroni E, D'Apice C, Sarli L. The VaRP Project: qualitative evaluation of the training effectiveness of Post Graduate Specializations for health professionals. ACTA BIO-MEDICA : ATENEI PARMENSIS 2020; 91:106-117. [PMID: 32573513 PMCID: PMC7975833 DOI: 10.23750/abm.v91i6-s.10027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Accepted: 06/11/2020] [Indexed: 11/23/2022]
Abstract
INTRODUCTION The healthcare professionals' specialized training has a positive impact on professional values, patient's outcome, and promotion of evidence-based practices. To raise the educational standard, the University of Parma has created Post Graduate Specializations which, in addition to learning sector-specific techniques and skills, include the acquisition of soft skills. Aim of the study is investigating the perception of the tutors dedicated to the organization, management, and teaching of the Post Graduate Specializations on the skills gained and the changes achieved in clinical practice, training, and research. MATERIALS AND METHODS Qualitative research was carried out through a semi-structured interview to 11 tutors who have been coordinating the Post Graduate Specializations. RESULTS The Qualitative analysis developed "thick" descriptions characterized by analytical density and interpretative richness. The emerging thematic nuclei were: General/unpredicted aspects, Professional empowerment, Satisfaction, Professional outcomes, Limits of the Post Graduate Specializations, and Development areas. CONCLUSIONS We identified the most effective areas of the Post Graduate Specializations that emerged consistently from the interviews. We hypothesized that the values and mission the Scientific Board, are effectively lived and championed in the everyday activities of the Post Graduate Specializations. Some domains still need to be furtherly developed, as the professional record, the absence of a "follow up" relationship with former students, and the effective management of workload both for students and tutors. The rise of these limits, can be particularly fruitful, as it gives the chance to identify the development trajectory the post-graduate trainings should pursue to raise the standard of excellence.
Collapse
Affiliation(s)
| | | | | | | | - Clelia D'Apice
- Department of Medicine and Surgery, University of Parma, Italy.
| | - Leopoldo Sarli
- Department of Medicine and Surgery, University of Parma, Italy.
| |
Collapse
|
48
|
Edvardsson D, Baxter R, Birkett P, Dunlop A. Supporting lives lived whilst protecting lives saved during COVID-19: The relational invariant in person-centred care. ACTA ACUST UNITED AC 2020. [DOI: 10.1177/2057158520931633] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
There has been an impressive development of nursing knowledge around the ethics, principles, frameworks, models and practices of person-centred care over the last 15 years, with colleagues from the Nordic countries making significant contributions to global knowledge across the discipline of nursing and beyond. A disciplinary challenge remains to map the variability in person-centred care with an aim to empirically clarify the invariant in person-centred care. Based on current research and practice, as well as the COVID-19 pandemic, this article argues that the relational aspect of person-centred care is such an invariant, building on the socially constructive notion of ‘personhood’ being a standing or status that is bestowed on one human being by another in the context of relationship and social being. During the current COVID-19 pandemic, several of the key determinants of person-centred care are under threat due to health service responses and/or infection control measures, such as keeping older adults safe, imposing relationship restrictions, social distancing and isolation (or the lack thereof). Clinical examples from an Australian health service are used to show how recognizing the relational invariant of person-centred aged care facilitated supporting lives lived whilst also protecting lives saved. The relational invariant to person-centred care is who we are, constructed or deconstructed by and with others; something that may have become more visible through the relational restrictions imposed due to COVID-19. Protecting relationality in life and care and advocating for both safe and person-centred care for those who need it most is now more important than ever.
Collapse
|
49
|
Omoronyia FR, Aina JO, Ogungbesan OO. Patient Satisfaction With Psychiatric Nursing Care: A Survey in Calabar, Nigeria. J Psychosoc Nurs Ment Health Serv 2020; 58:50-55. [PMID: 32159816 DOI: 10.3928/02793695-20200305-01] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2019] [Accepted: 11/19/2019] [Indexed: 11/20/2022]
Abstract
Nurses have the most contact with patients and therefore play vital roles in their satisfaction with health care services. The current study aimed to assess patient satisfaction with nursing care in Calabar, Nigeria using the Newcastle Satisfaction with Nursing Scale. One hundred eighty-five patients were surveyed, with a mean age of 33.5 (SD = 9.4 years). Mean percentage satisfaction score was 60.4% (SD = 19.2%). Eighty-two (44.3%) patients were dissatisfied with nursing care. Common areas of dissatisfaction were type of information nurses provided (54.6%), privacy nurses provided (52.4%), time spent with patient (51.4%), and nurses' helpfulness to patient (51.4%). Prevalence of dissatisfaction was more common among respondents who were 40 or younger, as well as among males (p < 0.05). There was a high prevalence of dissatisfaction with psychiatric nursing care in the current study setting. Areas of dissatisfaction and their implications for improvement in nursing care in developing countries are discussed. [Journal of Psychosocial Nursing and Mental Health Services, 58(5), 50-55.].
Collapse
|
50
|
Olausson K, Sharp L, Fransson P, Nyholm T, Zackrisson B, Östlund U. What matters to you? - Free-text comments in a questionnaire from patients undergoing radiotherapy. Tech Innov Patient Support Radiat Oncol 2020; 13:11-16. [PMID: 32128457 PMCID: PMC7042152 DOI: 10.1016/j.tipsro.2019.11.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2019] [Revised: 10/13/2019] [Accepted: 11/22/2019] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Most cancer patients undergo external radiotherapy (RT) at some stage during their treatment trajectory and RT is often associated with unfamiliar procedures in a highly technical environment. The purpose of this study was to explore how patients experience RT and the related processes, as described in free-text comments in a large Swedish survey with questionnaires including items on psychosocial climate and treatment environment. METHODS The data consisted of free-text comments from one open-ended question: "Is there anything else you want us to know" and were analysed using qualitative content analysis. RESULTS Of 825 returned questionnaires, 261 contained free-text comments from patients (32%). The hand-written, free-text comments reflected the patients' experience of the RT process and were abstracted into the four major categories with sub-categories: experiencing the high-tech RT environment, understanding the RT procedures and side effects, dealing with daily life during RT, and the nurses' role and performance. The categories reflect the patients' experiences and emphasize how important it is to evaluate what really matters to the patients when changing procedures, practices, and how to minimize disturbances in the patients' daily lives. CONCLUSION The main conclusions from this study are that the involvement of patients in choosing daily appointment times, providing good information during the RT process to make the patients feel safe, experience and attitude of the staff and respect for the patient's autonomy are highly ranked values for patients. An implementation of person-centred care may help relieve many of these problems.
Collapse
Affiliation(s)
| | - Lena Sharp
- Karolinska Institute, Department of Learning, Informatics, Management and Ethics, Stockholm, Sweden
- Regional Cancer Centre, Stockholm-Gotland, Sweden
| | - Per Fransson
- Umeå University, Department of Nursing, Umeå, Sweden
| | - Tufve Nyholm
- Umeå University, Department of Radiation Sciences, Umeå, Sweden
| | | | - Ulrika Östlund
- Centre for Research & Development, Uppsala University/Region Gävleborg, Sweden
- Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| |
Collapse
|